Limb2: Overview of the limbs Flashcards

(61 cards)

1
Q

What bones are in the appendicular sksleton

A

Basically everything outside the skull, hyoid, vertebral column incl. sacrum and coccyx, ribs and sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Nervous supply to uppe rnad lower limb

A

Upper limb C5-T1

Lower limb L2-S3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where are flexors and extensors located anteriorly and posteriorly

A

Upper: Flexors are anterior
Extensors are posterior

Lower: Extensors are anterior
Flexors are posterior

(flexion at the elbow involves bringing hand up toward shoulder, extesnion involves straightening arm )

(leg flexion is bending knee back so that the lower leg goes back, and extension brings it back to standing)

FLEXION: REDCE ANGLE BETWEEN TWO BODY PARTS
EXTENTION: INCREASE ANGEL BETWEEN 2 BODY PARTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is meant when said the lower limb rotates internally

A

The lower limb undergoes a permanent pronation resulting in a twisting of the dermatome fields during development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why are the extensors and flexors the opposite way around in uppe rand lower limb

A

The lower limb internally rotates during its development meaning that, in the thigh and leg, the extensors are anterior and the flexors are posterior.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

WHat do compartments share

A

Compartments tend to have a distinct function
Compartments tend to have the same nerve supply
Compartments tend to have the same blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List the 7upper limb compartments

A
Pectoral (= chest) girdle muscles
Intrinsic shoulder muscles
Posterior arm muscles- extensor 
Anterior arm muscle-flexor 
Anterior forarm muscles,- flexor 
Posterior forearm muscles - extensors
Intrinsic hand muscle (palmar anterior and dorsum)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Two movement types at the pectoral/shoulder girdle

A

Movements of the shoulder involve both movements of the arm relative to the scapula at the shoulder joint, and movements of the scapula relative to the chest wall.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where do muslces acting on the shoulder attach

A

neck, anterior chest, back and arm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List muscles in the pectoral or shoulder girdle

A

Deltoid, pec major, latissimus dorsi, rotator cuff muscles of shoulder and trapezius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does the brachialis mucle lie

A

deep to the bisceps… anterior to humerus. also involved in elbow flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the only true joint between the limb and the trunk

A

Sternoclavicular joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do the radius and ulna bones articular with

A

Proximal- humorus

Distally- carpals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Order of bones in hand, proximal to distal

A

Carpals, meta carpals, phalanges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Shoulder joint also known as

A

glenohumoral joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where do the hip abductors and extensors lie

A

In the gluteal region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

State the compartments of the lower limb

A

Hip abductors (Gluteal)
Hip extensors (Gluteal)
Hip Flexors
Anterior thigh muscles – extensors
Medial thigh muscles – adductors
Posterior thigh muscles – flexors
Anterior leg muscles – extensors (dorsiflexors)
Lateral leg muscles – foot evertors
Posterior leg muscles – flexors (plantarflexors)
Intrinsic foot muscles – variety of functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is leg and what is thigh

A

Leg is knee down,

thigh is hip to knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which bone is medal and which lateral in the leg

A

tib medial

fib lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Where is the quadriceps, how many of them, what is the function

A

It in the anterior thigh. 4. Powerful EXTENSORS of the knee joint

and also flexors of the hip joint as they are attached to the iium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the upper and lwoer suraces of the foot known as

A

upper- dorsal

lower-plantar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are hamstrings

A

posterior high muscles…….

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Where does iliacus and psoas come from and what are their reevance to the lower limb

A

psoas from lumbar

iliacus from the blade of the ileus muslce…

join together and attach to inner side of the thigh

Flexors of the thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Where do nerves of the lower limb arise

