Concepts of the Upper Extremity (Exam 1) Flashcards

(50 cards)

1
Q

What is the function of the upper extremity

A

Manipulation of the environment

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2
Q

The upper extremity has a better ROM wher

A

in the anterior than the posterior

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3
Q

What parts compose the upper limb

A
Shoulder girdle
Axilla
Brachium
Antebrachium
Hand and Fingers
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4
Q

What is the pectoral girdle composed of

A

Scapula
Clavicle
Muscles that articulate them to the trunk

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5
Q

What does the axilla refer to

A

Transition between shoulder and upper extremity

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6
Q

How is the scapula tethered to the trunk

A

through the musculofascial scapulothoracic articulation

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7
Q

Where does the shoulder girdle articulate with the trunk

A

Sternoclavicular joint

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8
Q

What is the only true joint between the upper extremity and the shoulder

A

sternoclavicular joint

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9
Q

What are the rest of the structures outside of the sternoclavicular joint

A

muscle and fascia

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10
Q

You sacrifice what for increased ROM

A

stability

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11
Q

How are muscles compartmentalized

A

deep fascia forms a stocking around limbs that separates the muscles into compartments

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12
Q

All muscles within a compartment are what

A

innervated by the same nerve and have the same function

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13
Q

Describe the superficial fascia of the upper limb

A

composed of adipose, superficial veins, cutaneous arteries, and nerves

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14
Q

Describe the investing fascia of the upper limb

A

forms muscle compartments

leads to groups and innervation

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15
Q

What can the investing fascia of the upper limb cause clinically

A

compartment syndrome

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16
Q

What is the organization of veins in the upperlimb

A

arranges into superficial and deep networks

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17
Q

Where are superficial veins found in the upper extremity

A

outside superficial fascia

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18
Q

Where are deep veins found in the upper extremity

A

under deep fascia

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19
Q

What is vena comitantes

A

an artery with a vein on each side of it

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20
Q

What type of veins in the arm have vena comitantes

A

deep vascular network

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21
Q

Where will major neurovascular bundles be seen in muscular compartments

A

they run deep to compartments

22
Q

How many spinal cord segments and peripheral nerves will supply a dermatome

A

single spinal cord segment

multiple peripheral nerves

23
Q

What does sensory loss in a dermatome pattern indicated

A

injury to spinal nerve

24
Q

What is an injury to the spinal nerve called

A

radiculopathy

25
What does sensory loss in a cutaneous nerve pattern suggest
injury distally to the spinal nerve
26
What is injury distally to the spinal nerve called
neuropathy
27
What dermatomes will have an overlapping pattern
adjacent dermatomes
28
What dermatomes will not have an overlapping pattern
non-adjacent
29
List the myotomes of the shoulder
trapezius pectoral latissimus serratus anterior
30
What is the myotome of trapezius
CN X1 and C3-4
31
What is the myotome of the pectoral
C5-C8- pectoral nerves
32
What is the myotome of latissimus dorsi
C6-C8- thoracodorsal
33
What is the myotome of serratus anterior
C5-C7--long thoracic nn.
34
What are the myotomes of the arm
anterior and posterior (c5-c8)
35
What is the anterior nerve of the arm
musculocutaneous nerve
36
What is the psoterior nerve of the arm
radial nerve
37
What are the myotomes of the forearm
Anterior | posterior (C6-8)
38
What is the anterior nerve of the forearm
median and ulnar (1.5 muscles)
39
What is the posterior nerve of the forearm
radial
40
What does weakness in a myotome patten indicate injury in
spinal nerve (radiculopathy)
41
What does weakness limited to muscle innervated by 1 nerve indicate
injury to that individual nerve (neuropathy)
42
What is the axilla continuous with
neck and thorax
43
What are the major transitional areas in the upper extremity
``` axilla Quadrangular and Triangular space Triangular interval Cubital fossa Carpal tunnel Cubital tunnel Guyon's tunnel ```
44
What is the most common peripheral neuropathy
carpal tunnel
45
What is the second most common peripheral neuropathy
Guyon's tunnel
46
When is the ulnar nerve at risk
Bump the medial epicondyle
47
Where is the ulnar nerve in relationship to the medial epicondyle
in contact with medial epicondyle in the cubital tunnel
48
What is importance of anastomoses in shoulder
can use collateral circulation when you clamp an artery during surgery or if blockage
49
How will lymph in the upper limb flow
from hand to axilla
50
Where are there little amounts of lymph nodes in the upper extremity. Where are there a lot
little in the arm | a lot in the axilla