Upper Limb Flashcards

(290 cards)

1
Q

bony features of the anterior surface of scapula

A

coracoid process
sub scapular fossa
glenoid cavity

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

bony features of the posterior surface of scapula

A

supraspinous fossa
infraspinous fossa
spine of scapula
acromion

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

which muscles attach to the medial border of the scapula

A
anterior 
serratus anterior 
posterior
superior: levator scapulae 
middle (level of spine): rhomboid minor 
inferior: rhomboid major
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which muscle attaches to the inferior angle of the scapula

A

latissimus dorsi

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

which muscle attaches to the spine of scapula

A

trapezius

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

which muscle attaches to the acromion

A

deltoid

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

which muscles attach to the coracoid process

A

short head of biceps and coracobrachialis

pec minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what muscle attaches to the infraglenoid tubercle

A

long head triceps

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

where is the bicipital groove

A

between the greater and lesser tubercles

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

which muscles attach to the acromial end of clavicle

A

deltoid

trapezius

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

which muscle attaches to the central, inferior surface of clavicle

A

subclavius

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

which muscles attach to the sternal end of clavicle

A

pec major and sternocleidomastoid

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

attachments of pec major

A

clavicle, costal cartilage ribs 1-6 and sternum

TO outer lip bicipital groove

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

action of pec major

A

flexion and adduction of arm

medial rotation of humerus

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

innervation of pac major

A

medial (C8-T1) and lateral (C5-7) pectoral nerves from medial and lateral cords of brachial plexus

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

what is the general rule for the action of muscles in the upper limb

A
if it crosses the....
anterior surface it flexes 
posterior surface it extends 
medial surface it adducts 
lateral surface it abducts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

attachments ofpec minor

A

ribs 3/4/5

TO coracoid process of scapula

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

action of pec minor

A

pulls shoulder anterior and inferior

elevates ribs if shoulder fixed (tripod stance)

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

innervation of pec minor

A

medial pectoral nerve (C8-T1) from medial cord of BP

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

attachments of serratus anterior

A

outer surface of upper 8 ribs

TO medial border of scapula

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

action of serratus anterior

A

protraction of scapula

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

innervation of serratus anterior

A

long thoracic nerve (C5,6,7) of BP

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

attachments of trapezius

A

superior nuchal ling of occipital bone, nuchal ligament, spinous processes of C7-T12
TO lateral third of clavicle, acromion and spine of scapula

