upper limb Flashcards

1
Q

Boundaries of the Axilla

A

Anterior- pectoralis major and minor
Posterior- subscapularis
medial wall- thoracic wall and serattus ant.
Lateral wall- intertubercular groove

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2
Q

contents of the axilla

A
  • axillary artery
  • axillary vein
  • bicep brachi
  • coracobrachialis
  • brachial plexus
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3
Q

where does the axillary artery start

A

it is a continuation of the sublavian and starts at the level of the 1st rib

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4
Q

nerve roots of brachial plexus

A

C5-T1

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5
Q

what are the nerve roots of the upper trunk

A

C5,6

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6
Q

what are the nerve roots of the medial trunk

A

C7

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7
Q

what are the nerve roots of the lower trunk

A

C8-T1

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8
Q

what is the posterior cord formed of?

A

posterior sections from all the trunk

nerve root value of C5-T1

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9
Q

the medial cord contains?

A

this contains the anterior section of the lower trunk

root value C8-T1

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10
Q

the lateral cord contains?

A

This contains the anterior section of the upper and middle trunk
root value C5-7

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11
Q

what are the branches of the lateral cord?

A

Musculocutaneous

lateral root of median nerve

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12
Q

branches of the medial cord?

A

Medial root of the median nerve

Ulnar nerve

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13
Q

Braches of the posterior cord?

A

Radial nerve

Axillary nerve

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14
Q

what does the musculotaneous nerve innervate?

A

Motor- musles of anterior arm

Sensory - lateral aspect of the forearm (lateral cutaneous nerve)

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15
Q

what does the median nerve supply?

A

Motor- flexors and pronators of the forearm (excluding the FDP and the FCU), thenar muscles and lateral 2 lumbricals.
Sensory- lateral aspect of the palm

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16
Q

What does the ulnar nerve supply?

A

Motor- Flexor carpi ulnaris and FDP and intrinsic muscles of the hand
Sensory- palm medial 1 and half digits and palmar aspect and dorsum of same region
(C8-T1)

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17
Q

Axillary nerve supplies?

A

Motor- teres major and minor, deltoid
sensory- regimental badge area
(C5-6)

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18
Q

Radial nerve supplies

A

Motor- tricep brachii, extensor muscles of forearm

Sensory- posterior forearm, top of lateral 3.5 digits

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19
Q

where is the median nerve most susceptible to damage

A

the elbow

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20
Q

what palsy arises if there is damage of the axillary nerve

A

erb’s palsy (shoulder distosia)

