ANATOMY PEARLS Flashcards
Upper Brachial Plexus Injury
C5 & C6; SHOULDER DYSTOCIA; LATERAL loss of sensation (SHOULDER & THUMB)
Lower Brachial Plexus Injury
C8 & T1; ULNAR and MEDIAN nerve damage; MEDIAL loss of sensation (HYPOTHENAR & LITTLE FINGER)
Erb- Duchenne’s Syndrome
C5 & C6; PROXIMAL muscles; WAITER’s TIP; LATERAL altered sensation (FOREARM, THUMB & INDEX)
Klumpke’s Paralysis
C8 & T1; DISTAL muscles; APE HAND and CLAW HAND; MEDIAL altered sensation (HAND, RING & LITTLE)
Muscles of Shoulder
Supraspinatus, Infraspinatus, Teres Minor, Subscapularis, Deltoid Teres Major
Sumarize Shoulder Muscles and their Actions
Supraspinatus & Teres Major (ABDUCTORS); Infraspinatus & Teres Minor (LATERAL ROTATORS); Subscapularis & Teres Major (MEDIAL ROTATORS)
Axillary Nerve Innervation
DELTOID and TERES MINOR
Musculocutaneous Nerve Innervation
ANTERIOR/ FLEXOR COMPARTMENT of ARM
Radial Nerve Innervation
POSTERIOR/ EXTENSOR COMPARTMENT of ARM
Median Nerve Innervation
ANTERIOR/ FLEXOR COMPARTMENT of FOREARM EXCEPT FCU & FDP - ULNAR n
Ulnar Nerve Innervation
INTRINSIC MUSCLES of HAND
Surgical Neck Fracture
AXILLARY NERVE (posterior circumflex artery)
Midshaft/ Spiral Fracture
RADIAL NERVE (profunda brachial artery)
Supracondylar Fracture
MEDIAN NERVE
Medial Epicondyle Fracture
ULNAR NERVE
Cubital Fossa contents from Medial to Lateral
MEDIAN art, BRACHIAL art, BICEPS BRACHII tendon, RADIAL nerve
Rotator Cuff Muscles
SUPRASPINATUS, INFRASPINATUS, TERES MINOR, SUBSCAPULARIS; WEAKEST on INFERIOR, PRONE to DISLOCATION at ANTERIOR
Quadrangular Space
TERES MINOR (above), TERES MAJOR (below), LONG HEAD of TRICEPS BRACHII (medial), SURGICAL NECK of HUMERUS (lateral)
Contents of Quadrangular Space
AXILLARY NERVE (Circumflex Nerve), POSTERIOR CIRCUMFLEX HUMERAL VESSELS
Long Thoracic Nerve Lesion
SERRATUS ANTERIOR; WINGING of VERTEBRAL BORDER of scapula; WEAKNESS in PROTRACTION of SCAPULA, DIFFICULTY RAISING ARM ABOVE HEAD
First and last bone to ossify; Describe Shape
CLAVICLE; Medial 2/3 Convex Forward, Distal 1/3 Flattened
Injury upon fall on shoulder or outstretched hand
CLAVICULAR FRACTURE (MEDIAL ELEVATED by SCM, DISTAL DOWNWARD by GRAVITY & DELTOID)
Nerve Injury resulting from Clavicular Fracture
LOWER BRACHIAL PLEXUS INJURY (HEMORRHAGE from SUBCLAVIAN VEIN)
Anomaly in Femoral Head Dislocation
commonly POSTERIOR direction; thigh MEDIALLY ROTATED by GLUTEUS MEDIUS & GLUTEUS MINIMUS; SCIATIC NERVE COMPRESSION
Flexion of Hip Joint
ANTERIOR COMPARTMENT
Extension of Hip Joint
POSTERIOR COMPARTMENT & GLUTEUS MAXIMUS
Adduction of Hip Joint
MEDIAL COMPARTMENT
Abduction of Hip Joint
GLUTEUS MEDIUS & MINIMUS
Medial Rotation of Hip Joint
GLUTEUS MEDIUS & MINIMUS
Lateral Rotation of Hip Joint
PIRIFORMIS, OBTURATOR INTERNUS SUPERIOR & INFERIOR GEMELLI, QUADRATUS FEMORIS
Innervation of Anterior Compartment of Hip & Function
FEMORAL NERVE; FLEXION at THIGH, EXTENSION at KNEE
Innervation of Posterior Compartment of Hip & Function
SCIATIC NERVE; EXTENSION at THIGH, FLEXION at KNEE
Innervation of Medial Compartment of Hip & Function
OBTURATOR NERVE; ADDUCTION
Anterior Thigh Muscles
(PITS-Q) PECTINEUS, ILIOPSOAS, TENSOR FASCIA LATA, SARTORIUS, QUADRICEPS FEMORIS (Rectus Femoris, Vastus Lateralis, Vastus Medialis, Vastus Intermedius); FLEXOR at THIGH, EXTEND at LEG
Relation of Nerves to Psoas Muscle
