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88 Cards in this Set

  • Front
  • Back
What are the joints of the shoulder complex?
sternoclavicular, glenohumeral, acromioclavicular joints, and the scapulothoracic interface
Ultimate goal of the shoulder complex?
positioning the upper extremity to facilitate hand function
Where along the vertebral column is the base of the spine of the scapula located?
T3
Where along the vertebral column is the inferior angle of the scapula located?
T7
What is the angle of the plane of the scapula?
35degrees anterior to the frontal plane
What is the angle of the glenoid fossa?
5degrees superior relative to the medial border of the scapula
What is the angle of inclination of the humeral head?
135degrees with shaft
What is the angle of retroversion of the humeral head?
30degrees posterior angulation relative to the frontal plane
What type of joint is the sternoclavicular articulation?
A sellar-type joint
What is the function of the anterior & posterior sternoclavicular ligaments?
reinforce/support the anterior & posterior aspects of the fibrous capsule
What is the function of the interclavicular ligament?
attaches sternal ends of clavicles, passes over superior surface of jugular notch
What is the function of the costoclavicular ligament?
attaches first costal cartilag to inferior surface of the proximal aspect of the clavicle
What part of the acromioclavicular articulation could be an indicator of wear and tear?
articular disc
What is the function of the acromioclavicular ligament?
reinforces the superior & inferior aspects of the fibrous capsule
What is the functoin of the coracoclavicular ligament?
primary stabilizer (maintains relationship between clavicle & scapula)
What are the parts of the coracoclavicular ligament?
trapezoid and conoid
Where is the trapezoid ligament located?
from superior surface of the coracoid process in a superior/lateral direction to attach to the trapezoid line of the clavicle
Where is the conoid ligament located?
from superior surface of coracoid process, near its base, in a vertically superior direction to attach to conoid tubercle of the clavicle (posterior & medial to trapezoid ligament)
What is the "main" shoulder joint?
Glenohumeral articulation
What is the function of the axillary pouch?
to have the slack by the joint so it is easier to move (helps to raise arm overhead)
Where is the superior glenohumeral ligament located?
from the supraglenoid tubercle to the anatomical neck of the humerus
What is the function of the superior glenohumeral ligament?
restricts movement at 0degrees abduction
Where is the middle glenohumeral ligament located?
superior and middle aspects of anterior rim of glenoid fossa, blends with anterior aspect of capsule and subscapularis tendon to the anterior aspect of the anatomical neck of the humerus
What is the function of the middle glenohumeral ligament?
restricts movement greater than 30degrees
Where is the inferior glenohumeral ligament located?
anterior/inferior rim of the glenoid fossa and labrum to the anterior/inferior-posterior/inferior aspects of the anatomical neck of the humerus
Where is the coracohumeral ligament located?
lateral suface of the coracoid process to the anterior surface of the greater tubercle of the humerus where it blends with the capsule and supraspinatus tendon
Where is the coracoacromial ligament located?
anterior margin of the acromion process to the lateral aspect of the coracoid process
What all is contained in the subacromial space?
subacromial bursa, tendon of origin for the biceps brachii long head, superior aspect of joint capsule
What type of gland is a mammary gland?
modified apocrine (sweat) gland
What is deep to the mammary gland?
retromammary bursa
What is the Tail of Spence?
extension of glandular tissue superior/lateral towards the axilla - lobes drain to the surface of the skin via lactiferous ducts
What is the Suspensory Ligament of Cooper?
extensions of fibrous tissue from the breast to the dermis of the skin
What are the major contributing vessels that supply the mammary glands?
primarily branches of the internal thoracic artery, also branches from the axillary artery (lateral thoracic, pectoral, and thoracoacromial branches), and branches from the intercostal
What are the levels of axillary lymph nodes based on?
Location of the pectoralis minor
What are the levels of axillary lymph nodes?
Level I: lower axillary group
Level II: middle axillary group
Level III: upper infraclavicular group
What is the medial boundary of the axilla?
serratus anterior muscle covering the lateral thoracic wall
What is the anterior boundary of the axilla?
combined tissue mass of the pectoralis major and minor muscles
What is the posterior boundary of the axilla?
primarily subscapularis muscle, also latissimus dorsi and teres major muscle tissue
What is the lateral boundary of the axilla?
intertubercular/bicipital groove
What is inside the deltopectoral groove/triangle?
cephalic vein
What are the three muscles that attach to the coracoid process?
short head of biceps brachii, coracobrachialis, pectoralis major
What are the four ligaments that attach to the coracoid process?
trapezoid, conoid, coracohumeral, coracoacromial
Where is the inguinal ligament located?
inferior border of the external abdominal oblique aponeurosis which spans from the ASIS to the pubic tubercle
What is the first muscle to fire when lifting your arm?
transverse abdominis
What muscle in the abdomen allows for semental movement?
rectus abdominis
What muscles' aponeuroses contribute to the rectus sheath?
External & internal abdominal obliques, transverse abdominis
What are the branches of the Sublcavian Artery?
vertebral artery, internal thoracic artery, thyrocervical trunk, costocervial trunk
What are the parts of the thyrocervical trunk?
inferior thyroid artery, suprascapular artery, transverse cervical artery
What are the parts of the costocervical trunk?
deep cervical, highest/supreme intercostal arteries
What is inside the interscalene triangle?
brachial plexus and subclavian artery
The dorsal root of the spinal nerve is made up of?
almost entirely sensory neurons
What is the ventral root of the spinal nerve?
primarily a motor structure
What are the roots of the brachial plexus?
C5-C8 & T1
What are the cords of the brachial plexus named in reference to?
their position relative to the axillary artery
What are the three articulations of the elbow joint?
humero-ulnar, humero-radial, proximal radio-ulnar
What are the articulations of the humero-ulnar joint and what type of joint is it?
the trochlea of the humerus with the trochlear notch of the ulna