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21
Q

where do you test for sensation of axillary nerve

A

regimental badge region

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22
Q

where is the radial nerve most likely to be damaged

A

the axilla and in radial groove

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23
Q

where is the ulnar nerve most likely to get damaged

A

at the elbow

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24
Q

what is the name of the communicating vein between the basillic and the cephalic

A

the median cubital vein

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25
the cephalic vein runs
laterally and superficial
26
the basilli vein runs
deep and medial
27
the radial artery give rise to...
deep palmar arch
28
the ulnar artery gives rise to...
superficial palmar arch
29
what are the bones of the shoulder joint?
clavicle and scapula
30
what kind of joint is the acromioclavicular joint?
synovial plane joint
31
the sternoclavicular joint is a...
synovial saddle joint
32
Where is the weakest part of the clavicle?
between the 2 curvatures
33
what is the area superior to the spine of the scapula known as?
supraspinatous fossa
34
the region below the spine of the scapula is known as...
infraspinatous fossa
35
what muscle is responsible for elevation of the shoulder
levitator scapulae
36
what muscle is responsible for depression of the shoulder joint?
lattisamus dorsi, trapezius
37
Protaction of the shoulder joint by...
serratus anterior
38
retraction of the shoulder joint by...
rhomboids and trapezius
39
lateral rotation of shoulder joint by...
trapezius
40
Medial rotation of shoulder joint by...
rhomboids
41
flexion of shoulder joint ...
anterior deltoids
42
Extension of shoulder joint
posterior deltoids
43
trapezius muscle
elevates and depresses the shoulder retracts the shoulder laterally rotates the shoulder
44
the levator scapulae
elevates the scapula | medially rotates the scapula
45
lattisamus dorsi
depresses the shoulder
46
pectoralis major
protracts the shoulder
47
serattus anterior
protracts the shoulder | laterally rotates the shoulder
48
rhomboids
retract the shoulder | medially rotates the shoulder
49
pectoralis minor
medially rotates the shoulder
50
what kind of joint is the shoulder joint?
synovial ball and socket
51
what are the articular surfaces of the shoulder joint?
the head of the humerus and the glenoid cavity
52
what is the glenoid labrum?
ring of cartilage surrounding the glenoid cavity to increase stability of the joint
53
what is the function of ligaments in the shoulder joint
to increase stability
54
attachments of the coracromial liagment
coracoid process and acromion
55
attachments of coracohumeral ligament
coracoid process, the humerus
56
attachements of glenohumeral ligament
glenoid cavity and humerus
57
what is the weakest region of the shoulder joint?
the inferior region (no ligament)
58
what is the function of the bursa in the shoulder joint?
reduce friction
59
is the subacromial bursa communicating with the joint cavity?
no
60
does the subscapular bursa comminicate with the joint cavity
yes
61
what bursa is likely to be affected in an impingement?
subacromial
62
what muscles are described as the rotator cuff muscles?
subscapularis supraspinatous infraspinatous teres minor
63
what is the most important role of the rotator cuff muscles
to hold the head of the humerus in place
64
what movements are the rotator cuff responsible for
flexion, extension, lateral and medial rotation
65
what are the components of the deltoid
anterior, medial and posterior
66
what is the action of the anterior deltoid
felxion and medial rotation
67
what is the action of the middle deltoid
abduction of the shoulder joint
68
what is the action of the posterior deltoid
extension of the shoulde | lateral rotation of the shoulder
69
what nerve innervates the deltoid muscle
the axillary nerve
70
what is the action of the pectoralis major
adducts and medially rotates
71
the pect. major is supplied by...
medial and lateral pectoralis nerves
72
resposible for flexion of the shoulder joint?
Anterior deltoid, corachobracialis
73
responsible for extension of the shoulder joint?
posterior deltoid, teres major, pectoralis major
74
adduction of the shoulder
pectoralis major
75
Abduction of the shoulder
middle part of deltoid
76
internal rotation of shoulder
subscapularis, teres major, pectoralis major
77
external rotation of the shoulder
infraspinatous, teres major
78
the front of the arm contains...
flexors
79
the back of the arm contains
extensors
80
name the 3 muscles in the anterior compartment of the arm
1. bicep Brachii 2. corachobracialis 3. brachialis
81
where does the long head of the bicep originate
supraglenoid tubercule
82
where does the common tendon of the bicep brachii insert
the tuberosity of the radius
83
the origin of the short head of the bicep is
the coracoid process
84
what is the action of the bicep brachii
- supinator of the radioulnar joint | - flexes the shoulder and elbow joint
85
what nerve supplies the Bicep brachii
the musculocutaneous
86
what is the origin of the coracobrachialis
the coracoid process
87
what is the action of the coracobrachialis
flexion of the arm at the shouldre joint
88
corachobrachialis is supplied by...
the musculocutaenous
89
the origin of the brachialis is...
the shaft of the hummerus
90
insertion of the brachialis is the....
coronoid process of the ulna
91
what nerve supplies the brachialis
the musculocutaneous nerve
92
where does the brachial artery divide
at the radial neck
93
what does the brachial artery give rise to
the radial aretery and the ulnar artery
94
what is the course of the median nerve
it descends laterally to the axillary artery and upper part of brachial artery the nerve crosses the brachial artery and runs medially along it to the cubital fossa
95
what is supplied by the median nerve
the flexors of the forearm | excluding the FDP and FCU
96
what compartment of the arm is the ulnar nerve found
the posterior comparment through an intermuscular septum
97
where does the ulnar nerve innervate
musceles of the hand and the FDP and FCU
98
what are the borders of the cubital fossa
base- line between 2 epicondyles medial border- lateral boders of pronator teres lateral border- brachioradialis
99
contents of the cubital fossa
brachial artery radial nerve median nerve bicep tendon
100
what is the muscle found in the posterior arm
tricep
101
where is the origin of the long head of the tricep
infraglenoid tubercule
102
where is the common tendon of the tricep inserted
the olecranon of the ulna
103
what is the action of the tricep?
extension of the elbow
104
what is the nerve supply of the tricep
the radial nerve
105
what is the radial nerve a branch of
the posterior cord
106
what does the radial nerve innervate
the extensor muscles of wrist and elbow
107
the radial nerve is most suceptible to damage where
the radial groove
108
what is the root value of the radial nerve
C5-T1
109
what is characterisitc of a radial nerve injury
wrist drop
110
what type of joint is the elbow joint
synovial hinge joint
111
what movement is there at elbow joint
flexion and extension
112
what is the function of the annular ligament
hold the head of the radius
113
what are the ligaments of the elbow
ulnar collateral ligament and radial collateral ligament
114
what are the flexors of the elbow joint?
brachialis bicep brachiii brachoradialis
115
what are the extensors of the elbow joint
tricep of brachii | anoconeus
116
what kind of joint is the radio-ulnar joint
pivot synovial joint
117
what is the movement of the radio-ulnar joint?
supination and pronation
118
what muscles are responsible for supination?
supinator and bicep brachii
119
what muscles are responsible for pronation?
pronator quadratus and pronator teres
120
what are the muscles in the superficial group of the anterior forearm
pronator teres Flexor carpi ulnaris palmaris longus flexor carpi radialis
121
what are the muscles of the anterior forearm supplied by
the median nerve and the ulnar nerve (FDP, FCU)
122
the muscles of the intermediate group of the forearm?
flexordigitorum superficialis
123
the muscles of the deep group of the forearm are...
Flexor digitorum profundus flexor pollicus longus pronator quadratus
124
what is the action of the flexor carpi ulnaris?
flexes the wrist and adducts the wrist
125
what is the action of the flexor carpi radialis
flexes the wrist and abducts the wrist
126
where does the FDS insert?
To the MP joints and The IP joints
127
what is the action of the FDP?
flexes the wrist and all of the joints of the fingers
128
what is the action of the flexor policus longus
to flex the thumb
129
what is the carpal tunnel
a passageway deep to the flexor retinaculum between the scaphoid and trapezium (laterally) and the pisiform and hamate (medially )
130
what passes through the carpal tunnel
Tendon of FDP, Tendon of FDS, tendon of flexor pollicus longus and median nerve
131
the palmar apenurosis is a continuation of what
palmaris longus