Shoulder Girdle and Muscle Functions
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Questions and Answers

Which muscle is responsible for scapular downward rotation, depression, and protraction?

  • Trapezius
  • Serratus Anterior
  • Rhomboids
  • Pectoralis Minor (correct)
  • What is the primary function of the shoulder girdle concerning stability?

  • Facilitating downward rotation
  • Enhancing range of motion
  • Providing a stable base for muscle force generation (correct)
  • Reducing scapular protraction
  • Which joint is stabilized by the Subclavius muscle?

  • Acromioclavicular joint
  • Scapulothoracic articulation
  • Glenohumeral joint
  • Sternoclavicular joint (correct)
  • What type of motion does the Serratus Anterior muscle facilitate?

    <p>Protraction and upward rotation (D)</p> Signup and view all the answers

    How does the shoulder complex support the upper extremity during movement?

    <p>By positioning the glenohumeral joint favorably (A)</p> Signup and view all the answers

    Which muscle is primarily responsible for the abduction of the humerus?

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

    The action of elevation and upward rotation of the scapula is primarily controlled by which muscle?

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

    Which function is NOT associated with the shoulder girdle's mobility?

    <p>Permitting stable positioning (C)</p> Signup and view all the answers

    Which muscle is primarily responsible for shoulder extension, adduction, and medial rotation?

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

    What type of motion do the upper and lower trapezius muscles primarily perform?

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

    Which muscles act as external rotators of the glenohumeral joint?

    <p>Infraspinatus and Teres Minor (A)</p> Signup and view all the answers

    What is the maximum degree of elevation for the sternoclavicular joint?

    <p>45 degrees (D)</p> Signup and view all the answers

    Which ligament is NOT associated with the acromioclavicular joint?

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

    What type of movement characterizes the scapulothoracic elevation?

    <p>SC joint elevation and downward rotation at AC joint (B)</p> Signup and view all the answers

    What is the primary role of the scapulothoracic articulation?

    <p>Provide a movement base for the humerus (D)</p> Signup and view all the answers

    Which motion is NOT a primary function of the serratus anterior muscle?

    <p>Adduction of the humerus (A)</p> Signup and view all the answers

    What is the primary role of the rotator cuff muscles during humeral movement?

    <p>To approximate the humerus and prevent dislocation (C)</p> Signup and view all the answers

    What is the scapulohumeral rhythm during shoulder abduction?

    <p>For every 3 degrees of shoulder abduction, 2 degrees occur at the GH joint (B)</p> Signup and view all the answers

    What occurs during the 90-180 degrees of shoulder abduction regarding the scapulothoracic (ST) joint?

    <p>60 degrees of GH motion and 30 degrees of ST motion (A)</p> Signup and view all the answers

    What is a potential consequence of poor scapular stabilization?

    <p>Loss of static stability of the GH joint (C)</p> Signup and view all the answers

    During the early phase of active abduction, what is a common clinical implication experienced?

    <p>Rotator cuff pain (B)</p> Signup and view all the answers

    What ensures optimal force production through a larger portion of the range of motion in the glenohumeral joint?

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

    What is the function of the supraspinatus muscle during shoulder abduction?

    <p>Assists the deltoid in abduction (A)</p> Signup and view all the answers

    What is a primary purpose of the force couples acting on the glenohumeral joint?

    <p>To maintain proper alignment of the humeral head (D)</p> Signup and view all the answers

    Which component of the Glenohumeral Joint is primarily responsible for dynamic stability?

    <p>Rotator Cuff (D)</p> Signup and view all the answers

    What is the primary action that must occur to avoid impingement during arm elevation?

    <p>External rotation of humerus (D)</p> Signup and view all the answers

    The Convex Concave Rule states that when the convex surface is stationary and the concave surface is moving, what happens to gliding?

    <p>Gliding occurs in the same direction as angular motion (C)</p> Signup and view all the answers

    Which of these ligaments contributes to the capsuloligamentous complex of the Glenohumeral Joint?

    <p>All of the above (D)</p> Signup and view all the answers

    What degree of external rotation is typically achieved at the Glenohumeral Joint?

    <p>70 degrees (D)</p> Signup and view all the answers

    What is identified as primary impingement related to the subacromial space?

    <p>Structural stenosis of subacromial space (B)</p> Signup and view all the answers

    Which motion is NOT a normal function of the Glenohumeral Joint?

    <p>Isolation from shoulder girdle motion (C)</p> Signup and view all the answers

    What contributes to abnormal arthrokinematics at the Glenohumeral Joint?

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

    Flashcards

    Teres Major Muscle Function

    The Teres Major muscle is located in the shoulder and is responsible for extending, adducting, and medially rotating the arm.

    Triceps Brachii Muscle Function

    The Triceps Brachii muscle is located in the upper arm and is responsible for adducting, extending, and hyperextending the humerus.

