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Shoulder Joint
Basic Clinical Kinesiology and Anatomy
76
Health Care
Undergraduate 1
02/17/2012

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Term
scaption
Definition
this motion is similar to flexion & abduction but occurs in the scapular plane; most common functional activities occur in this plane
Term
glenoid fossa
Definition
shallow, somewhat egg-shaped socket on the superior end, lateral side of scapula; articulates w/ the humerus
Term
glenoid labrum
Definition
fibrocartiliginous ring attached to the rim of the glenoid fossa, which deepens the articular cavity
Term
subscapular fossa
Definition
includes most of the area on the anterior (costal) surface of the scapula
Term
infraspinous fossa
Definition
below the spine of the scapula
Term
supraspinous fossa
Definition
above the spine of the scapula
Term
axillary border
Definition
providing attachment for the teres major and teres minor muscles
Term
acromion process
Definition
broad, flat area on the superior lateral aspect, providing attachment for the middle deltoid muscle
Term
humerus
Definition
longest and largest bone of the UE
Term
head
Definition
semi-rounded proximal end; articulates w/ the scapula
Term
surgical neck
Definition
slightly constricted area just below tubercles where the head meets the body
Term
anatomical neck
Definition
circumferential groove separating the head from the tubercle
Term
shaft
Definition
body of the humerus; the area between the surgical neck proximally and the epicondyles distally
Term
greater tubercle
Definition
large projection lateral to head and lesser tubercle of humerus; provides attachment for the supraspinatus, infraspinatous, and teres minor muscles
Term
lesser tubercle
Definition
smaller projection on the anterior surface, medial to the greater tubercle on humerus; provides attachment for the subscapularis muscle
Term
deltoid tuberosity
Definition
on the lateral side near the midpoint of the humerus; not usually a well-define landmark
Term
bicipital groove
Definition
also called the "intertubercular groove"; the longitudinal groove b/t the tubercles, containing the tendon of the long head of the biceps
Term
bicipital ridges
Definition
also called the lateral and medial lips of the bicipital groove, or the crests of the greater and lesser tubercles. The lateral lip provides attachment for the pec major, and the medial lip provides attachment for the latissimus dorsi & teres major.
Term
joint capsule
Definition
a thin-walled, spacious container that attaches around the rim of the glenoid fossa of the scapula & the anatomical neck of the humerus
Term
glenohumeral ligaments
Definition
these superior, middle, and inferior ligaments reinforce the anterior portion of the capsule
Term
coracohumeral ligament
Definition
this ligament attaches from the lateral side of the coracoid process and spans the joint anteriorly to the medial side of the greater tubercle
Term
coracohumeral ligament
Definition
this ligament strengthens the upper part of the glenohumeral joint
Term
subdeltoid bursa
Definition
large bursa located between the deltoid muscle and the joint capsule
Term
subacromial bursa
Definition
bursa that lies below the acromion and coracoacromial ligament
Term
rotator cuff
Definition
the tendinous band formed by the blending together of the tendinous insertions of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles
Term
rotator cuff
Definition
these muscles help to keep the head of the humerus "rotating" against the glenoid fossa during joint motion
Term
thoracolumbar fascia
Definition
a superficial fibrous sheet that attaches to the spinous processes of the lower thoracic and lumbar vertebrae, the supraspinal ligament, and the posterior part of the iliac crest; it provides a very broad attachment for the latissimus dorsi
Term
capsule
Definition
What structure creates a partial vacuum around the joint, thus helping to hold the head of the humerus against the glenoid fossa?
Term
coracohumeral & glenohumeral
Definition
Which two ligaments help reinforce the shoulder joint?
Term
deltoid muscle
Definition
a superficial muscle that covers the shoulder joint on three sides, giving the shoulder its characteristic rounded shape
Term
anterior deltoid muscle
Definition
this muscle attaches on the outer third of the clavicle and runs down and out to the deltoid tuberosity
Term
abduction; flexion; medial rotation; horizontal adduction
Definition
What are the primary actions of the anterior deltoid muscle?
