ANTERIOR COMPARTMENT OF FOREARM Flashcards

1
Q

The anterior compartment muscles of the forearm mostly do ____ and are innervated by ____

A

flexion of wrist/finger and pronation

Ulnar nerve or median nerve

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2
Q

The posterior compartment muscles of the forearm mostly do ____ and are innervated by ___

A

extension of wrist/fingers and supination

Radial nerve

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3
Q

Pronator teres

A

O - medial epicondyle of humerus, anterior surfae of ulna just below coronoid process.
I - Midpoint of lateral surface of shaft of radius
A - Pronation, elbow flexion
N - Median nerve

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4
Q

Flexor carpi radialis

A

O - medial epicondyle
I - base of 2nd and 3rd MC bones
A - Flexion of wrist and elbow, radial deviation
NS - Median

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5
Q

Palmaris longus

A

O - Medial epicondyle
I - Palmar Aponeurosis
A - weak elbow flexor, flexion of wrist
NS - Median

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6
Q

Flexor Carpis ulnaris

A

O - Medial epicondyle
I - Pisiform, base of 5th MC, indirectly to hook of hamate
A - Flexion of wrist and elbow, ulnar deviation
N - Ulnar nerve

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7
Q

Flexor digitorum superficialis

A

O - Medial epicondyle, anterior surface of radius
I - either side of middle phalanges of medial 4 fingers
A - flexor of wrist and elbow, flex proximal finger joints
NS - Median N.

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8
Q

Flexor digitorum profundus

A

O - Anterior surface of ulna
I - Proximal end of distal phalanges of medial 4 fingers
A - Wrist flexion, MCP flexion, proximal IP flexion, distal IP flexion
NS - Muscles fibres on lateral half = median nerve. Muscle fibres on medial half = ulnar nerve

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9
Q

Flexor policis longus

A

O - (sometimes) medial epicondyle and anterior surface of radius
I - Distal phalanx of thumb
A - Flexion of thumb and a bit of flexion of wrist
NS - Median N.

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10
Q

Pronator quadratus

A

2 attachments : distal 1/4 shaft of radius and ulna
A - pronation
NS - Median N.

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11
Q

where is the pisiform location

A

medial end of distal carpal crease

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12
Q

Where is hamate located

A

1 inch distal and 1 inch medial to pisiform

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13
Q

What is a simple test for the health of the ulnar nerve?

A

Stabilize all the joints before the DIP and ask them to flex DIP

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14
Q

Brachial artery branches into ____ at what point?

A

Radial and ulnar arteries 1 or 2 inches below elbow

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15
Q

The radial artery passes beneath which muscle

A

brachioradialis

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16
Q

What are the branches of the radial artery in the forearm?

A

muscular

1 recurrent radial branch

17
Q

What are the branches of the ulnar artery in the forearm

A

2 recurrents

common interosseous artery

18
Q

What are the 2 branches of the common interosseous artery

A

anterior and posterior interosseous artery

19
Q

The radial nerve travels down the ____

A

spiral groove right in front of the lateral epicondyle

20
Q

what are the two branches of the radial nerve

A

superficial and deep radial nerves

21
Q

Is superficial radial nerve motor or sensory? What does it supply

A

sensory supplies the lateral 2/3 of skin on back of hand and web of thumb

22
Q

is the deep radial nerve sensory or motor? what does it supply

A

motor

Muscles of posterior compartment

23
Q

What are the arteries which supply the elbow

A
  1. Superior + inferior ulnar collateral
  2. Deep brachial
  3. 3 recurrent arteries
24
Q

Ulnar nerve passes behind _____ and enters the anterior compartment at ____

A

medial epicondyle

at 1/3 down the ulna

25
Q

The ulnar nerve is covered by what muscle

A

flexor carpi ulnaris

26
Q

What are the branches of the ulnar nerve

A
  • 2 motor branches (flexor carpi ulnaris and medial half of flexor digitorum profundus)
  • 2 sensory branch: palmar and dorsal cutaneous
27
Q

What do the palmar and dorsal ulnar cutaneous nerves supply

A

the medial 1/3 of hand on anterior and posterior surface

28
Q

Median nerve passes through…

A

cubital fossa then through 2 heads of pronator teres then between flexor digitorum superficialis and profundus

29
Q

What is is called when pronator teres impinges the median nerve

A

Pronator teres syndrome

30
Q

What are the branches of the ulnar nerve in the forearm

A

Anterior interosseous nerve and palmar cutaneous

31
Q

what does the anterior interosseous of the ulna nerve supply

A

deep muscles of the anterior compartment of forearm

32
Q

What does the palmar cutaneous nerve median supply

A

lateral 2/3 of skin on palm of hand

33
Q

What are the 3 borders of the cubital fossa and roof and floor

A
medial = pronator teres 
lateral = brachio-radialis 
superior = horizontal line connecting medial and lateral epicondyles of humerus 
roof = aponeurosis of bicipital tendon 
floor = brachialis
34
Q

What are the contents of the cubital fossa

A
  • Medial nerve
  • Deep radial nerve
  • Superficial radial nerve
  • Musculocutaneous nerve
  • Brachial artery
  • ulnar artery
  • Radial artery
  • Recurrent radial artery
  • Biceps tendon
35
Q

What is medial epicondylitis? what is it also referred to as?

A

Inflammation of common flexor tendon aka golfers elbow

36
Q

What is the test for golfers elbow

A

Reverse tills test - passively move wrist int extension - increase tension on flexor muscles