The shoulder joint is a complex joint system with high mobility but low stability. It consists of the glenohumeral, acromioclavicular, sternoclavicular, and scapulothoracic joints. The glenohumeral joint is a ball and socket synovial joint between the humeral head and glenoid cavity that allows mobility through surrounding muscles and soft tissues. The glenoid labrum deepens the cavity and protects the bone. Rotator cuff muscles including supraspinatus, infraspinatus, teres minor, and subscapularis provide dynamic stability and allow movements like flexion, extension, abduction, and rotation.
elbow joint , type of joint, articular surface of elbow joint, joint capsule of elbow joint, articulating bones of elbow joint, cubital articulation, ligaments of the elbow joint, medial collateral ligament, lateral collateral ligament, relation of elbow joint, action of elbow joint, blood supply and nerve supply of elbow joint, dislocation of elbow joint, carrying angle, cubital varus, cubital vulgus, subluxation of head of radius, tennis elbow, students or minors elbow,
Slideshow: Elbow Joint
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.10&videoTaxonomy=FUNK
elbow joint , type of joint, articular surface of elbow joint, joint capsule of elbow joint, articulating bones of elbow joint, cubital articulation, ligaments of the elbow joint, medial collateral ligament, lateral collateral ligament, relation of elbow joint, action of elbow joint, blood supply and nerve supply of elbow joint, dislocation of elbow joint, carrying angle, cubital varus, cubital vulgus, subluxation of head of radius, tennis elbow, students or minors elbow,
Slideshow: Elbow Joint
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.10&videoTaxonomy=FUNK
Ligaments of ankle joint (Ankle complex)Ajith lolita
this will be more informative for you.The collateral ligaments are fully explained in this PPT and it gives clear & prospect information about ankle complex.
This presentation describes the anatomy of the shoulder. It discusses all the bones that make up the shoulder joint and also the muscles that are embedded in those bones. It further discusses the blood supply and innervation to those muscles.
Ligaments of ankle joint (Ankle complex)Ajith lolita
this will be more informative for you.The collateral ligaments are fully explained in this PPT and it gives clear & prospect information about ankle complex.
This presentation describes the anatomy of the shoulder. It discusses all the bones that make up the shoulder joint and also the muscles that are embedded in those bones. It further discusses the blood supply and innervation to those muscles.
1.INTRODUCTION
Shoulder joint is formed by scapula and clavicle (which is also called as shoulder girdle)and proximal humerus.
2.BONES OF SHOULDER JOINT
3.Joints of the Shoulder Complex
Glenohumeral
Acromioclavicular
Sternoclavicular
Scapulothoracic
4.Muscles of the Shoulder
5.Gateways to the Posterior Scapular Region
6. Movements
USMLE MSK L004 Lower 02 Muscles of thigh anatomy medical .pdfAHMED ASHOUR
The muscles of the thigh are responsible for various movements, including flexion, extension, abduction, and adduction of the hip and knee joints. These muscles can be broadly categorized into anterior (quadriceps), medial (adductors), posterior (hamstrings), and lateral (tensor fasciae latae) compartments. These muscles collectively contribute to the complex movements of the hip and knee joints, providing stability and support during various activities. Understanding their anatomy and function is essential for healthcare professionals involved in orthopedics, rehabilitation, and sports medicine.
