Podcast
Questions and Answers
What is the typical range of External Rotation (ER) for the shoulder complex?
What is the typical range of External Rotation (ER) for the shoulder complex?
- 0-70 degrees
- 0-120 degrees
- 0-180 degrees
- 0-90 degrees (correct)
Which of the following is considered a 'false joint' within the shoulder complex?
Which of the following is considered a 'false joint' within the shoulder complex?
- Acromioclavicular Joint
- Glenohumeral Joint
- Scapulothoracic Joint (correct)
- Sternoclavicular Joint
What is the primary function of the rotator cuff muscles (SITS) in the shoulder complex?
What is the primary function of the rotator cuff muscles (SITS) in the shoulder complex?
- To maintain the humeral head in the glenoid fossa. (correct)
- To stabilize the scapula.
- To provide the greatest range of motion.
- To facilitate flexion and extension.
Which bone of the shoulder complex is most commonly fractured?
Which bone of the shoulder complex is most commonly fractured?
What is the approximate ratio of Glenohumeral (GH) joint movement to Scapulothoracic (ST) joint movement, known as the Scapulohumeral Rhythm?
What is the approximate ratio of Glenohumeral (GH) joint movement to Scapulothoracic (ST) joint movement, known as the Scapulohumeral Rhythm?
What is the main characteristic of the middle two-thirds of the clavicle's orientation?
What is the main characteristic of the middle two-thirds of the clavicle's orientation?
What type of joint is the Glenohumeral (GH) joint?
What type of joint is the Glenohumeral (GH) joint?
Which of the following mechanisms of injury (MOI) is the acronym FOOSH related to, regarding clavicle fractures?
Which of the following mechanisms of injury (MOI) is the acronym FOOSH related to, regarding clavicle fractures?
According to the content, what causes the medial fragment of a fractured clavicle to tilt superiorly?
According to the content, what causes the medial fragment of a fractured clavicle to tilt superiorly?
What is the primary goal of using a figure-of-8 bandage for an incomplete clavicle fracture?
What is the primary goal of using a figure-of-8 bandage for an incomplete clavicle fracture?
The costoclavicular space is located between which two structures?
The costoclavicular space is located between which two structures?
Which of the following is the MOST common type of acromion process?
Which of the following is the MOST common type of acromion process?
Based on the content, what anatomical event causes a painful arc of movement between 60 and 120 degrees?
Based on the content, what anatomical event causes a painful arc of movement between 60 and 120 degrees?
What action does the coracoacromial ligament primarily prevent?
What action does the coracoacromial ligament primarily prevent?
What is the orientation of the acromion process relative to its anatomical placement?
What is the orientation of the acromion process relative to its anatomical placement?
Which anatomical landmark is NOT directly used to locate the subscapular fossa?
Which anatomical landmark is NOT directly used to locate the subscapular fossa?
Damage to the radial nerve at the spiral groove of the humerus would primarily affect which muscle group?
Damage to the radial nerve at the spiral groove of the humerus would primarily affect which muscle group?
Which of the following structures provides the only direct connection between the upper limb and the axial skeleton?
Which of the following structures provides the only direct connection between the upper limb and the axial skeleton?
Which ligament primarily limits excessive depression of the distal end of the clavicle?
Which ligament primarily limits excessive depression of the distal end of the clavicle?
During protraction and retraction at the sternoclavicular joint, which structure transforms to become part of the clavicle?
During protraction and retraction at the sternoclavicular joint, which structure transforms to become part of the clavicle?
Which motion at the sternoclavicular joint is primarily associated with long axial rotation?
Which motion at the sternoclavicular joint is primarily associated with long axial rotation?
What type of joint is the sternoclavicular joint classified as?
What type of joint is the sternoclavicular joint classified as?
If posterior rotation of the clavicle is restricted, what is the impact on shoulder elevation?
If posterior rotation of the clavicle is restricted, what is the impact on shoulder elevation?
What is the primary function of the sternoclavicular disc?
What is the primary function of the sternoclavicular disc?
Which of the following muscles forms the lateral boundary of the quadrangular space?