A

Lumbo-sacral plexus L2-S3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Where are adductor muscles located in the thigh
medially
26
Outline the main arteries of the arm
Subclavian travels under the clavicle into the axillary region.... becomes axillary artery Then goes into arm and becomes brachail artery At the elbow this divides into the ulnar and radial arteries Then hand palmar arches and mectarcapl and digit arteries
27
Outline venous drainage of the limbs
Superficial and deep.... | deep usually run with arteries
28
What modifications can the deep veins of the limb have
They can surround arteries (can be 2/3 veins which interlink).... countercurrent heat exchange pulsing of artery can help with venous return
29
State the superficial and deep venous drainage systems of the upper limb
Dorsal venous arch (sup.); Cephalic vein and basilic vein (sup.); Venae comitantes (deep); Axillary vein (deep); Subclavian vein; Superior vena cava
30
Outline the superficial venous drainage from te hand
dorsal venous arch --> basilic and cubital veins.... these then travel arond onto the anterior surface of teh arm... where the basilic vein is medial and the cubital vein is lateral
31
Which vein connects the basilic and cephalic vein
Median cubital vein
32
Outline arterial supply to lower limb
Aorta --> common iliac --> internal and external (external passes into limb) --> femoral artery (pulse), change from external iliac to femoral artery occurs when it passes underneath the inguinal ligament --> popliteal artery (when it passes behind knee) --> posterior and anterior tibial artery, peroneal artery and dorsalis pedis
33
Outline the deep venous drainage of the lower leg
Same as the arterial supply
34
Outline the suoerficial venous drainage of lower limb
Venous arches on dorsum of foot.... go to: great saphenous vein which passes the medial ankle, runs on medial side of the leg, round the back of the knee then back to the anterior surface of the leg and drains into teh inguinal region The small saphenous vein drains at the back of the leg into the polpliteal vein at the knee
35
Where is the femoral triangle why is it important
The femoral triangle is the region of the groin where the femoral artery is accessed e.g. access to the cardiac vessels to carry out angiograms and angioplasty. A pulse can be felt in this area. Underneath the iguinal canal
36
What do perforating veins do
Connect superficial and deep veins.... they contain a valve that only allows superficial to deep drainage
37
What happens if valves in perforating veins are compromised
blood is pushed from deep to superficial veins leading to varicose veins.
38
What is the use of surgical stockings
During recovery from operation you're not moving so no muscles compressing veins so the venous return is sluggish (lack of the calf pump)... Can lead to DVT Elastic surgical socks compress the superficial veins promoting more vigorous deep venous return.
39
Outline which spinal nerves supply which areas
``` C1-4 : neck C5-T1 : upper limb T2-L1 : trunk L2-S3 : lower limb S2-C2 : perineum ```
40
Which nerve supplies anterior compartment of thigh Which supplies medial compartment of thigh Whcih nerve spplies the remaning parts of the thigh, leg and foot
Femoral n. supplies anterior compartment of thigh. Obturator n. supplies medial (adductor) compartment of thigh. Sciatic n. (or its terminal branches Tibial and Common Peroneal ns.) supply the remaining compartments (i.e. post. thigh, ant. and post. leg, foot)
41
T/F muscles are usually spplied by adjacent segments
T
42
T/F: Same action on joint = same nerve supply
T
43
T/f Opposing muscles 1-2 segments above or below
T
44
T/FMore proximal in limb = more caudal in spine
F More distal in limb = more caudal in spine
45
What is meant by segmental motor suppy to limbs
``` Groups of motor nerve cell bodies in the spinal cord C5-T1 = upper limb L2-S3 = lower limb Plexi for each limb Anterior divisions = flexor muscles Posterior divisions = extensor muscles ```
46
State the segmental motor supply to shoulder
abduction C5, adduction C678 | external rotation C5, internal rotation C678
47
State the segmental motor supply elbow
flexion C56, extension C78
48
State the segmental motor supply to forearm
supination C6, pronation C78
49
State the segmental motor supply to wrist
flexion C67, extension C67
50
State the segmental motor supply to long tendons to hand
flexion C78, extension C78
51
State the segmental motor supply to intrinsic hand
T1
52
Outline the segmental supply to lower limb
Hip- flex L2/3 etend l4/5 Knee- extend l3/4 flex-l5/s1 Ankle- dorsiflex l4/5 plantarflex 21/s2
53
Differentiate segmental vs cutaneous sensory innveration
Segemntal: that particuar areas are supplid by single spinal nerve Cutaneous: that those sensory nerves can get there by different nerves via plexu
54
What is eversion and inversion
Eversion- urning foot ou Inversion turning soul of foot in
55
Which reflex mediates ankle jerk
S1
56
What is compartment syndrome and why can it occur
Muscle groups in confined compartments separated by firbous septa... increase in pressure in a compartment cannot spread out Ischaemia caused by trauma-induced increased pressure in a confined limb compartment
57
What are common places for compartment syndrome to occur
Commonly the anterior, posterior and lateral compartments of the leg
58
What is the normal pressur ein the leg
25mmHg
59
What happens to vessels in compartment syndrome
Increase in preessure to just 50-60mmHg can collapse small vessels which leads to ischaemia but pulse is still presneet
60
What is acut 25mmHg
Trauma
61
What is chronic 25mmHg
Exercise induced