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AP 1 - Lecture 10
Anatomy & Positioning - Humerus
Question | Answer |
---|---|
the distal end of the humerus forms the elbow joint by its articulations with the? | radius and ulna |
the distal humerus consists of? | two condyles, two epicondyles, and 3 fossa |
the two condyles of the distal humerus are the? | capitellum and trochlea |
a small rounded process located on the lateral side of the humerus | capitellum or capitulum |
the capitellum articulates with what in extension? | head of radius |
a spool shaped structure which articulates with the half moon shaped semilunar notch of the ulna, allowing the elbow joint to flex and extend as a hinge joint | trochlea |
the smooth depressed center portion of the trochlea | trochlear sulcus or groove |
the two epicondyles on the distal humerus | lateral and medial epicondyles |
a small process above the capitellum on the lateral side of the distal humerus | lateral epicondyle |
is palpable and is a larger process above the trochlea on the medial side of the distal humerus | medial epicondyle |
the three fossa on the distal humerus which accommodate structures of the radius and ulna in flexion and extension | radial fossa, coronoid fossa, and olecranon fossa |
a ditch or depression on the anterior surface of the distal humerus above the trochlea | coronoid fossa |
accommodates the coronoid process of the ulna in flexion | coronoid fossa |
a ditch or depression on the anterior surface of the distal humerus above the capitellum | radial fossa |
accommodates the head of radius in flexion | radial fossa |
a deep ditch on the posterior surface of the distal humerus | olecranon fossa |
articulates with the olecranon process of ulna in extension | olecranon fossa |
the ______ of the humerus is flattened distally, becoming more rounded as it ascends proximally | shaft |
a rough ridge of bone at mid-shaft where the deltoid muscle attaches | deltoid tuberosity |
located medial to deltoid is the radial ______ for the passage of the radial ______ to the forearm | groove; nerve |
the proximal humerus consists of: | -head -two necks -two tuberosities -a groove between the tuberosities |
the superior expanded portion of the proximal humerus which is smooth and rounded | head of the humerus |
what does the head of the humerus articulate with to form a ball and socket joint? | the glenoid fossa of the scapula |
the ball and socket joint allows what movements? | flexion, extension, adduction, abduction, circumduction, and rotation |
what are the two necks of the humerus? | the anatomical neck and the surgical neck |
a slightly constricted ridge of bone directly below the head of the humerus, lying in an oblique plane | the anatomical neck |
the locating of the epiphyseal plate of the humerus until ossification occurs | the anatomical neck |
the tapered area below the head of the proximal humerus, named because it is commonly fractured and requires surgery | surgical neck |
the two tuberosities of the proximal humerus | greater tubercle or tuberosity and the lesser tubercle or tuberosity |
a large bony prominence on the lateral border of the humerus, below the anatomical neck | greater tuberosity |
The greater tuberosity consists of three ridges for the attachment of three of the four muscles and tendons of the what? | rotator cuff |
the greater tuberosity consists of three ridges for the attachment of what 3 of 4 muscles of the rotator cuff? 1. anterior: 2. middle: 3. posterior: | 1. supraspinatous muscle 2. infraspinatous muscle 3. teres minor muscle |
a small anterior and medial prominence below the anatomical neck | lesser tuberosity |
the lesser tuberosity is the attachment site for what? (one of the anterior muscle of the rotator cuff) | tendon of the subscapularis muscle |
between the greater and lesser tuberosities is a deep furrow called? | intertubercular or bicipital groove |
the ______ tendon lies within the bicipital groove and descends along the shaft to attach the ______ tuberosity distally | biceps; radial |
the joint formed by the head of the humerus and glenoid fossa of the scapula allows for rotation of the upper extremity | ball and socket |
when the hand is supinated, the humerus in ______ rotation | external |
the ______ ______ is in profile in an AP Projection with external rotation | greater tuberosity |
when the hand is placed with the palm against the hip, the humerus is in ______ ______. The greater tuberosity rotates ______ and is _________ on the head of the humerus, neither the ______ or ______ tuberosities are in profile | neutral rotation: medially; superimposed; greater or lesser |
when the posterior aspect of the hand is placed against the hip or the elbow is in the lateral position, the humerus is in ______ rotation. The ______ tuberosity rotates ______ toward the shoulder joint and is in profile in an AP Projection. | internal; lesser; medially |
the two routine projections of the humerus? | -Non trauma when the patient has pain and no occured injury -Trauma when the patient has had physical injury to the upper arm |
Non trauma routine projections of the humerus | AP with external rotation and lateral with internal rotation |
Trauma routine projections of the humerus | AP- neutral position PA- lateral with elbow flexed Transthoracic lateral- lawrence method |