Upper Limb Flashcards

1
Q

anterior arm
innervation
action
joints

A

innervation: musculocutaneous nerve
action: flex and adduct, some supination of forearm
joints: elbow and shoulder joints,

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2
Q

anterior arm muscles

A

biceps brachii
coracobrachialis
brachialis

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3
Q

anterior arm
biceps brachii

A

origin:
-short head: coracoid process of scapula
-long head: supraglenoid tubercule
insertion: tuberosity of radius
action: flexes and supinates the forearm; flexes the arm

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4
Q

anterior arm
coracobrachialis

A

origin: coracoid process of scapula
insertion: medial humerus
action: flexes and adducts the arm

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5
Q

anterior arm
brachialis

A

origin: distal humerus
insertion: coronoid process and tuberosity of ulna
action: flexes forearm in all directions

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6
Q

posterior compartment: arm
innervation
action
joints

A

innervation: radial nerve
action: extensors
joints: shoulder and elbow

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7
Q

posterior compartment muscles:

A

triceps brachii: long head, lateral head, and medial head

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8
Q

posterior compartment
triceps brachii

A

origin:
-long head: infra glenoid tubercule of scapula
-lateral head: posterior humerus-superior to radial groove
-medial head: posterior humerus inferior to radial groove
-insertion: olecranon of ulna

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9
Q

what two bones are in the forearm

A

radius and ulna

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10
Q

features of the ulna

A

-olecranon process: articulation with the humerus
-coronoid process: proximal end
-styloid process: distal end

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11
Q

features of the radius

A

-head and radial tuberosity: proximal end
-styloid process: distal end

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12
Q

the ulna articulates with the _________ of the humerus

A

trochlear

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13
Q

the radius articulates with the __________ of the humerus

A

capitulum

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14
Q

proximal radioulnar joint

A

a pivot joint that allows rotation of the head of the radius on the ulna during pronation and supination

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15
Q

distal radioulnar joint

A

a pivot joint that allows rotation of the radius about the ulna during pronation and supination

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16
Q

2 compartments of the forearm

A

anterior and posterior

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17
Q

what are the compartments of the forearm separated by

A

intermuscular septum on interosseous membrane running between the radius and ulna

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18
Q

forearm
where do the muscles arise in the anterior-flexor pronator muscle compartment

A

medial epicondyle of the humerus and are organized into layers from superficial to deep

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19
Q

forearm
what is the innervation of the anterior compartment of the

A

median and ulnar nerve

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20
Q

forearm
where do the muscles arise in the posterior-extensor supinator muscle compartment

A

lateral epicondyle of the humerus and are divided into superficial and deep

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21
Q

forearm
anterior compartment 1: superficial layer
origin
innervation

A

origin: medial epicondyle of humerus
innervation: median nerve, except the FCU is innervated by ulnar nerve

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22
Q

forearm
anterior compartment 1 muscles

A

-pronator teres: pronates forearm
insertion: midshaft
-flexor carpi radialis: flexes and abducts hand
insertion: metacarpals
-palmaris longus: flexes hand
insertion: fascia of palm
-flexor carpi ulnaris: flexes and adducts hand
insertion: pisiform, hamate, and base of fifth metacarpal

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23
Q

forearm
anterior compartment 2: intermediate layer
muscle
origin
insertion
action
innervation

A

muscle: flexor digitorum superficialis
origin: medial epicondyle of humerus and superior half of radius
insertion: middle phalanges
action: flexes middle phalanges 2-5
innervation: median nerve

