Morphology of the Forelimb of the Mole (Scalops Aquaticus, L.) in Relation to Its Fossorial Habits
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Considered a Bone of Both Shoulder Girdle and Shoulder Joint. the Shoulder Girdle Is Comprised of the Clavicle and the Scapula
Considered a bone of both shoulder girdle and shoulder joint. The shoulder girdle is comprised of the clavicle and the scapula. The shoulder joint consists of the scapula and the humerus. The primary function of the shoulder girdle is to position itself to accommodate movements of the shoulder joint. 1 Superior angle—top point Inferior angle—bottom point Vertebral border—side closest to vertebral column Axillary border—side closest to arm Subscapular fossa—anterior fossa Glenoid fossa, glenoid labrum, glenoid cavity --The glenoid fossa is the shallow cavity where the humeral head goes. The glenoid labrum is the cartilage that goes around the glenoid fossa. So the glenoid fossa and glenoid labrum together comprise the glenoid cavity. Supraspinous fossa—posterior, fossa above the spine Spine of the scapula—the back projection Infraspinous fossa—posterior depression/fossa below spine Coracoid process—anterior projection head Acromion process—posterior projection head above spine 2 Scapulothoracic “joint” = NOT a true joint; there are no ligaments or articular capsule. The scapula just rests on the muscle over top the rib cage, which allows for passive movements. Sternoclavicular joint=where the clavicle (collarbone) and the sternum (breastbone) articulate; movement is slight in all directions and of a gliding, rotational type Acromioclavicular joint = where the clavicle and scapula (acromion process) articulate; AKA: AC Joint; movement is a slight gliding when elevation and depression take place. Glenohumeral joint = the shoulder joint 3 4 All 3 true joints: Sternoclavicular, AC and glenohumeral (GH) all work together to move arm in all directions. The GH allows the arm to go out to the side and be abducted, then the AC and Sternoclavicular joints kick in to allow the arm to go above shoulder level by allowing the shoulderblade to move up to increase the range of motion (ROM). -
List: Bones & Bone Markings of Appendicular Skeleton and Knee
List: Bones & Bone markings of Appendicular skeleton and Knee joint Lab: Handout 4 Superior Appendicular Skeleton I. Clavicle (Left or Right?) A. Acromial End B. Conoid Tubercle C. Shaft D. Sternal End II. Scapula (Left or Right?) A. Superior border (superior margin) B. Medial border (vertebral margin) C. Lateral border (axillary margin) D. Scapular notch (suprascapular notch) E. Acromion Process F. Coracoid Process G. Glenoid Fossa (cavity) H. Infraglenoid tubercle I. Subscapular fossa J. Superior & Inferior Angle K. Scapular Spine L. Supraspinous Fossa M. Infraspinous Fossa III. Humerus (Left or Right?) A. Head of Humerus B. Anatomical Neck C. Surgical Neck D. Greater Tubercle E. Lesser Tubercle F. Intertubercular fossa (bicipital groove) G. Deltoid Tuberosity H. Radial Groove (groove for radial nerve) I. Lateral Epicondyle J. Medial Epicondyle K. Radial Fossa L. Coronoid Fossa M. Capitulum N. Trochlea O. Olecranon Fossa IV. Radius (Left or Right?) A. Head of Radius B. Neck C. Radial Tuberosity D. Styloid Process of radius E. Ulnar Notch of radius V. Ulna (Left or Right?) A. Olecranon Process B. Coronoid Process of ulna C. Trochlear Notch of ulna Human Anatomy List: Bones & Bone markings of Appendicular skeleton and Knee joint Lab: Handout 4 D. Radial Notch of ulna E. Head of Ulna F. Styloid Process VI. Carpals (8) A. Proximal row (4): Scaphoid, Lunate, Triquetrum, Pisiform B. Distal row (4): Trapezium, Trapezoid, Capitate, Hamate VII. Metacarpals: Numbered 1-5 A. Base B. Shaft C. Head VIII. Phalanges A. Proximal Phalanx B. Middle Phalanx C. Distal Phalanx ============================================================================= Inferior Appendicular Skeleton IX. Os Coxae (Innominate bone) (Left or Right?) A. -
Chapter 5 Upper Limb Anatomy Bones and Joints