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

action of trapezius

A

superior part: elevates scapula, rotates glenoid cavity
middle fibres: retract scapula
superior fibres: depress scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
innervation of trapezius
sinal accessory nerve (CN XI) | cervical plexus C3,4 (pain)
26
attachments of latissimus dorsi
ilium, thoracolumbar fascia, spinous processes of lower 6 thoracic vertebrae TO floor of bicipital groove
27
action of latissimus dorsi
extension medial rotation and adduction of arm | climbing/pull ups
28
innervation of latissimus dorsi
thoracodorsal nerve from posterior cord of brachial plexus (C6-8)
29
attachments of levator scapulae
transverse processes of atlas and axis, 3/4 cervical vertebrae TO medial medial scapular border between superior angle and medial end of scapula spine
30
action of levator scapulae
help control scapular position, elevate shoulder (with trapezius) if shoulder fixed, can laterally flex neck to same side
31
innervation of levator scapulae
direct C3,45 via dorsal scapular nerve
32
attachments of rhomboid major
2-5 thoracic spines | TO medial border of scapula (spine to inferior angle)
33
attachments of rhomboid minor
nuchal ligament and C7-T1 spines | TO medial end of spine of scapula
34
action of rhomboids
retraction of scapula
35
innervation of rhomboids
dorsal scapular nerve (C4,5)
36
attachments of deltoid
lateral 1/3 scapula, acromion, spine of scapula | TO deltoid tuberosity of humerus
37
action of deltoid
anterior fibres: flexion and medial rotation posterior fibres: extension and lateral rotation middle fibres: abduction of arm from 10-110 degrees
38
innervation of deltoid
axillary nerve (C5-6) from posterior cord of BP
39
what is the name of the space between deltoid and pec major
delto-pectoral groove
40
which structure runs through the delta-pectoral groove
cephalic vein
41
attachments of tires major
lateral border of scapula (posterior, lower 1/3) | TO medial lip of bicipital groove
42
action of teres major
adduction and medial rotation of arm
43
innervation of teres major
sub scapular branch of posterior cord of BP (C5,6)
44
attachments of subclavius
sternal end of 1st rib | TO medial third of underside of clavicle
45
action of subclavius
draw down and slightly forwards during abduction
46
innervation of subclavius
nerve to subclavius C5,6
47
in which direction is dislocation of the shoulder most common and why
anteroinferior | no muscle in the underside of shoulder joint, so humeral head moves down and forward through the gap
48
attachments of subscapularis
sub scapular fossa | TO lesser tubercle of humerus
49
action of subscapularis
medial rotation of arm
50
innervation of subscapularis
upper and lower sub scapular nerves (C5,6,7) from posterior cord of BP
51
attachments of supraspinatus
supraspinous fossa | TO upper facet of greater tubercle
52
action of supraspinatus
abducts arm first 10-15 degrees
53
innervation of supraspinatus
supra scapular nerve (C5,6) from superior trunk of BP
54
attachment of infraspinatus
infraspinous fossa | TO middle facet of greater tubercle of humerus
55
action of infrapsinatus
lateral rotation of arm
56
innervation of infrapsinatus
suprascapular nerve (C5,6) from superior trunk of BP
57
attachment of teres minor
upper 2/3 of lateral border of scapula | TO lower facet of greater tubercle
58
action of teres minor
lateral rotation of arm
59
innervation of teres minor
axillary nerve (C5,6) branch of posterior cord of BP
60
which ligaments attach to the lesser tubercle of humerus
superior, middle and inferior glenohumeral ligaments
61
which ligament attaches to the greater tubercle of humerus
coracohumeral ligament
62
which ligament stretches between the greater and lesser tubercles
transverse humeral ligament
63
what is the function of the transverse humeral ligament
holds the biceps tendon in place
64
which ligaments are associated with the clavicle
``` acromioclavicular coracoclavicular Coraoacromial anterior and posterior sternoclavicular costoclavicular ```
65
what are the borders of the quadrangular space
superior: teres minor inferior: teres major lateral: humerus medial: long head biceps
66
what passes through the quadrangular space
axillary nerve | posterior circumflex humeral artery
67
borders of the triangular space
base: teres major medial: long head biceps lateral: humerus
68
what passes through the triangular space
radial nerve and profunda brachii artery
69
anterior boundaries of axilla
pec major and minor subclavius fascia
70
floor of axilla
skin and arm/thoracic wall
71
roof of axilla
rib 1 clavicle scapula
72
posterior wall of axilla
subscapularis teres major latissimus dorsi long head triceps
73
lateral wall of axilla
humerus
74
medial wall of axilla
serrates anterior and wall of thorax
75
what are the contents of the axilla
vessels, nerves, lymphatics of upper limb short head of biceps and coracobrachialis adipose tissue
76
what is the most anterior of the major vessels of axilla