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24
Q

forearm
anterior compartment 3: deep layer muscles

A

flexor digitorum profundus
flexor pollicis longus
pronator quadratus

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25
forearm anterior compartment 3: deep layer flexor digitorum profundus
origin: insertion: distal phalanges action: flexes distal phalanges 2-5 at distal interphalangeal joints innervation: -medial side: ulnar nerve -lateral side: median nerve
26
forearm anterior compartment 3: deep layer flexor pollicis longus
action: flexes thumb, 1st digit insertion: distal phalanx of thumb innervation: median nerve
27
forearm anterior compartment 3: deep layer pronator quadratus
action: pronates forearm insertion: distal surface of anterior radius innervation: median nerve
28
flexor retinaculum
ligament that runs from the hamate to pisiform bones medially to the scaphoid and trapezium bones of the wrist laterally, creating a carpal tunnel -9 tendons from 3 muscles and the median nerve pass through tunnel into the palm
29
carpal tunnel syndrome
results from a compression of a median nerve as it passes through and presents numbness in digits 1-4
30
posterior forearm: superficial layer muscles
extensor carpi ulnaris: extends and adducts hands at wrist extensor digitorum: extends digits 2-5 at metacarpophalngeal joints extensor carpi radialis brevis: extends and abducts hand at wrist extensor carpi radialis longus: extends and abducts hands at wrist brachioradialis: flexes forearm
31
posterior forearm: superficial origin innervation
origin: lateral epicondyle of humerus innervation: radial nerve
32
posterior forearm: deep layer muscles
supinator: supinates the forearm by rotating the radius extensor indicis: extends 2nd finger, pointer abductor pollicis longus: abducts and extends the thumb extensor pollicis longus: extends the thumb extensor pollicis brevis: extends the thumb
33
posterior forearm: 1. extensors, abductors, or adductors of the hand 2. digital extensors 3. thumb extensors or abductors
1. extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris 2. extensor digitorum, extensor indicis, extensor digiti minimi 3. abductor pollicis longus, extensor pollicis brevis, extensor pollicus longus
34
3 segments of the hand
wrist, palm. digits
35
hand extrinsic hand muscles
have tendons that reach the hand, but originate in the forearm
36
hand intrinsic muscles
originate and terminate in the hand
37
organization of intrinsic hand muscles
-thenar: thumb muscles -hypothenar: 5th digit -short muscles of the hand: lumbricals and interossei
38
hand blood supply innervation cutaneous sensation:
blood supply: radial and ulnar arteries innervation: median and ulnar nerves cutaneous sensation: radial, ulnar, and medial nerves
39
posterior forearm action innervation origin
action: wrist or digit extension innervation: radial nerve origin: lateral epicondyle
40
bones of the hand
8 carpal bones and 5 metacarpal bones
41
hand movements
abduction and adduction of the digits
42
movements of the thumb
abduction, adduction, flexion, extension, opposition, and reposition
43
movements of the wrist
flexion, extension, abduction, and adduction
44
thenar and hypothenar muscles action innervation
action: abduct, flex, and oppose thumb and fifth digit innervation -thenar: (thumb), median nerve -hypothenar: (pinkee) ulnar nerve
45
thenar and hypothenar have
3 muscles in each group and do the same actions
46
thenar muscles
-abductor pollicis -flexor pollicis -oponense pollicis origin: flexor retinaculum
47
thenar muscles abductor pollicis: action innvervation
action: adducts the thumb -innervation: ulnar nerve origin: flexor retinaculum
48
hypothenar muscles
-abductor digit minimi -flexor digiti minimi -oponense digiti minimi origin: abductor is from pisiform. flexor and oppenense: hamate bone and flexor retinaculum
49
short muscles of the hand
lumbricals and interossei
50
short muscles of the hand lumbricals origin insertion action innervation
origin: tendons of FDP; flexor digitorum profundus insertion: lateral sides of digits 2-5 actions: flex metacarpophalangeal joints and extend interphalangeal joints innervation -lumbricals 1 and 2 : median nerve -lumbricals 3 and 4: ulnar nerve
51
short muscles of the hand interossei origin insertion two types innervation
origin: sides of metacarpals insert: insert on bases of proximal phalanges -dorsal interossei: abduct 2nd and 4th digits from axial line -palmar interossei: adduct digits 2.4.5 toward axial line innervation: ulnar nerve
52
blood supply in the upper limb
tube with branching arteries all the way to the hand
53
give the pathway of blood supply to the upper limb
1. subclavian 2.thyrocervical trunk comes off and makes cervical dorsal trunk and two branches. suprascapular and dorsal scapular arteries. (supply the scapula). 3. subclavian travels under clavicle and changes to axillary artery 4. crosses border of pectoralis minor and at the border of teres major, becomes the brachial artery 6. brachial artery branches to deep artery of the arm: supplies posterior arm compartment. ulnar collateral arteries: anastomose around the elbow 7. in the forearm, brachial divides to radial artery: supplies muscles to the lateral aspects of anterior and posterior forearm compartments. forms the ulnar artery: supplies muscles of the medial side of the forearm 8. give digital arteries
54
describe the importance of axilla
provides a passage way for vessels and nerves going to and from upper limb contents: axillary artery and its branches, axillary vein, nerves, branches of brachial plexus, lymphatic vessels, and axillary lymph nodes
55
where is the place to control a hemmorage
middle of the arm
56
veins of the upper limb deep veins
have the same names as arteries -digital veins-venous arches-radial and ulnar veins-brachial vein-axillary vein-subclavian vein
57
radial artery forms what palmar arch
deep palmar arch
58
ulnar artery forms what palmar arch
superficial palmar arch
59
superficial veins of the upper limb
-cephalic veins: continues deep at the deltopectoral triangle and drain into the axillary vein on shoulder -basilic vein: post axial compartment, deep in the arm to join deep veins. drains medial side of the arm and enters into the brachial vein -median cubital vein: superficial link between the cephalic and basilic vein, connects to basilic vein
60
what are the joints present in the upper limb
-sternoclavicular joint -shoulder joint -elbow joint -wrist joint
61
anterior axio-appendicular muscle pectoralis major innervation and action
action: prime mover of arm flexion, adduction, and medial rotation of the humerus innervation: medial and lateral pectoral nerves
62
anterior axio-appendicular muscle pectoralis minor action innervation
action: stabilizes the scapula, draws it anteriorly and inferiorly against the thoracic wall, attaches to the coracoid process. innervation: medial pectoral nerve
63
anterior axio-appendicular muscles: serratus anterior action and innervation
action: protacts and retracts the scapula
64
anterior axioappendicular muscles subclavius
helps stabilize and depress the pectoral girdle innerv: subclavian nerve