L10: Brachium & Cubital Fossa Flashcards

(73 cards)

1
Q

define fascial septum

A

tough/fibrous CT membranes that divide a limb into compartments

anterior/posterior in brachium

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2
Q

lateral fascia septae

A

from subcutaneous sheath to humerus – lateral

separate ant muscles from lateral side of triceps

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3
Q

medial fascia septae

A

from subcutaneous sheath to humerus – medially

separate ant muscles from medial side of triceps

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4
Q

brachium septae

A

divides arm into ant/post parts

each contain their own muscles, nerves, functions and vascular supply

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5
Q

anterior compartment function and muscles

A

house forearm flexors
biceps brachii
brachialis
coracobrachialis

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6
Q

anterior compartment innervation

A

musculotaneous C5-6

median and ulnar nerve just passing thru

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7
Q

anterior compartment vascular supply

A

brachial artery
basilic vein
venae comitantes

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8
Q

posterior compartment function and muscles

A

house forearm extensors
synergists in forearm supination

triceps and anconeus

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9
Q

posterior compartment innervation

A

radial nerve C7

median/ulnar passing thru

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10
Q

posterior compartment vascular supply

A

deep brachial artery

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11
Q

biceps brachii characteristics

A

multi-joint muscle
muscle insufficiency
long head tendon passes thru bicipital groove and between the lesser n greater tubercles to get to scapula

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12
Q

biceps brachii proximal and distal attachments

A

prox — short: coracoid, long: supraglenoid tubercle

distal — radial tuberosity

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13
Q

biceps brachii actions and innervation

A

flexion and main supinator of forearm
assist arm flexion

musculotaneous C5-6

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14
Q

coracobrachialis characteristics

A

pierced by the musculotaneous nerve

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15
Q

coracobrachialis proximal and distal attachment

A

prox — coracoid process

dis — middle humerus

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16
Q

coracobrachialis action and innervation

A

weak forearm flexion and adduction

musculotaneous C6-7

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17
Q

brachialis proximal and distal attachments

A

prox — distal half of anterior humerus, intermuscular septum

dis — tuberosity of coronoid process

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18
Q

brachialis action and innervation

A

main forearm flexor

musculotaneous C5-6

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19
Q

triceps: mono or multi-joint?

A

lateral and medial — single

long head = multi-joint

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20
Q

triceps proximal attachment

A
long = Infraglenoid tubercle
lateral = post humerus above radial groove
medial = post humerus below radial groove
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21
Q

triceps: distal attachment and innervation

A

olecranon process

radial nerve C6-8

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22
Q

triceps actions

A

forearm extension

long head assists in arm extension

synergist of biceps flexion so it can perform supination

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23
Q

anconeus proximal and distal attachments

A

prox — post lateral epicondyle

distal — lateral olecranon and superior-post ulna

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24
Q

anconeus action and innervation

A

during pronation of forearm = abducts ulna
during extension of forearm = assists triceps

