Shoulder Part 1
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Questions and Answers

Which joint is characterized as a synovial saddle joint in the shoulder complex?

  • Acromioclavicular joint
  • Glenohumeral joint
  • Coracoacromial joint
  • Sternoclavicular joint (correct)

Which ligament is considered the main stabilizing factor in the sternoclavicular joint?

  • Coraco-acromial ligament
  • Trapezoid ligament
  • Conoid ligament
  • Costo-clavicular ligament (correct)

What type of joint is the acromioclavicular joint classified as?

  • Synovial hinge joint
  • Synovial ball-and-socket joint
  • Fibrous joint
  • Synovial plane joint (correct)

Which of the following muscles is primarily responsible for movements of the scapula?

<p>Serratus anterior (B)</p> Signup and view all the answers

Which anatomical feature is not a part of the shoulder girdle?

<p>Radius (C)</p> Signup and view all the answers

Which region connects the upper limb to the thoracic wall?

<p>Pectoral region (D)</p> Signup and view all the answers

The articulation between which structures forms the glenohumeral joint?

<p>Humerus and scapula (B)</p> Signup and view all the answers

Which muscle group is primarily responsible for the elevation of the shoulder girdle?

<p>Trapezius muscles (B)</p> Signup and view all the answers

What is the primary function of the upper fibers of the trapezius muscle?

<p>Elevate the scapula (B)</p> Signup and view all the answers

Which muscles work together to rotate the scapula so that the glenoid cavity faces downward?

<p>Levator scapulae and Rhomboids (D)</p> Signup and view all the answers

What is one of the primary actions of the pectoralis major muscle?

<p>Medial rotation of the arm (D)</p> Signup and view all the answers

What movement is primarily caused by the middle fibers of the trapezius?

<p>Retraction of the scapula (C)</p> Signup and view all the answers

Injury to which nerve commonly results in paralysis of the trapezius muscle?

<p>Accessory nerve (C)</p> Signup and view all the answers

Which muscle primarily assists in the protraction of the shoulder?

<p>Serratus anterior (D)</p> Signup and view all the answers

What action does the latissimus dorsi perform for movement?

<p>Adduction and medial rotation of the arm (D)</p> Signup and view all the answers

What is the consequence of injury to the nerve of serratus anterior?

<p>Winging of the scapula (C)</p> Signup and view all the answers

Which of the following muscles is responsible for initiating arm abduction from 0 to 15 degrees?

<p>Supraspinatus (B)</p> Signup and view all the answers

Which muscle is primarily responsible for the protraction of the scapula?

<p>Serratus anterior (D)</p> Signup and view all the answers

Which muscle assists with elevation of the scapula alongside the upper fibers of the trapezius?

<p>Levator scapulae (C)</p> Signup and view all the answers

What action does pectoralis minor perform when the scapula is fixed?

<p>Pulls the ribs during inspiration (D)</p> Signup and view all the answers

What is one of the actions of the rhomboids?

<p>Retract the scapula (C)</p> Signup and view all the answers

Which muscle acts to fix the medial border of the scapula to the chest wall?

<p>Serratus Anterior (D)</p> Signup and view all the answers

What is the primary action of the infraspinatus muscle?

<p>Rotates the arm laterally (A)</p> Signup and view all the answers

Which of the following muscles is deep to the pectoralis major?

<p>Subclavius muscle (A)</p> Signup and view all the answers

Flashcards

What is the shoulder girdle?

The shoulder girdle is a complex structure that connects the upper limb to the vertebral column, enabling a wide range of movements.

What does the Trapezius muscle do?

The Trapezius is a large, diamond-shaped muscle that spans the upper back and neck. Its fibers have different functions: upper fibers elevate the scapula, middle fibers retract it, and lower fibers depress it. It also plays a key role in rotating the scapula during arm elevation.

What does the Latissimus Dorsi muscle do?

The Latissimus Dorsi is a large, flat muscle that covers the lower back. It works to adduct (pull towards the body), extend, and medially rotate the arm. It also assists in trunk elevation during activities like climbing and swimming.

What is the role of the Levator Scapulae?

The Levator Scapulae muscle, located at the back of the neck, helps elevate the scapula alongside the upper fibers of the trapezius.

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What do the Rhomboids do?

The Rhomboids (Minor and Major) are deep muscles that help retract the scapula, pulling it towards the spine, and also contribute to downward rotation of the scapula, stabilizing the shoulder joint.

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What are the muscles involved in Elevation & Depression of the shoulder?

Elevating the shoulder means raising it towards the ear. Depressing the shoulder involves lowering it away from the ear. This movement is achieved primarily by the trapezius and serratus anterior muscles.

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What are the muscles involved in the Upward and Downward Rotation of the glenoid cavity?

Upward rotation of the glenoid cavity involves moving the scapula to a higher position, rotating it upward. Downward rotation brings the scapula back to a lower position. The trapezius and serratus anterior are key in this movement.

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What are the muscles involved in Protraction and Retraction of the Scapula?

Protraction involves pulling the scapula forward, like reaching out with your shoulder. Retraction brings the scapula backward, towards the spine. The pectoralis minor and rhomboids are involved.

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What is the Pectoralis Major's role ?

The pectoralis major is a large muscle that covers the chest. Its primary function is to adduct (pull towards the body), flex, and medially rotate the arm. It's a big contributor to activities like climbing and rowing.

