2. nerve and blood supply to upper limb Flashcards

(32 cards)

1
Q

stem (main) artery

A

subclavian artery
right - from brachiocephalic trunk
left - from arch of aorta

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2
Q

subclavian artery path

A

passes through scalene triangle (over first rib)
divided into 3 parts by scalenus anterior
1st: medial to muscle
2nd: behind muscle
3rd: lateral to muscle
becomes axillary artery

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3
Q

dorsal scapular artery

A

from 2nd/3rd part of subclavian

contributes to scapular anastomosis

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4
Q

thyrocervical trunk

A

from first part of subclavian artery

contributes to scapula anastomosis

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5
Q

when does subclavian become axillary artery?

A

as it crosses outer border of first rib

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6
Q

axillary artery

A
divided into 3 parts by pectoralis major 
1st: medial to muscle 
2nd: behind muscle
3rd: lateral to muscle 
ends at lower part of teres  major 
becomes brachial artery
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7
Q

branches of axillary

A

subscapular artery - to scapular anastomosis

anterior/posterior circumflex humeral - to neck/shaft of humerus

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8
Q

brachial artery

A

superficial
supplies flexors
contributes to anastomosis around elbow
terminates in cubital fossa: ulnar and radial
large branch = profunda brachia artery (supplies extensors)

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9
Q

profunda brachii artery

A

branch of brachial
accompanies radial nerve in spiral groove
supplies arm extensors (triceps)

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10
Q

radial artery

A
lateral side of forearm
smaller of the 2 terminal branches 
covered by brachiradialirs 
forms deep palmar arch 
winds around dorsum of hand at wrist 
passes through anatomical snuffbox
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11
Q

ulnar artery

A

medial side of forearm
covered by flexor carpi ulnaris muscle
gives off deep branch - common interosseous artery
forms superficial palmar arch

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12
Q

deep veins

A

paired - run which arteries of same name
venae comitantes
drain into axillary vein

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13
Q

superficial veins

A

cephalic
basilic
drain into axillary vein
connected by median cubital vein at elbow

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14
Q

brachial plexus

A

nerve supply to upper limb
mixed nerves
divided into roots, trunks, divisions and cords

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15
Q

roots

A

ventral primary rami of C5-T1

motor axons within each root innervate different functional group of muscles

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16
Q

c5 root

A

shoulder abduction and adduction

17
Q

c6/c7 roots

A

elbow flexion and extension

18
Q

c7/c8 roots

A

wrist flexion and extension

19
Q

c8/t1 roots

A

movement of digits

20
Q

trunks

A
from roots
pass through scalene muscles 
superior (C5, C6)
middle (C7) 
inferior(C8, T1)
21
Q

divisions

A

from trunks

each trunk divides into anterior and posterior divisions

22
Q

anterior divisions

A

axons to flexor compartments

forms lateral and medial cords

23
Q

posterior divisions

A

axons to extensor compartments

forms posterior cord

24
Q

cords

A
under pectoralis major
cord named in relation axillary artery 
lateral
posterior
medial
25
terminal branches of lateral cord
musculocutaneous nerve | lateral part of median nerve
26
musculocutaneous nerve
motor to anterior arm | sensory to lateral forearm
27
terminal branches of medial cord
medial part of median nerve | ulnar nerve
28
median nerve
motor to anterior forearm and lateral hand | sensory to lateral palm, d1, d2, d3 and 1/2 d4
29
ulnar nerve
motor to medial side anterior forearm and hand | sensory to medial hand and 1/2 d4, d5
30
terminal branches of posterior cord
radial nerve | axillary nerve
31
radial nerve
motor to posterior arm and posterior forearm | sensory to posterior arm and posterior forearm and lateral dorsum of hand
32
axillary nerve
motor to deltoid and teres minor | sensory to badge area