UL1- Osteology of the shoulder, arm & elbow Flashcards

(55 cards)

1
Q

two important functions of the clavicle?

A
  1. transfers weight to the axial skeleton as the only connection between UL & axial skeleton
  2. allows for greater mobility of the UL by acting as a strut
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2
Q

articulations forming the sternoclavicular joint?

A

sternal/medial end of the scapula & sternum

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3
Q

articulations forming the acromioclavicular joint? what type of joint?

A

lateral/ acromial end of the clavicle & acromion process of the scapula - plane-type synovial joint

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4
Q

significance of the subclavian groove?

A

where the subclavian muscle sits

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5
Q

significance of the conoid tubercule?

A

where the conoid ligament inserts itself onto inferior aspect of clavicle

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6
Q

significance of the trapezoid line?

A

where the trapezoid ligament inserts itself onto inferior aspect of clavicle

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7
Q

what forms the coracoclavicular ligament?

A

conoid and trapezoid ligaments together - pass from the coracoid process & come together

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8
Q

what ribs does the scapula cover in its resting anatomical position?

A

ribs 2-7 (lies on posterior thoracic wall)

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9
Q

what surface features can be found on the inferior surface of the clavicle? (from most medial to lateral)

A

subclavian groove, conoid tubercle and trapezoid line

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10
Q

what joint does the glenoid cavity articulating with the head of the humerus form?

A

glenohumeral/ shoulder joint

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11
Q

three main fossae of the scapula?

A

supraspinous
infraspinous
subscapular

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12
Q

what muscle does the supraspinous fossa give rise to? origin, insertion, action & innervation of this muscle?

A

supraspinatus muscle
- origin: supraspinous fossa
- insertion: greater tubercle of humerus
- action: lateral rotation of shoulder & initiates first 15 degrees of shoulder abduction
- innervation: suprascapular nerve

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13
Q

which scapula fossa gives rise to the subscapularis muscle? origin, insertion, action & innervation of this muscle?

A
  • origin: subscapular fossa (gives rise to subscapularis)
  • insertion: lesser tubercle of humerus
  • action: medial rotation of shoulder
  • innervation: subscapular nerve
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14
Q

what muscle does the infraspinous muscle give rise to? origin, insertion, action & innervation of this muscle?

A

infraspinatus muscle
- origin: infraspinous fossa
- insertion: greater tubercle of humerus
- action: lateral rotation of shoulder
- innervation: suprascapular nerve

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15
Q

three main fossa of the scapula - what muscle do they each give rise to?

A

supraspinous fossa –> supraspinatus
infraspinous fossa –> infraspinatus
subscapular fossa –> subscapularis

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16
Q

why is the clavicle a common fracture site?

A

the clavicle transfers weight from the upper limb to the axial skeleton - prone to fracture

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17
Q

what are the two necks of the humerus, and how are they different?

A

anatomical neck - lies between the head of the humerus and the tubercles

surgical neck - lies below the tubercles where the humerus narrows

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18
Q

why is the surgical neck of the humerus clinically significant?

A

common fracture site - can damage the axillary nerve and posterior circumflex humeral artery

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19
Q

which rotator cuff muscles insert onto the greater tubercle of the humerus?

A

supraspinatus
infraspinatus
teres minor

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20
Q

which rotator cuff muscle inserts onto the lesser tubercle of the humerus?

A

subscapularis

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21
Q

function of the intertubercular sulcus? what structure runs through it?

A

groove between the greater & lesser tubercles of the humerus - long head of the biceps brachii tendon runs through it

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22
Q

course of the long head of the biceps brachii tendon: runs through A) WHAT sulcus - through B) WHAT joint capsule - attaches into the C) WHAT of the scapula

A

A) intertubercular sulcus
B) glenohumeral
C) supraglenoid tubercle

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23
Q

role of the deltoid tuberosity of the humerus?

A

deltoid muscle runs down and inserts here (on lateral surface)

24
Q

what structures are associated with the radial (spiral) groove of the humerus?

