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Karteikarten

Upper Limb Joints

Jack Henderson Anatomy Englisch 48 Karten

Karten in diesem Stapel (48)

  1. 1What are the 5 joints of the shoulder?• Sternoclavicular
    • Acromioclavicular
    • Glenohumeral
    • Subacromial space
    • Scapulothoracic joint
  2. 2List the true joints of the shoulder.• Sternoclavicular
    • Acromioclavicular
    • Glenohumeral
  3. 3List the functional articulations (fake joints) of the shoulder.• Subacromial space
    • Scapulothoracic joint
  4. 4What is the subacromial space?A space lined with subacromial and subdeltoid bursae that allows gliding between the acromion and rotator cuff
  5. 5What is the scapulothoracic joint?Loose connective tissue between the subscapularis and serratus anterior muscles that allows gliding of the scapula on the chest wall
  6. 6What are the characteristics of the sternoclavicular joint?➢ Synovial
    ➢ Incongruent
    ➢ Ball-and-socket
    ➢ Multi-axial
  7. 7Describe the Joint capsule of the sternoclavicular joint➢ A Fibrous capsule
    ➢ A fibro-cartilaginous intra-articular disc
    ➢ Weak inferiorly
  8. 8What are the articular surfaces of the sternoclavicular joint?Sternal end of Clavicle
    Clavicular Notch of the Sternum (Manubrium)
  9. 9Describe the intra-articular structures of the sternoclavicular joint and state their functions?➢ A complete, intra-articular, fibrocartilaginous disc dividing two synovial cavities
    ➢ Disk is flat and round, being thinner centrally, where it may perforate and permit communication between cavities
    ➢ Attached at circumference of the joint, supramedial of clavicle and inferior of first costal cartilage
    Function
    o Compensates for the incongruity of the joint surfaces
    o Holds sternal end of clavicle firmly against sternum
    o Prevents superior and inferior gliding along the sternochondral surface
  10. 10What are the Ligaments of the sternoclavicular joint?• Anterior sternoclavicular
    • Posterior sternoclavicular
    • Costoclavicular
    • Interclavicular
  11. 11Describe the anterior Sternoclavicular ligament and state its function.➢ Capsular
    ➢ Oblique
    ➢ Reinforced by tendinous origin of sternomastoid
    Functions:
    o Strengths/supports sternoclavicular joint anteriorly
    o Prevents Anterior dislocation of Clavicle
  12. 12Describe the posterior Sternoclavicular ligament and state its function.➢ Capsular
    ➢ Oblique
    ➢ Reinforced by sternohyoid
    Functions:
    o Strengths/supports sternoclavicular joint posteriorly
    o Prevents Posterior dislocation of Clavicle
  13. 13Describe the Costoclavicular ligament and state its function.➢ Accessory ligament
    ➢ Extracapsular
    ➢ Bilaminar – two layers separated by bursa
    ➢ Cruciate arrangement of fibres
    Functions:
    o Limits elevation of clavicle
    o Prevents excessive anterior and posterior movement of clavicle
    o Prevents superior dislocation of clavicle
    o Limits retraction & protraction & elevation
    o Provides stability of joint
  14. 14Describe the Interclavicular ligament and state its function.➢ Capsular
    ➢ Formed by fibres passing across the jugular notch
    Functions:
    o Strengths/supports sternoclavicular joint superiorly
    o Prevents Lateral dislocation
  15. 15What are the characteristics of the Acromioclavicular joint?• Synovial
    • Multi-axial
    • Plane
    • Incongruent
  16. 16Describe the Joint capsule of the Acromioclavicular joint.• Loose, fibrous capsule
    • Parallel
    • Reinforced by fibres of Trapezius, and superior and inferior acromioclavicular ligaments
  17. 17What are the articular surfaces of the Acromioclavicular joint?Acromial facet of Clavicle
    A Concave facet on anteromedial border of Acromion
  18. 18Describe the intra-articular structures of the Acromioclavicular joint and state their functions?Synovial membrane lines inner surface of capsule attaching to articular surfaces
    A Partial, fibrocartilaginous, intra-articular disc
    Compensates for incongruity of between joint surfaces
  19. 19What are the Ligaments of the Acromioclavicular joint?➢ Superior Acromioclavicular
    ➢ Inferior Acromioclavicular
    ➢ Coracoclavicular (Trapezoidal part)
    ➢ Coracoclavicular (Conoid part)
  20. 20Describe the Superior Acromioclavicular ligament and state its function.Capsular
  21. 21Describe the Inferior Acromioclavicular ligament and state its function.Capsular
  22. 22Describe the Coracoclavicular (Conoid part) ligament and state its function.➢ Extra-capsular
    ➢ Accessory ligament
    ➢ Horizontal
    ➢ Vertical & posteromedial
    Function:
    o Strengthens acromioclavicular joint
    o Restrain opposite movement of scapula in relation to clavicle
    o Limits anterior movement of scapula
    o Prevents superior dislocation of clavicle
    o Limits protraction of scapula
    o Produces posterior axial rotation of clavicle
  23. 23Describe the Coracoclavicular (Trapezoidal part) ligament and state its function.➢ Extra-capsular
    ➢ Accessory ligament
    ➢ Horizontal
    ➢ Oblique & anterolateral
    Function:
    o Strengthens acromioclavicular joint
    o Restrain opposite movement of scapula in relation to clavicle
    o Limits posterior movement of scapula
    o Limits anteromedial gliding of Scapula
    o Limits retraction of scapula
    o Prevents superior and lateral dislocation of clavicle
  24. 24What type of Joint is the Glenohumeral joint?• Synovial
    • Multi-axial
    • Ball-and-socket
    • Incongruent
  25. 25Describe the Joint capsule of the Glenohumeral joint.• Loose, fibrous, sleeve capsule from upper epiphyseal line of Humerus to labrum
