問題一覧
1
Types of coracoclavicular ligament
Conoid ligament, Trapezoid ligament
2
Angle of inclination
130-150 degrees
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Forms 1/3 of a sphere
Head
4
Tendinitis
60-120 deg
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Greater tuberosity is located
Laterally
6
Summit of the shoulder
Acromion process
7
Kinematics of GH joint
Multiaxial CIRCUMDUCTION= ERIR ABDADD FLEXEXT
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Prevents superior translation of clavicle (primary)
Conoid ligament
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If there is a complete clavicular fracture: Lateral fragment
goes downward by external force, medially by pectoralis major
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SC joint
Static stability
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Space between the clavicle and first rib
Costoclavicular space
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Parts of humerus
Surgical neck, Anatomical neck, Humeral head, Tuberosities, Bicipital groove, Spiral groove
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True about conoid ligament, except
It belongs in SC joint
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Formed by axis of humeral head, neck and axis of humeral shaft
Angle of inclination
15
Most common type in impingement syndrome
Hooked
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Greatly involved in frozen shoulder/adhesive capsulitis
Coracohumeral ligament
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Extension of the acromion process medially
Spine of scapula
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Lesser tuberosity muscle attachment
Subscapularis
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Prone to fracture
Surgical neck
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Horizontal curvature of thorax
Ext and int rot (pro/ret)
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Ligaments of GH joint
Coracohumeral ligament, Glenohumeral ligament
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Articulation of SC joint
Medial end of clavicle, Manubrium of sternum
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Painful arc: Tear or dislocation
0-60 deg
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Select what applied for trapezoid ligament
Located anteromedial, Quadrangular, horizontal fibers, Prevents medial displacement of scapula
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Foramen between superior and middle GH
Foramen of Weitbrecht
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Greater tuberosity can be palpated with
IR
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Glenoid head articulation
Superior anterior lateral
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Prevents superior translation of clavicle (secondary)
Inferior AC ligament
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AKA intertubercular groove
Bicipital groove
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Shallow tail sign
Surgical neck
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Contents of costoclavicular space
Subclavian artery, Brachial plexus
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What type of joint is GH joint?
Ball and socket, universal joint
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Glenoid labrum enhances the depth of the fossa by
50%
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Where the radial nerve/musculospiral nerve
Spiral groove
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Its purpose if tot provide stability and shock absorption within the joint
Glenoid fossa
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Lesser tuberosity is located
Medially
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Orientation of acromion process
Posterior, Lateral, Superior
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What prevents superior translation of the humerus?
Coracoacromial ligament
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Below the spine of scapula
Infraspinous fossa
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Subacromial joint
False/functional joints
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Also known as shoulder blade
Scapula
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Glenohumeral joint
True joint
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Shallow depression
Glenoid fossa
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Shallow tails sign
Posterior deltoid weakness
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Vertical curvature of thorax
Ant and post tilting (elev/dep)
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Most stable because of the muscles
Dynamic stability
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Only connection to the axial skeleton
Static stability
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Accessory structure of AC joint
Acromioclavicular disc
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Articulation of AC joint
Lateral end of clavicle, Acromion process
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If there is a complete clavicular fracture: Medial fragment
titled superiorly by sternocleidomastoid
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One of the most mobile segment of the body
Shoulder complex
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Above spine of scapula
Supraspinous fossa
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What ligament limits retraction and protraction?
Sternoclavicular
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Painless
120-170 deg
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Scapulothoracic joint
False/functional joints
56
Special test for THL rupture
Yergason’s test
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Provided by the shoulder muscles
Dynamic stability
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AC joint kinematics
3 degrees freedom, 3 axes, Ext and Int Rot (pro/ret) - horizontal curvature of thorax, Ant and Post tilting (elev/dep) - vertical curvature of thorax, Longitudinal rot - up and down rotation
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Nerve usually damaged: Axillary/circumflex nerve
Surgical neck
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No bone to bone
False/functional joints
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This contains the long head of the biceps within the bicipital groove
Transhumeral ligament
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Kinematics of SC joint
3 degrees freedom, 3 axes EDS, CPR, Longitudinal Rot
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Flat triangular bone that lies on the posterior chest wall between the 2nd and 7th ribs
Scapula
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Mobility is provided by how many moving areas
6
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Types of acromion process
Flat, Curved, Hooked, Upturn/convex
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Muscle attachment for greater tuberosity
Supraspinatus, Infraspinatus, Teres minor
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Angle of Torsion
approx. 30 degrees retroversion
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Types of AC ligament
Superior AC ligament, Inferior AC ligament
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Bicipital groove
False/functional joints
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Articulation of GH joint
Humeral head, Glenoid head
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What ligament limits depression?
Interclavicular
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SC joint type
synovial double plane joint, saddle/sellar joint
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Lessed tuberosity can be palpated with
ER
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AKAA radial groove
Spiral groove
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True about clavicle, except:
Lateral fracture fragment is tilted superiorly by Sternocleidomastoid
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Acromioclavicular joint
True joint
77
Foramen between middle and inferior GH
Foramen of Rouviere
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Humeral head articulation
Superior medial posterior
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Prevents inferior translation of clavicle
Superior AC ligament
80
Accessory structure of SC joint
Sternoclavicular disc
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Impingement syndrome
60-120 deg
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end attachment of capsule
Anatomical neck
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Long, slender bone that lies horizontally at the base/root of the neck
Clavicle
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What ligament limits elevation?
Costoclavicular
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Landmarks of scapula
T2 superior angle, T3 spine of scapula, T7 inferior angle
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Formed by axis of humeral head, neck and axis of humeral condyles
Angle of Torsion
87
Ligaments of SC joint
Interclavicular, Costoclavicular, Sternoclavicular
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GH painful arc
60-120 deg
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Clavicle correct orientation
Middle 2/3: Convex anteriorly, concave posteriorly, Lateral 1/3: Concave anteriorly, convex posteriorly
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Most common type of acromion process
Curved
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Accessory structure of GH joint
Glenoid labrum
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Anterior to spine of scapula
Subscapular fossa
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Most commonly fractured bone
Clavicle
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Rotator cuff
Dynamic stability
95
AC joint is affected
170-180 deg
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Sternoclavicular joint
True joints
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Orientation of coracoid process
Superior, Anterior
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Where the long head of biceps brachii tendon passes
Bicipital groove
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Prevents medial displacement of scapula
Trapezoid ligament
100
Bone to bone
True joints