Anatomy of UE Joints Flashcards

1
Q

What is the primary function of the elbow joint?

A

Work together with the shoulder to position the hand for functional activities

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2
Q

What is the cubital tunnel?

When is it at it’s great and least volume?

A

a fibro-osseus canal that contains the ulnar nerve

volume is greatest in extension and decreases roughly 55% as elbow is brought into flexion

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3
Q

What are the contents of the cubital fossa?

A
distal biceps tendon
median nerve
brachial artery
radial nerve
median cubital or intermediate cubital cutaneous vein
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4
Q

What is the arcade of frohse?

A

an inverted arch which represents the proximal border of the superficial head of the supinator through which the posterior interosseus nerve (major branch off radial) passes

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5
Q

Where is the radial tunnel/supinator canal located?

Which nerve passes through this canal?

A

located at the anterior aspect of the radius, 5 cm distal to the lateral epicondyle

posterior interosseus nerves passes through

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6
Q

What spinal nerves contribute to the ulnar nerve?

What is it’s path?

A

C8-T1

passes posterior to the medial epicondyle where it enters the cubital tunnel, leaves cubital tunnel and passes between the two heads of the FCU origin

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7
Q

What spinal nerves contribute to the radial nerve?

What is it’s path?

A

C5-T1

  • travels in the anterior distal arm between the brachialis and biceps medial and the brachioradialis, ECRL, and ECRB laterally
  • branches into posterior interosseus nerve and superficial sensory nerve joint before or just after the elbow joint
  • deep branch travels posterior to enter the radial/supinator tunnel, and then passes deep to the supinator at the arcade of frohse
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8
Q

What spinal nerves contribute to the median nerve?

What is it’s path?

A

C5-T1

  • travels medially down the upper arm across the anterior aspect of the elbow
  • as it passes through the cubital fossa and anterior interosseus nerve branches off as it passes through the two heads of the pronator teres
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9
Q

What is the role of the transverse retinacular ligament?

Where is the oblique retinacular ligament?

A

holds the extensor mechanism at the PIP joint

inserts on the distal phalanx along with the distal insertion of the extensor mechanism

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10
Q

What is the role of the pulley system for the fingers?

What ligaments make up this pulley system?

A

restrain the flexor tendons to prevent “bowstringing”

Annular ligaments which are straight and labeled from A1-A5 (A1 is most proximal) and cruciate ligaments which are crossed and labeled C1-C3 (C1 is most proximal)

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11
Q

What is the Volar Plate?

A

a strong capsuloligamentous ligament which protects the articular surface of the proximal PIP joint

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12
Q

What is the extensor hood?

A

a complex tendon which covers the dorsal aspect of the digits which allows the lumbricals to assisted with flexing the MCP joints and creates a cable system that extends the MCP and PIP joints

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13
Q

Which ligament are found in compartment 1 of the Extensor Retinaculum?

A

Extensor pollicis brevis

abductor pollicis longus

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14
Q

Which ligament are found in compartment 2 of the Extensor Retinaculum?

A

Extensor Carpi radial brevis

Extensor carpi radialis longus

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15
Q

Which ligament are found in compartment 3 of the Extensor Retinaculum?

A

extensor pollicis longus

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16
Q

Which ligament are found in compartment 4 of the Extensor Retinaculum?

A

extensor digitorum

extensor indicis

17
Q

Which ligament are found in compartment 5 of the Extensor Retinaculum?

A

extensor digiti minimi

18
Q

Which ligament are found in compartment 6 of the Extensor Retinaculum?

A

extensor carpi ulnaris

19
Q

What are the attachment sites for the flexor retinaculum?

What are the roles of the flexor retinaculum?

A

radial: trapezium and scaphoid
Ulnar: hook of the hamate and pisiform

  • maintains transverse carpal arch
  • attachment site for thenar and hypothenar muscles
  • acts as a restrain from bowstringing of the flexor tendons
  • protects median nerve
20
Q

What are the 6 components of the triangular fibrocartilage complex?

A
  • articular disc
  • dorsal radioulnar ligaments
  • volar radioulnar lig.
  • ulnar collateral lig.
  • ECU sheath
  • lunotriquetral lig
21
Q

What is the role of the triangular fibrocartilage complex?

A
  • improves joint congruency
  • cushion against compressive forces
  • TFCC transmits about 20% of the axial load from the hand to the forearm
22
Q

What muscles flex the wrist?

A

flexor carpi ulnaris and radialis

palmaris longus

23
Q

What muscles extend the wrist?

A

Extensor carpi radialis longus and brevis

extensor carpi ulnaris

24
Q

What are the volar extrinsic muscles of the UE?

A

flexor digitorum superficialis and profundus

25
Q

What are the dorsal extrinsic muscles of the UE?

A

extensor digitorum
extensor indicis
extensor digit minimi

26
Q

What are the muscles which move the thumb?

A

extensor pollicis longus and brevis
abductor pollicis longus
flexor pollicis longus

27
Q

What are the intrinsic hypothenar eminence muscles?

A

abductor digit minimi
flexor digit minimi
opponens digit minimi

28
Q

What are the intrinsic hand muscles?

A

interossei and lumbricals

29
Q

What are the intrinsic thenar eminence muscles?

A

abductor pollicis brevis
flexor pollicis brevis
opponens pollicis
adductor pollicis

30
Q

What nerves help innervate the skin and muscles of the hand?

A
  • radial nerve (posterior interosseous and recurrent branch)
  • ulnar nerve
  • median nerve (anterior interosseous and recurrent branch)
  • digital nerves (ulnar, radial, and median)
31
Q

What muscles does the ulnar nerve innervate?

A

hypothenar muscles
adductor pollicis (2 heads)
lumbricals 3 and 4
palmar and dorsal interossei muscles

32
Q

What muscles does the median nerve innervate?

A

thenar muscles

lumbricals 1 and 2