    • Horizontal
    • Reinforced by fibres of Trapezius, and superior and inferior acromioclavicular ligaments
  26. 26What are the articular surfaces of the Glenohumeral joint?Humeral Head
    Glenoid fossa – faces anterior, lateral & superior
    ➢ Covered in Hyaline cartilage
  27. 27Describe the intra-articular structures of the Glenohumeral joint and state their functions?Synovial membrane lines the capsule, extends through anterior opening of capsule to form subscapularis bursa
    Glenoid Labrum
    Fibrocartilaginous rim
    Long head of Biceps Brachii
    Attaches to supraglenoid tubercle
    A Partial, fibrocartilaginous, intra-articular disc
    Compensates for incongruity of between joint surfaces
  28. 28What are the Ligaments of the Glenohumeral joint?Superior Glenohumeral
    Middle Glenohumeral
    Inferior Glenohumeral
    Transverse Humeral
    Coracohumeral
  29. 29Describe the Superior Glenohumeral ligament and state its function.➢ Capsular
    Function:
    o Reinforces anterior part of Glenohumeral joint
    o Prevents lateral movement and thus stops inferior dislocation
    o Limits external rotation
  30. 30Describe the middle Glenohumeral ligament and state its function.➢ Capsular
    Function:
    o Reinforces anterior part of Glenohumeral joint
    o Limits external rotation
  31. 31Describe the Inferior Glenohumeral ligament and state its function.➢ Capsular
    Function:
    o Reinforces anterior part of Glenohumeral joint
    o Prevents anterior dislocation of humerus when fully flexed or abducted
  32. 32Describe the Transverse Humeral ligament and state its function.Intertubercular
    Capsular
  33. 33Describe the Coracohumeral ligament and state its function.Accessory
  34. 34Describe the Coracoacromial ligament and state its function.Fibro-osseous arch above humeral head
    Function:
    o Increases surface for humeral head to articulate (improves congruency)
    o Prevents superior dislocation
  35. 35What are the characteristics of the Ulnohumeral & Radiohumeral jointsHinge
    Uniaxial
  36. 36Describe the Joint capsule of the Ulnohumeral & Radiohumeral joint➢ Fibrous
    ➢ Encloses elbow and proximal radioulnar joint
    ➢ No attachment to radius
    ➢ Collateral ligaments blend and strengthen capsule laterally and medially
    ➢ Consists of longitudinal fibres that run obliquely and transversely
  37. 37What are the articular surfaces of the Elbow joint?Trochlea of Humerus
    Trochlea Notch of Ulna
    Head of Radius
    Capitulum
  38. 38How does the synovial membrane and synovium interact with the articular surfaces of the proximal radioulnar, Ulnohumeral & Radiohumeral joint?Synovial membrane attaches to humerus and ulna lining the joint capsule
    Covers lower part of annular ligament and continues onto proximal radioulnar articulation
    Emerges as redundant fold to give freedom of movement to the head of the radius
  39. 39What are the Ligaments of the Ulnohumeral & Radiohumeral joint?Collateral Ulnar Ligament
    Collateral Radial Ligament
  40. 40Describe the Collateral Ulnar ligament and state its function.Capsular
    3 bands: Anterior, transverse (intermediate), posterior bands.
    Function:
    o Primary: prevents abduction of ulna
    o Secondary: prevents rotation of ulna
    o Anterior limits extension
    o Posterior limits flexion
    Resists valgus deformity = medially directed force at elbow or laterally directed at forearm
  41. 41Describe the Collateral Radial ligament and state its function.Capsular
    Attaches to annular ligament (not radius)
    Function:
    o Primary: prevents adduction of the forearm
    o Secondary: prevents rotation
    o Anterior limits extension
    o Posterior limits flexion
    Resists varus deformity = laterally directed force at elbow or medially at forearm
  42. 42What are the characteristics of the Proximal Radioulnar joint?Pivot
    Uniaxial
  43. 43What is the function of an Intra-articular disc?• When perforated it can allow communication between the synovial cavities
    • Improves congruency of joint (fit together)
    • Shock absorber
    • Prevents superior dislocation of clavicle
    • Acts as a pivot about which elevation and depression
  44. 44What is a Bursa?Sac lined with synovial membrane containing synovial fluid
  45. 45What are the Elbow Bursae and where are they located?I. Subcutaneous olecranon bursa
    Between the skin and the olecranon
    II. Subtendinous olecranon bursa
    Under distal attachment of the triceps tendon
    III. Radioulnar bursa
    Between the extensor digitorum, radiohumeral articulation and the supinator muscle
    IV. Bicipitoradial bursa
    Between the biceps tendon and the anterior part of the radial tuberosity
  46. 46What are the Shoulder Bursae and where are they located?I. Subscapular bursae
    Sits between bones and bicep tendon
    II. Subacromial bursae
    Seperates acromioclavicular joint anteriorly
  47. 47Where is the Cubital Fossa?Superior border:
    Imaginary line between the epicondyles
    Lateral border:
    Medial border of the brachioradialis
    Medial border:
    Lateral border of the pronator teres
  48. 48What are the functions of different classifications of ligaments?Capsular
    Reinforce and strengthen capsule
    Intra-capsular
    Support articulating surfaces and intra-articulate structures
    Extra-capsular
    Protect extra-capsular structures

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Beschreibung
Anatomy (Upper Limb) Karteikarten am Upper Limb Joints, erstellt von Jack Henderson am 25/04/2018.
Erstellt von
Jack Henderson
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