axillary vein
77
when does the axillary vein become the axillary vein
at the lower margin of teres major | basilic vein --> axillary vein
78
when does the axillary vein transition to the subclavian vein
lateral border of rib 1
79
the axillary artery is a branch of which artery
subclavian
80
at which point does the axillary artery transition to the brachial artery
inferior margin of teres major
81
where is the 1st part of the axillary nerve in relation to pec minor
proximal to pec minor
82
what is the name of the branch arising from the 1st part of axillary artery
superior thoracic artery
83
where is the 2nd part of axillary nerve in relation to pec minor
deep to pec minor
84
which branches arise from 2nd part of axillary artery
thoracoacromial | lateral thoracic
85
where is the 3rd part of axillary artery in relation to pec minor
distal to pec minor
86
which branches arise from the 3rd part of axillary artery
anterior and posterior circumflex arteries | subscapular artery
87
which nodes in the axilla drain lymph from the upper limb
humeral nodes
88
which nodes in the axilla drain lymph from the thorax and breast tissue
pectoral
89
where are the humeral nodes
posterior to axillary vein
90
where are the pectoral nodes
inferior margin of pec minor
91
subscapular nodes drain which structures
back, shoulder, neck
92
where are the subscapular nodes
posterior axillary wall
93
where are the apical nodes
superior margin of pec minor
94
which nerve roots make up the brachial plexus
anterior rami of C5-T1
95
sympathetic contribution to brachial plexus
grey rami communicantes (post-ganglionic sympathetic fibres)
96
between which muscles do the roots of the brachial plexus pass
between anterior and mid scalene muscles
97
trunks of brachial plexus
superior trunk = C5,6 middle trunk = C7 inferior trunk = C8,T1
98
which nerves are branches of the roots of the brachial plexus
contribution to phrenic nerve (C5) | C5-7 long thoracic nerve
99
what muscle does the long thoracic nerve innervate
serratus anterior
100
which is the trunk to have branches off it
superior trunk
101
what are the branches of the superior trunk
suprascapular nerve | nerve to subclavius
102
what does the supra scapular nerve innervate
infraspinatus and supraspinatus
103
what does nerve to subclavius innervate
subclavius
104
what are the division of the brachial plexus
each trunk splits into an anterior and posterior division
105
how do the divisions combine
all the posterior division combine to form the posterior cord the anterior divisions of the middle and superior trunks combine to form the lateral cord the anterior division of the inferior trunk continues alone to form the medial cord
106
the anterior divisions are associated with which compartments of the upper limb
anterior compartments of arm and forearm | flexors
107
the posterior divisions are associated with which compartments of the upper limb
posterior compartments of arm and forearm | extensors
108
which structures are cords named in relation to
axillary artery | eg medial, lateral or posterior to axillary artery
109
which fibres are present in the lateral cord
C5-7
110
which nerve arises from the lateral cord
lateral pectoral nerve
111
the posterior cord contains which nerve roots
C5-T1
112
which peripheral nerves arise from the posterior cord
subscapular and thoracodorsal nerves
113
which roots are present in the medial cord
C8-T1
114
which peripheral nerves arise from the medial cord
medial pectoral nerve | medial cutaneous nerves
115
which branches arise from the lateral cord
musculocutaneous | lateral root of median
116
which branches arise from posterior cord
axillary and martial
117
which branches arise from the medial cord
ulnar and medial root of median
118
which group of muscles are contained in the anterior compartment of the arm
flexors of arm and elbow
119
which nerve innervates the anterior compartment of the arm
musculocutaneous nerve (C5-6)
120
what are the muscles of the anterio compartment of the arm
biceps brachii coracobrachialis brachialis
121
attachments of biceps brachia
long head = supraglenoif fossa of scapula short head = coracoid process common insertion into radial tuberosity
122
where is the bicipital aponeurosis
distal attachment in the cubital fossa
123
what are the actions of biceps brachia
supination (most powerful supinator) flexion of elbow weak flexion of shoulder
124
attachments of coracobrachialis
coracoid process to medial mid-shaft of humerus
125
actions of coracobrachialis
flexion of arm | assists adduction
126
innervation of coracobrachialis
musculocutnaeous nerve (C5,6,7)
127
which nerve pierces the surface of coracobrachialis
musculocutaneous nerve
128
attachments of brachialis
distal half of anterior surface of humerus to ulnar tuberosity and coronoid process
129
action of brachialis
flexion of elbow
130
innervation of brachialis
``` musculocutaneous nerve (C5,6) small contribution from lateral fibres of radial nerve (C7) ```
131