A

radial nerve
profunda brachii artery

25
articulations forming the humeroulnar joint?
humeral trochlea articulates with the trochlear notch of the ulna (medial)
26
articulations forming the humeroradial joint?
humeral capitulum articulates with the head of the radius (lateral)
27
the medial epicondyle is an attachment site for...
wrist flexors
28
the lateral epicondyle is an attachment site for...
attachment site for wrist extensors
29
role of the radial fossa of the distal humerus?
accommodates the head of the radius during elbow flexion
30
what structure does the coronoid fossa of the humerus accommodate? during what movement?
accommodates the coronoid process of the ulna during elbow flexion
31
role of the olecranon fossa?
(posterior humerus) accommodates the olecranon process of the ulna during elbow extension
32
what does the trochlear notch of the ulna articulate with? what joint does this form?
articulates with trochlea of the humerus - forms the humeroulnar joint
33
what does the head of the radius articulate with to form the humeroradial joint?
capitulum of the humerus
34
articulations forming the proximal radioulnar joint?
radial notch of the ulna articulates with the radial head
35
what movement does the proximal radioulnar joint allow for?
pronation and supination - allows for rotation of the radius
36
what muscle inserts itself on the ulna tuberosity? what movement does this allow for?
brachialis muscle inserts - allows for elbow flexion
37
what muscle inserts itself on the radial tuberosity? what movements (2) does this allow for?
biceps brachii muscle inserts - allows for forearm supination & helps elbow flexion
38
what three joints form the elbow joint?
1. humeroulnar joint (humeral trochlear + trochlear notch of ulna) 2. humeroradial joint (humeral capitulum + radial head) 3. proximal radioulnar joint (radial head + radial notch of ulna)
39
what type of joint is the elbow joint? what movements does this allow for?
synovial hinge joint (flexion & extension movements)
40
what structure deepens the glenoid cavity and increases congruency of the shoulder joint?
glenoid labrum
41
the ______ bursa lies between the supraspinatus muscle and the acromion
subacromial bursa
42
what structure holds the long head of the biceps tendon in the intertubercular sulcus? A. Coracoacromial ligament B. Glenohumeral ligaments C. Transverse humeral ligament D. Acromioclavicular ligament
C. Transverse humeral ligament
43
Which of the following ligaments helps resist anterior displacement of the humeral head? A. Coracoacromial ligament B. Glenohumeral ligaments C. Transverse humeral ligament D. Acromioclavicular ligament
B. Glenohumeral ligaments - has superior, middle & inferior divisions
44
Which of the following is NOT a function of the glenoid labrum? A. Deepens the glenoid cavity B. Provides attachment for the long head of the biceps C. Produces synovial fluid D. Increases joint congruency
C. Produces synovial fluid
45
The coracohumeral ligament provides which type of support to the glenohumeral joint? A. Inferior B. Anterior C. Posterior D. Superior
D. Superior
46
What structure helps prevent the humeral head from rising excessively during shoulder abduction? A. Coracohumeral ligament B. Glenohumeral ligament C. Coracoacromial ligament D. Acromioclavicular ligament
C. Coracoacromial ligament
47
what structures help stabilise the glenohumeral joint?
- glenoid labrum (deepen socket; increase congruency) - coracohumeral, coracoacromial & glenohumeral joints (anterior-superior stability)
48
what does the subacromial bursa do?
reduces friction of supraspinatus muscle against acromion process when abducting and adducting shoulder joint
49
Which of the following joints allows for pronation and supination of the forearm? A. Humeroulnar joint B. Humeroradial joint C. Proximal radioulnar joint D. Distal humeroradial joint
C. Proximal radioulnar joint
50
The trochlear notch of the ulna articulates with which part of the humerus? A. Capitulum B. Olecranon C. Trochlea D. Coronoid fossa
C. Trochlea
51
The annular ligament attaches to which of the following? A. Radial head and ulnar shaft B. Radial notch of the ulna C. Capitulum of humerus D. Coronoid process
B. Radial notch of the ulna from head of radius > radial notch of ulna)
52
Which ligament is the strongest part of the ulnar collateral ligament complex? A. Posterior band B. Oblique band C. Anterior band D. Interosseous band
C. Anterior band
53
The radial collateral ligament blends with which other ligament? A. Ulnar collateral ligament B. Transverse ligament C. Annular ligament D. Oblique cord
C. Annular ligament
54
what movement does the proximal radioulnar joint allow?
pronation & supination (via rotation of the radius)
55
what is the function of the annular ligament?
holds the radial head against the radial notch of the ulna during pronation/ supination