Term
middle deltoid muscle
Definition
this muscle attaches on the lateral side of the acromion process and runs directly down to the deltoid tuberosity
Term
abduction
Definition
What is the primary action of the middle deltoid muscle?
Term
posterior deltoid muscle
Definition
this muscle attaches to the spine of the scapula and runs obliquely down to its attachment on the deltoid tuberosity
Term
abduction; extension; hyperextension; lateral rotation; horizontal abduction
Definition
What are the primary actions of the posterior deltoid muscle?
Term
"inchworm effect"
Definition
What concept describes the action of the shoulder girdle and the deltoid muscles, especially the middle deltoid muscle, during shoulder abduction?
Term
anterior deltoid muscle
Definition
O:lateral 1/3 of clavicle
I:deltoid tuberosity
A:abduction, flexion, medial rotation, horizontal adduction
N:axillary (C5,C6)
Term
middle deltoid muscle
Definition
O:acromion process
I:deltoid tuberosity
A:abduction
N:axillary (C5,C6)
Term
posterior deltoid muscle
Definition
O:spine of scapula
I:deltoid tuberosity
A:abduction, extension, hyperextension, lateral rotation, horizontal abduction
Term
pectoralis major muscle
Definition
a large superficial muscle of the chest that is divided into two different parts: clavicular portion & sternal portion
Term
clavicular portion of pectoralis major
Definition
attaches to the medial third of the clavicle; acts as a prime mover in the first 60 degrees of shoulder flexion (from 0-60)
Term
sternal portion of pectoralis major
Definition
attaches to the sternum and costal cartilages of the first six ribs; acts as a prime mover in the first 60 degrees of extension (from 180-120)
Term
pectoralis major muscle, clavicular portion
Definition
O:medial third of clavicle
I:lateral lip of bicipital groove of humerus
A:shoulder flexion- first 60degrees
Term
pectoralis major muscle, sternal portion
Definition
O:sternum, costal cartilage of first six ribs
I:lateral lip of bicipital groove of humerus
A:shoulder extension- first 60degrees
Term
pectoralis major muscle, clavicular and sternal portions
Definition
A:shoulder adduction, medial rotation, horizontal adduction
N:lateral and medial pectoral nerve (C5, C6, C7, C8, T1)
Term
latissimus dorsi
Definition
a broad, mostly superficial sheetlike muscle located on the back; because of its attachment on the ilium & sacrum, it can elevate the pelvis if the arm were stabilized
Term
latissimus dorsi
Definition
O:spinous processes of T7 through L5, posterior surface of sacrum, iliac crest, & lower three ribs
I:medial floor of bicipital groove of humerus
A:shoulder ext, add, medial rot, hyperextention
N:thoracodorsal nerve (C6,C7,C8)
Term
teres major muscle
Definition
means "long and round" and is often referred to as the "little helper" of the latissimus dorsi
Term
teres major muscle
Definition
O:axillary border of scapula near the inferior angle
I:crest below lesser tubercle inferior to the latissimus dorsi muscle attachment
A:shoulder ext, add, and medial rot
N:lower subscapular nerve (C5,C6,C7)
Term
supraspinatus muscle
Definition
this muscle, which lies above the spine of the scapula is very important in stabilizing the head of the humerus against the glenoid fossa
Term
supraspinatus muscle
Definition
O:supraspinous fossa of scapula
I:greater tubercle of humerus
A:shoulder abduction
N:suprascapular nerve (C5,C6)
Term
infraspinatus muscle
Definition
O:infraspinous fossa of scapula
I:greater tubercle of humerus
A:shoulder lateral rot, horizontal abd
N:suprascapular nerve (C5,C6)
Term
teres minor
Definition
O:axillary border of scapula
I:greater tubercle of humerus (posterior)
A:shoulder lateral rot, horizontal abd
N:axillary nerve (C5,C6)
Term
S:supraspinatus muscle
I:infraspinatus muscle
T:teres minor muscle
S:subscapularis muscle
Definition
What muscles make up the rotator cuff?