Chapter 5 Upper limb anatomy Bones and joints Scapula Costal Surface The costal (anterior) surface of the scapula faces the ribcage. It contains a large concave depression over most of its surface, known as the subscapular fossa. The subscapularis (rotator cuff muscle) originates from this fossa. Originating from the superolateral surface of the costal scapula is the coracoid process. It is a hook-like projection, which lies just underneath the clavicle. Three muscles attach to the coracoid process: the pectoralis minor, coracobrachialis, the short head of biceps brachii. Acromion Coracoid process Glenoid fossa Subscapular fossa © teachmeanatomy Lateral surface • Glenoid fossa - a shallow cavity, located superiorly on the lateral border. It articulates with the head of the humerus to form the glenohumeral (shoulder) joint. • Supraglenoid tubercle - a roughening immediately superior to the glenoid fossa. The place of attachment of the long head of the biceps brachii. • Infraglenoid tubercle - a roughening immediately inferior to the glenoid fossa. The place of attachment of the long head of the triceps brachii. Supraglenoid tubercle Glenoid fossa Infraglenoid tubercle gn teachmeanatomy Posterior surface • Spine - the most prominent feature of the posterior scapula. It runs transversely across the scapula, dividing the surface into two. • Acromion - projection of the spine that arches over the glenohumeral joint and articulates with the clavicle at the acromioclavicular joint. • Infraspinous fossa - the area below the spine of the scapula, it displays a convex shape. The infraspinatus muscle originates from this area. • Supraspinous fossa - the area above the spine of the scapula, it is much smaller than the infraspinous fossa, and is more convex in shape.The supraspinatus muscle originates from this area. -
The Critical Shoulder Angle As a Diagnostic Measure for Osteoarthritis and Rotator Cuff Pathology
Open Access Original Article DOI: 10.7759/cureus.11447 The Critical Shoulder Angle as a Diagnostic Measure for Osteoarthritis and Rotator Cuff Pathology Zak Rose-Reneau 1 , Amanda K. Moorefield 1 , Derek Schirmer 1 , Eugene Ismailov 1 , Rob Downing 2 , Barth W. Wright 1 1. Anatomy, Kansas City University of Medicine and Biosciences, Kansas City, USA 2. Graduate Medical Education, University of Missouri-Kansas City (UMKC), Kansas City, USA Corresponding author: Amanda K. Moorefield, [email protected] Abstract The purpose of this study was to correlate critical shoulder angle (CSA), a measurement that takes into account both glenoid tilt and the acromial index (AI), with shoulder pathologies as presented in an earlier study by Moor et al. (2013). Based on Moor et al.’s predicted normal CSA range of 30-35°, we hypothesized that a greater-than-normal CSA would be correlated to or associated with rotator cuff pathology, while a smaller-than-normal CSA would be associated with osteoarthritis (OA). Following Moore et al., we utilized Grashey radiographic imaging because it provides the clearest view of the entire glenoid fossa and acromion. We analyzed 323 anterior-posterior (AP) radiographs to identify and measure the CSA, classifying each patient into one of five groups [none reported (n=94), mild OA (n=156), moderate OA (n=36), severe OA (n=37), and rotator cuff pathology (n=40)]. Our results were statistically significant, supporting the association of smaller CSAs with OA and larger CSAs with rotator cuff pathology. CSA measurements could provide a new means for identifying shoulder pathology and thereby reduce the need for costly and timely imaging techniques. -
Original Article Pictorial Atlas of Symptomatic Accessory Ossicles by 18F-Sodium Fluoride (Naf) PET-CT
Am J Nucl Med Mol Imaging 2017;7(6):275-282 www.ajnmmi.us /ISSN:2160-8407/ajnmmi0069278 Original Article Pictorial atlas of symptomatic accessory ossicles by 18F-Sodium Fluoride (NaF) PET-CT Sharjeel Usmani1, Cherry Sit2, Gopinath Gnanasegaran2, Tim Van den Wyngaert3, Fahad Marafi4 1Department of Nuclear Medicine & PET/CT Imaging, Kuwait Cancer Control Center, Khaitan, Kuwait; 2Royal Free Hospital NHS Trust, London, UK; 3Antwerp University Hospital, Belgium; 4Jaber Al-Ahmad Molecular Imaging Center, Kuwait Received August 7, 2017; Accepted December 15, 2017; Epub December 20, 2017; Published December 30, 2017 Abstract: Accessory ossicles are developmental variants which are often asymptomatic. When incidentally picked up on imaging, they are often inconsequential and rarely a cause for concern. However, they may cause pain or discomfort due to trauma, altered stress, and over-activity. Nuclear scintigraphy may play a role in the diagnosis and localizing pain generators. 