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Flashcards in Shoulder OMM Deck (45):
1

Where does shoulder pain rank in the consultation of primary care?

Third most common

2

What are the three bones that comprise the shoulder?

Clavicle
Humerus
Scapula

3

What spinal level does the clavicular spine point to?

T3

4

What are the 4 joints of the shoulder? Which is false?

Sternoclavicular
Acromioclavicular
Glenohumeral joint

Scapulothoracic= false

5

What is the motion of the sternoclavicular joint?

Multi-axial

6

What is the only bony connection of the upper extremity to the axial skeleton?

Sternoclavicuarl joint

7

What are the three ligaments that are a part of the sternoclavicular joint?

Sternoclavicular
Costoclavicular
Interclavicular

8

What is the ball and socket joint of the shoulder?

Glenohumeral joint

9

What is significant about the glenohumeral joint, relative to other joints in the body?

Most mobile

10

What are the motions of the glenohumeral joint?

Flexion/extension
Abduction/adduction
Medial/lateral rotation

11

Why is the glenohumeral joint unstable?

Shallow cavity

12

Where is the glenohumeral joint most unstable?

Anteriorly and inferiorly

13

What are the three major ligaments of the shoulder joint?

Glenohumeral
Coracohumeral
Transverse humeral

14

What are the four muscles that are around the glenohumeral joint (rotator cuff) Name them with respect to their anatomical location (i.e. anterior, posterior, superior, inferior).

Superiorly = supraspinatous
Anterior = infraspinatous
Inferior = teres minor
Posterior = subscapularis

15

Which joint of the shoulder allows the FROM of the UE?

Scapulothoracic joint

16

What are the spinal nerves roots that are a part of the brachial plexus?

C5-T1

17

Draw out brachial plexus

Draw

18

What is scalenus anticus syndrome?

Compression of the brachial plexus between the anterior and middle scalenes

19

What is wright's test, and what does it assess?

Pec minor syndrome.

Raise hands above head and apply compression to adduct the arms

20

What is Adson's test, and what does it assess?

***

21

What is the costoclavicular test asses for, and how is it performed?

***

22

What is the most common cause of bursitis?

Repetitive use of a joint

23

What are the superficial, anterior muscles of the shoulder girdle?

Deltoid
Pec major
SCM
Biceps

24

What is the O and I of the biceps Brachii?

Tip of the coracoid process and tubercle of the scapula to the radial tuberosity and bicipital aponeurosis

25

What are the deep, anterior muscles of the shoulder?

Coracbranchialis
Pec minor
Subclavius
Serratus anterior

26

What is the innervation of the serratus anterior?

Lonog thoracic nerve

27

Injury to the long thoracic nerve causes what? Why?

Winged scapula d/t lack of innervation to the serratus anterior

28

What is the O and I of the pec minor?

Ribs 3-5 to coracoid process

29

What is the O and I of the pec major?

Medial 2/3 of the clavicle
Lateral lip of the intertubercular groove

30

What is the posterior, superficial muscles of the shoulder girdle?

Deltoid
Trap
Lat dorsi
Triceps

31

What is the O and I of the lat dorsi?

Spinous process of lower 6 thoracic

Medial lip and floor of the intertubercular groove

32

What are the posterior, deep muscles of the shoulder girdle?

Rotator cuff muscles +
Levator scap
Teres major
Levator scap
Rhomboids

33

What are the attachments of the rhomboids?

Minor = ligamentum nuchae
Major = T2-T5

Insert into the scap

34

What is the major shoulder flexor?

Deltoid

35

What is the major shoulder extender?

Deltoid

36

What is the major muscle of internal rotation of the arm?

Subscapularis

37

What is the major muscle of external arm rotation?

Infraspinatus

38

What are the two muscles that are involved in abduction of the shoulder?

Deltoid
Supraspinatus (first 15 degrees)

39

What are the two muscles that are involved in abduction of the shoulder?

Pec major
Lat dorsi

40

What are the two major muscles that effect scapular depression?

Pec minor
Trap

41

What are the muscles that effect scapular protraction?

Serratus anterior
Pecs

42

What are the muscles that cause scapular retraction?

Middle trap
Rhomboids
Lat dorsi

43

What are the muscles that cause upward rotation of the scapula?

Trap
Serratus anterior

44

What is the scapulohumeral rhythm?

Scapular movement is to facilitate glenohumeral movements in a 2:1 ratio

45

What is adhesive capsulitis?

Frozen shoulder: shoulder capsule of the glenohumeral joint becomes inflamed and stiff, greatly restricting motion and causing pain