Anatomy Flashcards
What innervates the flexor muscles of the forearm?
The median nerve
The deepest muscles of the forearm perform what motion?
Rotation (pronation/supination)
The brachial artery bifurcates into what two arteries?
Ulnar and radial arteries
Which artery provides most of the blow flow to the hand?
Ulnar
Which muscle allows the “hitch hiker” thumb?
Extensor pollicus longus
The extra tendons on the small and index fingers are always found where?
The ulnar side of their redundant tendons
What innervates the extensors of the forearm?
The radial nerve
Which carpals articulate with the radius?
Scaphoid and the lunate
Which carpals articulate with the thumb?
Trapezium
Which carpals articulate with the ulna?
None
What are you concerned about with a fall on an outstretched hand?
Scaphoid fracture
Which metacarpals are fixed?
first and second digits (index and middle finger)
Why are fingers mobile in extension and tight on flexion?
Collateral ligaments
- only true for joint between metacarpal and 1st phalynx
- ligament tension is equal in flexion and extension for proximal interphalangeal joint
What are the prime flexor of the hand (make a fist)
Interosseous muscles
What is the purpose of the palmar aponeurosis?
for non-slip power grip
What are the thenar muscles? (3)
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
What are the hypothenar muscles? (3)
Abductor Digiti Minimi
Flexor Digiti Minimi Brevis
Opponents Digiti Minimi
Which muscle is key for pinching?
Adductor Pollicis (along with 1st dorsal interosseus muscle); both controlled by ulnar nerve
Which is the last muscle innervated by the median nerve?
Opponens pollicis
Which is the last muscle innervated by the ulnar nerve?
Middle finger (wiggle side to side)
Ulnar nerve palsy
- can’t pinch thumb and forefinger together (atrophy of interosseus muscles)
- last two digits are clawed (not first 2 because median nerve are still intact)
Carpal Tunnel
median nerve is compressed
- atrophy of thenar muscles over time
- nighttime splinting is classic treatment
What is a dermatome?
the area of skin supplied by a cutaneous branches from a single spinal nerve
What is a myotome?
all muscles derived from one somite and innervated by one segmental spinal nerve
From superficial to deep, what muscles cover the occipital triangle? (3)
- trapezius
- splenius (capitus)
- semispinalis
What are the boundaries of the quadrangular space? (4)
- long head of triceps brachii (medial border)
- teres major (inferior border)
- teres minor (superior border)
- surgical neck of humerus (lateral border)
What comes through the quadrangular space? (2)
- the axillary nerve
- posterior circumflex humeral artery
What are some gross distinguishing features between arteries and nerves? (3)
- arteries always branch at right angles; nerves branch at acute angles
- if cut, arteries will have a lumen; nerves will not
- nerves will appear to have fibers running along their longitudinal surface; arteries will not
What are the boundaries of the triangular space? (4)
- teres minor (superior border)
- long head of triceps brachii (lateral border)
- teres major (inferior border)
What comes through the triangular space? (1)
circumflex scapular artery
What are the boundaries of the triangular interval? (3)
- teres major (superior border)
- lateral head of triceps brachii (lateral border)
- long head of triceps brachii (medial border)
What comes through the triangular interval? (2)
- radial nerve
- profunda(deep) brachii artery
What structures may also be injured with a fracture near the surgical neck? (2)
- axillary nerve
- posterior humoral circumflex artery
What structures may also be injured with a mid-shaft fracture of the humerus? (2)
- radial nerve
- deep brachial artery
What structure may also be injured with a supracondylar fracture of the humerus?
- median nerve
What structure may also be injured with medial epicondyle fracture?
- ulnar nerve
What are the boundaries of the triangle of auscultation? (3)
- rhomboid major
- trapezius
- latissimus dorsi
What are the boundaries of the lumbar triangle and what is the significance of the location?
- external abdominal oblique
- latissimus dorsi
- iliac crest
- location where hernias will present
What attaches to the lateral epicondyle?
the extensors and suppinators
What attaches to the medial epicondyle?
the flexors and pronators
What are the four branches of the thoracoacromial trunk?
- acromial
- pectoral
- clavicular
- deltoid
What muscles attach to the coracoid process? (3)
- short head of the biceps
- coracobrachialis
- pectoralis minor
What are the components of the femoral sheath, from lateral to medial? (4)
- femoral Nerve (actually outside)
- femoral Artery (lateral compartment)
- femoral Vein (middle compartment)
- Lymphatics (in femoral canal)
What are the boundaries of the femoral triangle?