    Scapular Elevators

    The upper trapezius, levator scapula, and rhomboids all contribute to elevating the scapula.

    Scapular Depressors

    The lower trapezius and pectoralis minor muscles lower the scapula.

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    Scapular Protractors

    The serratus anterior and pectoralis minor muscles pull the scapula forward.

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    Scapular Retractors

    The middle and lower trapezius, rhomboids, and levator scapulae muscles pull the scapula backwards.

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    Scapular Upward Rotators

    The serratus anterior and upper trapezius muscles rotate the scapula upwards.

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    Scapular Downward Rotators

    The rhomboids, pectoralis minor, and levator scapulae muscles rotate the scapula downwards.

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    What are the joints that make up the shoulder complex?

    The glenohumeral joint, acromioclavicular joint, sternoclavicular joint, scapulothoracic articulation, and the subacromial space.

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    What are the stability functions of the shoulder girdle?

    The shoulder girdle muscles provide a stable base for the shoulder muscles to generate force, maintain appropriate force-length relationships, and ensure maximum congruence of the shoulder joint.

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    What are the mobility functions of the shoulder girdle?

    The shoulder girdle allows for the largest range of motion (ROM) of any complex in the body. The shoulder girdle increases ROM with less compromise of stability through scapulohumeral rhythm, due to its multiple joints.

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    What are the main movements of the shoulder girdle?

    The shoulder girdle can perform movements including elevation, depression, protraction, retraction, upward rotation, downward rotation, upward tilt and reduction of upward tilt.

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    What are the main shoulder girdle muscles?

    The pectoralis minor, serratus anterior, subclavius, levator scapulae, rhomboids, and trapezius are the main muscles that control the shoulder girdle.

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    How do shoulder girdle and shoulder joint muscles relate to each other?

    Shoulder girdle muscles help control the movement of the scapula while the shoulder joint muscles help control the movement of the humerus. Some muscles like the biceps brachii affect both the shoulder girdle and shoulder joint.

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    What are the main shoulder joint muscles?

    The pectoralis major, deltoid, coracobrachialis, subscapularis, biceps brachii, supraspinatus, infraspinatus, teres minor, and latissimus dorsi are the main muscles that control the shoulder joint.

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    What is the primary role of the shoulder complex?

    The shoulder girdle provides stability while the shoulder joint allows for mobility. Together they allow for the full range of motion of the arm, essential for many activities.

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    Scapulohumeral Rhythm

    The coordinated movement of the scapula and humerus during arm elevation, involving the glenohumeral and scapulothoracic joints.

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    Force Couple

    Two forces of equal magnitude but opposite direction working together to create a specific motion.

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    Rotator Cuff Function

    The rotator cuff muscles, including supraspinatus, infraspinatus, teres minor, and subscapularis, work together to stabilize the shoulder joint.

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    Rotator Cuff - Dynamic GH Stabilizer

    The glenohumeral joint (shoulder joint) is dynamically stabilized by the coordinated action of the rotator cuff muscles.

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    Scapulothoracic Rhythm Ratio

    The relationship between the amount of movement at the glenohumeral joint (GH) and the scapulothoracic joint (ST) during arm elevation.

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    Scapulohumeral Rhythm: Synergistic Coordination

    The coordinated action of the scapulothoracic muscles, including the trapezius and serratus anterior, that creates a smooth and controlled movement of the scapula during arm elevation.

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    Rotator Cuff Injury

    A condition characterized by pain and restricted movement in the shoulder, often caused by inflammation or irritation of the rotator cuff tendons.

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    Shoulder Impingement Syndrome

    A condition characterized by compression of the rotator cuff tendons under the acromion, causing pain and inflammation in the shoulder.

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    Length-Tension Relationship

    The relationship between the length of a muscle and the amount of force it can generate. Shortened muscles generate less force, while lengthened muscles can generate more force, but only up to a certain point.

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    Scapulohumeral Muscles

    The muscles that surround and support the shoulder joint. They help to rotate, abduct, and adduct the arm. They also help to stabilize the shoulder joint.

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    Glenohumeral Joint

    The joint where the humerus (upper arm bone) meets the scapula (shoulder blade). It is a ball and socket joint, allowing for a wide range of motion.

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    Glenohumeral Ligaments

    The ligaments that surround and stabilize the glenohumeral joint. They help to prevent excessive movement and dislocation.

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    Subacromial Space

    The space between the acromion (part of the shoulder blade) and the humerus (upper arm bone). It is where the tendons of the rotator cuff muscles pass.

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    Glenohumeral Joint Stability

    The combination of bony structures, ligaments, and muscles that help to stabilize the glenohumeral joint.

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    Arthrokinematics

    Describes how the joint surfaces move relative to each other during movement.