18F-Sodium Fluoride (NaF) is a PET imaging agent used in bone imaging. Although commonly used in imaging patients with cancer imaging malignancy, 18F-NaF may be useful in the evaluation of benign bone and joint conditions. In this article, we would like to present a spectrum of clinical cases and review the potential diagnostic utility of 18F-NaF in the assessment of symptomatic accessory ossicles in patients referred for staging cancers. Keywords: 18F-NaF PET/CT, accessory ossicles, hybrid imaging Introduction Accessory ossicles are developmental variants which are often asymptomatic. When inciden- Bone and joint pain is a common presentation tally picked up on imaging, they are often incon- in both primary and secondary practice. -
Upper Extremity Injuries in Pediatric Athletes
Review Article Page 1 of 10 Upper extremity injuries in pediatric athletes Kristen M. Sochol, Daniel A. Charen, Jaehon Kim Department of Orthopedics at Mount Sinai Hospital, New York, NY, USA Contributions: (I) Conception and design: All authors; (II) Administrative support: All authors; (III) Provision of study materials or patients: All authors; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Kristen M. Sochol, MD. Department of Orthopedics at Mount Sinai Hospital, 5E 98th St, New York, NY 10029, USA. Email: [email protected]. Abstract: Upper extremity injuries in the pediatric patient are common, but are often more difficult to diagnose compared to their adult counterparts due to the gradual progression of cartilage ossification. Common pediatric upper extremity injuries include fractures and soft tissue trauma. Less prevalent injuries include sport specific overuse injuries. Fractures in the pediatric population are best described using the Salter-Harris classification, which has management and prognostic implications. Most pediatric upper extremity injuries can be managed with an initial trial of immobilization and early range of motion, followed by surgical intervention if necessary. Children have a robust healing response to bony and soft tissue injuries, and have good outcomes with appropriate management. Keywords: Pediatric athletes; upper extremity; Salter-Harris; overuse; injury Received: 14 February 2018; Accepted: 08 May 2018; Published: 15 May 2018. doi: 10.21037/aoj.2018.05.04 View this article at: http://dx.doi.org/10.21037/aoj.2018.05.04 Introduction joints are constrained by a network of ligaments that are primarily named after their attachment sites. -
REVIEW ARTICLE Osteoarthritis of the Wrist
REVIEW ARTICLE Osteoarthritis of the Wrist Krista E. Weiss, Craig M. Rodner, MD From Harvard College, Cambridge, MA and Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT. Osteoarthritis of the wrist is one of the most common conditions encountered by hand surgeons. It may result from a nonunited or malunited fracture of the scaphoid or distal radius; disruption of the intercarpal, radiocarpal, radioulnar, or ulnocarpal ligaments; avascular necrosis of the carpus; or a developmental abnormality. Whatever the cause, subsequent abnormal joint loading produces a spectrum of symptoms, from mild swelling to considerable pain and limitations of motion as the involved joints degenerate. A meticulous clinical and radiographic evaluation is required so that the pain-generating articulation(s) can be identi- fied and eliminated. This article reviews common causes of wrist osteoarthritis and their surgical treatment alternatives. (J Hand Surg 2007;32A:725–746. Copyright © 2007 by the American Society for Surgery of the Hand.) Key words: Wrist, osteoarthritis, arthrodesis, carpectomy, SLAC. here are several different causes, both idio- of events is analogous to SLAC wrist and has pathic and traumatic, of wrist osteoarthritis. been termed scaphoid nonunion advanced collapse Untreated cases of idiopathic carpal avascular (SNAC). Wrist osteoarthritis can also occur second- T 1 2 necrosis, as in Kienböck’s or Preiser’s disease, may ary to an intra-articular fracture of the distal radius or result in radiocarpal arthritis. Congenital wrist abnor- ulna or from an extra-articular fracture resulting in malities, such as Madelung’s deformity,3,4 can lead malunion and abnormal joint loading. -
