Physiotherapy period 6 and 8 exam (shoulder, neck, arm) Anatomy

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Fichas sobre Physiotherapy period 6 and 8 exam (shoulder, neck, arm) Anatomy , creado por Emilio Lanza el 19/02/2015.
Emilio  Lanza
Fichas por Emilio Lanza, actualizado hace más de 1 año
Emilio  Lanza
Creado por Emilio Lanza hace casi 10 años
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Pregunta Respuesta
Rotator cuffs Supraspinatus, Infraspinatus, Subscapularis, and Teres Minor
Trapezius: origin and insertion Origin Pars Decendus: Os occiptale and Procc. Spins of all cervical regions Pars Transversus: T1-T4 SP Pars Ascendus: T5-T12 SP Insertion: Lateral third of clavicle acromion spina scapula
M. Scalene: Origin, Insertion, and Action Origin: TP of C2-C7 Insertion: Ribs 1-2 Action: Anterior and medial portion: elevate first rib and lateral bend on same side Posterior portion: elevate rib 2 and tilt on same side Helps with inspiration
Sternocleidomastoideus: origin and Insertions Origin: manubrium sterni and medial third of the clavicle Insertion: proc. Mastoideus and linea nuchalis superior
Serratus Anterior: origin, insertion and action Origin: Ribs 1-9 Insertion: Pars suprerior: angulus superior of scapula Pars intermedia: margo medals of scapula Pars inferior: Angulus inferior and margo medialis Action: Entire Muscle: Draws the scapula laterally forward elevates the ribs when the shoulder grilled is fixed, pars inferior: rotates scapula and draws its angulus interiorly laterally forward Pars superior: lowers the raised arm
Pectoralis minor: Origin, Insertion, and Action Origin: Ribs 3-5 Insertion: Coracoid process Action: Draws scapula downward, Angulus inferior moves posterior medially, rotate glenoid cavity inferiorly
Levator Scapula: Origin, Insertion, and Action Origin: Transvers process C1-C4 Insertion: Superior angle of scapula Action: Draws scapula medially upward, Inclines neck towards the same side
Rhomboid Minor: Origin, Insertion, and Action Origin: SP of C5-C7 Insertion: Medial margo of scapula Action: Steadies the scapula, draws scapula medially upward
Rhomboid Major: Origin, Insertion, and Action Origin: SP of T1-T4 Insertion: Margo medals of scapula Action: Steadies the Scapula, Draws the scapula medially upward
Supraspinatus: Origin, Insertion, and Action Origin: Fossa supraspinatus of the scapula Insertion: Tuberculum majus of the humerus Action: Abduction
Infraspinatus: Origin, Insertion, and Action Origin: Fossa infraspinatus of the scapula Insertion: Tuberculum majus of the humerus Action: External Rotation
Teres Minor: Origin, Insertion, and Action Origin: Margo laterals of the scapula Insertion: Tuberculum major of the humerus Action: External rotation
Subscapularis: Origin, Insertion, and Action Origin: Fossa subscapularis of the scapula Insertion: Tuberculum minor of the humerus Action: Internal Rotation
Deltoids: Origin, Insertion, and Action (3 Parts) Origins: Pars clavicularis: lateral third of clavicle Pars Acromialis: acromion Pars spinalis: spina scapula Insertion: Tuberosita deltoidea on the humerus Action: PC: anteversion, internal roation, adduction PA: abduction PS: retroverson external rotation, adduction
Latissimus dorsi: Origin, Insertion, and Action Origin: Sacrum, all lumbar vertebrae, T7-T12, crista iliaca, Insertion: Sulcus intertubercularis humeri Action: internal roation, adduction, retroversion, respiration
Teres Major: Origin, Insertion, and Action Origin: Angulus inferior of the scapula Insertion: Crista tuberculi minors of the humerus Action: Internal rotaion, adduction, retroversion
Pectoralis Major: Origin, Insertion, and Action Origin: PC: medial half of the clavicle PS: sternum and 2-6 costal cartilages PA: Lamina anterior of the rectus sheath Insertion: Crista tuberculi majors of the humerus Action: Adduction and internal rotation (entire muscle), Anterversion (Pc and PS), assists respiration
