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19 Cards in this Set

  • Front
  • Back

Sternoclavicular Articulation

Type: Saddle (double gliding)



Ligaments: Anterior and posterior sternoclavicular ligaments


Interclavicular ligament


Costoclavicular ligament



Articular disc is complete



Motion: Elevation/Depression, Re/Protraction, Rotation

Acromio-clavicular Articulation

Type: Plane (gliding)



Ligaments: Acromioclavicular ligament


Coracoclavicular ligament (conoid and trapezoid ligaments)



Articular disc is partial



Motion: Elevation/Depression, Anterior/Posterior, Rotation

Glenohumeral Articulation

Type: Ball and socket



Ligaments: Superior, Middle, Inferior Glenohumeral Ligaments


Coracohumeral Ligament



Accessory Ligaments:


Coracoacromial ligament


Transverse humeral ligament


Suprascapular ligament (superior transverse scapular ligament)


Spinoglenoid ligament (inferior transverse scapular ligament)



Glenoid labrum: fibrocartilaginous collar, superiorly continuous with tendon of long head of biceps brachii muscle



Motion: Three planes plus circumduction

Elbow Joint

Bones Involved: Humerus (Capitulum and Trochlea)


Ulna (Trochlear notch)


Radius (Head)



Classification: Hinge



Ligaments: Radial Collateral ligament (lateral collateral)


Ulnar Collateral ligament (medial collateral)



Movements: Elbow flexion/extension

Proximal Radio-Ulnar Articulation

Bones Involved: Humerus (Capitulum)


Radius (Head)


Ulna (Radial notch)



Classification: Pivot



Movements permitted: Pronation, supination



Axis: Oblique running through heads of radius and ulna



Ligaments: Annular ligament


Quadrate ligament


Oblique cord

Distal Radio-Ulnar Articulation

Bones involved: Ulna (head)


Radius (ulnar notch)



Classification: Pivot



Movements permitted: pronation, supination



Ligaments: Palmar and dorsal radio-ulnar ligaments



Articular disc present: "triangular ligament"

Middle Radio-Unar articulation

Interosseous Membrane:


Syndesmosis



Functions: divides forearm into ant/post compartments


serves as attachments for muscles


transmits forces from hand to shoulder



Fibers run mainly inferiorly from radius to ulna

Wrist Joint

Bones Involved: Radius, articular disc of distal radio-ulnar joint


Proximal row of carpals (except pisiform bone)



Classification: Condyloid



Movements permitted: Flexion, extension, radial and ulnar deviation, circumduction



Ligaments:


Ulnar Collateral ligament (ulnocarpal ligament)


Radial Collateral ligament (radiocarpal ligament)


Dorsal radiocarpal ligament


Palmar radiocarpal ligament


Palmar ulnocarpal ligament


Dorsal ulnocarpal ligament

Intercarpal Articulation

Classification: Gliding



Ligaments: Dorsal Intercarpal Ligament


Palmar Intercarpal Ligament


Interosseous Ligament

Intermetacarpal Articulations

Classification: Gliding



Ligaments: Dorsal/Palmar Intermetacarpal ligaments


Interosseous


Carpometacarpal Articulations

Classification: Digits 2-5 - Gliding


Thumb - Saddle



Ligaments: Dorsal/Palmar Carpometacarpal ligaments


Interosseous

Metacarpo-Phalangeal Articulations (MP's)

Classification: Condyloid



Ligaments: Palmar Metacarpophalangeal ligaments


Med/Lat collateral Metacarpophalangeal ligaments


Deep Transverse Metacarpal ligament

Interphalangeal Articulations

Classification: Hinge



Ligaments: Palmar Interphalangeal ligament


Medial/lateral collateral interphalangeal ligaments

Elbow Bursae

Subcutaneous Olecranon: Lies posteriorly over olecranon



Subtendinous Olecranon: proximal to triceps brachii insertion



Radioulnar



Bicipitoradial: between biceps brachii tendon and radial tuberosity

Synovial Sheaths of Wrist (Palmar)

Synovial sheaths allow free movement of tendons through carpal tunnel:


FDS and FDP share a sheath (AKA Ulnar bursa)


FPL has separate sheath (AKA Radial bursa)


Synovial sheaths of FPL and 5th digit are continuous from the carpal tunnel



FCR has sheath but moves through own tunnel in flexor retinatculum



Palmaris Longus has no sheath

Synovial Sheaths of Wrist (Dorsal)

Six compartments (Divided by extensor retinaculum)


-EPB and APL have separate sheaths but share a comparment


-ECRB and ECRL have separate sheaths but share a compartment


-EPL has separate sheath and compartment


-ED and EI share synovial sheath and compartment


-ECU and EDM have separate sheaths and compartments

Digital Flexor Tendon Sheaths of Hand

anterior to MP joints and extends to distal phalanges



fibrous arches and cruciate ligaments house the tendons and synovial sheaths (attached to palmar ligaments and to margins of phalanges)



Fibrous components: -annular ligaments (5 in fingers 2-5, 2 in thumb)


-cruciate ligaments (3 in fingers 2-5)


-one oblique ligament in thumb



Fibrous band functions:


-acts as pulley system to maintain proper alignment of tendons to digit


-prevents tendons from bowstringing


-contributes to grip strength

Scapulothoracic Articulation

Scapula glides over bony ribcage.


Scapula and clavicle must move together.


Initial 30 degrees of arm abduction may involve no scapular movement.


Scapulo-humeral rhythm: Ratio of glenohumeral:scapular movement is 2:1



Scapula function:


-gives the humeral head a stable base on which to move


-maintain a favorable length-tension relationship for UE muscles


-Allows UE to elevate greater than 90-120 degrees


-adds 60 degrees to elevation of arm via upward rotation (occurring at SC and AC joints)

Shoulder bursae

Subacromial (Subdeltoid)


Infraspinatus


Subscapular



Fibrous membrane lined with synovial membrane/fluid