radial nerve C7-8-T1

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25
cutaneous innervation from axillary nerve
superior lateral cutaneous nerve of arm
26
cutaneous innervation from medial cord
medial cutaneous nerve - arm and forearm
27
cutaneous innervation from musculotaneous terminal nerve
lateral antebrachial cutaneous nerve
28
cutaneous innervation from radial nerve
posterior cutaneous nerve -- arm and forearm
29
medial nerve supply
supplies flexor muscles on radial side of forearm does not supply any muscles in arm
30
course of median nerve
travels with brachial artery upper arm = lateral to art lower arm = medial to art crosses cubital fossa superficially
31
crossing of the cubital fossa
median nerve and brachial artery cross superficially deep to/covered by the bicipital aponeurosis
32
radial nerve supply
``` supplies: extensor muscles in post arm extensor muscles of wrist and hand = all extensor muscles of upper extremity supplies brachioradialis (flexor) ```
33
radial nerve: origin to forearm
begins post to axillary art spirals around post humerus in spiral groove pierces lateral intermuscular septum enters forearm
34
radial nerve: forearm to branches
enters forearm between brachialis and brachioradialis divides near lateral epicondyle
35
branches of radial nerve
superficial and deep branches
36
branches of radial nerve in axilla and upper arm
muscular branches to long and medial triceps post brachial cutaneous nerve
37
branches of radial nerve in radial groove/mid arm
lateral and medial triceps anconeus lower lat brachial cutaneous nerve post cutaneous nerve of forearm
38
branches of radial nerve in distal arm
branches to: brachioradialis and extensor carpi radialis longus articular branches at elbow joint
39
ulnar nerve supply
supplies flexors on the ulnar side of forearm
40
ulnar nerve course
``` medial to brachial a runs w/ superior ulnar collateral art pierces medial septum enters post compartment passes superficial to medial epicondyle enters forearm ```
41
ulnar nerve insertion into forearm
between two heads of flexor carpi ulnaris
42
musculotaneous nerve in upper arm
- anterior upper arm | - pierces coracobrachialis muscle
43
musculotaneous nerve
-innervates muscles on anterior arm and skin on lateral forearm to wrist
44
musculotaneous course
pierces fascia lateral to biceps tendon continues as lateral cutaneous nerve to forearm
45
origin of brachial artery
direct continuation of axillary artery begins at inferior border of teres major
46
branches of brachial artery
1. deep brachial a 2. superior ulnar collateral 3. inferior ulnar collateral
47
deep brachial artery
major branch off brachial a
48
cubital anastomoses are of the _____ .
brachial artery
49
list the 2 cubital anastomoses
1. brachial---ulnar arteries | 2. deep brachial----radial and interosseous arteries
50
brachial ---- ulnar arteries
- cubital anastomoses 1. superior ulnar collateral to posterior ulnar recurrent 2. inferior ulnar collateral to anterior ulnar recurrent
51
deep brachial --- radial and interosseous arteries
- cubital anastomoses 1. radial collateral to radial recurrent 2. middle collateral to interosseous recurrent
52
list the 4 main components of forearm venous drainage
1. basilic vein 2. cephalic vein 3. median cubital vein 4. venae comitantes
53
lateral continuation of dorsal venous arch
cephalic vein
54
course of lateral continuation of dorsal venous arch
- -cephalic vein-- 1. ascends in superficial fascia 2. along lateral forearm and arm 3. thru deltopectoral triangle 4. dumps into axillary vein
55
medial continuation of dorsal venous arch
basilic vein
56
course of medial continuation of dorsal venous arch
- -basilic vein-- 1. ascends in superficial fascia 2. along medial forearm and to mid arm 3. pierces deep fascia 4. ascends in upper arm w/in deep fascia 5. joins venae comitantes to form axillary vein
57
____ veins form the axillary vein near …. ?
basilic and venae comitantes | near the inferior border of teres major
58
has 2 branches that connect cephalic and basilic veins
median cubital vein - receives blood from median antebrachial vein and palmar hand - extends diagonally across bicipital aponeurosis
59
venae comitantes
- 2 veins per 1 artery - run parallel - countercurrent heat exchange
60
cubital fossa boundaries
lateral --- brachioradialis medial --- pronator teres superior base -- imaginary line between epicondyles
61
cubital fossa floor
supinator and brachialis
62
cubital fossa roof
- skin - fascia - bicipital aponeurosis
63
major contents of cubital fossa and mnemonic
TAN bicipital tendon brachial artery median nerve
64
other contents of cubital fossa
- bifurcation of radial/ulnar a - brachial veins - aponeurosis - radial nerve
65
relationship between radial nerve and deep brachial artery
run in spiral groove
66
relationship - brachial artery to median nerve
travel together thru arm | cross cubital fossa superficially but covered by bicipital aponeurosis
67
relationship - brachial artery to bicipital aponeurosis
aponeurosis covers brachial artery as it crosses the cubital fossa
68
relationship - superior ulnar collateral art to medial epicondyle
-travels medial to medial epicondyle and anastomoses w/ posterior ulnar recurrent
69
relationship - inferior ulnar collateral art to medial epicondyle
travels medial to medial epicondyle and anastomoses w/ anterior ulnar recurrent
70
relationship - radial collateral art to lateral epicondyle
travels lateral to lat epicondyle
71
relationship - median cubital vein to bicipital aponeurosis
vein travels diagonally across aponeurosis, superficial to it
72
relationship - ulnar nerve to medial epicondyle
runs w/ superior ulnar collateral artery | passes around superficially to med. epicondyle
73
relationship - musculotaneous n to coracobrachialis muscle
nerve pierces muscle in upper anterior arm