Anatomy Flashcards
In anterior cervical spine surgery, the sympathetic chain is most at risk with retraction of what muscle?
Injury to the sympathetic trunk most often occurs with over-retraction or transsection of the longus colli muscle. It is vulnerable at more caudal levels
C5 mucle(s)
deltoid, biceps
C5 sensory dermatome
superior shoulder and lateral upper arm
C5 reflex
biceps
C6 muscle(s)
brachioradialis and wrist extensors
C6 sensory dermatome
thumb and radial arm
C6 reflex
brachioradialis
C7 sensory dermatome
long finger
C7 muscle(s)
wrist flexors; triceps
C7 reflex
triceps
C8 dermatome sensory
paresthesias in ring and small
C8 muscle(s)
finger flexion/distal phalanx flexion (fine motor movement involving hand)
T1 sensory dermatome
axillary numbness
T1 muscle(s)
interossei
In the posterior approach to the humerus with the German modification, which nerve is first identified to assist the surgeon in identifying the radial nerve?
inferior lateral brachial cutaneous nerve
What thenar muscle is solely innervated by the median nerve distal to the carpal tunnel?
Abductor pollicis brevis (through the recurrent motor branch of the median nerve)
What is the innervation of abductor pollicis brevis?
recurrent motor branch of the medial nerve (distal to carpal tunnel
What are the two most common locations for sciatic nerve entrapment?
ischial tuberosity and piriformis
Which nerve can be trapped at Hunter’s canal?
Saphenous
Saphenous neuritis can be caused by compression at which site?
Hunter’s (adductor) canal
The lateral plantar nerve (Baxter’s Nerve) can be entrapped between which two muscles?
abductor hallucis longus and medial side of quadratus plantae
Abductor digiti quinti is innervated by what nerve?
The lateral plantar nerve (Baxter’s nerve)
What is the most common cause of medial plantar nerve compression?
Foot orthotics
Where is the site of compression in the medial plantar nerve entrapment?
Knot of Henry / crossing of FDL and FHL
What muscles make up the flexor-pronator muscle wad?
- FCU
- FCR
- FDS
- Palmaris longus
- Pronator teres
What is the blood supply of the medial epicondyle of the distal humerus?
anterior: inferior ulnar collateral artery
posterior: superior and inferior ulnar collateral artery
What is the main blood supply to the femoral head?
deep branch of the medial femoral circumflex artery
What is the innervation & nerve root of teres minor?
Axillary n; C5, C6
The rotator cuff muscles are innervated by which nerve root?
C5 (C6)
Claw hand is associated with which brachial plexus injury?
Lower (Klumpke’s) - C8, T1
The ulnar nerve is a branch off the […] cord of the brachial plexus
lateral
A medial femoral condyle (MFC) vascularized bone grafts supplied by the […] artery
longitudinal descending geniculate
The medial femoral trochlea vascularized bone graft is supplied by the […] artery
transverse branch of the descending geniculate
The first dorsal metacarpal artery (FDMA) arises from the […] artery
radial
Chronic nerve compression leads to […] cell proliferation and apoptosis
Schwann
During the regeneration process following a nerve transection, the […] segment undergoes Wallerian degeneration
distal
In functional recovery during nerve regeneration, […] activity is first to recover
sympathetic
In functional recovery during nerve regeneration, […] function is the first to be lost and the last to recover
motor
[…] nerve injury can be seen in an anterior shoulder dislocation
Axillary
Prominent pins through anterior ulnar cortex in tension band construct for olecranon fixation can cause an […] nerve palsy
AIN
Percutaneous plating of tibial fractures (holes 11-13) can cause a […] nerve palsy
superficial peroneal
The […] functions to cushion fascicles against external pressure
epineurium
The […] provides a connective tissue sheath around each nerve fascicle
perineurium
The […] provides extension of the blood-brain barrier in peripheral nerves
perineurium
The […] is a connective tissue covering individual fascicles
perineurium
The […] is the primary source of tensile strength and elasticity of a peripheral nerve
perineurium
The […] is a loose fibrous tissue covering axons
endoneurium
The […] participates in the formation of Schwann cell tube
endoneurium
Myelin is made by […] cells
Schwann
[…] insulates axons to increase conduction velocity
Myelin
The […] must be intact for full recovery of an injured peripheral nerve
endoneurium
Free fibula bone flap is based on […] artery pedicle
peroneal
Free iliac crest bone flap is based on […] vessels
deep circumflex iliac
In a latissimus dorsi myocutaneous flap, blood supply provided by perforators off of the […] artery
thoracodorsal
In a medial gastrocnemius flap, the pedicle is supplied by the […] artery
medial sural
A lateral gastrocnemius flap is supplied by the […] artery
lateral sural
A lateral arm flap is supplied by the […] artery
posterior radial collateral (branch of profunda brachii)
The gracilis is supplied by the […] nerve
anterior division of the obturator
A gracilis flap is supplied by the […] artery
branch of medial femoral circumflex
A groin flap is supplied by the […] artery
superficial circumflex iliac
A vascularized bone graft from the radius is supplied by the […] artery
1-2 intercompartmental superretinacular (branch of radial artery)
Which cord(s) of the brachial plexus make up the median nerve?
Lateral and medial
The median nerve travels between which muscles in the arm?
biceps brachii and brachialis
The median nerve enters antecubital fossa […] to the biceps tendon
medial
What is the innervation of pronator teres?
Median nerve
AIN travelsbetween […] and […] proximally
FDS; FDP
Distally, AIN travels between […] and […]
FPL and FDP
What is the innervation of pronator quadratus?
AIN
What is the sensory innervation to the radoiocarpal joint?
AIN
What is the sensory innervation to the DRUJ?
AIN
The palmar cutaneous branch of median nerve arises […] cm from the wrist crease
5
The […] nerve supplies sensation over the thenar eminence
palmar cutaneous branch of median
The palmar cutaneous branch of the median nerve lies between […] and […] at level of the wrist flexion crease
PL and FCR
What is the innervation of abductor pollicis brevis?
recurrent motor branch of median nerve
What is the innervation of opponens pollicis?
recurrent motor branch of median nerve
What is the innervation to superficial head of flexor pollicis brevis?
recurrent motor branch of median nerve
The recurrent motor branch of the median nerve is transligamentous in […] percent
20%
[…] anastomosis connects the deep branch of the ulnar nerve to the recurrent motor branch of the median nerve, may have preserved thenar strength and severe CTS
Riche-Cannieu
The […] is the most sensitive physical exam test to diagnose carpal tunnel syndrome
Durkan (carpal tunnel compression) test
A score greater than […] on the CTS-6 is indicative of 80% probability of CTS.
12
The ulnar nerve arises from the […] cord(s) of the brachial plexus
medial
The ulnar nerve lies […] to brachial artery in anterior compartment of upper arm
posteromedial
The ulnar nerve pierces IM septum at arcade of Struthers […] cm proximal to the medial epicondyle
8
The ulnar nerve is comprised on the […] nerve roots
C8, T1
The ulnar nerve runs between […] in the forearm.
FCU and FDP
The roof of the cubital tunnel is formed by […]
FCU fascia and Osborne’s ligament
The floor of the cubital tunnel is formed by the […] bands of the MCL and elbow capsule
posterior oblique and transverse bands
What is the innervation of deep head flexor pollicis brevis.
ulnar nerve
Fromet’s sign: compensates for the loss of metacarpal adduction from the […] muscle with compensatory thumb IP flexion by FPL in key pinch
adductor pollicis
What is the innervation of adductor pollicis?
ulnar nerve