Which of the following muscles forms the lateral boundary of the quadrangular space?
What nerve innervates the Serratus Anterior muscle?
What nerve innervates the Serratus Anterior muscle?
Which of the following is NOT a branch of the brachial plexus?
Which of the following is NOT a branch of the brachial plexus?
What is the primary action of the muscle innervated by the Thoracodorsal nerve?
What is the primary action of the muscle innervated by the Thoracodorsal nerve?
Which muscle is NOT involved in forming the posterior wall of the axilla?
Which muscle is NOT involved in forming the posterior wall of the axilla?
The axillary nerve innervates which of the following muscles?
The axillary nerve innervates which of the following muscles?
What structure passes through the triangular space?
What structure passes through the triangular space?
Which of the following nerves is formed by a combination of the lateral and medial cords of the brachial plexus?
Which of the following nerves is formed by a combination of the lateral and medial cords of the brachial plexus?
What is the scapulohumeral rhythm ratio between the glenohumeral joint and the scapulothoracic joint after 30 degrees of abduction?
What is the scapulohumeral rhythm ratio between the glenohumeral joint and the scapulothoracic joint after 30 degrees of abduction?
During phase III of the scapulohumeral rhythm, how many degrees of motion occur at the glenohumeral joint?
During phase III of the scapulohumeral rhythm, how many degrees of motion occur at the glenohumeral joint?
What is the role of the glenoid labrum in joint stability?
What is the role of the glenoid labrum in joint stability?
What type of force does the rotator cuff provide to assist with glenohumeral joint stabilization?
What type of force does the rotator cuff provide to assist with glenohumeral joint stabilization?
Which is true regarding the role of the deltoids in shoulder abduction?
Which is true regarding the role of the deltoids in shoulder abduction?
What type of joint is the acromioclavicular joint?
What type of joint is the acromioclavicular joint?
Which ligament prevents superior translation of the distal clavicle?
Which ligament prevents superior translation of the distal clavicle?
What is the primary function of the coracoclavicular ligaments?
What is the primary function of the coracoclavicular ligaments?
What kind of movement does the acromioclavicular disc have during the first two years of life?
What kind of movement does the acromioclavicular disc have during the first two years of life?
Which of the following statements about the glenohumeral joint is true?
Which of the following statements about the glenohumeral joint is true?
What is the primary purpose of the acromioclavicular ligament?
What is the primary purpose of the acromioclavicular ligament?
What is the role of the acromioclavicular disc in individuals over two years old?
What is the role of the acromioclavicular disc in individuals over two years old?
Which movement is NOT a kinematic function of the acromioclavicular joint?
Which movement is NOT a kinematic function of the acromioclavicular joint?
Flashcards
Clavicle Fracture
Clavicle Fracture
A fracture of the clavicle, typically caused by a direct blow to the shoulder. The fracture can be either complete or incomplete.
Medial Fragment of Clavicle Fracture
Medial Fragment of Clavicle Fracture
The sternocleidomastoid muscle pulls the medial fragment of a clavicle fracture superiorly.
Lateral Fragment of Clavicle Fracture
Lateral Fragment of Clavicle Fracture
The pectoralis major muscle pulls the lateral fragment of a clavicle fracture medially, while gravity pulls it downwards.
Costoclavicular Space
Costoclavicular Space
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Scapula
Scapula
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Acromion Process
Acromion Process
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Coracoid Process
Coracoid Process
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Spine of the Scapula
Spine of the Scapula
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Shoulder Complex Mobility
Shoulder Complex Mobility
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Scapulohumeral Rhythm
Scapulohumeral Rhythm
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SC Joint Significance
SC Joint Significance
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GH Joint Mobility
GH Joint Mobility
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Rotator Cuff Function
Rotator Cuff Function
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Clavicle Properties
Clavicle Properties
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Clavicle Fracture MOI
Clavicle Fracture MOI
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Acromioclavicular Joint
Acromioclavicular Joint
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Posterior Humeral Shaft Fracture
Posterior Humeral Shaft Fracture
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Sternoclavicular Joint
Sternoclavicular Joint
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Sternoclavicular Joint - Type
Sternoclavicular Joint - Type
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Sternoclavicular Joint - Articulation
Sternoclavicular Joint - Articulation
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Interclavicular Ligament
Interclavicular Ligament
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Costoclavicular Ligament
Costoclavicular Ligament
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Sternoclavicular Ligament
Sternoclavicular Ligament
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Sternoclavicular Disc
Sternoclavicular Disc
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Translatory Force
Translatory Force
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Force Couple
Force Couple
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Rotator Cuff
Rotator Cuff
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Deltoid and Gravity Interaction
Deltoid and Gravity Interaction
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Acromioclavicular Joint: What type of joint is it?
