7: Contents Of Forearm Flashcards

1
Q

Anterior compartment
(Muscle actions & innervation)

A

Flexors and pronators are present in the anterior compartment, mainly supplied by the median nerve

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2
Q

Posterior compartment
(Muscle actions & innervation)

A

Extensors and supinatorsare present in the posterior compartment, supplied by the radial nerve

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3
Q

As the deep fascia is attached to bones and joints, usually infections are confined to the compartments, except ……..?

A

except that from the flexor compartment which is continuous with that of the palm through the carpal tunnel (canal), the infection can spread to the palm and vice versa

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4
Q

Neurovascular bundle is found in more than one place in the ….. compartment. It’s important when you operate in this area.

A

Anterior

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5
Q

Muscles of Anterior Compartment (superficial layer)

A

1- Pronator teres
2- Felxor carpi radialis
3- Palmaris longus
4- Flexor carpi ulnaris

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6
Q

Muscles of Anterior Compartment (intermediate layer)

A

Flexor digitorum superficialis

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7
Q

Muscles of Anterior Compartment (deep layer)

A

1- Flexor digitorum profundus
2- Flexor pollicis longus
3- Pronator quadratus

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8
Q

Muscles of Posterior Compartment (superficial)

A

1- brachioradialis
2- extensor carpi radialis longus
3- extensor carpi radialis brevis
4- extensor digitorum
5- Extensor digiti minimi
6- extensor carpi ulnaris
7- anconeus

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9
Q

Muscles of Posterior Compartment (deep)

A

1- supinator
2- Abductor pollicis longus
3- extensor pollicis longus
4- Extensor pollicis brevis
5- Extensor indicis

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10
Q

Pronator teres
A. Origin
B. Insertion
C. Action

A

A. humerus & ulna
B. middle of radius
C. pronates and flexes the forearm

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11
Q

Felxor carpi radialis
A. Origin
B. Insertion
C. Action

A

A. CFO (medial epicondyle)
B. second metacarpal
C. flexes and abducts the wrist joint

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12
Q

Palmaris longus
A. Origin
B. Insertion
C. Action

A

A. CFO (Medial epicondyle)
B. palmar aponeurosis
C. Not mentioned (absence in 10% of people)

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13
Q

Flexor carpi ulnaris
A. Origin
B. Insertion
C. Action

A

A. CFO & ulna
B. pisiform, hamate and 5th
metacarpal
C. flexes and adducts the wrist joint

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14
Q

Flexor digitorum superficialis
A. Origin
B. Insertion
C. Action

A

A. From humerus, ulna and radius
B. middle phalanges of medial four fingers
C. flexion of middle phalanges at PIP joints and at MCP joints

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15
Q

Flexor digitorum profundus
A. Origin
B. Insertion
C. Action

A

A. Ulna & interosseous membrane
B. bases of distal phalanges of 2 to 5 fingers
C. Flexes distal phalanges

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16
Q

Flexor pollicis longus
A. Origin
B. Insertion
C. Action

A

A. Anterior surfaces of radius & interosseous membrane
B. Base of distal phalanx of thumb
C. Flexes distal phalanx of thumb

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17
Q

Pronator quadratus
A. Origin
B. Insertion
C. Action

A

A. distal part of ulna
B. Distal part of radius
C. Binds radius and ulna and pronates the forearm

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18
Q

Brachioradialis
A. Origin
B. Insertion
C. Action

A

A. Lateral supracondylar ridge
B. Distal end of radius
C. Flexor of forearm especially when the forearm is in mid-prone position

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19
Q

Extensor carpi radialis longus
A. Origin
B. Insertion
C. Action

A

A. lateral supracondylar ridge
B. base of second metacarpal
C. extends and abducts wrist joint

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20
Q

Extensor carpi radialis brevis
A. Origin
B. Insertion
C. Action

A

A. CEO (lateral epicondyle)
B. base of 3rd metacarpal
C. extends and abducts wrist joint

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21
Q

Extensor digitorum
A. Origin
B. Insertion
C. Action

A

A. CEO (lateral epicondyle)
B. middle phalanges of medial for fingers
C. extends medial four fingers at MCP & IP’s joints

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22
Q

Extensor digiti minimi
A. Origin
B. Insertion
C. Action

A

A. CEO (lateral epicondyle)
B. 5th digit
C. similar to ED (extends at MCP and IP)

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23
Q

Extensor carpi ulnaris
A. Origin
B. Insertion
C. Action

A

A. CEO & posterior border of ulna
B. base of 5th MCP joint
C. extends and adducts the wrist joint

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24
Q

Anconeus
A. Origin
B. Insertion
C. Action

A

A. CEO
B. posterior surface of ulna
C. weak extensor of elbow

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25
Q

Supinator
A. Origin
B. Insertion
C. Action

A

A. CEO & ulna
B. proximal third of radius
C. supinates the forearm

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26
Q

Abductor pollicis longus
A. Origin
B. Insertion
C. Action

A

A. proximal parts of radius, ulna and interosseous membrane
B. base of first metacarpal
C. Abducts and extends the thumb

27
Q

Extensor pollicis longus
A. Origin
B. Insertion
C. Action

A

A. middle third of ulna and interosseous membrane
B. Base of distal phalanx of thumb
C. extends distal phalanx of thumb

28
Q

Extensor pollicis brevis
A. Origin
B. Insertion
C. Action

A

A. distal third of radius and interosseous membrane
B. Base of proximal phalanx of thumb
C. Extends proximal phalanx of thumb

29
Q

Extensor indicis
A. Origin
B. Insertion
C. Action

A

A. distal third of ulna and interosseous membrane
B. dorsal digital expansion of index finger
C. extends the second finger

30
Q

Chief gripping muscle

A

FDP (Flexor digitorum profundus )

31
Q

Anterior interosseous nerve is a branch of ..?