Coracobrachialis: Origin, Insertion, and Action Origin: Coracoid process Insertion: Humerus (in line with the Crista tuberculi minor) Action: Anteversion, Adduction, Internal Roation
Biceps Brachi: Origin, Insertion, and Action Origin: Caput longum: Tuberculum supraglenoidale of the scapula Caput breve: coracoid porcess Insertion: Tuberositas radii Action: Elbow: flexion, supination Shoulder: Flexion, stabilization of the humeral head, abduction and internal rotation
Triceps Brachi: Origin, Insertion, and Action Origin: Caput longum: Tuberculum Infraglenoidale of the scapula, Caput mediale: posterior surface of the humerus, distal to elbow joint Caput laterale: proximal to elbow joint Insertion: Olecranon of the ulna Action: Elbow: extension, Shoulder: Caput longum, backwards movement and adduction of arm
What is C1 called? Atlas
What is C2 Called Axis
C1 Structure and function -No body -No Spinosus process -articulate with occipital -Only nodding movements (yes movements)
C2 axis structure and function -Vertebral body -Spinosus process -Dens (adenoid process) acts as a pivot for C1 to perform rotation -Transverse process Rotation (no movements)
atlanto-axial joint C1-C2 -Synovial joint -loose capsule -Alar ligament (prevents excess rotation)
C3 and below vertebrae Body: oval, wide Vertebral foramen: large and triangular Transverse process Superior facets: Supero-posteriorly Inferior facets: Infero-anteriorly C7 SP large and prominent (palpation point) movements: flexion, extension, lateral flexion, rotation (large ROM)
What angle are the face joints situated? 45 degree angle
Intervertebral disc non-existent between C1-C2 smaller than lumbar No Clear NP
What are the Erector spine muscle comprised of? (outer to inner) Longissimus (Capitis, Cervicis, Thoracis) Iliocostalis (Cervicis, Thoracis, Lumborum) Spinalis (Capitis, Cervicis, Thoracis)
What are the Half-long system and Short system? 1) Multifidus and semispinalis 2) Rotatores
Where can you have a Neurovascular bundle impingement? Behind the pecs, between clavicle and first rib, and between the Scalene muscle (Subpectoralis minor space, Costo-clavicular, interscaelene triangle)
what is the Vertebral artery pathway? from Subclavian artery into transverse foramen of C6, becomes internal carotid artery runs from C6-C2, then C2 to the Dura, then to Basilar artery below the brain
Shoulder Osteology (humerus boney Landmarks) Greater Tuberculum Major pointed laterally Tuberculum mino pointed ventrally Great tubercle has insertions for several muscles Transition zone: column anatomicon Sulcus intertubercularis has the bicep tendon
Vascularization of shoulder Axillary Artery Circumflexa artery: if circulation stops, bone will break (implant needed)
Shoulder joint is formed from a huge head and small socket? True or False? TRUE :D
What are the Passive Stabilizers in the shoulder? Ligaments, Negative intra articular pressure, and the Labrum
Function of the CapsuleLigaments? What are the capsule components? Function: -Reinforces anterior side of shoulder -Proprioception -Synovia production (in Z shape Superior medal and inferior ligs.) 1) Membrana fibrosa 2) Membrana synovialis 3) Tendon and ligaments
Function of Negative Intra-Articular pressure Synovia glues joint surface together by cohesion forces
Function and characteristics of the Labrum? -Fibrocartilaginous ridge shaped rim circumscribing the glenoid. -Attachments for glenohumeral ligaments and long head of bicep tendon. -Deepens the Glenoid Cavity -Poor vascularization -Allows stability and mobility -Prevention of peak stress
Transverse Ligament Holds the odontoid process in place against the posterior atlas which prevents anterior sublaxation of C1 on C2
Alar ligament Secures the apex of the odontoid to the anterior foramen magnum
Accessory ligament insert on atlanto-axial joint arise to and in conjunction with transverse ligament
Tectorial membrane Continuation of PLL to the anterior margin of the foramen magnum