Term
subscapularis muscle
Definition
O:subscapular fossa of the scapula
I:lesser tubercle of the humerus
A:shoulder medial rotation
N:upper and lower subscapular nerve (C5,C6)
Term
coracobrachialis muscle
Definition
derives its name from its attachments on the coracoid process of the scapula and on the humerus
Term
coracobrachialis muscle
Definition
O:coracoid process of scapula
I:medial surface of humerus near midpoint
A:stabilizes the shoulder joint
N:musculocutaneous nerve (C6,C7)
Term
Shoulder jt muscles are superficial to muscles of the shoulder girdle (w/ exception to the trapezius muscles) to allow both sets of muscles to function w/o getting in each other's way.
Definition
Fun Fact
Term
The deltoid forms a superficial cap over the anterior, lateral, and posterior sides of the shoulder. Anteriorly, the pectoralis major covers most of the superficial chest wall, while the biceps brachii & triceps brachii encompass most of the ant & pos arm.
Definition
Fun Fact, anatomical relationships
Term
Underneath the trapezius muscles lie the supraspinatus, infraspinatus, teres minor, & teres major. The latissimus dorsi covers the lumbar and lower thoracic region of the back.
Definition
Fun Fact, anatomical relationships
Term
Anteriorly viewed, the coracobrachialis lies deep to the pectoralis major & ant deltoid & lies medially to the short head of the biceps. The subscapularis is truly a deep muscle.
Definition
Fun Fact, anatomical relationships
Term
glenohumeral movement
Definition
as abduction occurs, the humeral head rolls across the glenoid fossa; at the same time the head glides inferiorly, keeping the head of the humerus articulating w/ the glenoid fossa--what is this called?
Term
acromioclavicular separation
Definition
the term commonly used to describe the various amounts of ligament injury at the acromioclavicular joint
Term
acromioclavicular separation: first-degree sprain
Definition
the acromioclavicular ligament is stretched
Term
acromioclavicular separation: second-degree sprain
Definition
the acromioclavicular ligament is ruptured and the coracoclavicular ligament is stretched
Term
acromioclavicular separation: third-degree sprain
Definition
bot the acromioclavicular ligament & coracoclavicular ligaments are ruptured
Term
humeral neck fracture
Definition
injury caused by a fall on the outstretched hand; it is common in the elderly& is usually an impacted fracture
Term
anterior shoulder dislocation
Definition
one of the most common shoulder joint dislocations; a forced shoulder abduction & lateral rotation tends to be the dislocating motion causing the humeral head to slide anteriorly out of the glenoid fossa
Term
glenohumeral subluxation
Definition
commonly seen in individuals who have hemiplegia, usually from a CVA; paralysis of the shoulder muscles leaves them no longer able to hold the head of the humerus in the glenoid fossa
Term
impingement syndrome
Definition
an overuse condition that involves compression b/t the acromial arch, humeral head, and soft tissue structures such as the coracoacromial ligament, rotator cuff muscles, long head of the biceps, and subacromial bursa (swimmer's shoulder)
Term
adhesive capsulitis
Definition
refers to the inflammation and fibrosis of the shoulder joint capsule, which leads to pain and loss of shoulder jt ROM (frozen shoulder)
Term
torn rotator cuff
Definition
involves the distal tendinous insertion of the supraspinatus, infraspinatus, teres minor, & subscapularis on the greater/lesser tubercle area of the humerus
Term
bicipital tendonitis
Definition
usually involves the long head of the biceps proximally as it crosses the humeral head, changes direction, & descends into the intertubercular groove
Term
lateral rotation
Definition
the close-packed position is abduction and ___
Term
30degrees horizontal adduction
Definition
the loose-packed position is 55degree abduction and ___
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