muscles of the posterior compartment of the arm
triceps brachii
132
attachments of triceps brachii
long head: infraglenoid tubercle medial head: posterior surface of humeral shaft, inferior to radial groove lateral head: posterior surface of humeral shaft, superior to radial groove common insertion: olecranon of ulna
133
action of triceps
elbow extension
134
innervation of triceps
radial nerve (C6-8)
135
the brachial artery is a continuation of...
axillary artery
136
when does the axillary artery transition to brachial artery
after passing teres major
137
what is the first branch of brachial artery
profunda brachii | deep brachial
138
which space does the profucda brachii pass through
triangular space to reach posterior compartment
139
what is the terminal branch of profound brachii
radial collateral artery
140
which artery do the superior and inferior ulnar collateral arteries arise from
brachial artery
141
what are the terminal bracnhes of the brachial artery
ulnar and radial arteries
142
what are the borders of the cubital fossa
lateral: brachioradialis medial: pronator teres roof: skin, fascia, bicipital aponeurosis floor: brachialis
143
how do the cephalic and basilic veins communicate
via the median cubital vein
144
describe the course of the cephalic vein from the cubital fossa
stays superficial, runs through the deltopectoral groove before piercing the clavipectoral fascia to reach the axillary vein
145
describe the course of the basilic vein
goes deeper and follows the brachial artery to become the axillary vein
146
branches of which nerve run alongside the basilic vein
medial cutaneous nerve from medial cord of BP
147
branches of which nerve run alongside the cephalic vein
lateral cutaneous nerve from lateral cord of BP
148
lateral cutaneous nerve is the terminal branch of which BP branch
musculocutaneous nerve
149
from medial to lateral, what are the contents of the cubital fossa
median nerve bifurcation of brachial artery tendon of biceps
150
the radial recurrent and anterior ulnar recurrent arteries are branches of which arteries and what do they contribute to
radial and ulnar arteries respectively | elbow anastomosis
151
which branches of the ulnar artery supply deep structures of the forearm
common interosseous, which splits into anterior and posterior
152
what is the function of the intermuscular septa
separate the muscles into compartments
153
which structures are associate with the medial inter muscular septum of the arm
median nerve and basilic vein
154
which structures are associated with the lateral inter muscular septum of the arm
radial nerve and deep brachial artery
155
which bony feature is closely associated with the ulnar nerve
medial epicondyle
156
which bony features is closely associated with the axillary nerve
head of humerus
157
which bony feature is closely associated with the radial nerve
radial groove of humerus
158
where is the common extensor origin | extensors of forearm
lateral epicondyle
159
where is the common flexor origin | flexors of forearm
medial epicondyle
160
main actions of the anterior compartment of the forearm
flexion of the wrist and digits | pronation of the forearm
161
what is the main nerve of the anterior compartment of the forearm
median nerve
162
which muscles are not innervated by the median nerve in the anterior compartment, and are innervated by which nerve
flexor carpi ulnaris and medial half of flexor digitorum profundus ULNAR NERVE
163
which is the most superficial muscle of the anterior compartment of the forearm
palmaris longus
164
attachments of palmaris longs
medial epicondyle to palmar fascia/aponeurosis
165
what is the action of palmaris longs
tighten fascia and aid in wrist flexion
166
innervation of palmaris longs
median nerve (C7,8)
167
attachments of the pronator trees
medial epicondyle of humerus and coronoid process of ulna to lateral surface of radius
168
action of pronator teres
pronation | assists in elbow flexion
169
innervation of pronator teres
median nerve (C6,7)
170
which muscle makes up the medial boundary of the cubital fossa
pronator teres
171
attachments of flexor carpi ulnaris
medial epicondyle to base of pisiform, hamate and 5th metacarpal
172
attachments of flexor carpi radialis
medial epicondyle to base of 2nd metacarpal
173
action of flexor carpi ulnaris
flexion and adduction of wrist
174
action of flexor carpi radialis
flexion and abduction of wrist
175
innervation of flexor carpi ulnaris
ulnar nerve (C7,8)
176
innervation of flexor carpi radialis
median nerve (C6,7)
177
attachments of flexor digitorum superficialis
medial epicondyle and coronoid process of ulna to middle phalanges (lateral) of digits 2-5
178
action of flexor digitorum superficialis
flexion of MCP, PIP, wrist and (elbow) joints
179
innervation of flexor digitorum superficialis
median nerve (C7,8, T1)
180
attachments of flexor digitorum profundus
ulna and interosseous membrane to distal phalanges of digits 2-5 (palmar)
181
action of flexor digitorum profundus
