Anatomy: Upper Limb (Clinical) Flashcards
what provides the nerve supply to the upper limbs?
the brachial plexus
what forms the brachial plexus?
anterior rami of C5-T1 spinal nerves
what are the roots of the brachial plexus?
anterior rami of C5-T1
what do the roots of the brachial plexus form?
the trunks
what are the three trunks of the brachial plexus?
superior
middle
inferior
what do the trunks of the brachial plexus give rise to?
the divisions - each gives an anterior and posterior division
what forms the superior trunk of the brachial plexus?
combined anterior rami of C5 and C6
what forms the middle trunk of the brachial plexus?
anterior ramus of C7
what forms the inferior trunk of the brachial plexus?
combined anterior rami of C8 and T1 spinal nerves
what do the divisions of the brachial plexus form?
the cords
what are the cords of the brachial plexus named after?
their relationship to the axillary artery
what are the three cords of the brachial plexus?
medial
lateral
posterior
what forms the medial cord of the brachial plexus?
anterior division of the inferior trunk
what forms the lateral cord of the brachial plexus?
anterior divisions of the superior and middle trunks
what forms the posterior cord of the brachial plexus?
the posterior divisions of all three trunks
what forms the named nerves of the brachial plexus?
the cords
what are the five named nerves of the brachial plexus?
ulnar musculocutaneous axillary radial median
what forms the musculocutaneous nerve?
lateral cord
what forms the ulnar nerve?
medial cord
what are the two divisions of the posterior cord of the brachial plexus?
axillary nerve
radial nerve
what forms the median nerve?
medial and lateral cords
what makes up the blood supply to the anterior arm?
brachial artery
brachial vein
what makes up the blood supply to the posterior arm?
profunda brachii artery + vein
ulnar collateral artery
what makes up the blood supply to the anterior forearm?
radial and ulnar arteries
venae comitantes
what makes up the blood supply to the posterior forearm?
interosseous artery
venae comitantes
what nerve supplies the anterior arm?
musculocutaneous
what nerve supplies the posterior arm?
radial
what nerve supplies the anterior forearm?
median
ulnar
what nerve supplies the posterior forearm?
radial
what nerve supplies the hand?
ulnar
median
what movement of the arm does teres minor allow?
lateral rotation
what movement of the arm does the deltoid allow?
abduction
how can C5 nerve root dysfunction be ruled out?
by testing the function of the suprascapular nerve
how does the radial nerve pass around the humerus?
in the radial groove
with the profunda brachii artery
what are the two branches of the radial nerve?
superficial branch (sensory) posterior interosseous nerve (motor)
what 5 muscles are innervated by the radial nerve?
triceps brachii brachioradialis extensor carpi radialis longus extensor carpi radialis brevis supinator
if a muscle in the posterior compartment of the forearm is not supplied by the radial nerve, what supplies it?
the posterior interosseous nerve
what muscles of the forearm are supplied by the median nerve?
all
except flexor carpi ulnaris and ulnar half of FDP
what muscles in the hand does the median nerve supply?
LOAF
first two Lumbricals
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis
what muscles make up the thenar eminence?
flexor pollicis brevis
abductor pollicis brevis
opponens pollicis
what nerve innervates the thenar eminence?
recurrent branch of the median nerve
where does pronation and supination of the forearms occur?
proximal and distal radioulnar joints
what three main factors stabilise joints?
congruency of articulating bones
ligaments
muscle tone
what is subluxation?
partial dislocation - articular surfaces are displaced but still overlap
what is the definition of a dislocation?
articular surfaces do not overlap at all
what is another name for the lateral collateral ligament of the elbow?
the radial collateral ligament
where does the radial colateral ligament attach?
lateral epicondyle of the humerus
annular ligament
what is the role of the annular ligament?
stabilises the proximal radioulnar joint by holding the radius against the radial notch of the ulna
what nerve innervates trapezius?
