2 - Aldridge - Arm + Scapular Region Flashcards

1
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5
Q

Clinical presentation of damage to humerus (fracture) at midshaft?

What does it not affect?

A

Wrist Drop

Not significantly affect extension of arm at elbow joint

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6
Q

Cubital Fossa

Borders

Contents

A

Borders:

Horizontal - Medial / Lateral epicondyls of humerus

Lateral - Brachioradialis

Medial - Pronator teres

Contents:

  1. Biceps Brachii Tendon
  2. Brachial Artery
  3. Median Nerve

(TAN)

Site for stethoscope for blood pressure assessment

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7
Q

Venipuncture location?

What “protects” the arteries beneath?

A

Median Cubital Vein at Cubital Fossa

Bicipital Aponeurosis

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8
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11
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12
Q

Rotator Cuff muscles

A

Infraspinatus (greater tubercle)

Supraspinatus (greater tubercle)

Teres Minor (greater tuberlce)

Subscapularis (lesser tubercle)

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13
Q

Muscle that starts abduction?

A

Supraspinatus

0-15 degrees

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14
Q

Painful Arc Syndrome

A

Inflammation of subacromial bursa

70-120 degrees

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15
Q

Stages of Abduction of Arm

A

0-15

Supraspinatus

15-120

Deltoid

>90

Rotation of scapula by Serratus Anterior and Trapezius

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16
Q

Most commonly torn tendon of rotator cuff?

A

Supraspinatus Tendon

Can’t initiate abduction of arm, possible dislocation of glenohumeral joint

Calcium depositied in degenerative–eventually tear bursa, dumping down into joint cavity

17
Q

Quadrangle Space

A

Allows pasage of neurovascular supply from axilla to posterior scapular and arm regions

Contains:

Axillary Nerve

Posterior Circumflex Humeral Artery

18
Q

Damage to Axillary nerve?

A

Can be caused by break in head of humerus or dislocation of humerus

Results in weakends abduction of arm (15-120) and loss of cutaneous innervation to upper lateral arm

19
Q

Triangular Interval

A

Allows for passage of neurovascular supply from axilla to posterior scapular and arm regions

Contains:

Radial Nerve

Deep Brachial Artery

20
Q

Damage to radial nerve?

A

Can be caused by break in mid-shaft of humerus

Results in wrist drop and sensory loss of dorsum of hand

21
Q

Triangular Space

A

Passage for Circumflex Scapular Artery

22
Q

Anastomosis Around Shoulder Joint

A

Formed from branches of thyrocervical trunk of subclavian, uniting with subscapular branch of the 3rd part of axillary artery

Creates bypass for Axillary Artery

23
Q
A
24
Q

In the event subclavian is tied/torn/blocked, how does blood still reach the upper limb?

A

Suprascapular and transverse cervical arteries to the subscapular artery to enter axillary artery

25
Q

What area can ligations of the subclavian/axillary be made?

A

Anywhere between the thyrocervical trunk and subscapular artery

26
Q

Suprascapular Nerve

A

Branch of upper trunk (C5, C6)

Innervates supraspinatus / infraspinatus

27
Q
A