Arm and Forearm Flashcards

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13
Q

Name the arm flexor muscles. How many?

A

Three muscles (BBC)

  1. Biceps brachii (long and short head)
  2. Brachialis
  3. Coracobrachialis
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14
Q

Name the only arm extensor (posterior) muscle? What innervates it?

A

Triceps brachii (long, lateral, and medial)

Radial nerve (in radial groove) innervates it

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15
Q

Name the superficial flexor muscles of the forearm? How many?

What is their origin?

A

FOUR (P/F, P/F)

  1. Pronater Teres
  2. Flexor Carpi Radialis
  3. Palmaris Longus
  4. Flexor Carpi Ulnaris

Origin: Common flexor tendon at the medial epicondyle

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16
Q

Which muscle is absent in about 25% of people and used in autografts? What type of muscle is it?

A

Palmaris Longus - Superficial Forearm Flexor muscle

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17
Q

Name the only middle forearm flexor musle?

Name its OINA

A

Flexor digitorum superficialis (TRICKY, superficialis is middle here)

O: common flexor tendon and radius at extensive origin (medial epicondyle)

Ins: middle phalanges at digits 2-5

Inn: Median nerve

A: Flexes hand and joints at digits 2-5

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18
Q

Latin Roots

  1. Pollicis
  2. Carpi
  3. Digitorum
A

Pollicis = Thumb (thumbs up for politics)

Carpi = Wrist (Carpe Diem is risky)

Digitorum = Digit

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19
Q

Name the deep forearm flexor muscles

A

THREE

  1. Flexor pollicis longus
  2. Flexor digitorum profundas
  3. Pronater quadratus
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20
Q

Name the superficial forearm extensor muscles

What are the common origin, innervation, and action

A

SIX

Origin: Common exterior tendon at lateral epicondyle

Inn: Radial nerve

Action: Mostly extends wrist and digits

  1. Brachioradialis (Exception = NOT extensor, flexes forearm)
  2. Extensor Carpi radius longus
  3. Extensor Carpi radius brevis
  4. Extensor digitorum
  5. Extensor carpi ulnaris
  6. Extensor digiti minimi
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21
Q

Name the deep forearm extensor muscles

What are the common origins, innervations, and actions?

A

FIVE

  1. Supinator (Exception - flex forearm from common tendon)
  2. Extensor pollicis brevis
  3. Extensor pollicis longus
  4. Abductor pollicis longus
  5. Extensor indicis

O: Radius, ulna, and interosseous membrane

Inn: Posterior interosseous branch of the radial nerve

A: Mostly thumb related

22
Q

What are the four major nerves of the upper extremity?

A

ALL from the ends of the brachial plexus

  1. Musculocutaneous nerve
  2. Radial nerve
  3. Median nerve
  4. Ulnar nerve
23
Q

Forearm Supination

A

Biceps brachii (Major effect)

Supinator

24
Q

Forearm Pronation

A

Pronator Teres

Pronator quadrates

25
Forearm Flexion
Biceps brachii Brachialis Brachioradialis
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Arm Adduction
Coracobrachialis
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Arm Flexion
Coracobrachialis
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Arm Extension
Triceps brachii (Long head only)
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Forearm Extension
Triceps brachii (Long, Lateral, and Medial)
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Hand Flexion
Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Flexor digitorum superficialis Flexor digitorum profundus
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Hand Extension
Extensor carpi radialis longus (at wrist) Extensor carpi radialis brevis (at wrist) Extensor digitorum (at wrist) Extensor carpi ulnaris (at wrist)
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Hand Abduction
Flexor carpi radialis Extensor carpi radialis longus (at wrist) Extensor carpi radialis brevis (at wrist)
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Hand Adduction
Flexor carpi ulnaris Extensor carpi ulnaris (at wrist)
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MP/PIP joint Flexion
Flexor digitorum superficialis (MP/PIP joints of digits 2-5) Flexor pollicis longus (MP/IP joints of thumb) Flexor digitorum profundus (MP/DIP joints of digits 2-5)
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Little Finger Extension
Extensor digiti minimi
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Thumb Abduction
Abductor pollicis longus
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Thumb Extension
Extensor pollicis brevis Extensor pollicis longus
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Index Finger Extension
Extensor indicis
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Digits 2-5 Extension
Extensor digitorum
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**Musculocutaneous nerve** 1. What does it become and where? 2. What does it pierce? 3. What does it innervate? 4. What action does it affect?
1. Lateral antebrachial cutaneous nerve at elbow 2. Pierces coracobrachialis 3. Innervates skin of **anter**olateral forearm & ALL **anterior** **arm** muscles 4. arm flexion & supination
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**Radial nerve** 1. What does it become and where? 2. What does it pierce? 3. What does it innervate? 4. What action does it affect?
1. posterior interosseous nerve (for deep forearm extensor muscles) 2. Pierces supinator 3. ALL **Posterior parts** (arm skin, arm muscles, forearm muscles 4. **Extension** and abduction mostly (forearm, wrist, digits)
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**Median Nerve** ## Footnote What does it become and where? What does it pierce? What does it innervate? What action does it affect?
1. anterior interosseous nerve (for the deep flexor muscles) 2. None 3. Almost ALL **Anterior Forearm** muscles (except flexor carpi ulnaris) 4. Flexion of hand/joints, Pronation of forearm
43
**Ulnar nerve** ## Footnote What does it become and where? What does it pierce? What does it innervate? What action does it affect?
1. dorsal cutaneous branch (to medial dorsal hand/palm) 2. None 3. **2 nerves only**: flexor carpi **ulnar**is and flexor digitorum profundas (medial half). skin of palm/hand 4. Flexion of hand and joints
44
Describe the branching of the axillary artery and where it changes names
Axillary to brachial @ teres major Brachial to radial/ulnar arteries at elbow Radial artery deep to brachioradialis muscle, next to flexor carpi radialis Ulnar artery deep to pronater muscle, next to ulnar nerve
45
What two branches does the ulnar artery become?
anterior interosseus artery and posterior interosseous artery
46
Describe the path of the superficial veins
Basilic venous system: Medial Cephalic venous system: Lateral Median cubital vein connects them
47
What are the venae comitantes?
Deep veins that follow the deep arteries
48
Cubital Fossa 1. Where is it? 2. Boundaries 3. Superficial structures 4. Deep structures
1. Triangular region in front of elbow 2. Lateral-Medial Line of Epicondytes, Brachioradialis (Lateral), Pronater Teres (Medial) 3. Bicipital Aponeurosis (white fibrous tissue), median cubital vein 4. Biceps **T**endon, Brachial **A**rtery, Median **N**erve (TAN)
49
Anatomical Snuff Box 1. Where is it? 2. Boundaries, what innervates these? 3. Superficial structures 4. Deep structures
1. triangle shaped depression near thumb 2. Anterior: abductor pollicis longus/extensor pollicis brevis, Lateral: extensor pollicis longus, Floor: Scaphoid Bone: All muscles innervated by the **radial nerve** 3. radial nerve 4. radial artery
50
Which nerve travels between the two heads of the pronater teres?
Median nerve
51
Which nerve innervates the pronater quadratus
Anterior interosseous branch of the median nerve (deep flexor muscle)