- inguinal ligament
- sartorius (medial border)
- adductor longus (lateral border)
What are the short lateral rotators of the pelvis?
PGOGOQ
- piriformis
- geminal superior
- obturator externus
- geminal inferior
- obturator internus
What muscles make up the “true” hamstrings, from medial to lateral? (3)
Semimembranousus
Semitendinosus
Long head of the biceps femoris
What muscles insert at the Pes Anserinus, from anterior to posterior? (3)
- Sartorius
- Gracilis
- Semitendinosus
What does the sciatic nerve bifurcate into, and where does the split occur?
tibial nerve and fibular nerves, above the popliteal fossa
What is the innervation of the gluteus minimis, gluteus medius, and tensor fascia lata, and what function do they perform?
Superior Gluteal Nerve
Keep the pelvis level when the opposite foot is off the ground
What muscles are active when climbing stairs or rising from a sitting position?
Gluteus maximus (esp for sitting to rising), quadriceps femoris (esp for stairs)
What is the angle of inclination, and how does it change with age?
angle formed by the imaginary line from the head of the femur down the neck, and the shaft
- decreases with age (more acute): from 120 to 90 degrees
What makes up the Triceps Surae?
The two gastrocnemius muscles and the soleus, which all coalesce into the Achilles tendon
What are the P’s of compartment syndrome?
- persistent pain (earliest impt finding), esp with passive stretching of the muscle group
- paresthesia/anasthesia
- paresis/paralysis
- pressure
foot ambulation: what muscles “grip the surface”
intrinsics
foot ambulation: what muscle everts the foot
fibularis longus
foot ambulation: what muscle does “push off”
gastrocnemius and soleus
foot movement: wedge shape of talus allows (2)
easy dorsiflexion and tightens the ankle
common fibular nerve branches into (2)
circumscribes neck of fibula–>Deep and superficial fibular branches
all dorsum of foot innervated by
deep fibular nerve
what is “Intermittent claudication”
Block arteries (superficial femoral and popiteal arteries) and blood flow= lactic acid build up; restricts movement (limps)
locate: pedial pulse
dorsalis pedis artery:
lateral to EHL (extensor hallucis longus)
locate: “tarsal tunnel”
medial ankle: posterior to the medial malleolus.
holds posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscle
TDVNH
what innervates the Anterior compartment of the leg
Deep fibular nerve
what innervates the lateral compartment of the leg
Superficial fibular nerve
what innervates the posterior compartment of the leg
tibial nerve
What attaches at the supraglenoid tubercle?
Long head of biceps brachii
What attaches at the infraglenoid tubercle?
Long head of triceps brachii
Which ligament is injured with nursemaid’s elbow?
Annular ligament of radius
What is shin splints?
Very mild compartment syndrome of the anterior compartment
What is the “spring ligament”?
Plantar calcaneonavicular ligament
What is a bunion?
Bony deformity of the metatarsal/ phalangeal joint
The medial plantar nerve innervates?
Flexor hallucis brevis and abductor hallucis ________
Flexor Digitorum Brevis
Lumbrical of 2nd toe
Calcaneal (Achilles) tendon rupture
commonly distal
cannot plantar flex
Cast in plantar flex (toe point)
bleeding
Calcaneal tendonitis
inflammatory changes at heel
Painful walking
Gastrocnemius strain
overload, partial muscle rupture, hematoma, can lead to compartment syndrome
The fourth layer on the sole of the foot contains what muscles? (2)
- Dorsal Interossei
2. Plantar Interosseus Muscles
Where do the major nerves and blood vessels run on the sole of the foot?
Between the first and second layers of muscle.
What are the names of the major nerves and arteries in the plantar region of the foot? (4)
Medial and Lateral Plantar Nerves
Medial and Lateral Plantar Arteries
ankle joint for eversion/inversion
subtalar joint
The first layer on the sole of the foot contains what muscles? (3)
- Flexor Digitorum Brevis
- Abductor Digiti Minimi
- Abductor Hallucis
The second layer on the sole of the foot contains what muscles? (4)
- Quadratus Plantae
- Lumbricals
- Flexor Hallucis Longus (Tendon)
- Flexor Digitorum Longus
The third layer on the sole of the foot contains what muscles? (4)
- Adductor Hallucis – Oblique Head
- Adductor Hallucis – Transverse Head
- Flexor Hallucis Brevis
- Flexor Digiti Minimi Brevis