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    Glenohumeral Roll

    A type of joint motion where the joint surfaces roll on each other. This is an important movement pattern in the glenohumeral joint.

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    Study Notes

    Shoulder: Clinical Anatomy & Biomechanics

    • The shoulder complex comprises multiple joints
    • Glenohumeral joint, acromioclavicular joint, sternoclavicular joint, scapulothoracic articulation, and subacromial space are included.

    Shoulder Complex

    • These joints facilitate a wide range of upper extremity movements
    • The glenohumeral joint, acromioclavicular joint, and sternoclavicular joint facilitate specific movements
    • The scapulothoracic articulation, which is not a true joint, supports movement.
    • The subacromial space is a crucial area for shoulder function.

    Anatomical Orientation of the Shoulder Complex

    • The scapula's position relative to the humerus is critical for movement.
    • Scapular plane inclination, retroversion, and angles are important factors to consider. Values are given for reference.

    Stability Functions of Shoulder Girdle

    • The shoulder girdle provides a stable base for shoulder muscles to generate force.
    • Shoulder girdle muscles, acting as stabilizers, maintain appropriate force-length relationships.
    • The shoulder girdle ensures maximum congruence at the shoulder joint.

    Mobility Functions of Shoulder Girdle

    • The shoulder girdle provides the largest range of motion (ROM) of any complex in the body.
    • The scapulohumeral rhythm improves ROM with less compromise to stability (4 joints vs. 1 joint).
    • Shoulder girdle movements position the glenohumeral joint (GHJ) optimally for upper extremity movements.

    Shoulder Girdle Motion

    • Elevation and depression: upward and downward movement of the shoulders.
    • Protraction and retraction: forward and backward movement of the shoulders.
    • Upward and downward rotation: movement of the scapulae.

    Shoulder Joint Muscles

    • Pectoralis major: flexion, horizontal adduction, internal rotation of the humerus
    • Deltoid: majority of shoulder movements, e.g., internal rotation, abduction, hyperextension, flexion, and horizontal adduction
    • Coracobrachialis: forward movements of the humerus
    • Subscapularis: internal rotation of the humerus and stabilizes glenohumeral joint
    • Biceps brachii: flexion and adduction, horizontal adduction
    • Supraspinatus: abduction of the humerus
    • Infraspinatus: external rotation, horizontal abduction, stabilizes the humerus during flexion
    • Teres minor: external rotation, horizontal abduction, stabilizes the humerus during flexion
    • Latissimus dorsi: extension and adduction of the arm.
    • Teres major: shoulder extension, adduction, medial rotation
    • Triceps brachii: adduction, extension, hyperextension of the humerus

    Scapulothoracic Muscles

    • Elevators (upper trapezius, levator scapulae, rhomboids): move the scapula upward
    • Depressors (lower trapezius, pectoralis minor): move the scapula downward
    • Protractors (serratus anterior, pectoralis minor): move the scapula forward
    • Retractors (mid & lower trapezius, rhomboids, levator scapulae): move the scapula backward
    • Upward rotators (serratus anterior, upper trapezius): rotate the scapula upward
    • Downward rotators (rhomboids, pectoralis minor, levator scapulae): rotate the scapula downward

    Glenohumeral Joint Muscles

    • Abductors (deltoid, supraspinatus): move the humerus away from the body
    • Adductors (pectoralis major, latissimus dorsi, teres major): move the humerus towards the body
    • Internal rotators (pectoralis major, subscapularis, anterior deltoid, latissimus dorsi, teres major): rotate the humerus inward.
    • External rotators (infraspinatus, teres minor, posterior deltoid): rotate the humerus outward
    • Flexors (biceps brachii, coracobrachialis, anterior deltoid): bend the arm at the shoulder.
    • Extensors (triceps brachii, posterior deltoid, latissimus dorsi, teres major): straighten the arm at the shoulder.

    Specific Joints Structure and Function

    Sternoclavicular Joint

    • Clavicle, sternum, first rib, sternoclavicular ligaments, costoclavicular ligament, articular disc, muscular attachments

    • The sternoclavicular joint allows for elevation, depression, protraction, retraction, and axial rotation.

    Acromioclavicular Joint

    • Gliding or planar joint, articular disc, acromioclavicular ligament, coracoclavicular ligament.

    • Upward and downward rotation, horizontal and sagittal plane adjustments.

    Coracoclavicular Ligaments

    • Conoid ligament and trapezoid ligament are part of the coracoclavicular ligaments
    • They maintain the acromioclavicular joint and support the scapula.

