Unit 2 Shoulder Complex

Question 0

Sternoclavicular ligament

Answer 0

Connects sternum to clavicle.

Reinforces the joint capsule.

Question 1

Sternoclavicular Joint

S/C

Answer 1

Articulation between sternum and clavicle.

Question 2

Costoclavicular ligament

Answer 2

Connects the inferior clavicle to superior costal cartilage of rib 1.
Limits clavicle elevation

Question 3

Interclavicular ligament

Answer 3

Connect sternal ends of both clavicles across the superior aspect of manubrium.
Limits clavicle depression.

Question 4

Acromioclavicular joint

A/C

Answer 4

Articulation between scapula and clavicle.

Question 5

Acromioclavicular ligament

Answer 5

Connects Acromion to clavicle.

Prevents posterior dislocation of clavicle.

Question 6

Coracoclavicular ligament

Answer 6

Coracoid to inferior clavicle. Two parts- trapezoid & coronoid.
Prevents motion in scapula and limits scapular upward rotation.

Question 7

Coracoacromial ligament

Answer 7

Connects to same bone- coracoid and Acromion of scapula. Forms arch to protect rotator cuff. Subacromial bursa from direct trauma by Acromion.

Question 8

Glenohumeral joint

Answer 8

Triaxial, ball and socket joint. Synovial fluid.

Glenoid fossa and numeral head.

Question 9

Coracohumeral ligament

Answer 9

Coracoid to greater tubercle.
(Underneath)
Stability

Question 10

Glenohumeral ligament

Answer 10

Superior, middle and inferior.

Reinforces joint capsule.

Question 11

Glenoid labrum

Answer 11

Fibrocartilage that surrounds the rim of the glenoid fossa.

Question 12

Deltoid

Answer 12

O medial 1/2 clavicle, Acromion, spine of scapula.
I deltoid tuberosity
A all- abduct
Anterior- flex, IR, horizontally adduct
Middle- abduct
posterior- extend, ER, horizontally abduct
N axillary

Question 13

Trapezius

Answer 13

O External occipital protuberance, superior nuchal line, Ligamentum nuchae, spinous process C7-T12
I medial 1/2 clavicle, acromion and spine of scapula
A upper: unilateral cervical lateral flex to same
Cervical rotation to opposite, elevate and upwardly rotate.
Bilateral cervical extension
Middle: adduct and stabilize scapula
Lower: depress and upwardly rotate
N accessory cranial nerve 11, ventral ramus

Question 14

Latissimus dorsi

Answer 14

O inferior angle, spinous process T7-T12, ribs 9-12, posterior iliac crest, thoracolumbar aponeurosis
I intertubercular groove
A extend, adduct, IR
N thoracodorsal

Question 15

Teres major

Answer 15

O inferior angle, lower 1/3 of lateral Border of scapula
I crest of lesser tubercle
A extend adduct IR
N lower subscapular

Question 16

Rhomboid major

Answer 16

O spinous process T2-T5
I medial border of scapula between inferior angle and spine of scapula.
A adduct, elevate downwardly rotate
N dorsal scapular

Question 17

Rhomboid minor

Answer 17

O spinous process C7-T1
I Upper portion of medial border of scapula across the spine of scapula
A adduct, elevate downwardly rotate
N dorsal scapular

Question 18

Levator scapula

Answer 18

O transverse process C1-C4
I medial border of scapula between superior angle and superior potion of spine of scapula.
A unilateral elevate downwardly rotate
Cervical lateral flexion and rotation to same, bilateral cervical extension
N dorsal scapular, cervical nerves

Question 19

Serratus anterior

Answer 19

O external surface of ribs 1-8 or 9
I anterior surface of medial border of scapula.
A abduct, depress, Prevent winging of scapula, upwardly rotate scapula, w fixed scapula, assist in elevate rib cage during forced inhalation.
N long thoracic

Question 20

Pectoralis major

Answer 20

O medial 1/2 clavicle, sternum, ribs 1-6
I crest greater tubercle
A all- adduct, IR, assist to elevate the thorax during forced inhalation w arm fixed. Upper- flex, horizontally adduct 
Lower- extend 
N upper- lateral pectoral
Lower- lateral & medial pectoral