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What does the Pectoralis Minor do?

The Pectoralis Minor is a smaller muscle located beneath the pectoralis major. It protracts the scapula, pulling it forward, and depresses it, pulling it downwards. Additionally, it assists with forced inspiration.

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What is the Serratus Anterior's function?

The Serratus Anterior is a muscle on the side of the rib cage. It plays a key role in protracting and rotating the scapula, anchoring it securely to the ribcage. This muscle also assists with respiration.

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What is the Deltoid responsible for?

The deltoid muscle is a rounded muscle that covers the shoulder joint. It performs multiple actions: flexion, extension, medial and lateral rotation, and abduction (lifting the arm to the side).

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What are the functions of the Supraspinatus?

The Supraspinatus is a small, powerful muscle located above the spine of the scapula. It initiates arm abduction (lifting the arm away from the body) and stabilizes the shoulder joint.

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What does the Infraspinatus muscle do?

The Infraspinatus is a muscle located below the spine of the scapula. It helps with lateral rotation of the arm (rotating the arm outward) and also ensures stability of the shoulder joint.

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What is the role of the Teres Minor?

The Teres Minor, a small muscle located below the infraspinatus, works with it to laterally rotate the arm and provide stability to the shoulder joint.

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What is the function of the Teres Major?

The Teres Major is a muscle located below the teres minor. It assists in medial rotation (rotating inward) and adduction (pulling toward the body) of the arm.

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What is the Subscapularis' role?

The Subscapularis is a muscle located on the front of the scapula. It helps with medial rotation of the arm and works to stabilize the shoulder joint.

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What is the Sternoclavicular joint?

The Sternoclavicular joint is a synovial joint that connects the sternum, clavicle, and first costal cartilage. It's crucial for movement and stability of the shoulder girdle.

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What is the Acromioclavicular joint?

The Acromioclavicular joint is a synovial joint that connects the acromion of the scapula with the clavicle. It allows for movement and stability of the shoulder.

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What is the Costo-clavicular ligament?

This ligament connects the clavicle to the first rib, preventing excessive upward movement of the clavicle and providing stability to the Sternoclavicular joint.

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What stabilizes the Acromioclavicular joint?

Coronoid and trapezoid components of the coracoclavicular ligament, along with the coracoacromial ligament, are essential for stabilizing the Acromioclavicular joint.

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Study Notes

Shoulder Joint

  • The shoulder girdle connects the upper limb to the vertebral column.
  • Major back muscles involved:
    • Trapezius
    • Latissimus dorsi

Muscles of the Back

Superficial Layer

  • Trapezius:

    • Upper fibers: Elevate scapula
    • Middle fibers: Retract scapula
    • Lower fibers: Depress scapula
    • Functions in rotary motion of scapula during arm elevation.
    • Injury to the accessory nerve can result in shoulder drop and limited arm movement.
  • Latissimus dorsi:

    • Functions in adduction, extension, and medial rotation of the arm.
    • Assists in trunk elevation during climbing, swimming, and rowing.

Second Layer

  • Levator Scapulae:

    • Elevates scapula alongside upper trapezius fibers.
  • Rhomboids (Minor and Major):

    • Actions include retraction of the scapula and maintaining shoulder stability.
    • Both contribute to downward rotation of the scapula.

Movements of the Shoulder Girdle

  • Elevation & Depression: Muscles include trapezius and serratus anterior.
  • Upward & Downward Rotation of Glenoid Cavity: Involves trapezius and serratus anterior.
  • Protraction & Retraction of Scapula: Muscles include pectoralis minor and rhomboids.

Pectoral Region

  • Muscles:

    • Connect upper limb to thoracic wall.
    • Includes pectoralis major, pectoralis minor, subclavius, and clavipectoral fascia.
  • Pectoralis Major:

    • Actions: Adduction, flexion, medial rotation of the arm; aids in climbing and rowing.
  • Pectoralis Minor:

    • Actions: Protracts and depresses the shoulder; assists in forced inspiration.
  • Serratus Anterior:

    • Originates from upper ribs; major role in scapular protraction and rotation.
    • Fixes scapula to thoracic wall; assists in respiration.

Shoulder (Scapular) Region

  • Comprises six muscles connecting the scapula with the humerus:

    • Deltoid, Supraspinatus, Infraspinatus, Teres Minor, Teres Major, Subscapularis.
  • Deltoid:

    • Actions: Flexes, extends, medially and laterally rotates, and abducts the arm (15° to 90°).
  • Supraspinatus:

    • Initiates arm abduction (0° to 15°) and stabilizes shoulder joint.
  • Infraspinatus:

    • Laterally rotates arm and provides stability to the shoulder joint.

Shoulder Skeleton

  • Key bones: Scapula, Humerus, Clavicle.
  • Movement facilitated by:
    • Sternoclavicular and Acromioclavicular joints.

Shoulder Joints and Ligaments

  • Sternoclavicular Joint:

    • Synovial saddle joint; connects sternum, clavicle, and first costal cartilage.
    • Important ligaments include:
      • Anterior and posterior interclavicular ligaments
      • Sternoclavicular ligament
      • Costo-clavicular ligament, which stabilizes the joint.
  • Acromioclavicular Joint:

    • Synovial plane joint; unites acromion of scapula with clavicle.
    • Stabilized by coracoclavicular ligament components (trapezoid and conoid parts) and coracoacromial ligament.

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