Identifying Joints of the Extremities

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Anatomy › Identifying Joints of the Extremities

Questions 1 - 10
1

Which of the following two shoulder joints work together to combine movements to allow for an increase in "reach" of the upper limb?

Sternoclavicular and acromioclavicular

Sternoclavicular and glenohumeral

Glenohumeral and acromioclavicular

Acromioclavicular and sternohumeral

Sternohumeral and glenohumeral

Explanation

The sternoclavicular and acromioclavicular joints link two bones of the pectoral girdle to each other and to the trunk of the body. They also combine their movements to increase reach length of the upper limb. They are both synovial joints and surrounded by a joint capsule with numerous ligaments to reinforce their movements. The glenohumeral joint serves in articulation of the humerus and scapula. The Sternohumeral joint does not exist.

2

Which of the following is not generally considered to be one of the joints of the ankle?

Cuboid-metatarsal joint

Talocrural joint

Subtalar joint

Inferior tibiofibular joint

All of these are typically considered joints of the ankle

Explanation

The cuboid-metatarsal joint is a joint that connects the cuboid bone to the metatarsals, and is not generally considered part of the three major ankle joints. Instead, it is generally classified as a joint in the foot.

3

Where does the humerus articulate with the scapula?

Glenoid cavity

Coracoid process

Olecranon

Acromion

Explanation

The glenoid cavity of the scapula is the place of articulation between the scapula and the humerus. The acromion and coracoid process are not sites of joint articulation and the olecranon is not found on the scapula, but on the ulna.

4

In which direction is a shoulder dislocation most likely to occur?

Anterior and inferior

Posterior and inferior

Anterior and superior

Distal and superior

Posterior and superior

Explanation

A shoulder dislocation occurs when the humeral head is removed from the glenoid fossa. The clavicle and coracoacromial ligament are located superior to the joint, preventing superior dislocation, and the body o the scapula is posterior to the joint, preventing posterior dislocation. Most commonly, the humeral head is pushed forward and downward. There is the least resistance to dislocation in the anterior and inferior directions; though glenohumeral dislocation can occur in other orientations, these are far less common.

5

Which upper extremity nerve is at risk of injury after dislocation of the shoulder?

Axillary nerve

Radial nerve

Median nerve

Ulnar nerve

Musculocutaneous nerve

Explanation

The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery, and can be damaged due to trauma of the upper extremity, particularly anterior-inferior shoulder dislocations. When the dislocation is reduced, placement of the humeral head can displace or damage the nerve if done improperly.

6

Which of the following structures of the arm does not directly connect to the radiocarpal joint (wrist joint)?

Distal end of the ulna

Distal end of the radius

Articular disk

Palmar radiocarpal joint

Ulnar collateral joint

Explanation

The ulna is not part of the radiocarpal joint—if it were, the forces acting on the joint would prevent proper flexion and extension, limiting hand mobility and causing excessive damage from counterforces caused by the radius. Instead, a thin fibrocartiliginous ligament called the articular disk sits between the distal end of the ulna and the radiocarpal joint, allowing for a smooth, concave surface on the proximal side of the joint.

7

What type of joint is the shoulder joint?

Ball and socket

Hinge

Fused

Saddle

Ball

Explanation

The shoulder, similar to the hip is formed by a ball-and-socket joint. The ball is created by the head of the humerus, while the socket is created by the glenoid cavity. This creates a smaller, less stable version of the ball-and-socket joint in the hip

8

The deep lateral rotators of the hip are sometimes called the rotator cuff of the hip. Despite this name, not all of the deep lateral rotators attach to the hip joint capsule, and not all the muscles that attach to the joint capsule laterally rotate the hip. Which muscles do not attach to the hip joint capsule?

Piriformis

Gluteus minimus

Rectus femoris

Obturator externus

Explanation

The rectus femoris, specifically the reflected head, attaches to the anterosuperior portion of the hip capsule. The gluteus minimus attaches to the superolateral portion of the capsule. Although its contribution to the capsule is relatively small, the obturator externus attaches to the posteroinferior joint capsule. Despite contributing to dynamic hip stability by eccentrically controlling hip internal rotation, the piriformis does not attach to the hip's joint capsule.

9

The zona orbicularis is found in which joint?

Acetabulofemoral joint

Tibiofemoral joint

Glenohumeral joint

Sternoclavicular joint

Explanation

The zona orbicularis is a portion of the joint capsule of the acetabulofemoral (hip) joint. It is thought to resist distraction (pulling out) of the femur. Additionally, it is believed to help circulate synovial fluid in the joint. As you may recall, synovial fluid helps lubricate joints and provides nutrition to their articular cartilage.

10

The head of the radius articulates with which bony prominence?

Capitellum of the humerus

Olecranon fossa of humerus

Trochlea of humerus

Ulnar styloid process

Scaphoid bone

Explanation

The radiohumeral joint of the elbow is formed by the articulation between the head of the radius, and the capitellum of the humerus. While the trochlea of the humerus, and the olecranon fossa do form part of the elbow, they articulate with the ulna. The scaphoid does articulate with the raidius, but at the distal end of the bone.

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