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Bones in the pectoral girdle
Sternum, clavicle, scapula, humerus
Parts of the sternum
manubrium (superior), body (middle), xiphoid process (inferior)
What and where does the clavicle articulate with
the manubrium of the sternum (sternal end) and the acromion (acromial end)
acromion
bony progection from the scapula
scapula
shoulder blade
clavicle
collar bone
Bones of the acromioclavicular joint
acromion and clavicle
ligaments of the acromioclavicular (AC) joint
Acromioclavicular, Coracoclavicular, Coracoacromial
Movement of acromioclavicular (AC) joint
gliding (plane synovial)
Sternoclavicular (SC) joint bones
sternum and clavicle
Movement of sternoclavicular (SC) joint
Protraction/Retraction
Elevation/Depression
Posterior Rotation
What bones does the scapula connect
clavicle to humerus
Movement of the glenohumeral (shoulder) joint
Flexion/Extension
Abduction/Adduction
Medial/Lateral Rotation
Circumduction
What type of joint is the glenohumeral (shoulder) Joint
ball and socket
Purpose of Glenoid labrum
deepens and widens socket for head of humerus
Front muscles that move the arm
Pectoralis major, Deltoid, Coracobrachialis, Biceps brachii
Back muscles that move the arm
Latissimus dorsi, Teres major, Triceps brachii
Rotator cuff muscles
Infraspinatus, Teres Minor, Subscapularis, Supraspinatus, Teres Minor
Impingement
Painful inflammation of the rotator cuff in the subacromial space
Cause of impingement
chronic overuse (repetitive overhead motions)
Multidirectional Instability
Imbalance between shoulder mobility and stability, shoulder subluxs or dislocates frequently
Cause of multidirectional instability
genetics or sports and activity
Bones involved with the dislocation of shoulder
humerus and glenoid cavity of the scapula
labrum tear
Injury to the glenoid labrum (where ball of the joint rests)
Rotator cuff injury
injury to the tendons on the rotator cuff (shoulder blade muscles)
Clavicle fracture
collar bone fracture
What is the most common fracture of childhood?
clavicle fractures
AC joint sprain
injury to the ligaments of Acromioclavicular joint
Bump or piano key deformity
able to press down on bone an it pops back up because of sprained ligament
SC joint sprain
injury to the ligaments of Sternoclavicular joint
When is a SC joint sprain life threatening?
posterior dislocations can push on the airway
Brachial Plexus Injury MOI
traction or compression of the Brachial Plexus (area from neck to shoulder)
brachial plexus
complex network of nerves that transmits signals from the spinal cord to the shoulder, arm, and hand