Starred Lecture Items L9 Flashcards

(34 cards)

1
Q

when do somites originate

A

3rd week of embryogenesis

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2
Q

what is a somite

A

mesodermal segments of embryos originating from stem cells that become the vertebral column, skeletal muscle and dermis.

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3
Q

when does the mesoderm differentiate into somites

A

after day 20

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4
Q

how many pairs of somites come from the mesoderm and how many sets of spinal nerves do they eventually create

A

44 pairs of somites; 31 sets of spinal nerves

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5
Q

what happens at the 7th week of embryogenesis regarding upper and lower limbs

A

upper and lower limbs undergo a 90 degree torsion in opposite directions, elbow goes caudally and knee goes cranially

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6
Q

what are:
syndactyly
polydactyly
macrodactyly
adactyly
ectrodactyly
anomalies

A

syn: fusion of digits
poly: extra digits (usually bilateral)
macro: enlarged digits
a: absence of digits
ectro: lobster claw

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7
Q

what are:
amelia
meromelia
phocomelia
anomalies

A

a: absence of extremities
mero: partial absence of extremities
phoco: shortened lower extremities

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8
Q

what are the 4 joints of the UE and are they synovial or functional

A

glenohumeral (syn)
acromioclavicular AC (syn)
sternoclavicular (syn)
scapulothoracic (functional)

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9
Q

what end of the clavicle is flat and what is rounder/pointy

A

sternal end is flat
acromial end is rounder/pointy

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10
Q

what is the antebrachium

A

forearm

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11
Q

what head of the tricep doesnt attach to the humerus

A

long head

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12
Q

is the long head and short head of the bicep biarticulate or triarticulate

A

triarticulate

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13
Q

biarticulate vs triarticulate

A

bi: works across two joints
tri: works across three joints (ex. shoulder elbow forearm)

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14
Q

what vessel runs on top of the superior transverse scapular ligament and what runs under it/through the notch

A

suprascapular nerve travels through notch/ under ligament
suprascapular artery runs above

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15
Q

three types of acromion (which is best)

A

type I: flat (most healthy/ norm)
type II: curved
type III: hooked (caused by bone spurs/overuse–causes compression of subacromial vessels)

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16
Q

most common to least common rotator cuff injury muscle

A

supraspin=most common
subscap= least common

17
Q

what is a partial vs complete rotator cuff tear called

A

partial: articular/ bursal side tear
complete: full thickness tear (all the way through the tendon)

18
Q

what is injured in a SLAP injury and where does it start

A

glenoid labrum (ring of cartilage around shoulder socket/ glenoid) ; starts at 12/1 o clock but can spread

19
Q

total shoulder abduction ROM is…

20
Q

early phase of shoulder humoral rotation (degrees)
what is involved

A

initial 30 degrees of abduction
GHJ only

21
Q

mid phase of shoulder humoral rotation (degrees)
what is involved

A

30 degrees to 120 degrees; scapular rotation and GH movement equally 1:1

22
Q

late phase of shoulder humoral rotation (degrees)
what is involved

A

120 degrees to 180 degrees
mostly GHJ (2/3:1)

23
Q

what three ligaments come off coracoid process

A

coracoacromial
coracohumeral
coracoclavicular (trapezoid and conoid)

24
Q

separated shoulder and mechanism?

A

only ac ligament
mechanism: acromioclavicular joint is dislocated but no ligament separation??????

25
piano key injury and mechanism?
dislocation of ac joint plus rupture of two coracoclavicular ligament (trapezoid and conoid ligaments) mechanism: ????
26
if shoulder capsule is bilaterally instable/loose it is.... if unilateral it is....
born loose if bilaterally torn loose if unilateral
27
what is a bursa?
synovial membrane goes through fibrous membrane to form bursa between tendons and fibrous membrane
28
what are the bursas in the shoulder
subscapular bursa subacromial bursa
29
what is the most common direction of shoulder dislocation
anterior (slides forward)
30
why is the shoulder the most commonly dislocated joint
most ROM
31
what is subluxation
not complete dislocation
32
what is a bankart injury
shoulder capsule (glenoid labrum) gets stretched out/ tears
33
what position does arm need to be in for full ROM (abduction) at glenohumoral joint
palm up to reach ear
34
linked motions--- clavicle