    Scapulothoracic Articulation

    • Not a true joint, providing movement base for the humerus.
    • Scapulothoracic motion is the sum of the acromioclavicular and sternoclavicular motions

    Primary Movements of the Scapulothoracic Articulation

    • Elevation and depression
    • Retraction and protraction
    • Upward and downward rotation

    Scapulothoracic Elevation

    • Scapulothoracic elevation is a combination of sternoclavicular joint (SCJ) elevation + downward rotation at the acromioclavicular joint (ACJ).

    Scapulothoracic Upward Rotation

    • This is a combination of SCJ elevation + upward rotation at the ACJ.

    Scapular Rotation

    • Enhances glenohumeral stability
    • Elevates the acromion to prevent impingement
    • Maintains effective length tension relationship of scapulohumeral muscles

    Glenohumeral Joint

    • Humeral head, Glenoid Fossa, Glenoid Labrum, Rotator Cuff Muscles (SITS), Capsuloligamentous complex, Coracohumeral Ligament, Long Head of Biceps, Subacromial Space

    Glenohumeral Ligaments

    • Superior glenohumeral ligament (SGHL)
    • Middle glenohumeral ligament (MGHL)
    • Inferior glenohumeral ligament (IGHL)
    • Anterior band
    • Posterior band
    • Axillary pouch

    Coracohumeral Ligament

    • Anterior band
    • Posterior band

    Glenohumeral Joint Motions

    • Flexion/Extension (120/45 degrees)
    • Abduction/Adduction (120 degrees)
    • Internal/External Rotations (80/70 degrees)
    • Cannot be isolated from other shoulder girdle elements

    Glenohumeral Joint Stability

    • Static restraints: bony structures, labrum, capsuloligamentous structure, negative joint pressure
    • Dynamic restraints: rotator cuff, biceps, proprioceptive receptors, neuromotor coordination

    Kinematics and Biomechanics

    Convex Concave Rules

    • Convex stationary + concave moving = gliding in the same direction as angular motion
    • Concave stationary + convex moving = gliding in the opposite direction of angular motion

    Glenohumeral Joint Motions

    • Normal arthrokinematics: combines rotation and translation to keep the humeral head centered on the glenoid

    Glenohumeral Roll / Glide

    • Describes the complex combined movements.

    Glenohumeral Joint Motions (Abnormal)

    • Abnormal arthrokinematics
    • Capsular tightness
    • Rotator cuff tears

    Subacromial Space

    • Clinical relevance: avoiding impingement during arm elevation.
    • External rotation of humerus
    • Upward rotation of the scapula to elevate acromion

    Dynamic Stabilization Mechanisms

    • Passive muscle tension
    • Compressive forces from muscle contraction
    • Joint motion that tightens passive structures
    • Redirection of joint force toward center of GH joint
    • Force-length relationships are variable due to multiple joints.
    • Tension development in agonist frequently requires tension development in antagonist to prevent humeral head dislocation.
    • Force couples involve two forces equal in magnitude but opposite in direction, important for maintaining stability

    Force Couples Acting on Glenohumeral Joint

    • Transverse plane: anterior vs. posterior rotator cuff muscles
    • Coronal plane: deltoid vs. inferior rotator cuff

    Force Couples Disruption

    • Diagrams illustrate disruption of force couples (abnormal movements).

    Rotator Cuff Muscles

    • Supraspinatus, Infraspinatus, Teres Minor, Subscapularis

    Rotator Cuff – Dynamic GH Stabilizer

    • Illustrates how the rotator cuff muscles work together to maintain dynamic stability.

    Rotator Cuff Function

    • Approximates humerus to function
    • Supraspinatus helps the deltoid with abduction
    • Subscapularis, infraspinatus and teres minor depress humeral head

    Scapulohumeral Rhythm

    • Movement relationship between the humerus and scapula during arm raising movements.

    • Ratio of 2:1 - for every 3 degrees of shoulder abduction, 2 degrees occur at GH joint and 1 at ST joint (SC & AC joint)

    • Preserves length-tension relationships of the glenohumeral muscles

    • Sustains force production through a larger portion of the range of motion

    • Prevents impingement between the humerus and the acromion.

    • Movement limits relative movement between the two bones

    Scapulohumeral Rhythm Clinical Implications

    • Rotator cuff pain early in abduction
    • Impingement pain mid-abduction
    • AC pain late in abduction

    Effects of Poor Scapular Stabilization

    • Poor resting scapular posture (protracted)
    • Loss of upward tilt of scapula
    • Loss of GH joint stability.
    • Inferior humeral translation and internal rotation
    • Rotator cuff ischemia, supraspinatus in particular
    • Capsular laxity, poor dynamic stabilization

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    Description

    This quiz explores the various muscles associated with the shoulder girdle, their functions, and contributions to stability and movement. Delve into muscle anatomy, including the roles of the Serratus Anterior, Subclavius, and trapezius muscles. Test your knowledge on the mechanics of shoulder joint movements and their importance in upper extremity support.

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