Atlanto-axial ligament connects to atlas to the axis but continues to the occipital bone. it is stretched with 5-8 degrees of rotation, lax with cervical extension, stretched with 5-10 degrees of flexion, participates in craniocervical stability
Anterior Longitudinal ligament major stabilizers for vertebral bodies, prevents excessive extension
posterior longitudinal ligament prevents excessive flexion
Supraspinosus lig. on top of SP, maintains upright position of head
Interspinosus lig. runs between adjacent Sp controls excessive flexion and anterior translation
Lig. Flavum controls excessive flexion and anterior translation connects and reinforces facet joints capsules on the ventral aspect connect adjacent laminae
Forearms Forearms
m. Biceps Brachii: Origin, Insertion, and Action Origin: -Caput longum: Tuberculum supraglenoidale of the scapula -Caput breve: Coracoid process Insertion: Tuberositas radii Action: -Elbow joint: Flexion, supination (with flexed elbow) -Shoulder: flexion, stabilization of the humeral head, abduction, and internal rotation
m. Brachialis: Origin ,Insertion, and Action Origin: Distal half of the anterior surface of the humerus (also Septa intermuscularia mediale and lateral Insertion: -Tuberositas ulnar Action: -Flexion at the elbow joint
m. Triceps Brachii: Origin ,Insertion, and Action Origin: -Caput longum: Tuberculum infraglenoiale of the scapula -Caput mediale: posterior surface of the humerus, distal to the sulcus n. radials and the septum intermusculare Mediale -Caput laterale: posterior surface of the humerus, distal to the sulcus n. radials and the septum intermusculare lateral Insertion: -Olecranon of the ulna Actions: -Elbow joint: extension -Shouder: longum, backward movement and adduction of the arm
M. Anconeus: Origin, Insertion, and Action Origin: -Epicondylus laterals of the humerus (and posterior joint capsule in some cases) Insertion: -Olecranon of the ulna (radial surface) Action: -Extends the elbow and tights its joint capsule
M. pronator teres: Origin, Insertion, and Action Origin: -Caput humerale: epicondylus medialis of the humerus -Caput ulnare: proc. coronoideus of the ulna Insertion: -Facies laterlia radii Action: -Elbow joint: weak flexor -Forearm: pronation
m. Flexor digitorum superficial: Origin, Insertion, and Action Origin: -Caput humeral: epicondylus medialis of the humerus -Caput ulnare: proc. coronoideus of the ulna -Caput radiale; distal to the tuberositas radii Insertion: -Sides of the middle phalanges of the second through fifth digits Action: -Elbow: weak flexor -Wrist; flexion abduction
m. Flexor carpi radialis: Origin, Insertion, and Action Origin: -Epicondylus medials of humerus Insertion: -Base of Os metacarpi II (sometimes III) Action: -Wrist: flexion and abduction
m. Flexor carpi ulnaris Origin: -Caput humerale: epicondylus medialis of humerus -Caput ulnare: olecranon of the ulna Insertion: -Hamulus ossis hamati, base of the Os metacarpi V Action: -Wrist: Flexion and adduction
m. Palamaris longus: Origin, Insertion, and Action Origin: -Epicondylus medialis of the humeral Insertion: -Palmar aponeurosis Action: -Elbow: weak flexor -Wrist: palmar flexion, tightens the palm aponeurosis of gripping
Deep flexors m. flexor digitorum profundus: Origin, Insertion, and Action Origin: -proximal 2/3 of the flexor surface of the ulna and the adjacent membrana interossea Insertion: -Palmar suface of the distal phalanges of the 2-5 digits Action: -Wrist and fingers: flexion
m. flexor pollicic longus: Origin, Insertion, and Action Origin: -Mid anterior surface of the radius and the adjacent membrana interossea Insertion: -Palmar surface of the distal phalanx of the thumb Action: -Wrist; flexion and radial abduction -Carpometacarpal of the thumb: opposition -MIP and IP of thumb: flexion
m Pronator quadratus: Origin, Insertion, and Action Origin: -Distal 1/4 of the anterior surface of the ulna Insertion: Distal 1/4 of the anterior of the radius Action: -pronates the hand, stabilizes the distal radioulnar joint
