Arm And Cubital Fossa Flashcards

1
Q

Look at clavicle drawing in notes and label

A
  1. Sternal extremity
  2. Acromial extremity
  3. Groove for subclavius
  4. Conoid tubercle
  5. Trapezoid line
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2
Q

~ Look at humerus bone on slide 6 for labeling

A

~~

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3
Q

Boundaries of the cubital fossa:

Lateral = 
Medial = 
Superior = 
Roof = 
Floor =
A
Lateral = brachioradialis
Medial = pronator teres
Superior = imaginary line connecting the 2 epicondyles of the humerus 
Roof = skin, fascia and strengthened by bicipital aponeurosis 
Floor = formed laterally by the supinator muscle and medially by the brachialis
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4
Q

Bicipital aponeurosis (triangular) runs from _____ , across ____, and merges with _____

A

Runs from biceps brachii, across cubital fossa, and merges with deep fascia covering flexor muscles on medial side of forearm

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5
Q

Contents of the cubital fossa:

  1. What 2 nerves?
  2. What tendon?
  3. What artery?
A
  1. Radial and median nerve
  2. Tendon of biceps brachii
  3. Bifurcation of brachial artery (into ulnar and radial artery)
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6
Q

What are the 3 superficial veins of the arm?

A

Cephalic, basilic and median cubital/intermediate veins

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7
Q

Cephalic vein: (look at picture on slides; it’ll help!!)

  1. Originates from?
  2. Runs on the forearm/cubital fossa on the ___ side
  3. Connects with ___ via ____ in front of elbow
  4. Travels superiorly along the ___ side of ___ muscle
  5. Pierces ___ of arm to lie in ____
  6. Crosses the ____ tendon anteriorly
  7. Then pierces the _____
  8. Empties into the _____
A
  1. Dorsal venous arch on dorsum of hand
  2. Lateral
  3. Basilic vein via median cubital vein
  4. Lateral side of the biceps brachii muscle
  5. Deep fascia of arm to lie in deltopectoral triangle
  6. Pectoralis minor tendon
  7. Clavipectoral fascia
  8. Axillary vein
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8
Q

Basilic vein

  1. Originates from _____
  2. Runs on ___ side of forearm and cubital fossa
  3. Connects with ____ via _____ in front of elbow
  4. Travels along ___ side of ___ muscle to about the MIDDLE OF THE ARM
  5. Pierces deep fascia of arm in order to ____; where?
A
  1. Dorsal venous arch on dorsum of hand
  2. Medial
  3. Cephalic vein via median cubital vein
  4. Medial side of biceps muscle
  5. Name change to AXILLARY VEIN at lower border of teres major
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9
Q

What vein do you draw blood at?

What direction does this vein run?

A

Median cubital vein

Runs obliquely upward and medially superficial to bicipital aponeurosis

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10
Q

Muscles of anterior compartment of arm

  1. Muscles?
  2. Innervation?
  3. Blood supply?
  4. General action?
A
  1. Biceps brachii, coracobrachialis, and brachialis
  2. Musculocutaneous nerve
  3. Brachial artery
  4. Flexors of the forearm
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11
Q

Biceps brachii

Origin
Insertion
Innervation
Action

A

Origin - long head: supraglenoid tubercle of scapula
Short head: coracoid process of scapula

Insertion - common tendon on radial tuberosity and bicipital aponeurosis

Innervation - musculocutaneous

Action - flexes and supinate forearm at elbow; flexes arm at glenohumeral joint

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12
Q

Coracobrachialis

Origin
Insertion
Innervation
Action

A

Origin: coracoid process

Insertion: middle of medial surface of the shaft of the humerus

Innervation: musculocutaneous

Action: flexes and adducts arm

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13
Q

The musculocutaneous nerve changes names to lateral cutaneous nerve of forearm when it appears from ____

A

Beneath the biceps brachii

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14
Q

Brachialis

Origin
Insertion
Innervation
Action

A

Origin: distal anterior surface of humerus

Insertion: tuberosity and coronoid process of ulna

Innervation: musculocutaneous

Action: flexes forearm

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15
Q

Muscles of posterior compartment of arm

Muscle:
Innervation:
Blood supply:
General action:

A

Triceps brachii
Radial nerve
Deep brachial aka profunda brachii
Extensor of forearm

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16
Q

Triceps brachii

Origin
Insertion
Innervation
Action

A

Origin: long head- infraglenoid tubercle of scapula
Lateral head- lateral and posterior surface of humerus, superior to radial groove for radial nerve
Medial head- posterior surface of humerus, inferior to radial groove

Insertion: via a broad, strong tendon onto the olecranon process of ulna

Innervation: radial nerve

Action: extension of forearm; long head may assist in extension of arm

17
Q
  1. Where does the axillary artery change name to the brachial artery?
  2. Travels ___ to coracobrachialis and short head of biceps
  3. Lies __ of cubital fossa
  4. ___ to biciptial aponeurosis
A
  1. Distal to the inferior border of teres major muscle
  2. Medial
  3. In center
  4. Deep
18
Q

Brachial artery terminates and divides into __ and __

Where?

A

Radial and ulnar arteries

1 cm inferior to bend of the elbow within the cubital fossa

19
Q

3 major branches of the brachial artery

A

Deep brachial (profunda brachii), superior ulnar collateral, and inferior ulnar collateral

20
Q

Deep brachial artery divides to what two arteries?

A

Middle collateral artery and radial collateral artery

21
Q

Where would you place a tourniquet?

A

Distal to the inferior ulnar collateral artery

22
Q
  1. What do deep veins of the arm do?
  2. __ and __ join to form 2 brachial veins
  3. The 2 brachial veins ascend on each side of the ____ and anastomose freely with one another
  4. Terminate where?
A
  1. Drain blood from deep tissue of both flexor and extensor compartments of the arm
  2. Radial and ulnar vein
  3. Brachial artery
  4. Terminate in the axillary vein (so 2 brachial veins + basilic vein = axillary vein)
23
Q
  1. Why is the musculocutaneous nerve rarely injured?
  2. If it is injured, where would it usually be?
  3. What would happen?
A
  1. Is it deep to the biceps brachii
  2. High up in the arm (usually by weapon)
  3. The flexor compartment of the arm would be paralyzed, could also lose sensation on the lateral surface of the forearm (because thats innervated by lateral cutaneous nerve which used to be musculocutaneous)
24
Q

What 2 nerves do not innervate any muscles of the arm?

Fracture of what could injure median nerve?

Fracture of what could injure ulnar nerve?

Which of these nerves is the funny bone?

A

Median and ulnar nerve (only forearm)

Supracondylar fracture

Medial epicondyle

Ulnar= funny bone

25
Q

Fractures where could injure the radial nerve?

Where would you see the affect of radial nerve injury?

A

Fracture of the distal portion of the shaft of the humerus

Injury to radial nerve will not affect the arm, but will affect the forearm and hand