Phty 101 – Week 1
PHTY 101 – WEEK 1 1.7 Classify the shoulder (glenohumeral) joint and identify and/or describe its: • The glenohumeral joint is a multiaxial, synovial, ball and socket joint • Movements: o Flexion and extension- transverse axis o Abduction and adduction- anteroposterior axis o Internal and external rotation- longitudinal axis • Greatest amount of motion and most unstable joint in body • Function: positions and directs humerus, elbow and hand in relation to trunk (radioulnar joint deal with palm and fingers) • Combines with scapulothoracic, acromioclavicular and sternoclavicular joints • Articular surfaces: o Humeral head- ½ sphere, faces medially o Glenoid fossa- very shallow, faces laterally o Only 25-30% contact between articular surfaces o Shallower and smaller surface compared to hip • Glenoid labrum o Glenoid labrum- fibrous structure around glenoid fossa (adheres to edges), central part avascular and edges not greatly vascularised à doesn’t heal well, labrum functions to; - Facilitate mobility - Increase glenoid concavity- increasing mobility - Provide attachment for joint capsule, ligaments and muscles • Joint capsule o Very thin and lax- doesn’t compromise ROM o Attaches to glenoid labrum o Reflected (folded) inferiorly onto medial shaft of humerus o Reinforced by; - Rotator cuff tendons- supraspinatus, infraspinatus, teres minor, subscapularis - Rotator cuff tendons- action: internal or external rotation, function: pull humerus head in against fossa - Glenohumeral and coracohumeral ligaments (capsular) • Synovial membrane o Lines -
The Skeletal System
Essentials of Human Anatomy & Physiology Seventh Edition Foundation • Physical Foundation of the Body The Skeletal System – 206 Bones • Osteology – science of the anatomy, structure, and function of bones – “Os” means Bone • With the exception of teeth, bone IS the hardest substance in the body Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings The Skeletal System • Parts of the skeletal system • Bones (skeleton) • Joints • Cartilages • Ligaments (bone to bone)(tendon=bone to muscle) • Divided into two divisions • Axial skeleton • Copyright © 2003Appendicular Pearson Education, Inc. publishing as Benjaminskeleton Cummings – limbs and girdle 1 Functions of Bones Bones of the Human Body • The skeleton has 206 bones • Support of the body • Two basic types of bone tissue • Protection of soft organs • Compact bone • Movement due to attached skeletal • Homogeneous muscles • Spongy bone • Storage of minerals and fats (K, Mg, • Small needle-like pieces of bone Na) Figure 5.2b • Many open spaces • Blood cell formation (White and Red) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Classification of Bones Classification of Bones • Long bones • Short bones • Typically longer than wide • Generally cube-shape • Have a shaft with heads at both ends • Contain mostly spongy bone • Contain mostly compact bone •Examples: Carpals, tarsals • Examples: Femur, humerus Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings 2 Classification of Bones on the Classification of Bones Basis of Shape • Flat bones • Thin and flattened • Usually curved • Thin layers of compact bone around a layer of spongy bone •Examples: Skull, ribs, sternum Figure 5.1 Copyright © 2003 Pearson Education, Inc. -
Scapular Dyskinesis
Scapular Dyskinesis Presented by: Scott Sevinsky MSPT Presented by: Scott Sevinsky SPT 1 What is Scapular Dyskinesis? Alteration in the normal static or dynamic position or motion of the scapula during coupled scapulohumeral movements. Other names given to this catch-all phrase include: “floating scapula” and “lateral scapular slide”.1, 2 1 Alterations in scapular position and motion occur in 68 – 100% of patients with shoulder injuries. Scapular Dyskinesis Classification System 1, 3 Pattern Definitions Inferior angle At rest, the inferior medial scapular border may be prominent dorsally. During arm motion, the inferior (type I) angle tilts