modified sellar joint
What are the articulations of the humero-radial joint and what type of joint is it?
the concave proximal surface of the radial head with the convex surface of the capitulum of the humerus

ovoid joint
What is the purpose of the humero-ulnar joint?
allows for elbow flexion and extension
What is the purpose of the humero-radial joint?
allows for flexion/extension and rotation of the radius (pronation/supination)
What are the articulations for the proximal radio-ulnar joint?
periphery of the radial head with the fibro-osseous ring formed by the radial notch of the ulna and annular ligament
What are the articulations for the distal radio-ulnar joint?
convex peripheral surface of the ulnar head with the concave surface of the ulnar notch of the radius
What is the purpose of the radio-ulnar joints?
adjusting the length of the upper limb (flexion/extension)
adjusting the orientation of the palm of the hand
positioning the hand for functional tasks
What is valgus?
joint is displaced medially; distal end of the limb is lateral relative to the position of the joint
What is varus?
joint is displaced laterally; distal end of the limb is medial relative to the position of the joint
What is the typical carrying angle for the upper extremity?
15degrees of valgus
Which of the medial collateral ligaments are the strongest?
anterior fibers
What is the purpose of the quadrate ligament?
leash that prevents the radius from over-pronating/over-supinating
What is the lateral border of the cubital fossa?
brachioradialis and extensor carpi radialis longus
What is the medial border of the cubital fossa?
pronator teres muscle
What is the proximal border of the cubital fossa?
a line passing through the humeral condyles
What is the floor of the cubital fossa?
brachialis muscle
What does the acronym TAN stand for?
Tendon of insertion for the biceps brachii, brachial artery, median nerve
What nerve runs along the medial edge of the brachioradialis and extensor carpi radialis longus?
radial nerve
If a muscle crosses the elbow, what is a possible fuction of it?
flexion of the elbow
What are the muscles associated with the cubital fossa?
brachioradialis, extensor carpi radialis longus, and pronator teres
What are the muscles of the superficial forearm?
Extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris
What are the deep muscles of the deep forearm?
supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, extensor indicis
What muscles are part of the common extensor mass?
extensor carpi radialis brevis, extensor digitorum, humeral head of extensor carpi ulnaris
What are the six parts always associated with a synovial joint?
bones, articular cartilage, fibrous capsule, synovial membrane, synovial fluid, joint cavity
What tendon(s) form(s) the anterior boundary of the anatomical snuff box?
abductor pollicis longus & extensor pollicis brevis
What tendon(s) form(s) the posterior boundary of the anatomical snuff box?
extensor pollicis longus
What blood vessel can be found in the anatomical snuff box?
branch of the Radial Artery that courses onto the dorsum of the hand and ultimately into the deep compartment of the hand
What bone can be felt through the anatomical snuff box?
scaphoid bone
What muscles does the deep radial nerve branch to?
extensors digitorum, digiti minimi, ulnaris, pollicis longus, pollicis brevis, indicis, & abductor pollicis longus
What part of the upper extremity does that posterior interosseous artery feed?
posterior component of the forearm
What three membranes compartmentalize the forearm into anterior and posterior sections?
medial intermuscular septum, interosseous membrane, lateral intermuscular septum
What is the only deep muscle of the forearm to not attach to the ulna?
extensor pollicis brevis
What is the "wristband" that holds all of the wrist tendons in the right place?
the extensor retinaculum