Question 21

Pectoralis minor

Answer 21

O ribs 3-5
I medial surface of coracoid process
A depress, abduct, downwardly rotate w fixed scapula, assist to elevate to cage during forced inhalation.
N medial pectoral w fibers from a communicating branch of lateral pectoral

Question 22

Coracobrachialis

Answer 22

O coracoid process of scapula
I medial surface of mid humerus
A flex adduct
N musculocutaneous

Question 23

Supraspinatus

Answer 23

O supraspinous fossa
I greater tubercle
A abduct stabilize shoulder
N suprascapular

Question 24

Infraspinatus

Answer 24

O infraspinous fossa I greater tubercle A ER, adduct, stabilize head of humerus in glenoid cavity N suprascapular

Question 25

Teres minor

Answer 25

O upper 2/3 of lateral border of scapula I greater tubercle A ER, adduct, stabilize head of humerus in glenoid cavity N axillary

Question 26

Subscapularis

Answer 26

O subscapular fossa I lesser tubercle A IR, stabilize shoulder N upper lower subscapular

Question 27

Apprehension test | Special test

Answer 27

Test anterior shoulder instability | Possible Shoulder dislocation and facial expression of apprehension.

Question 28

Clunk test

Answer 28

Glenoid lambrum tear Grinding or clunking sensation

Question 29

Drop arm test

Answer 29

Rotator cuff tears | Arm drops uncontrollably to the side has pain as well.

Question 30

Empty can test | Supraspinatus test

Answer 30

Tear in the supraspinatus tendon, weakness of muscle may result of suprascapular nerve involvement Weakness pain

Question 31

Hawkins-Kennedy impingement test

Answer 31

Shoulder impingement | Pain

Question 32

O'Brien test | Active compression SLAPrehension test

Answer 32

Shoulder impingement Apprehension, pain or popping is present w IR absent in ER Superior labral anterior posterior

Question 33

Sulcus test

Answer 33

Inferior shoulder instability test Excessive inferior humeral head w visible sulcus deformity

Question 34

Yergason test

Answer 34

Bicipital tendinitis Pain in bicipital groove

Question 35

Shoulder flexion, extension | Goni

Answer 35

``` 180, 60 Supine, prone Greater tubercle Mid axillary Lateral epicondyle ```

Question 36

Abduction | Goni

Answer 36

``` 180 SAMH Supine Acromion Midline Humerus ```

Question 37

IR ER | Goni

Answer 37

``` 70, 90 Supine Olecranon Perpendicular to floor Ulnar styloid ```

Question 38

Scapular Elevation | MMT

Answer 38

``` Upper trapezius Levator scapulae 1-Sitting-AG alter scale 2- Sitting- AG Prone- GE ```

Question 39

Scapular adduction | MMT

Answer 39

Middle traps Prone- AG Sitting-GE

Question 40

Scapular adduction depression | MMT

Answer 40

Lower traps Statue of Liberty Prone- AG Alter scale

Question 41

Scapular adduction downward rotation | MMT

Answer 41

Rhomboids Prone- AG Sitting-GE HANDCUFF

Question 42

Scapular abduction upward rotation | MMT

Answer 42

Serratus anterior High punch Sitting- GE ALTER SCALE

Question 43

Shoulder flexion | MMT

Answer 43

Anterior deltoid, coracobrachialis Sitting- AG Side lying-GE Powderboard

Question 44

Shoulder extension | MMT

Answer 44

Latissimus dorsi, teres major Posterior deltoid Prone-face hole AG Side lying- GE Powderboard

Question 45

Shoulder abduction | MMT

Answer 45

Supraspinatus, middle Deltoid Sitting-AG Supine- humerus slides table GE

Question 46

Shoulder horizontal abduction | MMT

Answer 46

Posterior deltoid Prone AG Sitting GE

Question 47

Shoulder horizontal adduction | MMT

Answer 47

Pec major Supine AG Sitting GE

Question 48

Medial rotation | MMT

Answer 48

Subscapularis, pec major, Lats, teres major | Prone AG GE

Question 49

Lateral rotation | MMT

Answer 49

Infraspinatus teres major | Prone AG GE