flexion of MCP, PIP, DIP, wrist
182
innervation of flexor digitorum profundus
medial half: ulnar nerve (C8-T1) | lateral half: median nerve (C8-T1 - anterior interosseous branch)
183
attachments of flexor pollicis longus
radius and interosseous membrane of distal phalanx of thumb (palmar)
184
action of flexor pollicis longus
flexion of MCP and IP of thumb and wrist
185
innervation of flexor pollicis longus
median nerve (C8-T1 - anterior interosseous branch)
186
attachments of pronator quadratus
distal anterior ulna to distal anterior radius
187
action of pronator quadratus
pronation and helps to stabilise distal radioulnar joint
188
innervation of pronator quadrates
median nerve (C8,T1 - anterior interosseous branch)
189
where does the anterior interosseous artery run
in fascia anterior to interosseous membrane
190
roots of median nerve
C6-T1
191
through which structure foes the median nerve pass to enter the hand
carpal tunnel
192
which muscles does the median nerve pass between as it enters the forearm
pronator teres
193
which branch of median nerve supplies deeper muscles of forearm
anterior interosseous branch
194
which branch is given off the median nerve immediately before the carpal tunnel
palmar cutaneous branch
195
roots of ulnar nerve
C(7),8,T1
196
the ulnar artery is a branch of which artery
brachial
197
carpal bones
scaphoid, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, hamate
198
what forms the roof of the carpal tunnel
flexor retinaculum
199
what are the attachments of the flexor retinaculum
medial: pisiform, hook of hamate lateral: tubercle of scaphoid and ridge of trapezium
200
what are the contents of the carpal tunnel
long tendons for fingers and thumb - 4 tendons of flexor digitorum profundus and superficialis - flexor pollicis longus median nerve
201
where does tendon of flexor carpi radialis pass in the wrist
through a space between a septum trapezium
202
attachments of anconeus
lateral epicondyle to olecranon of ulna
203
action of anconeus
extension of elbow
204
innervation of anconeus
radial nerve (C7,8 - T1)
205
attachments of brachioradialis
distal humerus (supracondylar rage) to radius proximal to styloid process
206
action of brachioradialis
flexion of the elbow, especially when the forearm is in the semipro position
207
innervation of brachioradialis
radial nerve (C5,6,7)
208
what are the divisions of the radial Neve
``` deep branch (posterior interosseous) superficial ```
209
main actions of posterior compartment of the forearm
extension of digits and wrist, abduction of thumb, supination
210
innervation of posterior compartment of arm
radial nerve
211
attachments of extensor carpi radialis longus
supracondylar ridge to base of 2nd metacarpal
212
attachments of extensor carpi radialis brevis
lateral epicondyle of humerus to base of 3rd metacarpal
213
action of extensor carpi radialis longus/brevis
wrist extension and abduction
214
innervation of extensor carpi radialis longus
radial nerve C6,7
215
innervation of extensors carpi radialis braves
radial nerve (C7,8)
216
attachments of extensor carpi ulnaris
lateral epicondyle of humerus to base of 5th metacarpal
217
action of extensor carpi ulnaris
wrist extension and adduction
218
innervation of extensor carpi ulnaris
radial nerve (C7,8 - posterior interosseous)
219
attachments of extensor digitorum
lateral epicondyle of humerus to dorsal expansion of digits 2-5
220
action of extensor digitorum
extension of MCP mostly, also PIP and DIP of digits 2-5
221
what is the dorsal expansion
fascia, sheet of connective tissue
222
innervation of extensor digitorum
radial nerve C7,8 posterior interosseous
223
attachments of extensor digiti minimi
lateral epicondyle to dorsal expansion of 5th digit
224
action of extensor digiti minimi
extension of MCP, PIP and DIP of little finger
225
innervation of extensor digiti minimi
radial nerve C7,8 posterior interosseous
226
attachments of extenor indices
posterior surface of ulna (and interosseous membrane) to dorsal expansion of digit 2
227
action of extensor indicies
extension of MCP, PIP, DIP of index finger
228
innervation of extensor indices
radial nerve C7,8 posterior interosseous
229
attachments of extensor pollicis longus
ulnar and interosseous membrane to base of distal phalanx of thumb
230
action of extensor pollicis longus
extension of CMC, MCP and IP joints of thumb, wrist
231
innervation of extensor pollicis longus
radial nerve C7,8 posterior interosseous
232
attachments of extensor pollicis brevis
radius and interosseous membrane to base of proximal phalanx of thumb
233
action of extensor pollicis brevis
extension of CMC and MCP of thumb, wrist
234
innervation of extensor pollicis brevis
radial nerve C7,8 posterior interosseous
235
attachments of abductor pollicis longus
radius, interosseous membrane and ulna to base of 1st metacarpal
236
action of abductor pollicis longus
abducts thumb, extension at CMC joint, extension of wrist
237
innervation of abductor pollicis longus
radial nerve C7,8 posterior interosseous