dorsally and the acromion tilts ventrally over the top of the thorax. The axis of the rotation is in the horizontal plane. Medial border At rest, the entire medial border may be prominent dorsally. During arm motion, the medial scapular (type II) border tilts dorsally off the thorax. The axis of the rotation is vertical in the frontal plane. Superior border At rest, the superior border of the scapula may be elevated and the scapula can also be anteriorly (type III) displaced. During arm motion, a shoulder shrug initiates movement without significant winging of the scapula occurring. The axis of this motion occurs in the sagittal plane. Symmetric At rest, the position of both scapula are relatively symmetrical, taking into account that the dominant scapulohumeral arm may be slightly lower. During arm motion, the scapulae rotate symmetrically upward such that the (type IV) inferior angles translate laterally away from the midline and the scapular medial border remains flush against the thoracic wall. The reverse occurs during lowering of the arm. -
The Appendicular Skeleton Appendicular Skeleton
THE SKELETAL SYSTEM: THE APPENDICULAR SKELETON APPENDICULAR SKELETON The primary function is movement It includes bones of the upper and lower limbs Girdles attach the limbs to the axial skeleton SKELETON OF THE UPPER LIMB Each upper limb has 32 bones Two separate regions 1. The pectoral (shoulder) girdle (2 bones) 2. The free part (30 bones) THE PECTORAL (OR SHOULDER) GIRDLE UPPER LIMB The pectoral girdle consists of two bones, the scapula and the clavicle The free part has 30 bones 1 humerus (arm) 1 ulna (forearm) 1 radius (forearm) 8 carpals (wrist) 19 metacarpal and phalanges (hand) PECTORAL GIRDLE - CLAVICLE The clavicle is “S” shaped The medial end articulates with the manubrium of the sternum forming the sternoclavicular joint The lateral end articulates with the acromion forming the acromioclavicular joint THE CLAVICLE PECTORAL GIRDLE - CLAVICLE The clavicle is convex in shape anteriorly near the sternal junction The clavicle is concave anteriorly on its lateral edge near the acromion CLINICAL CONNECTION - FRACTURED CLAVICLE A fall on an outstretched arm (F.O.O.S.H.) injury can lead to a fractured clavicle The clavicle is weakest at the junction of the two curves Forces are generated through the upper limb to the trunk during a fall Therefore, most breaks occur approximately in the middle of the clavicle PECTORAL GIRDLE - SCAPULA Also called the shoulder blade Triangular in shape Most notable features include the spine, acromion, coracoid process and the glenoid cavity FEATURES ON THE SCAPULA Spine - -
Locking Small Fragment Overview
Surgical Technique Locking Small Fragment Overview PERI-LOC™ Locked Plating System Locking Small Fragment Overview Surgical Technique Table of contents Product overview ...................................................................................2 Introduction .............................................................................................2 Indications ...............................................................................................2 Design features and benefits .................................................................3 System overview ....................................................................................4 Implant overview ...................................................................................10 Surgical technique ................................................................................23 Fracture reduction ...................................................................................23 Clavicle Locking Plate .............................................................................24 3.5mm Proximal Humerus Locking Plate ................................................25 Distal Humerus Locking Plates ...............................................................26 Olecranon Locking Plate .........................................................................28 3.5mm Lateral Proximal Tibia Locking Plate ......................................... 29 3.5mm Medial Distal Tibia Locking Plate .............................................. 30 3.5mm Anterolateral