Summary
Samenvatting Anatomie van de bovenste ledematen (LP8)
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Anatomie van de armen & schouders: bezenuwing + spieren + bloedvaten + botten + pezen + KLINIEK
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BOVENSTE LIDMAAT ANATOMIE (LP8)1. Schouder & posterieure scapula
Schouder gordel: botten
Clavicula
Lateraal meer afgeplat deel =>
vormt gewricht met acronium
Mediaal meer cirkelvormig =>
vormt gewricht met sternum:
sternoclaviculaire gewricht
Inferieur: tuberculum conoideum
=> gaat stevig ligament op
aanhechten
Scapula
Anatomische regio’s,
voornamelijk v belang in
kliniek
Margo lateralis
Margo medialis
Margo superior
Angulus superior en
inferior
Cavitas glenoidalis
Tuberculum
supraglenoidale
Tuberculum
infraglenoidale
Acromion
Spina scapulae
Fossa supraspinatus
Fossa infraspinatus
Processus coracoideus
Facies subscapularis
Proximale humerus
Caput humeri
Collum anatomicum
Collum chirurgicum
Tuberculum majus
Tuberculum minus
Sulcus
intertubercularis
Tuberositas
deltoidea
, Schouder gordel: gewrichten
Sterno-claviculair Acromioclaviculair gewricht
Discus = soort v miniscus dat in gewricht zit Discus: intra-articulair: in gewricht
Kapsel met ligamenten in Kapsel
Costoclaviculaire ligamenten: maken Lig acromioclaviculaire: maken verbinding tss
verbinding tss clavicula en 1ste rib acromiom & clavicula
Sternoclaviculaire ligamenten: maken Lig Coracoclaviculare: maken verbinding tss pr.
verbinding tss claviculum uiteinde & sternum Coracoideus & clavicula
Glenohumeraal gewricht
= schoudergewricht
Cavitas glenoidalis vd
scapula
Caput humeri: proximaal
uiteinde humerus
Labrum glenoidale:
stevige band rond caput
humeri
Biceps pees caput
longum: thv tubercum
supra glenoidale
Capsula articularis met
daarin:
o !!! Lig glenohumerale
(superior, medius,
inferior)
=> hebben
belangrijke fct vr stabiliteit schoudergewricht
o Lig coracohumerale
o Lig tranversum humerale
, Stabiliteit schouder!!
Kliniek:
Falen ligamento capsulair apparaat
=> Schouder instabiliteit
=> Rotator cuff lijden: grote pees klemt in
=> veel pijn in schouder
Scapula thoracaal
Nt echt gewricht, eerder ruimte
=> ruimte waarbij scapula beweegt tov thorax
Spieren schoudergordel
Eerste 2 belangrijkste
M trapezius
M deltoideus
M levator scapulae
M rhomboideus minor
M rhomboideus major
M trapezius
O: occiput, processi spinosi lig
nuchae C 1-T 12
I: spina scapula, acromion, lat
clavicula
Z: N XI (hersen zenuw)
Fct: elevatie scapula,
(+ retractie en
depressie scapula)
M deltoideus
O: spina scapulae, acromion, clavicula lat
I: humerus tuberositas deltoidea
Z: N axillaris (1 vd 5 grote arm zenuwen)
Fct: aBDuctie bovenarm
Spieren: Posterieure scapulaire regio
M. supraspinatus
M. infraspinatus
M. teres minor
M. teres major
M. triceps (caput longum)
Kliniek: Rotator cuff letsels (pees supra, infra)
M. supraspinatus
O: fossa supraspinatus
I: Tuberculum majus (craniaal)
Z: n suprascapularis
Fct: deel rotator cuff, initiatia aBDuctie arm
M. infraspinatus
O: fossa infraspinatus
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