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
4. GLENOHUMERAL JOINT
Most commonly dislocated joint
Synovial multiaxial “ball & socket” joint
Between head of humerus and glenoid cavity of scapula
Accommodates one third of the humerus head
Mobility gained at the expense of stability
Stability depends on the surrounding muscular and soft tissue
5. GLENOID LABRUM
Fibrocartilaginous rim
Triangular in section
Base attached to margin
of the fossa
Free inner edge as
continuation of curve of
glenoid cavity
6. GLENOID LABRUM CONTD..
FUNCTION
Deepens the glenoid cavity
Protects the edges of bone
Acts as a lubricant
7. ARTICULATING SURFACES
Reciprocally curved and ovoids
The area of the humeral convexity exceeds that of the glenoid concavity
Remaining articular surface in contact with the capsule and contact on
glenoid fossa is more uniformly distributed over its entire articular surface
Articular surfaces covered by hyaline cartilage
thickest centrally, thinner peripherally over the humerus and the
reverse in the glenoid cavity
9. MOBILITY AND STABILITY
Factors contributing to mobility
Type of joint – Ball and socket
Bony surfaces – Shallow glenoid cavity and large humeral
head
Laxity of the joint capsule
10. MOBILITY AND STABILITY CONTD
Factors contributing to stability
Rotator cuff muscles
Surround the shoulder joint
Attached to the tubercles of the humerus and joint capsule
Resting tone act to ‘pull’ the humeral head into the glenoid cavity
Glenoid labrum
Ligaments – The ligaments act to reinforce the joint capsule and forms
the coraco-acromial arch
12. MUSCLES SUPPORTING THE CAPSULE
Superiorly Supraspinatus
Inferiorly Long Head of
Triceps
Posteriorly Tendons of
Infraspinatus and Teres Minor
Anteriorly Tendon of
Subscapularis
13. OPENINGS IN THE FIBROUS CAPSULE
Posteriorly
Not constant where a
communication exists
between joint and a bursal
sac belonging to
Infraspinatus muscle
Anteriorly
Below coracoid Process
connection between synovial
membrane of the joint and a
bursa beneath the tendon of
subscapularis muscle
Between the 2 tuberosities
passage of the biceps long
head tendon
14. SYNOVIAL MEMBRANE
Lines the inner surface of the
fibrous capsule
At humerus covers the anatomical
neck upto margin of the articular
surface of humerus head and
medially a part of shaft below the
epiphyseal line
At glenoid goes to margin and
covers both surfaces of glenoidal
labrum
Communicates with subscapular
bursa or infraspinatus bursa
15. BURSA AROUND GH JOINT
1. Acromial: upper surface of
acromian process
2. Subacromial: inferiorly to the
deltoid and acromion
3. Subcoracoid bursa
4. Infraspinatus bursa
5. Subscapular bursa: between the
subscapularis tendon and
scapula
16. LIGAMENTS OF THE SHOULDER JOINT
Act as static stabilisers
Three in numbers
Glenohumeral (superior,
middle and inferior)
Coraco humeral
Transverse humeral
17. GLENOHUMERAL LIGAMENT
Three fibrous bands derived from thickening
of the anterior part of fibrous capsule
All 3 Converge upward and medially blend
with glenoid labrum:
SUPERIOR BAND : attached to the upper
end of lesser tubercle
MIDDLE BAND : attached to lower part of
lesser tubercle
INFERIOR BAND : lower part of
anatomical neck of humerus
18. TRANSVERSE HUMERAL LIGAMENT
Broad band of fibrous
tissues
Connects the two lips of
the upper part of
intertubercular sulcus
Acts as a retinaculum to
keep the long tendon of
biceps in position
19. CORACO-HUMERAL LIGAMENT
Broad thick Band
Strengthens Upper part of
Capsular Ligament
Attachments
Arises from outer border of
coracoid process
Blended with tendon of
supraspinatus muscles
United to capsule in greater
part of its extend.
