Clinical anatomy of the upper limb - 29/10/18 Flashcards

(61 cards)

1
Q

What are the bony anatomy points of the upper limb?

A
Shoulder girdle
humerus
Elbow joint
Radius
Ulna
Wrist
Carpus
Hand
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2
Q

What makes up the shoulder girdle?

A
Clavicle
Scapula
Sternoclavicular joint
Acromioclavicular joint
Glenohumeral
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3
Q

What keeps the clavicle and scapula in line and prevents sprung shoulder?

A

The coracoclavicular ligaments

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4
Q

What muscles move the shoulder girdle?

A

Trapezius

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5
Q

What are the characteristics of the trapezius?

A

Origin - spinous process

Insertions - occiput, spine of scapula

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6
Q

What is the function of the trapezius?

A

Elevates and depresses scapula

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7
Q

What 3 things are the gleno-humeral joint susceptible to?

A

OA/RA
Dislocation
Adhsive capsulitis

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8
Q

What is the function of the labrum?

A

Increases capture of the humeral head (increases stability)

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9
Q

What is the labrum susceptible to?

A

Labral tears

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10
Q

What are two types of labral tears?

A
SLAP tear (throwing)
Bankart lesion
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11
Q

What are the 2 functions of the rotator cuff muscles?

A

Stabilise the shoulder girdle

Move the arm

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12
Q

What are the 4 rotator cuff muscles/

A

Supraspinatous
Infraspinatus
Teres minor
Subscapularis

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13
Q

What is the origin, insertion, innervation and function of the supraspinatous muscle?

A

O - supraspinous fossa
I - Greater tuberosity of humerus
In - Suprascapular nerve
F - Abducts arm

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14
Q

What is the origin, insertion, innervation and function of the infraspinatous muscle?

A

O - Infraspinous fossa
I - Greater tuberosity of humerus
In - Suprascapular nerve
F - Externally rotates the arm

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15
Q

What is the origin, insertion, innervation and function of the Teres minor muscle?

A

O - Dorsal surface of the lateral scapula border
I - Greater tuberosity of humerus
In - Axillary n
F - Externally rotates the arm

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16
Q

What is the origin, insertion, innervation and function of the subscapularis muscle?

A

O - anterior surface of scapula
I - Lesser tuberosity of humerus
In - Upper and lower subscapular n
F - Internally rotates the arm

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17
Q

What 2 things are the rotator cuff muscle susceptible to?

A

Tears

Impingement

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18
Q

What is the origin, insertion, innervation and function of the deltoid muscle?

A

O - Clavicle, acromion, spine of scapula
I - Deltoid tuberosity on lateral aspect of humerus
In - Axillary nerve
F - Abducts the arm

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19
Q

What is the origin, insertion, innervation and function of the biceps brachii?

A

O - Short - Coracoid process, Long - Labrum/ Glenoid
I - Tuberosity of radius
In - Musculocutaneous n
F - flexes elbow, supinates forearm

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20
Q

What is the biceps brachii susceptible to?

A

Tendonitis

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21
Q

Which is always lateral, radial or ulnar head?

A

Radial

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22
Q

What is the elbow joint susceptible to?

A

OA/RA
Elbow dislocation
Olecranon fracture

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23
Q

What is the most common way of the elbow dislocating?

A

Ulna moves posteriorly

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24
Q

What is the supracondylar region?

