Download Chapter 7 Sternoclavicular Joint Acromioclavicular Joint

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Transcript
Sternoclavicular Joint
Interclavicular ligament
Clavicle
Clavicle
Chapter 7
Sternoclavicular
ligament
Articular
disk
Costoclavicular
ligament
Costal
cartilage
(1st rib)
Sternum
Biomechanics of the Human
Upper Extremity
modified ball and socket joint between the
proximal clavicle and the manubrium of the
sternum
Acromioclavicular Joint
Coracoclavicular
Clavicle ligament
Verterbal
border
Acromioclavicular Coracoclavicular
joint
ligament
Acromion process
Clavicle
Coracoacromial
ligament
Scapular
spine
Coracoid process
Vertebral
border
Glenoid fossa
Axillary border
Anterior view
Inferior angle
Inferior
angle
Posterior view
Coracoclavicular Joint
Coracoclavicular
Clavicle ligament
Verterbal
border
Acromioclavicular Coracoclavicular
joint
ligament
Acromion process
Clavicle
Coracoacromial
ligament
Scapular
spine
Coracoid process
Vertebral
border
Glenoid fossa
Axillary border
Anterior view
Inferior angle
Inferior
angle
Posterior view
irregular joint between the acromion process
of the scapula and the distal clavicle
syndesmosis with the coracoid process of
the scapula bound to the inferior clavicle
by the coracoclavicular ligament
Glenohumeral Joint
Scapulothoracic Joint
Coracoid process
Acromion
process
Coracohumeral
ligament
Long head of
biceps
Scapula
Articular
capsule
Humerus
ball and socket joint in which the head of the
humerus articulates with the glenoid fossa
of the scapula
articulation between the anterior scapula
and the thoracic wall
1
Scapulohumeral Rhythm
Glenohumeral Flexors
Muscles contributing to flexion at the
glenohumeral joint
regular pattern of scapular rotation that
accompanies and facilitates humeral
abduction
Glenohumeral Extensors
• anterior deltoid
• clavicular pectoralis major
• assisted by:
• coracobrachialis
• short head of biceps brachii
Glenohumeral Abductors
Muscles contributing to extension at the
glenohumeral joint
• sternal pectoralis major
• latissimus dorsi
• teres major
• assisted by:
• middle deltoid
• supraspinatus
• long head of triceps brachii
Glenohumeral Adductors
• latissimus dorsi
• teres major
• sternocostal pectoralis
• assisted by:
• short head of biceps brachii
• long head of triceps brachii
Glenohumeral Medial Rotators
• subscapularis
• teres major
• assisted by:
• pectoralis major
• anterior deltoid
• latissimus dorsi
• short head of biceps brachii
2
Lateral Rotators of the
Humerus
• infraspinatus
• teres minor
• assisted by:
• posterior deltoid
Horizontal Adduction of the
Humerus
• pectoralis major
• anterior deltoid
• coracobrachialis
• assisted by:
• short head of biceps brachii
Horizontal abduction of the humerus?
• infraspinatus
• middle and posterior deltoid
• teres minor
• assisted by:
• teres major
• latissimus dorsi
Humeroradial Joint
Humeroulnar Joint
• hinge joint in which the humeral
trochlea articulates with the trochlear
fossa of the ulna
• considered to be the elbow joint
Radioulnar Joints
• the proximal and distal radioulnar joints
are pivot joints
gliding joint in which the capitellum of the
humerus articulates with the proximal
end of the radius
• the middle radioulnar joint is a
syndesmosis
3
Elbow Flexors
Elbow Extensors
• triceps brachii
• brachialis
• biceps brachii
• assisted by:
• anconeus
• brachioradialis
Radiocarpal Joints
• condyloid articulations between the
radius and the three carpal bones
• (these joints comprise the wrist)
Wrist Flexors
• flexor carpi radialis
• flexor carpi ulnaris
• palmaris longus
• assisted by:
• flexor digitorum superficialis
• flexor digitorum profundus
Retinacula
these fibrous bands of fascia form
protective passageways through which
tendons, nerves, and blood vessels pass
Wrist Extensors
• extensor carpi radialis longus
• extensor carpi radialis brevis
• extensor carpi ulnaris
• assisted by:
• other wrist extensor muscles
4
Carpometacarpal Joints
Intermetacarpal Joints
• the carpometacarpal joint of the thumb
is a saddle joint
irregular joints between the metacarpals
that share joint capsules with the
carpometacarpal joints
• the other carpometacarpal joints are
gliding joints
Metacarpophalangeal Joints
• condyloid joints between the rounded
distal heads of the metacarpals and
the concave proximal ends of the
phalanges
• these joints form the knuckles of the
hand
Metacarpophalangeal Joints 2-5
Interphalangeal Joints
the proximal and distal interphalangeal
joints of the fingers and the single
interphalangeal joint of the thumb are all
hinge joints)
Hand Muscles
Motions
• flexion
• there are nine extrinsic muscles with
• extension
• abduction
• adduction
• circumduction
attachments both proximal and
distal to the wrist
• there are ten intrinsic muscles with
both attachments distal to the wrist
5