21. NERVE SUPPLY
Glenohumeral joint
Posterior cord of the
brachial plexus
Capsule
Suprascapular nerve
(posterior and superior parts)
Axillary nerve (antero
inferior)
Lateral pectoral nerve (antero
superior)
22. MUSCLES AROUND SHOULDER JOINT
Primary role
a. Movements of arm
b. Dynamic stabilisation of glenohumeral joint
There are 14 muscles divided into 4 functional groups
1. Three heads deltoid (anterior, middle, posterior)
2. Four rotator cuff muscles and biceps muscle
3. Two axio humeral muscles(pectoralis major and latismus dorsi)
and teres major
4. Scapular muscle group –serratus anterior , trapezius, rhomboid
major and minor and levator scapulae
23. MUSCLES IN RELATION TO THE JOINT
Above - Supraspinatus
Below - Long head of Triceps
Front - Subscapularis
Behind - Infraspinatus and Teres
Minor
Deltoid is placed most externally
and covers the articulation from its
outer side, as well as in front and
behind
25. FLEXION
Plane of Motion:
Sagittal Plane
Axis of Motion:
Transverse Axis through the
center of the humeral head
Muscles Involved:
Pectoralis major
Anterior Fibres of Deltoid
Coracobrachialis
Biceps (when the forearm is
flexed)
Range of Motion
0 – 170 degrees
26. EXTENSION
Plane of Motion:
Sagittal Plane
Axis of Motion:
Transverse Axis through the
center of the humeral head
Muscles Involve:
Latissimus dorsi
Teres major
Posterior fibers of Deltoid
Triceps (When forearm is
extended)
Range of Motion
0 – 60 degrees
27. ABDUCTION
Plane of Motion:
Frontal Plane
Axis of Motion:
Sagittal axis through the centre of the
humeral head
Muscles Involve:
Deltoid
Supraspinatus
Range of Motion
Total : 0 – 170 degrees
28. ADDUCTION
Plane of Motion:
Frontal Plane
Axis of Motion:
Sagittal axis through the centre of the
humeral head
Muscles Involve:
Subscapularis
Pectoralis Major
Latissimus dorsi
Teres major
29. INTERNAL ROTATION
Plane of Motion:
Transverse Plane
Axis of Motion:
Vertical axis through the centre of
humeral head
Muscles Involve:
Subscapularis
Pectoralis Major
Latissimus dorsi
Teres major
Range of Motion:
0-70º as the arm at 90º of shoulder
abduction and 90º elbow flexion
0-60° if abduction not possible
30. EXTERNAL ROTATION
Plane of Motion:
Transverse Plane
Axis of Motion:
Vertical axis through the center
of humeral head
Muscles Involve:
Infraspinatus
Teres Minor
Range of Motion
0-90º as the arm at 90º of
shoulder abduction and 90º
elbow flexion
0-80° if abduction not possible
31. CIRCUMDUCTION
A combination of flexion, abduction, extension, and adduction or in the reverse
sequence.
Occurs in a cone whose apex is the head of humerus
glenohumeral flexion abduction extension adduction
glenohumeral extension abduction flexion adduction
32. SCAPULOHUMERAL RHYTHM
The first 30 degrees
At gleno-humeral joint with slight movement of clavicle
From 30 to 120 degrees
1/3 of movement coming from scapula rotating on thorax
From 120 to 180 degrees
Movement mainly scapulo-thoracic
Sterno-clavicular joint participates in movements close to the trunk
Acromioclavicular joint moves in the last 60 degrees of abduction
33. ROTATOR CUFF
Group of four muscles to hold the head of humerus into the glenoid fossa
They are
Supraspinatus Infraspinatus
Teres Minor Subscapularis
34. FUNCTION OF ROTATOR CUFF
Important in movements and maintaining joint stability
Abduction: Concavity compression
Rotator cuff muscles also perform
Abduction
Internal rotation
External rotation of the shoulder
relative to sport making it susceptible to a number of repetitive and overused type injuries The shoulder is an extremely complicated region of the body
roughly hemispherical
Any fracture occuring at the epiphyseal line synovial membrane will b affected
and for this reason it is termed ‘elevation’ rather than ‘abduction’. As the arm rises above shoulder height, it rolls into external rotation so that the greater tuberosity clears the projecting acromion. The sterno-clavicular joint participates in movements close to the trunk (e.g. shrugging or bracing the shoulders); the acromioclavicular joint moves in the last 60 degrees of abduction.
In other words, without the rotator cuff, the humeral head would ride up partially out of the glenoid fossa, lessening the efficiency of the deltoid muscle
The anterior and posterior directions of the glenoid fossa are more susceptible to shear force perturbations as the glenoid fossa is not as deep relative to the superior and inferior directions. The rotator cuff's contributions to concavity compression and stability vary according to their stiffness and the direction of the force they apply upon the joint