MSK Flashcards
(51 cards)
Describe the unique features of the altas
- No body
- Lacks spinous process
- Widest cervical vertebrae
- Body fused with dens of axis
- Atlano-axial joint allows for rotation of head
- Atlanto-occipital joint allows for nodding of head
What are the main features of the axis?
- Dens - prevents horizontal displacement of atlas
- Large spinous process
What are the distinct features of the cervical vertebrae?
- Bifid spinous process
- Oval transverse foramen - vertebral arteries and veins
- Triangular vertebral foramen

Label this diagram of a thoracic vertebrae.


What are the features of the thoracic vertebrae?
- 2 demi-facets on each side
- 1 costal facet on each side
- Round vertebral foramen
What are the features of lumbar vertebrae?
- No foramina of transverse processes
- No costal facets or demi-facets
- Vertebral foramina is small and triangular
What is the remenant of the notocord?
Nucleus pulposus
What are the parts of the intervertebral disc?
- Annulus fibrosus
- Nucleus pulposus
Which artery is at risk of during fracture of head of humerus and mid-humeral fracture?
- Anterior/posterior circumflex humeral artery
- Profunda brachii
What are the nerve roots for:
- Musculocutaneous
- Median
- Ulnar
- Axillary
- Radial
- Musculocutaneous - C5, C6, C7
- Median - C6, C7, C8, T1
- Ulnar - C8, T1
- Axillary - C5, C6
- Radial - C5, C6, C7, C8, T1
What is the ulnar claw?
- Lesion of ulnar nerve at wrist
- Paralysis of medial 2 lumbricals - lumbricals flex MCP & extend IP joints
- Unopposed extension at MCP due to extendor digitorum
- Unopposed flexion at distal IP joint by flexor digitorum profundus
What is the ulnar paradox?
- Lesion of ulnar nerve at elbow is a injury but looks better
- Flexor digitorum profundus (medial part) is paralysed so there’s no flexion at IP joint making ulnar claw much less obvious
What are the muscles of pronation and supination?
- Supination - biceps brachii, supinator
- Pronation - pronator teres, pronator quadratus
Which muscles are innervated by musculocutaneous nerve?
- Biceps brachii
- Brachialis
- Coracobrachialis
Which muscles are innervated by radial nerve?
- Posterior compartment of arm - triceps brachii
- Posterior compartment of forearm
- x3 to wrist - ECRL, ECRB, ECU
- x3 to the fingers - ED, EDM, EI
- x3 to thumb - EPL, EPB, AbPL
- +3 - Brachioradialis, anconeus, supinator,
What are the muscles innervated by the median nerve?
Forearm
- Superficial - Palmaris longus, flexor carpi radialis, pronator teres
- Intermediate - flexor digitorum superficialis
- Deep - Lateral half of flexor digitorum profundus, flexor pollicis longus, pronator quadratus
Hand
- Muscles of thenar eminence (LOAF) - Lumbricals 1 & 2, opponens pollicis, abductor pollicis brevis, flexor pollicis brevis
What muscles are innervated by the ulnar nerve?
Forearm
- Superficial - Flexor carpi ulnaris
- Deep - Medial 1/2 of flexor digitorum profundus
Hand - everything except LOAF (median nerve)
- Muscles of hypothenar eminence:
- Opponens digiti minimi
- Abductor digiti minimi
- Flexor digiti minimi brevis
- Adductor pollicis
- Palmar/dorsal interosseui
What is the Hand of Benediction?
- Damage to median nerve
- Seen when patients asked to make a fist
- Paralysis of forearm flexors - apart from flexor carpi ulnaris and medial half of flexor digitorum profundus
- Paralysis of lateral 2 lumbricals
- Therefore unable to flex index and middle fingers as well as thumb
What are the motor functions of:
- C5
- C6
- C7
- C8
- T1
- C5 - elbow flexors
- C6 - wrist extensors
- C7 - elbow extensors
- C8 - finger flexors
- T1 - finger abductors
What are the motor functions of:
- L2
- L3
- L4
- L5
- S1
- L2 - hip flexors
- L3 - knee extensors
- L4 - ankle dorsiflexors
- L5 - long toe extensors
- S1 - ankle plantar flexors
Briefly describe embrological development of limbs
- Limb buds appear on ventro-lateral body wall (somatic mesoderm with ectodermal cover)
- Apical ecotdermal ridge secretes signalling molecules (diffusion limited) preventing differenitation of mesochyme and encourage proliferation
- Proximal parts begins to differentiate due to lack of signalling molecules from AER
- AER marks boundary between dorsal/ventral parts & secretes dorsalising/ventralising influences over mesenchymal core
- Zone of polarising activity generates asymmetry in limbs
- Digial rays occur as AER regresses over areas between digits
- Mesoderm condenses, differentiates = cartilagous model then endochondrial ossification occurs
- Myogenic precursors are taken into limbs from somites - bring innovation with them
- Merge into common muscle masses around skeleton then split into individual muscles
What are the borders of the axilla?
- Lateral wall - intertubecular groove of humerus
- Medial wall - serratus anterior and thoracic wall
- Anterior wall - pectoralis major and minor
- Posterior wall - scapularis, teres major, lastissimus dorsi
What are the contents of the axilla?
- Long head of biceps brachii
- Corocobrachialis
- Brachial plexus
- Axillary artery
- Axillary vein
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