All nerves are LATERAL of PSOAS EXCEPT GENITOFEMORAL (Anterior) & OBTURATOR (Medial)
Medial Thigh Muscles
“Bayag Lapit Masyado, Gosh!” adductor Brevis, adductor Longus, adductor Magnus, Gracilis; ADDUCTS THIGH
Posterior Thigh Muscles
Hamstrings (SEMITENDINOSUS, SEMIMEMBRANOSUS, BICEPS FEMORIS, ADDUCTOR MAGNUS)
Injury in Sciatic Nerve Lesions
L5 & S1 root compression
Injury in Femoral Nerve Lesions
WEAKNESS in FLEXING THIGH, EXTENDING KNEE; DIMINISHED PATELLAR TENDON REFLEX
Anomaly in Superior Gluteal Nerve Lesion Injury
WEAKENED ABDUCTION of THIGH; WADDLING GAIT; PELVIS SAG on unsupported limb; (+) TRENDELENBURG
Anomaly in Inferior Gluteal Nerve Lesion Injury
WEAKENED LATERAL ROTATION of THIGH; DIFFICULTY CLIMBING STAIRS or RISING from CHAIR; GLUTEUS MAXIMUS GAIT
Muscles that Medially Rotate Thigh
GLUTEUS MEDIUS & MINIMUS, TENSOR FASCIA LATA
Femoral Sheath
FEMORAL ARTERY (Lateral), FEMORAL VEIN (Intermmediate), FEMORAL CANAL (Medial)
Anterior Leg Muscles
TIBIALIS ANTERIOR, PERONIUS TERTIUS, EXT. DIGITORUM LONGUS, EXT. DIGITORUM BREVIS, EXT. HALLUCIS LONGUS; DEEP PERONEAL NERVE; DORSIFLEXION/ EXTENSION
Lateral Leg Muscles
PERONEUS LONGUS, PERONEUS BREVIS; SUPERFICIAL PERONEAL NERVE; PLANTARFLEXION & EVERTION
Posterior Leg Muscles
GASTROCNEMIUS, PLANTARIS, SOLEUS (SUPERFICIAL) POPLITEUS, FLEXOR DIGITORUM LONGUS, FLEXOR HALLUCIS LONGUS, TIBIALIS POSTERIOR; TIBIAL NERVE; PLANTAR FLEXION/ FLEXION
Injury in Tibial Nerve Lesions
CAN’T STAND on TIPTOES
Common Peroneal/ Fibular Nerve Lesions
MOST FREQUENTLY INJURED NERVE in LOWER LIMB; FOOT DROP; STEPPAGE GAIT; LATERAL LEG & DORSUM pain & paresthesia
Superficial Peroneal/ Fibular Nerve Lesions
DORSAL FOOT pain & paresthesia; WEAKNESS in FOOT EVERSION
Deep Peroneal/ Fibular Nerve Lesions
FOOT DROP; PARESTHESIA of WEBBED SPACE BETWEEN BIG TOE AND 2nd TOE
Medial/ Deltoid Ligament
LIMITS EVERSION
Lateral Ligament
LIMITS EXCESSIVE INVERSION
Attach to Anterior of Tibia coursing POSTERIORLY and EXTERNALLY attaching to lateral condyle of femur; prevents ANTERIOR sliding of TIBIA; limits HYPEREXTENSION
ANTERIOR CRUCIATE LIGAMENT/ “APEX” LIGAMENT
Attach to Posterior of Tibia coursing ANTERIORLY and INTERNALLY attaching to lateral condyle of femur; prevents POSTERIOR sliding of TIBIA; limits HYPERFLEXION
POSTERIOR CRUCIATE LIGAMENT/ “PAIN” LIGAMENT
Prevents ADDUCTION of LEG at KNEE
FIBULAR/ LATERAL COLLATERAL LIGAMENT
Prevents ABDUCTION of LEG at KNEE
TIBIAL/ MEDIAL COLLATERAL LIGAMENT
the TERRIBLE TRIAD
TIBIAL COLLATERAL LIGAMENT, MEDIAL MENISCUS & ANTERIOR CRUCIATE LIGAMENT (Blow to LATERAL of knee = Tibial Collateral & Medial Meniscus Injury; Blow to ANTERIOR of knee = ACL Injury only)
Muscles of Extension of Knee
QUADRICEPS (Femoral Nerve)
Muscles of Flexion of Knee
HAMSTRINGS (Sciatic Nerve)
Muscles of Lateral Rotation of Knee
BICEPS FEMORIS
Muscles of Medial Rotation of Knee
POPLITEUS, SEMITENDINOSUS, SEMIMEMBRANOSUS
Sharp, Stabbing pain at sensory branches of MAXILLARY or MANDIBULAR DIVISION
TRIGEMINAL NEURALGIA
Location of Pressure or interruption of the blood supply in Trigeminal Neuralgia
SEMILUNAR GANGLION/ TRIGEMINAL GANGLION
Trigeminal Nerve exits brain via
LATERAL SURFACE of PONS
3 Divisions of Trigeminal Nerve
OPHTHALMIC (Lacrimal, Supraorbital, Supratrochlear, Infratrochlear) MAXILLARY (Infraorbital & Zygomaticofacial) MANDIBULAR (Auriculotemporal, Buccal & Mental)