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UPPER EXTREMITY JOINTS Dr. Banafshe Esmaeilzade, M.S., Ph.D. Deptartment of Anatomy Bushehr Univ. of Medical Sciences STERNOCLAVICULAR JOINT STERNOCLAVICULAR JOINT LIGAMENTS Anterior Sternoclavicular: prevents upward displacement of clavicle Posterior Sternoclavicular: prevents upward displacement of clavicle Interclavicular: prevents lateral displacement of clavicle Costoclavicular: prevents lateral and upward displacement of clavicle Movement Trapezoid, scm, L.sca, Rhomboid Post: Trapezoid, Rhomboid Ant: serrator ant Subclavius, pectoralis min. ACROMIOCLAVICULAR JOINT ACROMIOCLAVICULAR JOINT LIGAMENTS Superior Acromioclavicular Ligament Inferior Acromoclavicular Ligament Coracoclavicular Ligament Conoid Trapezoid SUPERIOR ACROMIOCLAVICULAR LIGAMENT CORACOCLAVICULAR LIGAMENT Conoid Trapezoid GLENOHUMERAL JOINT GLENOID LABRUM GLENOHUMERAL JOINT LIGAMENTS Superior Glenohumeral Ligament Middle Glenohumeral Ligament Inferior Glenohumeral Ligament Coracohumeral Ligament SUPERIOR GLENOHUMERAL LIGAMENT MIDDLE GLENOHUMERAL LIGAMENT INFERIOR GLENOHUMERAL LIGAMENT INFERIOR GLENOHUMERAL LIGAMENT INFERIOR GLENOHUMERAL LIGAMENT CORACOHUMERAL LIGAMENT Rotator Cuff ant view Acromial Bursa >> MOVEMENT Shoulder action = ? Shoulder muscle(s) = ? Abduction Deltoid Supraspinatus Shoulder action = ? Shoulder muscle(s) = ? Flexion Ant Deltoid Upper Pect Major Coracobrach. Shoulder action = ? Shoulder muscle(s) = ? Adduction Pect. Major (both) Coracobrachialis Latissimus Dorsi Teres Major Shoulder action = ? Shoulder muscle(s) = ? Extension Lats Teres Major Post. Deltoid Pectoralis Major (lower) Teres minor Shoulder action = ? Shoulder muscle(s) = ? External Rotation Infrspinatus Teres Minor Post. Deltoid Internal Rotation External Rotation Internal Rotation Subscapularis, Ant. Deltoid, Pect, Major, Lats. And Teres Major ROTATOR CUFF EXERCISES External Rotation Internal Rotation External Rotation Abduction (to work the supraspinatus) ELBOW JOINT ELBOW JOINT Articulations of elbow joint are; Capitulum (lateral condyle of humerus) with the radius Trochlea (medial condyle of humerus) with the ulna ELBOW JOINT LIGAMENTS Ulnar Collateral Ligament(UCL) Radial Collateral Ligament Annular Ligament: stabilizes and encircles the head of the radius ULNAR COLLATERAL LIGAMENT (UCL) -ANT. BAND ULNAR COLLATERAL LIGAMENT (UCL)-ANT BAND ULNAR COLLATERAL LIGAMENT (UCL)POSTERIOR BAND ULNAR COLLATERAL LIGAMENT (UCL)POSTERIOR BAND RADIAL COLLATERAL LIGAMENT RADIAL COLLATERAL LIGAMENT ANNULAR LIGAMENT OLECRANON BURSA Movement FOREARM JOINTS Superior Radioulnar: pivot joint moving in a ring formed by the ulna and annular ligament Middle Radioulnar: shaft of bones held together by the interosseus membrane Distal Radioulnar: pivot joint formed by the head of ulna with a notch on the radius SUPERIOR RADIOULNAR MIDDLE RADIOULNAR DISTAL RADIOULNAR WRIST JOINT (RADIOCARPAL ) Articulation of the radius and ulna with the scaphoid, lunate, and triquetral WRIST JOINT LIGAMENTS Ulnar Collateral Ligament Radial Collateral Ligament Volar Radiocarpal Dorsal Radiocarpal LIGAMENTS (ANTERIOR) LIGAMENTS (POSTERIOR) ULNAR COLLATERAL LIGAMENT RADIAL COLLATERAL LIGAMENT VOLAR RADIOCARPAL DORSAL RADIOCARPAL LIGAMENT MOVEMENT Flexion Extention Abduction Adduction Circumduction INTERCARPAL JOINTS Palmar Dorsal CARPOMETACARPAL JOINTS Palmar Dorsal METACARPALPHALANGEAL JOINTS Volar plate Deep Transverse Metacarpal Collateral INTERPHALANGEAL JOINTS (PIP) Collateral Volar Plate INTERPHALANGEAL JOINTS (DIP) Collateral Volar Plate