Anatomy Exam 2 Flashcards
superficial veins of upper limb
basillic- runs medially
cephalic- runs laterally
drain into axillary vein
connected by median cubital
lymphatics of axilla
humeral, pectoral, subscapular, central, apical
arteries of upper limb
subclavian artery arises from brachiocephalic trunk on right and directly from arch of the aorta
what does the subclavian artery become and when
becomes axillary artery at lateral border of 1st rib
first axillary artery branch
superior thoracic artery
second axillary artery branch
thoraco-acromial trunk
lateral thoracic artery
what does the thoraco-acromial trunk branch into
acromial, clavicular, deltoid, and pectoral branches
third axillary artery branch
subscapular artery
anterior humeral circumflex a.
posterior humeral circumflex a.
what does the subscapular artery branch into
thoracodorsal artery and circumflex scapular artery
musculocutaneous nerve
formed from lateral cord
c5-c7 ventral rami contributions
pierces through coracobrachialis m
major nerve of anterior arm
continues as lateral cutaneous nerve
innervates skin of lateral forearm
ulnar nerve
formed from medial cord
C8-T1 ventral rami contributions
located medial to brachial artery in arm
innervates nothing in arm
runs behind medial epicondyle
major nerve of hand
median nerve
Formed from 1/2 lateral cord and 1/2 medial cord
C6-T1 ventral rami contributions
passes medial to arm muscles
lateral to brachial artery proximally
distally crosses medial side of brachial artery
innervates nothing in arm
major nerve of anterior forearm
axillary nerve
formed from posterior cord
C5-C6 ventral rami contributions
circles behind humerus in quadrangular space with posterior circumflex humeral artery
inn. deltoid and teres minor
radial nerve
formed from posterior cord
C5-T1 ventral rami
passes posterior to humerus, travels with profunda brachii artery in radial groove, pair seen in triangular space
gives off cutaneous branches:
inferior lateral cutaneous nerve of arm
posterior cutaneous n of forearm
major nerve of posterior arm and forearm
dorsal scapular n
C5
passes posteriorly to reach and travel along the medial border of scapula
levator scapulae and rhomboids
long thoracic n
C5-C7
passes vertically down neck, through the axillary inlet, and down medial wall of axilla
runs with lateral thoracic artery
lies on superficial aspect of serratus anterior muscle
serratus anterior
suprascapular n
C5-C6
passes laterally through the posterior triangle of neck and through suprascapular notch/foramen to enter the posterior scapular region
supraspinatus
infraspinatus
N to subclavius
C5-C6
passes anteroinferiorly over the subclavian artery and vein
subclavius
lateral pectoral n
C5-C7
branches from lateral cord
pec major
medial pectoral n
C8-T1
branches from medial cord
pec major and minor
upper subscapular n
C5-C6
first branch off posterior
passes posteriorly to directly innervate subscapularis and teres major
thoracodorsal n
C6-C8
second branch posterior cord
runs inferolaterally along posterior axillary wall
close to thoracodorsal artery
from back to humerus
lower subscapular n
C5-C6
third branch off posterior
runs inferolaterally deep to subscapular a
innervates teres major and subscapularis
medial brachial cutaneous n
C8-T1
sensory to medial arm
second branch off medial cord
runs along medial side of axillary and branchial veins
medial antebrachial cutaneous n
C8-T1
sensory to medial forearm
third branch off medial cord
initially runs with ulnar nerve but pierces deep fascia with basilic vein and enters subcutaneous tissue
thoracic outlet syndrome
compression of subclavian artery and vein or brachial plexus
most commonly affects nerves
causes: trauma, anatomical defects, tumor, poor posture, pregnancy, repetitive arm mvmts
injury to upper plexus
C5-C6
result from excessive increase in angle between neck and shoulder
see effects in shoulder
injury to lower plexus
C8-T1
may occur when upper limb suddenly pulled superiorly
see effects in hand
2 compartments of arm muscles
anterior: flexors
posterior: extensors
biceps brachii
Origin: short head- coracoid process of scapula
long head: supraglenoid tubercle of scapula
Insertion: radial tuberosity and fascia of forearm via bicipital aponeurosis
Inn: musculocutaneous n
Action: supinates flexed forearm, flexes forearm when supine, short head resists dislocation
brachialis
Origin: distal half of anterior humerus
Insertion: coronoid process and ulnar tuberosity
Inn: musculocutaneous and radial n
Action: flexes forearm in all positions
coracobrachialis
Origin: coracoid process of scapula
Insertion: middle third of medial surface of humerus
Inn: musculocutaneous n
Action: flexes, adducts, and resists dislocation
triceps brachii
Origin: long head: infraglenoid tubercle of humerus
lateral head: posterior surface of humerus superior to radial groove
medial head: posterior surface of humerus inferior to radial groove
Insertion: olecranon process of ulna and fascia of forearm
Inn: radial n
Action: chief extensor of forearm, long head resists dislocation
anconeus muscle
triceps little helper
inn: radial n
actions: assists triceps in forearm extension, stabilizes elbow joint, may abduct during pronation
what action does C5 test
shoulder abduction
what action does C6 test
elbow flexion
testing biceps tendon
what action does C7 test
elbow extension
testing triceps tendon
the axillary artery becomes what and where
brachial artery at inferior border of teres major
what does the brachial artery branch into
radial and ulnar arteries
what are the branches of the brachial artery
- profunda brachii a
- radial collateral a
- middle collateral a - humeral nutrient a
- superior ulnar collateral a
- inferior ulna collateral a
- radial a
- ulnar artery
trapezius
Origin: nuchal ligament and spinous processes
Insertion: lateral 1/3 of clavicle, acromion, and spine of scapula
Inn: accessory n
Action: elevates, depresses, retracts, rotates glenoid cavity superiorly
latissimus dorsi
Origin: spinous processes, iliac crest, ribs
Insertion: bicipital groove
Inn: thoracodorsal n
Action: adducts, medially rotates, and extends humerus; pulls body toward arms during climbin
levator scapula
Origin: transverse processes of cervical spine
Insertion: superior portion of medial border of scapula
Inn: dorsal scapular n
Action: elevates scapula, rotates glenoid cavity inferiorly by rotating scapula
rhomboids (major and minor)
Origin: minor: nuchal ligament
major: spinous processes of thoracic spine
Insertion: minor: medial border of scapula
major: medial border of scapula
Inn: dorsal scapular n.
Action: retract scapula, rotate glenoid cavity inferiorly, fix scapula to thoracic wall
triangle of auscultation
latissimus dorsi, trapezius, rhomboid major
floor: 6th intercostal
respiratory sounds
lumbar triangle
iliac crest, lat, external oblique
floor: internal oblique
lumbar herniation