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UE and thorax

lecture week 7

QuestionAnswer
The muscle responsible for a specific action is a what? Agonist
Prime mover is another name for what? Agonist
The muscle that facilitates action of other muscles by being an antagonist to an undesirable motions and therefore facilitates the action the of primary mover Synergist
An accessory mover is another name for what? Synergist
The fixator is responsible for what? Stabilizing one part of the body to form a base for another action
The biceps flexing the supinated forearm is an example of what functional group of muscle? Prime mover/agonist
The rhomboids fix the scapula in order to anchor muscles is an example of what function group of muscle? fixator
The brachial assists the biceps in flexing the supinated forearm is an example of what functional group of muscle? accessory mover
The wrist extensors are ____ to finger flexors because extension of the wrist ____ the power of finger flexion. 1. synergist 2. increases
The muscle that produces the opposite action of an agonist is what? Antagonist
Muscles which extend the forearm (triceps) are the _____ of those which flex (biceps) and vice versa Antagonist
Muscle fibers shorten as force is generated Concentric
Muscle fibers lengthen as opposing force is greater than strength of muscle Eccentric
Force generate without changing length of muscle Isometric
A bicep curl is an example of what type of contraction concentric
You are holding a bicep curl for a period of time and slowly the force of the weight is greater than the strength of your bicep. Your biceps start to lengthen. This is an example of what type of contraction Eccentric
You are doing a 30 day plank challenge with your homies. The person who hold their plank the longest by the end of the month wins. Holding a plank is an example of what type of muscle contraction? Isometric
What does isotonic refer to? force generated as length of a muscle changes
what are 2 examples of isotonic contraction? 1. concentric 2. Eccentric
The triangular gap in the posterior musculature is called what? Triangle of ausculation
What does auscultation refer to ability to listen
why does placing your hands on opposite shoulders allow for better auscultation? (3 reasons) 1. muscle thickness thins 2. increases size of triangle 3. rolls scapula/shoulders anteriorly and laterally rotate
What is the superior and medial border of the triangle of auscultation? The inferior border of trapezius
What is the lateral border of the triangle of auscultation? Vertebral (medial) boarder of scapula
What is the inferior border of the triangle of auscultation? Latissimus dori
What makes up the floor of the triangle of auscultation? rhomboid major, erector spine group, 6th and 7th ribs and intercostal muscles
when talking medial and lateral rotation of the scapula you want to reference and think about what part? Inferior angle
What muscles assist in protraction of the scapula? (2) 1. serratus anterior 2. pectoralis minor
What muscles assist in retraction of the scapula? (3) 1. rhomboideus major 2. rhomboideus minor 3. middle fibers of trapezius
what muscles assist in elevation of the scapula? (2) 1. Levator scapulae 2. upper fibers of trapezius
What muscles assist in the depression of the scapula? (3) 1. lower fibers of trapezius 2. pectoralis minor 3. latissimus dorsi
what muscles assist in medial rotation of the scapula? (3) 1. levator scapulae 2. rhomboideus minor 3. rhomboideus major
What muscles assist in lateral rotation of scapula? (3) 1. serratus anterior 2. lower fibers of trapezius 3. upper fibers of trapezius
What are the 4 muscles that make up the rotator cuff? 1. supraspinatus 2. infraspinatus 3. teres minor 4. subscapularis
Which of the muscle tendons in the rotator cuff are most prone to trauma and injury? Why? Supraspinatus - it's tendon passes between humeral head and acromion
The function of the muscles within the rotator cuff are? (2) 1. stabilize the humeral head ( compresses glenohumeral joint) 2. Prevent translation of humerus and allow for increased force from deltoids during abduction
What type of movement often injures the rotator cuff? Repetitive overhead movements or forceful pulling
The muscles of the rotator cuff originate on _____ and insert on _______ 1. scapula 2. head of humerus
The shoulder girdle is made up of what? 1. clavicle 2. scapula
The labrum in the shoulder girdle increases the depth of what joint? glenohumeral joint
What structures pass through the (lateral ) quadrangular space? 1. axillary nerve 2. posterior humeral circumflex artery and vein
What is the clinical significance of the quadrangular space? If the QS gets compressed ( by muscles that border space) can entrap the axillary nerve- 1st clinical significance= signs and symptoms of deltoid weakness - 2nd clinical significance = regimental patch numbness
What is the superior border of the quadrangular space? inferior margin of teres minor
What is the inferior border of the QS ? superior margin of the teres major
What is the later border of the QS? the surgical neck of of the humerus
What is the medial border of the QS? lateral margin of long head of triceps
What is the anterior border of QS? Subscapularis
What structures pass through the (medial) triangular space scapular circumflex artery and vein
