Chapter 4 Shoulder Girdle.

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Presentation transcript:

Chapter 4 Shoulder Girdle

Clavicle Deltoid Tubercle Acromial End Sternal End Trapezoid Line Superior surface Anterior Sternal End Anterior Trapezoid Line Inferior surface Right Clavicle Subclavian Groove Conoid Tubercle Label

Scapula Supra Scapular Notch Superior Angle Coracoid Process Supraspinous Fossa Supra Glenoid Tubercle Spine Superior Border Acromion Process Glenoid Fossa Infra Glenoid Tubercle Medial (vertebral) Border Infraspinous Fossa Inferior Angle Lateral (axillary) Border Label

Sternoclavicular joint— SC (Arthrodial) Ligaments & Disc: articular disc, ant. & post. sternoclavicular ligaments, costoclavicular ligament, interclavicular ligament Range of Motion: Anterior with protraction: 15 degrees Posterior with retraction: 15 degrees Superiorly with elevation: 45 degrees Inferiorly with depression: 5 degrees

Acromioclavicular Joint – AC (arthrodial) Ligaments: sup. & inf. acromioclavicular ligaments, coracoclavicular ligaments Range of Motion: 20-30 degrees total gliding and rotational movement

Scapulothoracic— (not a true diathrodial joint) Range of Motion: Total Abduction-Adduction: 25 degrees Total Upward-Downward Rotation: 60 degrees Total Elevation-Depression: 55 degrees

Movements Abduction (protraction) Adduction (retraction) Upward rotation Downward rotation Elevation Depression Lateral tilt Medial tilt Anterior tilt Posterior tilt

Muscles Levator Scapulae Trapezius Rhomboids Subclavius Upper Middle Lower Rhomboids Subclavius Pectoralis Minor Serratus Anterior Label

Muscles Pectoralis minor Strengthening Stretching

Muscles Serratus Anterior Strengthening Stretching Problems

Muscles Subclavius Strengthening Stretching

Muscles Levator Scapulae Strengthening Stretching

Muscles Rhomboids Major minor Strengthening Stretching

Muscles Trapezius Upper Middle Lower Strengthening Stretching

Kyphosis – excessive posterior curvature of the thoracic spine

Kyphosis Weak Muscles? Tight/Inflexible Muscles? How strengthen? Tight/Inflexible Muscles? How stretch? Contractured Ligament?

Cervical Plexus

Brachial Plexus