A

Area above the medial and lateral epicondyles

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25
What is the supracondylar region susceptible to, and in what patients?
Fractures | Children
26
What is the olecranon bursa susceptible to and where is it?
Bursitis | Over the olecranon
27
What are the three ligaments of the elbow?
Medial collateral Lateral collateral Annular ligaments
28
What are the elbow ligaments susceptible to?
Strains and tears
29
What is the lateral epicondyles the sit of insertion for?
All the extensor muscles of the forearm
30
What is the lateral epicondyle susceptible to?
Enthesiopathies | lateral epicondylitis
31
Where do all the flexor muscles of the forearm insert?
Medial epicondyle
32
Where is the radial head?
At the elbow
33
Where is the ulnar head?
At the wrist
34
What are the bones of the hand?
``` Some - Scaphoid Lovers - Lunate Try - Triquetrum Postions - Pisiform That - Trapezium They - Trapeziod Cannot - Capitate Handle - Hamate ```
35
What are the ligaments of the hand/wrist?
Scaphoid lunate ligament | Luno-triquetral ligament
36
What are the wrist joints susceptible to?
PA/RA Fractures dislocations
37
What is a Colly's Fracture?
Extra articular Dorsally displaced Shortened bone Dinner Fork deformity
38
What is the blood supply of the scaphoid?
Retrograde blood supply
39
Which fracture in the scaphoid is more likely to heal, proximal or distal?
Distal
40
What are the five types of bone in the hand?
``` Carpal Metacarpals Proximal phalanges Intermediate phalages Distal phalanges ```
41
How is the scaphoid bone examined?
Ulnar deviate Feel in Anatomical snuff box -extensor policus longus -Abductor policus longus
42
Which bone is the thumb missing?
Intermediate phalanges
43
What are the two types of muscles in the hand?
Extrinsic | Intrinsic
44
Where are the intrinsic muscles and what are they responsible for?
IN the hand | Fine motor functions
45
Where are the extrinsic muscles and what are they responsible for?
Anterior and Posterior compartments of the forearm Finger flexion Extention Movements of the wrist
46
What are the thenar muscles, what do they do and how are they innervated?
``` Move the thumb Opponens pollicis Flexor pollicus brevis Abductor pollicis brevis Median nerve ```
47
What are the Hypothenar muscles, what do they do and how are they innervated?
Move the little finger Abductor digiti minimi Ulnar nerve
48
What are the interossei muscles, what do they do and how are they innervated?
``` Move the fingers All flex @ MCPJs and extend @ IPJs Ulnar nerve Dorsal interossei (abduct) Palmar interossei (adduct) ```
49
What are the Lumbrical muscles, what do they do and how are they innervated?
``` One for each finger Crucial Link extensor and flexor tendons Lateral x 2 Median Medial x2 ulnar ```
50
What are the flexor tendons, what do they do and how are they innervated?
``` Flexor digitorum superficialis Flexor muscle of fingers Flexes fingers at PIPs Median NErve Flexor digitorum profundus Extrinsic flexor of fingers Flexes fingers at DIPJs Median nerve - digits 2 and 3 Ulnar nerve - digits 4 and 5 ```
51
What are the flexor pulleys and what do they do?
``` Annular ligaments A2 and A4 - prevent bowstring A1,A3,A5 - overlie the MP, PIP and SIP A1 pulley - trigger finger Cruciate pulleuys - prevent sheath collapse ```
52
What is the function of the plantar fascia and whaat is it susceptible to?
Separates the palmar muscles and flexor tensons from the skin Susceptible to hypertrophy and fibrosis
53
What does each digit have for blood supply?
Ulnar and radial artery
54
What are the three peripheral nerves of the hand and what do they supply?
``` Median Ulnar Radial Diagram xo Cutaneous sensation Extrinsic and intrinsic muscle of hand ```
55
What does the median nerve supply and how is it tested?
``` Flexors of forearm LOAF muscles Abductor pollicis brevis Radial 31/2 digits Tip index finger and base of thenar muscels ```
56
What does the ulnar nerve supply and how is it tested?
Small muscles of the hand intrinsics Abductor digit minimi Ulnar 1 1/2 digits Dorsum and volar little finger
57
What does the radial nerve supply and how is it tested?
``` Extensors of forearm Externsor digitorum commiunis Extensor indicis Variable portion of dorsum of hand Dorsum of 1st web space ```
58
Where does cubital tunnel syndrome affect and what is the characteristics of it?
Elbow The ulnar nerve passes posterior to the medial epicondyle It then enters an arch formed by the two heads of flexor carpi ulnaris Underneath arcuate ligament
59
Where does carpal tunnel syndrome affect and what is the characteristics of it?
Median nerve Boundaries are carpal bones Flecor retinaculum/ transverse carpal ligament
60
What is the brachial plexus?
Netwrk f ventral rami of the lower four cervical nerves | Proceeds through neck axilla and into arm
61
What is the acronym for the brachial plexus?
``` Real - Roots Texans - Trunks Drink - DIvisions Cold - Cords Beer - Branches ```