A

Median nerve

32
Q

What does the median nerve innervate in the forearm

A

flexor muscles innervated by the median nerve (except one and a half: FCU & FDP medial part)

33
Q

Posterior interosseous nerve is deep branch of …?

A

Radial nerve

34
Q

Muscles supplied by radial nerve?

A

Extensor carpi radialis longus & Brachioradialis (posterior compartment)

35
Q

Muscles supplied by posterior interosseous nerve (deep branch of radial)?

A

posterior compartment muscles except: Extensor carpi radialis longus & Brachioradialis

36
Q

Ulnar nerve supply?

A

1.5 muscles supplied by ulnar
1 = Flexor carpi ulnaris
0.5 = medial part of flexor digitorum profundus

37
Q

Deep fascial band on the back of the wrist which holds the extensor tendons is called

A

Extensor retinaculum

38
Q

Extensor retinaculum lateral & medial attachments

A

Laterally to inferior end of radius
Medially to styloid process of ulna, triquetral and pisiform

39
Q

Function of extensor retinaculum?

A

prevents bowstringing of tendons during extension of wrist

40
Q

six osseofascial compartment: mention tendons in each in order

A

1: abductor pollicis longus & extensor pollicis brevis
2: extensor carpi radialis (longus & brevis)
3: extensor pollicis longus
4: Extensor digitorum & extensor indicis
5: extensor digiti minimi
6: extensor carpi ulnaris

41
Q

Cubital fossa boundaries
A. Lateral
B. Medial
C. Base
D. Apex

A

A. Lateral = brachioradialis
B. Medial = pronator teres
C. Base = imaginary line passing through epicondyles
D. Meeting points of A & B

42
Q

Cubital fossa (roof & floor)

A

Roof = roof is formed by the skin, superficial & deep fascia + bicipital aponeurosis
Floor = brachialis and supinator

43
Q

contents of cubital fossa (medial to lateral side)

A

median nerve, termination of brachial artery, tendon of biceps, radial nerve

44
Q

Biceps reflex (tests what? How performed?)

A
  • Biceps reflex: a deep tendon reflex-elicited to test musculocutaneous nerve (C5, C6) or the same spinal cord segments
  • The examiner’s thumb is firmly placed on the biceps tendon and the reflex hammer is tapped at the base of the nail bed
    (Normal reflex is jerk-like flexion of elbow)
45
Q

Neurovascular Bundle (name 2 arteries, 2 veins & 3 nerves) of forearm

A

Artery = radial & ulnar
Vein = cephalic and basilic (superficial) & radial, ulnar, and interosseous veins (deep)
Nerve = median, ulnar, radial

46
Q

What interconnects the cephalic and basilic veins?

A

Median cubital veins

47
Q

What are perforating veins

A

communicate the superficial veins with the deep veins

48
Q

Deep veins proximally join the ….(a)…, which in turn join the …(b)… in the axilla

A

a = brachial vein
b = axillary vein

49
Q

Ulnar artery (branches? Supplies what?)

A
50
Q

Radial artery (branches? Supplies what?)

A
51
Q

Which artery gives a branch that enters the hand into the anatomical snuff box

A

Radial artery

52
Q

Which muscle is responsible for:
- flexion at PIP joint
- flexion at DIP joint

A

PIP = FDS (superficialis)
DIP = FDP (profundus)

53
Q

This muscle causes flexion at MCP joint

A

Flexor digitorum superficialis

54
Q

This muscle is absent in 10% of people

A

Palmaris longus

55
Q

1- main nerve of forearm ?
2- main nerve of hand ?

A

1- median nerve
2- ulnar nerve

56
Q

What happens in case of injury to: (name the deformity)
1- radial nerve?
2- ulnar nerve?
3- median nerve?

A

1- wrist drop
2- claw hand
3- ape hand

57
Q

Patient presented with pain over the lateral epicondyle which radiates over the posterior surface of forearm when open a door or lift a glass. what’s your diagnosis?

A

Tennis elbow/elbow tendinitis/tendinosis/lateral epicondylitis

58
Q

Causes of Tennis elbow

A
59
Q

In fractures of radius above insertion of pronator teres muscle, what’s the orientation of the proximal and distal fragments?

A
60
Q

In fractures of middle or distal radius that are distal to insertion of
pronator teres muscle what happens to proximal and distal fragments?

A
61
Q

What’s a common type of ulna fracture. What is seen on xray?

A
62
Q

Fractures of distal part of radius (mention two types)

A
  • distal part displaced dorsally = colles fracture (posterior)
  • distal part displaced ventrally = smiths fracture (anterior)
63
Q

Add mcqs ‼️

A