Anatomy: bones and muscles of the upper limb Flashcards

1
Q

Describe the arterial supply to the right upper limb

A

Brachiocephalic trunk

Right subclavian artery

Right axillary

Right brachial

Right radial/ulna

Digital arteries

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2
Q

Describe the arterial supply to the left upper limb

A

Left subclavian artery

Left axillary

Left brachial

Left radial/ulna

Digital arteries

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3
Q

At what point does the subclavian artery become the axillary artery?

A

The lateral border of the first rib

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4
Q

At what point does the axillary artery become the brachial artery?

A

The lower border of teres major

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5
Q

What travels in the intertubercular fossa?

A

The tendon of the long head of the biceps brachii

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6
Q

Which part of the clavicle is most likely to be fractured?

A

Middle 3rd

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7
Q

Which joint form the only attachment point between the upper limb and the axial skeleton?

A

Synovial sternocalvicular joint

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8
Q

Which nerve would be damaged in a midshaft humeral #?

What muscles does this innervate?

How would the patient present?

A

Radial nerve

Innervates extensors of the wrist

Patient may present with unopposed wrist flexion, ‘wrist drop’

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9
Q

Which nerve would be damaged in a surgical neck of humerus #?

What muscles does this innervate?

How would the patient present?

A

Axillary nerve

Innervates teres minor and deltoid muscles

Patient may present with loss of arm abduction

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10
Q

What structures from the coracoacromial arch?

A

Acromion

Deltoid fascia

Deltoid muscle

Coracoacromial ligament

Coracoid process

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11
Q

Which nerve is at risk of damage in a surgical neck of humerus #?

What does this nerve innervate?

Would would loss of innervation look like?

A

Axillary nerve

Innervates teres minor and deltoid muscles

Loss of arm abduction

Loss of sensation over regimental badge area

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12
Q

What structures pass near to/along the radial groove of the humerus?

A

Radial nerve

Deep brachial artery

At risk of damage in midshaft #

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13
Q

Which nerve is at risk of damage in a midshaft humeral #?

What does this nerve innervate?

Would would loss of innervation look like?

A

Radial nerve

Innervates extensors of the wrist

Loss of wrist extension, unopposed wrist flexion = wrist drop

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14
Q

Which nerve is most at risk of damage in shoulder dislocation?

A

Axillary nerve

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15
Q

Name the 4 rotator cuff muscles and their nerve supply

A

Supraspinatus
-suprascapular nerve

Infraspinatus
-suprascapular nerve

Teres minor
-axillary nerve

Subscapularis
-upper and lower subscapular nerve

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16
Q

Supraspinatus muscle innervation and action

A

Suprascapular nerve (C5,6)

Abduction of the arm (greater tubercle of humerus)

17
Q

Infraspinatus muscle innervation and action

A

Suprascapular nerve (C5,6)

Lateral rotation of the arm (middle point of greater tubercle)

18
Q

Teres minor innervation and action

A

Axillary nerve (C5,6)

Lateral rotation of the arm (inferior part of greater tubercle)

19
Q

Teres major innervation and action

A

Inferior subscapular nerve (C5,6,7)

Medial rotation and arm extension (intertubercular sulcus)

20
Q

Biceps brachii innervation and action

A

Musculocutaneous nerve

Forearm flexion

21
Q

Coracobrachialis innervation and action

A

Musculocutaneous nerve

Arm adduction

22
Q

Brachialis innervation and action

A

Musculocutaneous nerve

Elbow flexion

23
Q

What 3 muscles are in the anterior compartment of the arm?

What nerve supplies them?

What actions do the muscles bring about?

A

Long = short head of biceps
Coracobrachialis
Brachialis

Musculocutaneous nerve

Forearm suppination
Elbow and shoulder flexion

24
Q

What passes deep to the bicipital aponeurosis?

A

Medial nerve

Brachial artery

25
Q

What 3 things pass through the suprascapular foramen?

A

Suprascapular nerve, vein and artery

26
Q

Which nerves innervate the pectoralis major?

What is its action?

A

Medial and lateral pectoral nerves

Shoulder adduction and medial rotation

27
Q

Which nerve innervates the pectoralis minor?

Which ribs does it attach to? Where is its origin?

What is its action?

A

Medial pectoral nerve

Ribs 3-5
Coracoid process of scapula

Scapula depression and protraction