Acromioclavicular Joint: What type of joint is it?
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Acromioclavicular Joint: What ligaments are associated with this joint?
Acromioclavicular Joint: What ligaments are associated with this joint?
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Acromioclavicular Ligament (AC)
Acromioclavicular Ligament (AC)
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Coracoclavicular Ligament (CC)
Coracoclavicular Ligament (CC)
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Acromioclavicular Disc
Acromioclavicular Disc
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Glenohumeral Joint: What type of joint is it?
Glenohumeral Joint: What type of joint is it?
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Glenohumeral Joint: What are the orientations of the humeral head?
Glenohumeral Joint: What are the orientations of the humeral head?
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Angle of Inclination: What does it represent?
Angle of Inclination: What does it represent?
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Quadrangular Space
Quadrangular Space
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Triangular Space
Triangular Space
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What muscles form the anterior wall of the axilla?
What muscles form the anterior wall of the axilla?
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What muscles form the posterior wall of the axilla?
What muscles form the posterior wall of the axilla?
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What muscles form the lateral wall of the axilla?
What muscles form the lateral wall of the axilla?
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What structures form the medial wall of the axilla?
What structures form the medial wall of the axilla?
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What is the brachial plexus?
What is the brachial plexus?
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What does the musculocutaneous nerve innervate?
What does the musculocutaneous nerve innervate?
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Study Notes
Upper Extremity 1: Shoulder Complex
- The shoulder complex is one of the most mobile joints in the body, capable of 180 degrees of motion.
- Shoulder complex mobility is facilitated by six interacting areas (joints), including true joints (bone-to-bone articulation) and false joints (functional joints).
- Key true joints include the sternoclavicular (SC), acromioclavicular (AC), and glenohumeral (GH) joints, the latter providing the most mobility.
- The GH joint is a synovial ball-and-socket joint, offering significant mobility.
- The SC joint connects the clavicle to the sternum, which is the only direct connection between the shoulder complex and the axial skeleton.
- The AC joint links the clavicle to the acromion process of the scapula.
- The GH joint, which contains the glenoid cavity, allows for a wide range of movement.
- The false joints in the shoulder complex include the scapulothoracic joint where the scapula moves against the thoracic wall and the bicipital groove within the humerus.
- The scapulothoracic joint is crucial as it allows the scapula to move, facilitating the range of motion of the shoulder complex and its associated muscles.
- The bicipital groove is an important anatomical landmark and acts as a functional joint housing the tendon of the biceps muscle.
- Good dynamic stability is essential. The rotator cuff muscles (supraspinatus, subscapularis, infraspinatus, and teres minor) keep the humeral head securely within the glenoid fossa during movement.
- Â Less static/structural stability in the shoulder complex relies on dynamic control from its surrounding muscles.
Osseous Parts
- The clavicle (collarbone) is a long, slender, S-shaped bone, horizontally positioned at the root of the neck.
- It's commonly fractured due to a fall on an outstretched hand or shoulder.
Additional Notes
- Â Falls on an outstretched hand/shoulder are the most frequent cause for clavicle fractures, especially in older adults.
- During falls, the body reacts according to Newton's Third Law, with the direction/impact of the fall often leading to the injuries seen.
Other Considerations
- Different imaging can be crucial when diagnosing shoulder injuries or other associated conditions.
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