m. brachio radialis: Origin, Insertion, and Action Origin: -Lateral surface of the distal humerus Insertion: -proc. styloideus radii Action: -Elbow; flexion -Wrist: semi pronation
m. Extensor carpi radialis longus: Origin, Insertion, and Action Origin: -Lateral surface of the distal humerus (crista supracondylaris laterals) Insertion: -Dorsal base of the Os metacarpi II Action: -Elbow: weak flexor -Wrist: Dorsal extension, abduction
m. Extensor radialis brevis: Origin, Insertion, and Action Origin: -Epicondylus lateralis of the humerus Insertion: -Dorsal base of the Os metacarpi III Action: -Elbow: weak flexor -Wrist: dorsal extension, Abduction
m. extenstor digitorium: Origin, Insertion, and Action Origin: -Epicondylus lateralis of the humerus Insertion: -Dorsal digital expansion of 2-5 digits Action: -Wrist: extension -Fingers: extension and abduction of fingers
m. extensor digitorium minimi: Origin, Insertion, and Action Origin: -Epicondylus laterals of the humerus Insertion: -Dorsal expansion of the fifth digit Action: -Wrist: ulnar abduction -Fingers: extension and abduction og digit 5
m. extensor carpi ulnaris: Origin, Insertion, and Action Origin: -Epicondylus lateralis of humerus, caput ulnare Insertion: -Base of the Os metacarpi V Action: -Wrist: extension, adduction
m. Supinator: Origin, Insertion, and Action Origin: -Olecranon of the ulna, epicondyles laterals of the humerus, Lig collaterale radial and anulare radii Insertion: -Radius, (between the tuberositas radii and the insertion of the m. pronator teres) Action: -Supinates forearm
m. Abductor pollicis longus: Origin, Insertion, and Action Origin: -Dorsal surface of the radius and ulna, also membrana interossea Insertion: -Base of the Os metacarpi I Action: -Radiocarpal joint: abduction -Carpometacarpal of thumb: abduction
m. Extensor pollicis brevis Origin: -Posterior surfaces of the radius and the membrana interossea Insertion: -Base of the proximal phalanx of the thumb Action: -Radiocarpal: abduction -Carpometamarpal and MCP of thumb: extension
m. extensor pollicis longus: Origin, Insertion, and Action Origin: -Posterior surface of the ulna and the membrana interossea Insertion: -base of the distal phalanx of the thumb Action: -Wrist: extension, abduction -Carpometacarpal and MCP of thumb: adduction -MCP and interphalangeal joint of thumb: extension
m. Extensor indicis: Origin, Insertion, and Action Origin: -Same as previous Insertion: -Posterior digital expansion of the second digit Action: Wrist: extension -MCP, PIP, DIP of second digit: extension
Anatomy lecture 1 Elbow
Osteology Arthrology Myology 1) Humerus, Ulna, Radius 2) (art. cubiti): humero ulnaris joint, humero- radialis joint, rado ulnaris prox + distal 3) forearm muscles
Elbow joint notes -Capitellum (is the humerus) (it goes with radial head (forms hummer radial joint) -trochlea forms the joint with the ulna (forms hummer ulnaris joint) -olecranon fossa: Helps in crease extension it is stemming from the ulnar bone and hooks onto the humerus -coronoid process is a tuberosity on the ulnar
Parts of elbow summarized 1) Epicondylus lateralis 2) Epicondylus medialis 3) Trochlea humeri 4) Incisura trochlearis 5) Capitulum humeri 6) Incisura radialis 7) Caput radii 8) Collum radii 9) Tuberositas radii 10) Tuberositas ulnae
Humero- ulanris joint -Convex: trochlea humeri -Concave: incisura trochlearis -Perfroms: flexion and extension
Humero- radialis joint -Convex: capitellum humeri -Concave: fovea capitis radii -Perfroms: flexion and extension
Radio-ulnaris joint -Convex: circumferentia articularis -Concave: incisura radialis -Perfroms: supination and pronation
Radio-ulnaris distal joint -Convex: incisura ulnaris -Concave: circumferentia articularis
Membrana interossea -Attachment of muscles -Conduction path for blood vessels and nerves -Inhibition supination -Transmitting forces in support on the arm
Ligaments of elbow
Ligaments of medial elbow
1) Radius 2) ulna 3) M. biceps brachii, tendo 4) Lig. anulare radii 5) Capsula articularis 6) Lig. collaterale ulnae 7) Epicondylus medialis 8) Olecranon
