notes

1. AL2 JOINTS OF UPPER LIMB
JOINT ARTICULATION CAPSULE RELATIONS BLOOD SUPPLY MOVEMENT NERVE DISORDER
Shoulder
(synovial,
ball &
socket)
-headof humerus
-glenoidfossaof
scapula
Attachment
- marginof glenoidfossa
& anatomical neckof
humerus
Thickened
-glenohumeral lig
-tranverse lig
-coracohumeral lig
Strengthened(+)
-rotatorcuff tendons
-coracoacromial lig
Anterior
Subscapularis
Axillaryvessels
Brachial Plexus
Posterior
Infraspinatus
Teresminor
Superior
Supraspinatus
Deltoid
Subacromial bursa
Coracoacromial lig.
Inferior
Tricepsbrachii
(longhead)
Axillarynerve
Post.Circumflex
humeral vessels
Ant. & Post.
Circumflex art.
Suprascpular
art.
Flexion(90°)
Deltoid(ant.)
Pec.major
Bicepsbrachii
Coracobrachialis
Extension(45°)
Deltoid(post.)
Latissimusdorsi
Teresmajor
Abduction
Deltoid(middle)
Supraspinatus
Adduction(45° across
front chest)
Pec.major
Latissimusdorsi
Teresmajor
Teresminor
Lat. Rotation (40-45°)
Infraspinatus
Teresminor
Deltoid(post.)
Med.Rotation (55°)
Subscapularis
Latissimusdorsi
Teresmajor
Deltoid(ant.)
Circumduction(above2)
Axillary
Med/latpectoral
Musculocutaneous
Musculocutaneous
Axillary
Thoracodrosal
Low.subscapular
Axillary
Suprascapular
Med/latpectoral
Thoracodorsal
Low.Subscapular
Axillary
Suprascapular
Axillary
Axillary
Up/lowsubscapular
Thoracodorsal
Lowersubscapular
Axillary
Ant. Inferior
dislocation
-cause by
sudden
violence to
humeruswhen
fullyabducted
-headdisplaced
thru torn
capsule into
subglenoid
position
Posterior
dislocation
-directviolence
to the front
Result
-lossrounded
appearance
-axillarynerve
injury
-radial nerve
injury

2. JOINT ARTICULATION CAPSULE LIGAMENTS SYNOVIAL
MEMBRANE
MOVEMENT NERVE
Elbow
(Synovial,
hinge)
- capitulumand
trochlearof humerus
-trochlearnotchof
ulnar
- headof radius
Attachment
Above and anterior:
Margins of coronoidand
radial fossae.
Front of medial &lateral
epicondyles.
Belowand anterior:
Margin of coronoidprocess
of ulna
Annularligament
Lateral ligament
-triangle
Medial ligament
-triangle
-3 bands
-linesthe capsule
-continuous
belowwith
synovial
membrane of
superior
radioulnarjoint
Flexion
Brachialis
Bicepsbrachii
Brachioradialis
Pronatorteres
Extension
Triceps,Anconeus
Pronation
Pronatorteres
Pronatorquadratus
Supination
Bicepsbrachii,Supinator
-median
-ulnar
-musculocutaneous
-radial
Wrist
(synovial,
ellipsoid
-lowerendof radius
-articulardisc
-scapoid,lunate,
triquetrum
Attachment
Above:lowerendof radius
& ulna
Below:proximal rowof
carpal bones
Anterior:strengthen
the capsule
Posterior:strengthen
the capsule
Medial
Lateral
-linesthe capsule
-jointcavitydoes
not communicate
withthat of the
inferiorradioulnar
joint
Flexion
Flexorcarpi radialis
Flexorcarpi ulnaris
Extension
Extensorcarpi radialis
longus& brevis
Extensorcarpi ulnaris
Abduction
Extensorcarpi radialis
longus& brevis
Flexorcarpi radialis
Adduction
Flexorcarpi ulnaris
Extensorcarpi ulnaris
-anteriorinterosseous
-posteriorinterosseous
-ulnar(deepbranch)
BONES JOINT TYPE MOVEMENTS
Sternum-clavicle Sterno-clavicular Gliding Gliding
Radiusulnar Proximal/distalradioulnar Pivot Pronation,supination
Carpal carpal Intercarpal Gliding Gliding
Carpal metacarpal 1 1st
carpo-metacarpal Saddle F/E, Ab/Ad,Opposition
Carpal metacarpal 2-5 Carpo-metacarpal Gliding F/E, Ab/Ad
Metacarpal Phalanges Metacarpo-phalangeal Condylar(Ellipsoid) F/E, Ab/Ad
Phalanges Inter-phalangeal Hinge F/