PTH 151 - Unit 5 Lab #1A - UE Joints
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Questions and Answers

What is considered the primary function of the scapulothoracic joint?

  • To serve as a strong attachment for the humerus
  • To facilitate the motion of the shoulder girdle (correct)
  • To provide stability to the spine
  • To prevent dislocation of the shoulder joint
  • Which of the following ligaments is NOT part of the glenohumeral joint complex?

  • Coracoacromial ligament
  • Infraspinatus ligament (correct)
  • Superior Glenohumeral ligament
  • Coracohumeral ligament
  • What kind of joint is the scapulothoracic joint classified as?

  • Synovial joint
  • Fibrous joint
  • Cartilaginous joint
  • Pseudojoint (correct)
  • How does the coracoacromial arch function in the shoulder joint?

    <p>It serves as a roof for the glenohumeral joint.</p> Signup and view all the answers

    Which motion occurs in the sagittal plane at the shoulder joint?

    <p>Flexion</p> Signup and view all the answers

    What is the relationship known as that describes the movement of the ST joint and GH joint during arm elevation?

    <p>Scapulohumeral rhythm</p> Signup and view all the answers

    How much of the total shoulder elevation is contributed by the scapulothoracic joint during full motion?

    <p>60 degrees</p> Signup and view all the answers

    What is the primary purpose of the glenoid labrum?

    <p>To deepen the glenoid fossa.</p> Signup and view all the answers

    Which joint structure is located between the acromion process and the supraspinatus tendon?

    <p>Subacromial bursa</p> Signup and view all the answers

    At which vertebral level is the superior angle of the scapula located?

    <p>T2</p> Signup and view all the answers

    Which movement does not occur at the scapulothoracic joint?

    <p>Medial/Lateral Rotation</p> Signup and view all the answers

    Which of the following describes one of the axes of rotation for shoulder abduction?

    <p>Anteroposterior axis</p> Signup and view all the answers

    Which muscle group is primarily responsible for internal rotation of the shoulder?

    <p>Rotator cuff muscles</p> Signup and view all the answers

    During the upward rotation of the scapula, what motion occurs at the GH joint?

    <p>Abduction</p> Signup and view all the answers

    What is the relationship between the coracoacromial ligament and the acromion process?

    <p>The ligament spans between the coracoid process and the acromion.</p> Signup and view all the answers

    What occurs when the scapulothoracic joint does not move during arm elevation?

    <p>Partial range of motion of the GH joint is achieved</p> Signup and view all the answers

    What is the ratio of movement at the GH joint compared to the ST joint during shoulder elevation?

    <p>2:1</p> Signup and view all the answers

    Which of the following is an essential component of data collection skills in the examination of joint integrity?

    <p>Administering appropriate tests and measures</p> Signup and view all the answers

    During which movement of the shoulder joint occurs at the transverse plane?

    <p>Rotation</p> Signup and view all the answers

    Which of the following movements occurs around a vertical axis at the scapulothoracic joint?

    <p>Internal/External Rotation</p> Signup and view all the answers

    What is the function of the anterior sternoclavicular ligament?

    <p>Reinforces the joint capsule anteriorly</p> Signup and view all the answers

    Which ligament connects the first rib to the medial inferior clavicle?

    <p>Costoclavicular ligament</p> Signup and view all the answers

    Which joint is described as the only osseous joint connecting the upper extremity to the axial skeleton?

    <p>Sternoclavicular joint</p> Signup and view all the answers

    What are the two parts of the coracoclavicular ligament?

    <p>Conoid and trapezoid</p> Signup and view all the answers

    What movement is primarily associated with the acromioclavicular joint?

    <p>Scapular upward and downward rotation</p> Signup and view all the answers

    What does the fibrocartilaginous disc do within the sternoclavicular and acromioclavicular joints?

    <p>Improves joint congruence</p> Signup and view all the answers

    How is the full 180 degrees of shoulder elevation divided according to Neumann (2022)?

    <p>Early phase and late phase</p> Signup and view all the answers

    What is a common injury associated with the acromioclavicular joint?

    <p>AC joint separation</p> Signup and view all the answers

    Which describes the role of the interclavicular ligament?

    <p>Runs between the medial ends of the clavicles</p> Signup and view all the answers

    What types of movements are associated with the sternoclavicular joint?

    <p>Elevation and depression</p> Signup and view all the answers

    Study Notes

    PTH 151 - Unit 5 Lab #1A - UE Joints

    • Reference: Clinical Mechanics and Kinesiology Chapter 10 (pages 173-211), Muscle Manual (pages 188-225)

    Shoulder Joint Complex

    • Bones: Humerus, Scapula, Clavicle

    Joints

    • Glenohumeral Joint (GHJ): Also known as the shoulder joint
      • Articulating Surfaces: Proximal - glenoid fossa of scapula; Distal - humeral head
      • Ligaments:
        • Superior Glenohumeral Ligament: Thickening of anterior joint capsule
        • Middle Glenohumeral Ligament: Thickening of anterior joint capsule
        • Inferior Glenohumeral Ligament: Thickening of anterior and inferior joint capsule
        • Coracohumeral Ligament: Runs between coracoid process and greater tubercle; prevents anterior and inferior subluxation of humeral head

    Scapulothoracic Joint (ST Joint)

    • Articulating Surfaces: Anterior aspect of scapula, posterior aspect of rib cage
    • Ligaments: None
    • Motions: Elevation/Depression, upward and downward rotation, anterior/posterior tipping, IR/ER, adduction/abduction (protraction/retraction)
    • Miscellaneous: Considered a pseudo-joint; ST motion occurs simultaneously with AC or SC joint motion; relationship between ST and GH motion known as scapulohumeral rhythm (for every 2 degrees of GH abduction/flexion, 1 degree of upward rotation occurs at ST joint)

    Sternoclavicular Joint (SC Joint)

    • Articulating Surfaces: Proximal (medial) - manubrium of sternum; Distal (lateral) - medial end of clavicle
    • Ligaments: Anterior sternoclavicular ligament, posterior sternoclavicular ligament, interclavicular ligament, costoclavicular ligament
    • Motions: Elevation/Depression, posterior/anterior rotation, protraction/retraction
    • Miscellaneous: The only osseous joint that connects the UE to the axial skeleton; fibrocartilaginous disc within the joint improves joint congruence

    Acromioclavicular Joint (AC Joint)

    • Articulating Surfaces: Proximal (medial) - lateral end of clavicle; Distal (lateral) - acromion process of scapula
    • Ligaments: Acromioclavicular ligament, coracoclavicular ligament (trapezoid and conoid)
    • Motions: Scapular IR/ER, posterior/anterior tipping, upward/downward rotation
    • Miscellaneous: Fibrocartilaginous disc often present to improve joint congruence; common site for separation injuries

    SC & AC Joint Contributions to Scapulohumeral Rhythm

    • Neumann (2022) divides shoulder elevation into early and late phases (each 90 degrees)
    • Early phase: 60 degrees from humerus, 30 degrees from scapular rotation
    • Late phase: 60 degrees from humerus, 30 degrees from scapular rotation; additional 20-25 degrees at the AC joint

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    Description

    Test your knowledge on the anatomy and mechanics of the shoulder joint complex. This quiz covers the bones, articulating surfaces, ligaments, and joints associated with the shoulder. Perfect for students in Clinical Mechanics and Kinesiology.

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