Anatomy Test 1: Joints of Upper Limb/

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centralperkam Plus on September 21, 2011

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Anatomy Test 1: Joints of Upper Limb/

Sternoclavicular Joint (type, location)
Saddle-type joint; acts as ball and socket

-make of fibral cartilage
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Definitions

Sternoclavicular Joint (type, location) Saddle-type joint; acts as ball and socket

-make of fibral cartilage
Acromoiclavicular Joint (3 ligaments, pathology) PLANE TYPE joint

1) Acromioclavicular Ligament
(dislocation causes SEPARATED SHOULDER)
2) Coracoclavicular Joints (this causes separated shoulder to poke upwards)
-Conoid and Trapezoid ligaments (conoid closer to medial)
Glenohumeral Joint (3 ligaments, area) BALL AND SOCKET

This is the rotator cuff area
1) Glenohumeral lig
2) Coracohumeral lig
3) Tranverse humeral lig
Where does dislocated shoulder occur? 1) At glenohumeral joint; ripping of these ligaments;
Most common dislocated shoulder? Inferior and anterior (sometimes you get posterior)
THE ELBOW ... hinge-type synovial joint
What is area that gets damaged with pitching? Ulnar collateral
What are the two ligaments connecting the ulna and radius? Proximal radioulnar (head of radius, notch of ulna)

Distal Radioulnar
What is function of triangular ligament? Keeps ulna out of carpal area
What is nurse-maids elbow? head of radius falls out of anular ligament
Name the carpals: At Radius; Scaphoid, Lunate, Triquetrium, Pisiform (atop T), Trapezium, Trapezoid, Capitate, Hamate
Transverse Humoral Ligament Connects greater and and lesser tubercles of humerous
EMBRYOLOGY of nerves/muscles ....
At what week do limbs start to develop? End of 4th week
Apical Ectodermal Ridge (AER): overall, and genes Ectoderm thickens over developing limb

-Influences mesenchyme to grow along a proximal and distal axis

-SHH genes and Wnt7 genes involved
What happens if AER doesn't develop? Amelia: Absence of all the limbs
Zone of Polarizing Activity (ZPA) Mesenchymal cells cause SHH gene to be expressed
-formation of limb in anterior/posterior axis
How does webbing in fingers disappear? Apoptosis
Development of limb muscles (2 steps) 1) Myogenic precursor cells emerge from ventral dermo-myotome of somites

2) Muscles develop from C5-T1
Innervation pattern As limbs grow, the nerves follow along with them:

1) Motor axons develop first
2) Sensory neurons follow motor axons
What comes from the neural crest? provide myelin sheath
Brachydactyly Short phalanges, inherited
Polydactyly Extra digit
Syndactyly Webbing between fingers did not apoptose
Amelia Absence of one of more limbs (due to AER)
Meromelia Missing of a part of a limb
How do limbs rotate? Lower limbs: 90 degrees medially

Upper limbs: 90 degrees lateral

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