CN XI
what nerve innervates latissimus dorsi?
thoracodorsal nerve
what nerve innervates rhomboid minor + major?
dorsal scapular nerve
what nerve innervates pectoralis major?
medial + lateral pectoral nerves
what nerve innervates pectoralis minor?
medial pectoral nerve
what nerve innervates serratus anterior?
long thoracic nerve
what nerve innervates levator scapulae?
dorsal scapular nerve
what nerve innervates deltoid?
axillary nerve
what nerve innervates teres major?
lower subscapular nerve
where are the rotator cuff muscles found?
anterior, superior and posterior to the shoulder joint
what is the role of the rotator cuff muscles?
hold the humerus in the glenoid fossa
what are the four rotator cuff muscles?
supraspinatus
infraspinatus
teres minor
subscapularis
where do the muscles of the rotator cuff insert?
subscapularis = lesser tuberosity of the humerus
all others = greater tuberosity
what are the two compartments of the arm?
anterior
posterior
what are the three compartments of the forearm?
anterior
posterior
lateral
what is the arterial supply of the anterior arm?
brachial artery
what is the venous supply of the anterior arm?
brachial vein
what is the nerve supply of the anterior arm?
musculocutaneous nerve
what is the arterial supply of the posterior arm?
profunda brachii
ulnar collateral artery
what is the venous supply of the posterior arm?
profunda brachii
what is the nerve supply of the posterior arm?
radial nerve
what is the arterial supply of the anterior forearm?
radial and ulnar arteries
what is the venous supply of the anterior forearm?
venae comitantes
what is the nerve supply of the anterior forearm?
median + ulnar nerves
what is the arterial supply of the posterior forearm?
interosseous artery
what is the venous supply of the posterior forearm?
venae comitantes
what is the nerve supply of the posterior forearm?
radial nerve
what is the arterial supply of the hand?
deep and superficial palmar arches
what is the nerve supply of the hand?
ulnar and median nerves
what muscles make up the anterior compartment of the arm?
biceps brachii
brachialis
coracobrachialis
what are the actions of the anterior compartment of the arm?
flexion of the arm and forearm
biceps brachii supinates the forearm
what muscles make up the posterior compartment of the arm?
triceps brachii
what are the actions of the posterior compartment of the arm?
extension of the arm and forearm
what are the three layers of the anterior compartment of the forearm?
superficial
intermediate
deep
what muscles make up the superficial layer of the anterior compartment of the forearm?
pronator teres
flexor carpi radialis
palmaris longus
flexor carpi ulnaris
what muscles make up the intermediate layer of the anterior compartment of the forearm?
flexor digitorum superficialis
what muscles make up the deep layer of the anterior compartment of the forearm?
flexor pollicis longus
flexor digitorum profundus
pronator quadratus
what are the actions of the anterior compartment of the forearm?
flexion - wrist and digits
abduction - wrist
adduction - wrist
pronation - forearm
what are the layers of the posterior compartment of the forearm?
superficial
deep
what muscles make up the superficial layer of the posterior compartment of the forearm?
brachioradialis extensor carpi radialis longus extensor carpi radialis brevis extensor digiti minimi extensor carpi ulnaris extensor digitorum anconeus
what muscles make up the deep layer of the posterior compartment of the forearm?
supinator extensor pollicis brevis extensor indicis extensor pollicis longus abductor pollicis longus
what are the actions o the muscles of the posterior compartment of the forearm?
extension - wrist and digits
abduction + adduction - wrist
supination - forearm
what muscles make up the thenar eminence of the hand?
abductor pollicis brevis
flexor pollicis brevis
opponens pollicis
what nerve innervates the thenar eminence of the hand?
median nerve
what muscles of the hand are affected by carpal tunnel syndrome?
the muscles of the thenar eminence
what muscles make up the hypothenar eminence of the hand?
abductor digiti minimi
flexor digiti minimi
opponens digiti minimi
what nerve innervates the muscles of the hypothenar eminence of the hand?
ulnar nerve