Shoulder Joint Anatomy: Humerus and Glenoid Cavity
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Questions and Answers

Which nerve supplies the carpometacarpal joint of the thumb?

  • Anterior interosseous nerve
  • Deep branch of the radial nerve
  • Deep branch of the ulnar nerve
  • All of the above (correct)
  • What type of joint is the carpometacarpal joint of the thumb?

  • Fibrous joint
  • Synovial saddle-shaped joint (correct)
  • Synovial ball-and-socket joint
  • Cartilaginous joint
  • Which muscle is responsible for the opposition movement of the thumb?

  • Flexor pollicis brevis
  • Extensor pollicis longus
  • Abductor pollicis longus
  • Opponens pollicis (correct)
  • What type of joint are the metacarpophalangeal joints?

    <p>Synovial condyloid joints</p> Signup and view all the answers

    Which ligaments hold the heads of the metacarpal bones together?

    <p>Deep transverse metacarpal ligaments</p> Signup and view all the answers

    What is the primary function of the collateral ligaments in the metacarpophalangeal joints?

    <p>Providing stability to the joint on the sides</p> Signup and view all the answers

    Which statement about the palmar ligaments of the metacarpophalangeal joints is true?

    <p>They are firmly attached to the phalanx but less so to the metacarpal bone</p> Signup and view all the answers

    Which movement of the carpometacarpal joint of the thumb is performed by the abductor pollicis longus and brevis muscles?

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

    What is the primary function of the adductor pollicis muscle in relation to the carpometacarpal joint of the thumb?

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

    Which muscles are responsible for the extension of the carpometacarpal joint of the thumb?

    <p>Extensor pollicis longus and brevis</p> Signup and view all the answers

    Study Notes

    The Upper End of Humerus

    • The anatomic neck separates the articular surface of the humerus
    • The surgical neck is a common site of fracture in the elderly, and contains the axillary nerve and circumflex humeral vessels
    • The greater and lesser tuberosities are separated by the bicipital groove, which contains the long head of biceps
    • Fractures of the humeral surgical neck are common in elderly people
    • Greater tuberosity fractures are more common than lesser tuberosity fractures

    The Joints of the Shoulder Region

    • The shoulder joint articulates with the glenoid cavity
    • The sternoclavicular joint articulates between the sternal end of the clavicle, the 1st costal cartilage, and the manubrium
    • The sternoclavicular joint has a small range of motion, with forward movement facilitated by the serratus anterior muscle
    • The acromioclavicular joint and shoulder joint are also part of the shoulder region

    Branches of the Radial Artery

    • The radial artery has muscular branches to neighboring muscles
    • The recurrent branch takes part in the arterial anastomosis around the elbow joint
    • The superficial palmar branch joins the ulnar artery to form the superficial palmar arch

    Nerves of the Anterior Fascial Compartment of the Forearm

    • The median nerve passes between the two heads of the pronator and continues downward behind the flexor digitorum superficialis
    • The median nerve rests posteriorly on the flexor digitorum profundus and enters the palm by passing behind the flexor retinaculum

    Branches of the Median Nerve in the Forearm

    • The median nerve has muscular branches to the pronator teres, flexor carpi radialis, palmaris longus, and flexor digitorum superficialis
    • The median nerve has articular branches to the elbow joint and an anterior interosseous nerve
    • The palmar cutaneous branch is distributed to the skin over the lateral part of the palm

    Anterior Interosseous Nerve

    • The anterior interosseous nerve arises from the median nerve as it emerges from between the two heads of the pronator teres
    • The anterior interosseous nerve passes downward on the anterior surface of the interosseous membrane and ends on the anterior surface of the carpus

    Muscles of the Posterior Fascial Compartment of the Forearm

    • The deep group includes the supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, and extensor indicis

    Contents of the Posterior Fascial Compartment of the Forearm

    • The compartment is supplied by the posterior and anterior interosseous arteries
    • The deep branch of the radial nerve provides nerve supply to the muscles

    The Anterior and Posterior Interosseous Arteries

    • The anterior and posterior interosseous arteries arise from the common interosseous artery, a branch of the ulnar artery
    • They pass downward on the anterior and posterior surfaces of the interosseous membrane, respectively, and supply the adjoining muscles and bones

    The Movement of Supination

    • Pronation is performed by the pronator teres and the pronator quadratus
    • Supination is performed by the biceps brachii and the supinator
    • Supination is the more powerful of the two movements due to the strength of the biceps muscle

    Bones of the Hand

    • There are eight carpal bones, divided into two rows of four
    • The proximal row consists of the scaphoid, lunate, triquetrum, and pisiform bones
    • The distal row consists of the trapezium, trapezoid, capitate, and hamate bones
    • The scaphoid bone is the largest bone of the proximal row and articulates with the lower end of the radius

    Scaphoid (Navicular)

    • The scaphoid bone has received its name from its resemblance to a boat
    • It is situated at the radial site of the wrist
    • A detailed knowledge of the bones of the hand is unnecessary, but the scaphoid bone is commonly fractured and should be studied

    Carpometacarpal Joint of the Thumb

    • Articulation is between the trapezium and the saddle-shaped base of the first metacarpal bone
    • The joint is a synovial saddle-shaped joint
    • The capsule surrounds the joint

    Movements of the Carpometacarpal Joint of the Thumb

    • Abduction is performed by the abductor pollicis longus and brevis
    • Adduction is performed by the adductor pollicis
    • Extension is performed by the extensor pollicis longus and brevis
    • Flexion is performed by the flexor pollicis longus, brevis, and opponens pollicis
    • Rotation (opposition) is performed by the opponens pollicis

    Metacarpophalangeal Joints

    • Articulation is between the heads of the metacarpal bones and the bases of the proximal phalanges
    • The joints are synovial condyloid joints
    • The capsule surrounds the joint

    Ligaments of the Metacarpo-phalangeal Joints

    • The palmar ligaments are strong and contain some fibrocartilage
    • They are firmly attached to the phalanx but less so to the metacarpal bone
    • The deep transverse metacarpal ligaments hold the heads of the metacarpal bones together
    • The collateral ligaments are cordlike bands present on each side of the joints

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    Description

    Learn about the articulation between the glenoid cavity and the upper end of the humerus, including details about the anatomic neck, surgical neck, tuberosities, and bicipital groove. Understand the structures that form the shoulder joint.

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