問題一覧
1
One of the most mobile segment of the body
Shoulder complex
2
Mobility is provided by how many moving areas
6
3
Only connection to the axial skeleton
Static stability
4
Provided by the shoulder muscles
Dynamic stability
5
Most stable because of the muscles
Dynamic stability
6
Rotator cuff
Dynamic stability
7
SC joint
Static stability
8
Bone to bone
True joints
9
Sternoclavicular joint
True joints
10
Acromioclavicular joint
True joint
11
Glenohumeral joint
True joint
12
No bone to bone
False/functional joints
13
Bicipital groove
False/functional joints
14
Subacromial joint
False/functional joints
15
Scapulothoracic joint
False/functional joints
16
Long, slender bone that lies horizontally at the base/root of the neck
Clavicle
17
True about clavicle, except:
Lateral fracture fragment is tilted superiorly by Sternocleidomastoid
18
Clavicle correct orientation
Middle 2/3: Convex anteriorly, concave posteriorly, Lateral 1/3: Concave anteriorly, convex posteriorly
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Most commonly fractured bone
Clavicle
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If there is a complete clavicular fracture: Medial fragment
titled superiorly by sternocleidomastoid
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If there is a complete clavicular fracture: Lateral fragment
goes downward by external force, medially by pectoralis major
22
Space between the clavicle and first rib
Costoclavicular space
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Contents of costoclavicular space
Subclavian artery, Brachial plexus
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Also known as shoulder blade
Scapula
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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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Landmarks of scapula
T2 superior angle, T3 spine of scapula, T7 inferior angle
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Summit of the shoulder
Acromion process
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Orientation of acromion process
Posterior, Lateral, Superior
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Types of acromion process
Flat, Curved, Hooked, Upturn/convex
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Orientation of coracoid process
Superior, Anterior
31
Most common type of acromion process
Curved
32
Most common type in impingement syndrome
Hooked
33
What prevents superior translation of the humerus?
Coracoacromial ligament
34
Painful arc: Tear or dislocation
0-60 deg
35
GH painful arc
60-120 deg
36
Impingement syndrome
60-120 deg
37
Tendinitis
60-120 deg
38
Painless
120-170 deg
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AC joint is affected
170-180 deg
40
Extension of the acromion process medially
Spine of scapula
41
Shallow depression
Glenoid fossa
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Above spine of scapula
Supraspinous fossa
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Below the spine of scapula
Infraspinous fossa
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Anterior to spine of scapula
Subscapular fossa
45
Glenoid labrum enhances the depth of the fossa by
50%
46
Its purpose if tot provide stability and shock absorption within the joint
Glenoid fossa
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Parts of humerus
Surgical neck, Anatomical neck, Humeral head, Tuberosities, Bicipital groove, Spiral groove
48
Forms 1/3 of a sphere
Head
49
end attachment of capsule
Anatomical neck
50
Prone to fracture
Surgical neck
51
Nerve usually damaged: Axillary/circumflex nerve
Surgical neck
52
Shallow tail sign
Surgical neck
53
Shallow tails sign
Posterior deltoid weakness
54
Greater tuberosity is located
Laterally
55
Lesser tuberosity is located
Medially
56
Greater tuberosity can be palpated with
IR
57
Lessed tuberosity can be palpated with
ER
58
Muscle attachment for greater tuberosity
Supraspinatus, Infraspinatus, Teres minor
59
Lesser tuberosity muscle attachment
Subscapularis
60
Where the long head of biceps brachii tendon passes
Bicipital groove
61
Where the radial nerve/musculospiral nerve
Spiral groove
62
This contains the long head of the biceps within the bicipital groove
Transhumeral ligament
63
Special test for THL rupture
Yergason’s test
64
AKA intertubercular groove
Bicipital groove
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AKAA radial groove
Spiral groove
66
Ligaments of SC joint
Interclavicular, Costoclavicular, Sternoclavicular
67
Articulation of SC joint
Medial end of clavicle, Manubrium of sternum
68
Accessory structure of SC joint
Sternoclavicular disc
69
Accessory structure of AC joint
Acromioclavicular disc
70
Kinematics of SC joint
3 degrees freedom, 3 axes EDS, CPR, Longitudinal Rot
71
SC joint type
synovial double plane joint, saddle/sellar joint
72
What ligament limits depression?
Interclavicular
73
What ligament limits elevation?
Costoclavicular
74
What ligament limits retraction and protraction?
Sternoclavicular
75
Articulation of AC joint
Lateral end of clavicle, Acromion process
76
Types of AC ligament
Superior AC ligament, Inferior AC ligament
77
Types of coracoclavicular ligament
Conoid ligament, Trapezoid ligament
78
Prevents superior translation of clavicle (secondary)
Inferior AC ligament
79
Prevents inferior translation of clavicle
Superior AC ligament
80
Prevents superior translation of clavicle (primary)
Conoid ligament
81
Prevents medial displacement of scapula
Trapezoid ligament
82
True about conoid ligament, except
It belongs in SC joint
83
Select what applied for trapezoid ligament
Located anteromedial, Quadrangular, horizontal fibers, Prevents medial displacement of scapula
84
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
85
Horizontal curvature of thorax
Ext and int rot (pro/ret)
86
Vertical curvature of thorax
Ant and post tilting (elev/dep)
87
What type of joint is GH joint?
Ball and socket, universal joint
88
Articulation of GH joint
Humeral head, Glenoid head
89
Humeral head articulation
Superior medial posterior
90
Glenoid head articulation
Superior anterior lateral
91
Formed by axis of humeral head, neck and axis of humeral shaft
Angle of inclination
92
Formed by axis of humeral head, neck and axis of humeral condyles
Angle of Torsion
93
Angle of inclination
130-150 degrees
94
Angle of Torsion
approx. 30 degrees retroversion
95
Ligaments of GH joint
Coracohumeral ligament, Glenohumeral ligament
96
Accessory structure of GH joint
Glenoid labrum
97
Kinematics of GH joint
Multiaxial CIRCUMDUCTION= ERIR ABDADD FLEXEXT
98
Greatly involved in frozen shoulder/adhesive capsulitis
Coracohumeral ligament
99
Foramen between superior and middle GH
Foramen of Weitbrecht
100
Foramen between middle and inferior GH
Foramen of Rouviere