What is the superior border of the TS? Teres minor / subsacpularis
what is the inferior border of the TS? superior aspect of teres major
What is the lateral border of the TS? medial aspect of long head of triceps
What passes through the triangle interval? Radial nerve (en route to posterior compartment) profunda brachii artery ( to arm)
What is the superior border of the TI? Teres major
What is the medial border of the the TI? long head of triceps
What is the lateral border of the TI? humerus or lateral head of triceps
what is the passageway deep the the flexor retinaculum between the tubercles of the scaphoid and trapezoid bones on the lateral side and the pisiform and hook of the hamate on the medial side? the carpal tunel
The carpal tunnel is bordered by what 2 carpals and what ligament? 1. lunate 2. capitate 3. transverse carpal ligament/flexor retinaculum
the capitate and lunate carpal are _____ to the transverse ligament opposite
The contents of the of the carpal tunnel include (be specific): Median nerve (+9 tendons) -4 flexor digitorum profundus tendons -4 flexor digitorum superficialis -1 flexor pollicis longus
Just prior to entering the carpal tunnel, the flexor tendons to the fingers are surrounded by the _______ while the _____ usually has its own sheath 1. common flexor tendon sheath 2. flexor policies longus
What are the causes of carpal tunnel syndrome? 1. Reduction of the size of the tunnel (lesion, movement of lunate or capitate) 2. increase in size of tendons or nerves
What is the only muscle of the rotator cuff that does abduction? supraspinatus
The teres minor and infraspinatus within the rotator cuff participate in what action? external rotation
You have a patient that comes in with shoulder pain and you are trying to evaluate which muscle of the rotator cuff is damaged. To differentiate between these 4 different muscles what actions would each of these muscles be weak during or have pain with? 1. supraspinatus - abduction 2. subscapularis- internal rotation 3. teres minor-external rotation and adduction 4. infraspinatus - external rotation and adduction
what does the shoulder refer to ? Scapula and humerus
the joint between the acromion and distal clavicle is what? acromioclavicular joint
What makes up/what are the parts of the AC joint 1. AC ligament 2. articular disc (sometimes present) 3. coracoclavicular ligament
list the ligaments of the scapula 1. coracocromial ligament 2. superior transverse scapular ligament
the ligament across the scapular notch (superior) transverse scapular ligament
the (superior) transverse ligament creates what ? What nerve passes through ? 1. Suprascapular foreman 2. suprascapular nerve
the suprascapular nerve innervates? 1. supraspinataus 2. infraspinataus
what ligament covers over the long head of the bicep tendon and lies in the bicipital/ intertubercular groove transverse humeral ligament
the transverse humeral ligament hold what muscle in place? long head of bicep
what's the name of the joint where the manubrium of sternum and the proximal clavicle meet? This joint is also the only anatomical joint between the upper extremity and axial Skelton, sternoclavicular joint
what type of disc is often found with the sternoclavicular joint? What does this disc do for this joint? 1. fibrocartilagenous 2. increases range of motion
The coracoclavicular ligament attaches at the ____ to the ___ 1. coracoid process 2. clavicle
From the acromioclavicular joint the coracoid process is just _____ inferior
You have a patient come into your office with limited adduction ability in shoulder. You have the patient adduct their arm above 30 degrees and you press down on the top of your arm. You notice a weak deltoid. What space and what nerve are being affected? Space: quadrangular space Nerve: axillary
What ligament is often injured due to repetitive stress injuries and repaired during Tommy johns surgery? Ulnar collateral ligament
what ligament is often associated with a traumatic injury Radial collateral ligament
The annular ligament has fibers continuous with what other ligament? Radial collateral ligament
The annular ligament hold the _____ in place radial head
what ligament is often looser in kids? If their arm is pulled up quickly the radial head comes out as a result. What is the name of this condition? 1. annular ligament 2. Nurse maids elbow
What spans and connects between the radius and ulna? interosseous membrane
what are the effects of carpal tunnel syndrome? (3) 1. paresthesia (pins and needles), hypesthesia (loss/reduction of sensation), anesthesia (without sensation) to lateral (radial) 3 1/2 digits 2. atrophy of 3 thenar muscles 3. progressive loss of coordination and strength in thumb
With carpal tunnel syndrome what 2 muscles in correlation with the progressive loss of coordination and strength of the thumb? abductor pollicis brevis and opponent pollicis
At the end of the ulna what is the name of the disc that helps support the integrity of the joint? triangular fibrocartilage
What limits range of motion in muscles? 1. muscles getting stretched out and weaken (stretch weakness) 2. muscles that get super tight build up adhesions and are unable to stretch to original length 3. hyperkyphosis
Created by: 921894538563264
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