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13-upper extremity 2

AB
acromioclavicular jointa synovial joint between the distal clavicle and the proximal acromion of the scapula
ac joint is surrounded by ...which includes• the joint is surround by a dense, fibrous capsule which includes the superior and inferior acromioclavicular ligaments
ac joint stability is provided by...which permit the scapula toby three ligaments: - acromioclavicular ligament - coracoclavicular ligament - conoid and trapezoid ligaments. these ligaments permit the scapula to move on the clavicle about three axes
the range of motion between the clavicle and the scapula shows:30o about the conoid ligament - 60o arc for hinging about the trapezoid ligament - 30o arc for hinging about the transverse axis in the sagittal plane
the ac joint allow the abilityto raise the arm above the head
strernoclavicular jointa synovial joint between the manubrium of the sternum and the proximal clavicle
principle stabilizing strucutre of sternoclavicular joint is thecostoclavicular ligament
costococlavicular ligamentsecurely attaches the clavicle to the first rib and controls the motion between the flat surfaces of the clavicle and the manubrium
movement of the clavicle at the SC joint occur in...directions. which arethree directions (i.e. 3 DOF) - elevation and depression - protraction and retraction - rotation (anterior and posterior)
scapulothoracic articulationnot true joint. scapula is without bony or ligamentous connection to thorax which does allow a wide range of scapular motion.
motions of scapulothoracic articulation motions includeprotraction/retraction, elevation/depression and rotaton
scapular motion is enhanced by the ST articulation, which is aa bonemuscle- bone articulation between the scapula and the thoracic wall
the anterior surface of the scapula is separated from the chest wall bythe serratus anterior and the subscapularis muscles (these muscles glide on each other)
the serratus anterior holds thescapula close to the chest wall through large ranges of scapular motion and prevents scapular “winging”
the joints of the shoulder work together to createarm movement
the shoulder complex is subjected to a wide variety of injuries:- trauma - repetitive movement
traumatic injuries includesprains, subluxations, dislocations, fractures, etc.
repetitive movement injuries includeectopic calcification, degeneration of cartilage, bursitis, etc.


nahant, MA

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