Articular capsule anterior side 1) Capsula articularis 2) Epicondylus medialis 3) Epicondylus lateralis 4) Lig. collaterale ulnare 5) Lig. collaterale radiale 6) Lig. anulare radii 7) recessus sacciformis (rotatie rad. ) 8) Collum radii 9) Ulna 10) M. biceps brachii, tendo
Articular capsule posterior side 1) Epicondylus lateralis 2) Epicondylus medialis 3) Capsula articularis 4) Lig. collaterale radiale 5) Lig. anulare radii 6) Collum radii 7) Olecranon
Myologie forearm Subdivision: -Superficial anterior muscles -Deep anterior muscles -Lateral forearm muscles -Superficial dorsal muscles -Deep dorsal muscles
Origin red insertion blue
Origin red insertion blue (continued)
Ventral (superficial) forearm muscles
m. pronator teres
Feature on elbow, forearm and wrist
Features of elbow, forearm, wrist and fingers
Ventral deep forearm muscles
Lateral forearm muscles
Continued
Dorsal side of forearm muscles
continued
extensor digitorum
Dorsal forearm deep muscles
Lecture 2 anatomy Wrist and hands
Osteology carpus -8 carpal bone -2 rows of 4 Proximal row: -Scaphoid, Lunatum, Triquetrum, Pisiforme Distale row: -Trapezium, Trapezoideum, Capitatum, Hamatum
Acronym for carpal bones Sex Lovers Try Positions That They Can't Handle
Osteology Metacarpus -5 metacarpal bones Every metacarpal consists of: -Basis (proximal) -Corpus (middle) -Head (distal)
Anatomy photo of hand and wrist -Radio carpal joint no ulna carpal joint, radius has biggest contact with carpal bone, -ulna has a gap where lies a discus -Medial carpal joint divides proximal and distal -promximal are more mobile than the distal one
Rentinaculum Flexorum -CTS there is a tunnel in there where the medial nerve goes through, both carpal bone diastal and proximal make the bottom part, then you the upper part is the pisiform to the scaphoid bone the H bone
Canlis Carpi (carpal tunnel)
Canlis carpi (continued) Slide notes -Pisiform gives stability to carpal tunnel and to keep the load and shocks, it is also flexible, it incorporates the thenar muscles and it acts like a lever for it -proximal tunnel goes to pisifrom to scaphoid -distal to trapziem
Carpal tunnel -There are the flexor digitorum profundus tendons: only work on the DIP, Top of carpal tunnel digitorum superficialis tendons works on MIP -There is a sweling causing a compression -Is the flexor carpiradialis apart of the carpal tunnel? Yes it is (IKT question) -Tunnel of guyon: it can only be found in the proximal row of the proximal tunnel you find the ulna artery and ulna nerve, it is very sensitive palpate around
joints in hand and wrist
TFCC 7 -Triangular fiber cartilage complex (it is a disc) that it on the ulnar side close to the hand -this causes the second most problem if you fall and get a fracture you can tear the disc (it provides mobility and stabiliy) if there is a problem it would cause more mobility and less stability -main therapy goal work on active stability
Palmar ligaments 1) lig. radio carpale palmare 2) Lig ulna-carpale palmare
Dorsal ligament system 1) Lig. radio carpale dorale 2) lig. intercarpalia dorsalia
Flexor digitorum stabilization -The flexor digitorum superficialis needs to be stabilized against the bones (tendon) -5 pullys -The uneven pullys 1,3,5 they can be found close to the joints 1 (metacarpalphalangal joint, 3 -(interphalangeale IP, 5 (PIP and DIP) -The even can be found in between -The C pullys have a cruciate appearance
Flexor digitorum stabilization
Abductor pollicis longus
positions of tendons relative to the bony surface -Lister tubercle if we palpate (wrsit have 6 compartments on the extensor side) Extensor pollicus longus (EPL there is a tendon form the thumb that is the 3 compartment) ECRB ECRL II -EPB APL I (extensor pollicus vrevis and abdcutors longus -VI EIP, EDC: point finger and digitis On top of radial ulna joint V 5 pinky fingers -VI make an extension
Continued
Movements of thumb
Mostrar resumen completo Ocultar resumen completo

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