238
attachments of supinator
crest of ulna, lateral epicondyle of humerus, radial collateral and annular ligament to lateral radius
239
action of supinator
supination of forearm
240
innervation of supinator
radial nerve C7,8 posterior interosseous branch
241
which muscles are innervated pre-division of the radial nerve
triceps, anconeous, brachioradialis, extensor carpi radialis ongus
242
what is the action of the dorsal interossei
abduction of digits
243
what are the boundaries of the anatomical snuff box
tendons of extensor pollicis longus, extensor pollicis brevis, abductor pollicis longus
244
what makes up the floor od then anatomical snug box
trapezium and scaphoid
245
which vessels run through the snuff box
radial artery (deep) superficial branch of radial nerve cephalic vein
246
what type of joints are present in the intercarpal joints
synovial plane
247
what type of joints are CMC joints
``` synovial saddle (thumb) synovial plane (digits) ```
248
what type of joints are MCPs
synovial condyloid
249
what type of joints are the PIPs and DIPs
synovial hinges
250
attachments of palmar is brevis
palmar aponeurosis and flexor retinaculum to dermis
251
action of palmaris brevis
grip
252
innervation of palmaris brevis
``` ulnar nerve (C8-T1) superficial branch ```
253
which muscles are found in the thenar eminence
abductor pollicis brevis flexor pollicis brevis opponens pollicis
254
attachments of abductor pollicis brevis
scaphoid and trapezium to base of proximal phalanx of thumb
255
action of abductor pollicis brevis
abduction of thumb CMC joint
256
innervation of abductor pollicis brevis
``` median nerve (C8-T1) recurrent branch ```
257
attachments of flexor pollicis brevis
flexor retinaculum, capitate, trapezium to base of proximal phalanx of thumb
258
action of flexor pollicis brevis
CMC joint flexion
259
innervation of flexor pollicis brevis
``` median nerver (C8-T1) recurrent branch ```
260
attachments of opponens pollicis
trapezium to first MC
261
action of opponens pollicis
opposition of CMC joint
262
innervation of opponens pollicis
``` median nerve (C8-T1) recurrent branch ```
263
what is the deepest muscle of the thenar eminence
opponens pollicis
264
attachments of adductor policies
transverse head from 3rd MC oblique head from capitate and 2nd/3rd MCs to base of proximal phalanx of thumb
265
action of adductor pollicis
adduction of CMC joint | flexion of MCP thumb
266
innervation of adductor pollicis
``` ulnar nerve (C8-T1) deep branch ```
267
muscles of hypthenar eminence
abductor digiti minimi flexor digiti minimi opponens digiti minimi
268
attachments of abductor digiti minimi
pisiform bone to base of 5th proximal phalanx and dorsal digital expansion
269
action of abductor digiti minimi
abduction and flexion of MCP of little finger
270
innervation of abductor digiti minimi
``` ulnar nerve (C8-T1) deep branch ```
271
attachments of flexor digiti minimi
hamate, flexor retinaculum to base of 5th MC
272
action of flexor digiti minimi
flexion of MCP of little finger
273
innervation of flexor digiti minimi
``` ulnar nerve (C8-T1) deep branch ```
274
attachments of opponens digiti minimi
hamate and flexor retinaculum to 5th MC
275
action of opponens digiti minimi
weak opposition of little finger
276
innervation of opponens digiti minimi
``` ulnar nerve (C8-T1) deep branch ```
277
attachments of lumbricals
tendon of flexor digitorum profundus to dorsal digital expansion
278
which lumbricals are unipennate/bipennate
``` unipennate = 1st and 2nd bipennate = 3rd and 4th ```
279
action of lumbricals
flexion of MCP joint | extension of IP joint
280
innervation of lumbricals
1st/2nd: median nerve (digital C8-T1) | 3rd/4th: ulnar nerve (deep C8-T1)
281
attachments of palmar interossei
1st: 2nd metacarpal to use of 2nd proximal phalanx and dorsal expansion 2nd: 4th MC to base of 4th proximal phalanx and dorsal expansion 3rd: 5th MC to base of 5th proximal phalanx and dorsal expansion
282
action of palmar interossei
adduction towards middle finger | flexes MCP, extends PIP
283
innervation of palmar interossei
ulnar nerve (deep C8-T1)
284
attachments of dorsal interossei
1st: 1st and 2nd MC to 2nd proximal phalanx and dorsal digital expansion 2nd: 2nd and 3rd MC to 3rd proximal phalanx and dorsal digital expansion 3rd: 3rd and 4th MC to 3rd proximal phalanx and dorsal digital expansion 4th: 4th and 5th MC to 4th proximal phalanx and dorsal digital expansion
285
action of dorsal interossei
abduction | MCP flexion, IP flexion
286
innervation of dorsal interossei
ulnar nerve | deep C8-T1
287
which artery supplies the majority of the deep palmar arch
ulnar artery
288
which artery supplies the majority of the superficial palmar arch
radial artery
289
course of digital branches of palmar arches
travel down lateral surfaces of digits
290
course of radial artery in the hand
passes along floor of snuffbox over scaphoid and trapezium into hand, passes between heads of adductor pollicis to anastomose with ulnar artery