Upper arm LAB 3 Flashcards
clavicle
- only bone link between the upper limb and axial skeleton
- S-shaped
- medial third is convex anteriorly
- lateral third is concave anteriorly
- expanded medial end articulates with manubrium at the sternoclavicular joint
- flattened lateral end articulates with acromion of the scapula at the synovial acromioclavicular joint
sternoclavicular joint
clavicle and manubrium (sternum)
-mobile
acromioclavicular joint
- clavicle and acromion of the scapula
- synovial
- shoulder separation
scapula
- triangle
- covers the second to seventh ribs on the dorsum of the thorax
- medial border parallels the vertebral column
- long axillary border is thickened
- glenoid cavity- forms the joint surface for the humerus
- spine rises from the dorsal surface and projects laterally as the acromion
- spine separates the supraspinous fossa above from the infraspinous fossa
- coracoid process- fingerlike, projects anterolaterally from the superior border
- gently concave anterior surface of scapular blade comprises the subscapular fossa
- glenoid fossa articulates with humerus (laterally)
scapula: acromion
- bends anteriorly to overhand the glenoid cavity
- spine rises from the dorsal surface and projects laterally as the acromion
glenoid cavity
forms the joint surface for the humerus
-most mobility in the whole body
interclavicular ligaments
- reinforces the sternoclavicular joint
- runs between the medial ends of both clavicles and the top of the manubrium
costoclavicular ligament
- reinforces the sternoclavicular joint
- runs from the underside of the clavicle to the top of the first rib
coracoclavicular ligament
- reinforces the acromioclavicular joint
- extends from the coracoid process to the lateral third of the clavicle
coracoacromial ligament
- reinforces the acromioclavicular joint
- runs from the coracoid process to the acromioclavicular joint
humerus
- proximal end is the hemispherical head -> articulares with the glenoid fossa of the scapula
- greater tubercle- large, lateral to head
- lesser tubercle- smaller anterior to greater tubercle
- intertubercular sulcus- deep groove that runs longitudinally on the anterior surface between the greater and lesser tubercles
- deltoid tuberosity- midshaft below the greater tubercle, prominent
- medial epicondyle- distal end that expands medially (can be palpated)
- lateral epicondyle- smaller (on other side)
- distal end has 2 articular surfaces
- trochlea- medial, spool shaped, articulates with ulna
- capitulum- lateral, bulbous, articulates with the radius
- coronoid fossa- anterior, depression above the trochlea, receives the coronoid process of the ulna when the forearm is flexed
- radial fossa- lateral depression, above the capitulum, smaller, shallower, receive the head of the radius when the forearm is fully flexed
- olecranon fossa- posterior, large triangular depression proximal to the trochlea, receives the olecranon of the ulna when the forearm is fully extended
radius
- head- proximal end, articulates with ulna (medially) and the capitulum of the humerus (proximally)
- radial (bicipital) tuberosity- distal to head on anteromedial side, prominent
- distal end of radius is enlarged
- styloid process- lateral, projects distally, easily palpated
- lister’s dorsal tubercle- on dorsal aspect, palpable
- concave distal ends of radius articulates with two wrist bones (lunate and scaphoid)
ulna
- proximal end is expanded
- articulates with both radius and humerus
- olecranon- posterior, easily palpated, fits into the olecranon fossa of the humerus when forearm is extended
- trochlear notch- anterior aspect of proximal end, articulates with the trochlea of the humerus, extended anteriorly by the prominent coronoid process
- coronoid process- fits into the coronoid fossa of the humerus when the forearm is fully flexed
- radial notch- lateral to the coronoid process, shallow, articulates with head of radius
- head- distal end, articulates medially and anteriorly with the radius and distally with a fibrocartilage disc interposed between it an one of the carpal bones (triquetrum)
- styloid process- posterior to the head, short, fingerlike, projects distally
- interosseous membrane- connects the medial aspect of the radial shaft and the lateral aspect of the ulnar shaft, fibrous, serves as the attachment for some of thr muscles that move the thumb
carpals
- 8
- form wrist
- aligned in 2 transverse rows of 4
- proximal row- scaphoid, lunate, triquetrum, pisiform
- distal row- trapezium, trapezoid, capitate, hamate
sesamoid bone
- forms in the tendon of a muscle
- ex. pisiform
proximal row of carpals
- scaphoid, lunate, triquetrum, pisiform (lateral to medial)
- first 3- movement of wrist through their articulation with the radius and ulna
- pisiform- set anterior to the others and sits on the triquetrum, sesamoid bone that forms in the tendon of a flexor carpi ulnaris muscle
distal row of carpals
- trapezium, trapezoid, capitate, hamate (lateral to medial)
- participate in movement of the wrist through their articulation with the metacarpal bones of the palm
metacarpals
- 5
- form the palm
- first element of each ray is its metacarpal
- proximal end is expanded to form a base that articulate with one or more of carpal bone
- distal end has a rounded head that articulates with the proximal phalanx
- each metacarpal is slightly concave on palmar side and gently convex on dorsal side
phalanges
- 14
- digits
- each of the 4 fingers have: proximal phalanx, middle phalanx, distal phalanx
- thumb (pollex)- only has a proximal phalanx and distal phalanx
- distal end of each distal phalanx is expanded to form apical tuft (ungual tuberosity)- smooth on its dorsal (nail) side and rough on volar (pad) side
- apical tuft- provides support that enables the broad, fleshy fingertips to grip opposition with the thumb
shoulder joint
- articular cage covers head of humerus
- glenoid articular cartilage expanded around the rim to form a labrum
- the joint capsule attaches proximally to the rim of the glenoid and distally to the neck of the humerus
- lined with synovial membrane
- fibrous outer part is reinforced by glenohumeral ligaments
- joint capsule is pierced by tendon of the long head of biceps brachii- attaches to the top of the glenoid rim and runs through the capsule over the head of the humerus -> exits the capusle into the intertubercular sulcus on anterior aspect of humerus
- synovial membrane wraps around tendon sheath -> permits tendon free movement under the transverse humeral ligament between the greater and lesser tubercles of the humerus
glenohumeral ligaments
- thin and weak
- reinforced the fibrous outer part of joint capsule in shoulder
rotator cuff muscles
- shoulder joint is reinforced by tendons of 4 muscles
- all the posterior insert on greater tubercle -> laterally rotate
- anterior insert on lesser tubercle
- supraspinatus- passes the joint superiorly, posteriorly
- subscapularis- passes joint anteriorly
- infraspinatus- pass joint posteriorly
- teres minor- pass joint posteriorly
- form an incomplete cuff around shoulder joint
- prevent shoulder dislocation
shoulder bursae
- subacromial bursa- superior, lies beneath the acromion of the scapula and above the tendon of the supraspinatus
- subscapular bursa- anterior, located between the tendon of the subscapularis muscle and the joint capsule, an extension of the synovial membrane of the joint capsule
3 articulations of elbow joint
- hinge joint between humerus and ulna
- ball and socket joint between humerus and radius
- pivot joint between radius and ulna
- contained within the joint capsule and synovial cavity
- 1 & 2 -> permits ulna and radius to flex and extend
- 2 &3 -> permit medial and lateral rotation (pronation and supination) of radius