Arm and Anterior Forearm Flashcards
Compartments of he arm
Posterior and anterior
Brachial fascia
Deep fascia of the arm
Intermuscular septa
Extensions of the deep fascia that attach to the bone
How are compartments formed
By extensions of deep fascia attaching to bones
Anterior compartment arm muscles
Biceps brachii (long head and short head)
Coracobrachialis
Brachialis
Major action of muscles of anterior compartment of arm
Flexion of forearm and some at glenohumeral joint
All muscles of anterior compartment innervated by
musculocutaneous nerve
Biceps brachii function and innervation
Flexor of shoulder and elbow, supinator of forearm
Musculocutaneous nerve
What happens as biceps tendon crosses elbow joint
Bicipital aponeurosis is given off and passes medially and superficial to brachial artery and median nerve to fuse with deep fascia of the forearm
bicipital aponeurosis
Aponeurotic sheet that passes laterally and medially to the brachial artery and median nerve to fuse with deep fascia of the forearm
Bicipital aponeurosis provides a ____
secondary attachment
Coracobrachialis function and innervation
Flexes arm
Musculocutaneous
Brachials function and innervation
Flexes forearm
Musculocutaneous
Posterior compartment muscles
Triceps brachii (long, lateral, medial heads)
Major action of posterior compartment
Extension at the elbow and some at glenohumeral
All muscles of posterior compartment innervated by the
Radial nerve
Anconeus
also helps to extend elbow
Radial
Anterior compartment arteries
Brachial
Posterior compartment arteries
Deep brachial (profunda brachii) posterior humeral circumflex
Median nerve innervations in arm
None
Musculocutaneous nerve innervations of arm
Anterior flexor muscles in arm
Becomes cutaneous in forearm
Ulnar nerve
Medial side of brachial artery…goes behind medial epicondyle…funny bone feeeling
No branches in the arm
Radial nerve in arm
Extensor compartment of arm
All extensors of forearm as well
What is radial nerve accompanied by?
Deep brachial artery
Fracture in surgical neck of humerous leaves what vulnerable and why?
Axillary nerve and posterior humeral circumflex artery
Axillary nerve wraps around surgical neck of humerus
Mid-shaft fracture leaves what vulnerable and why?
Radial and deep brachial because wrap around humerus in groove for radial nerve
Fracture of medial epicondyle leaves what vulnerable and why?
Ulnar nerve because it lies posterior to the median epicondyle
Fracture of distal end of humerus leaves what vulnerable and why?
Median nerve because it lies anterior to distal end of humerus
Cubital fossa bound by
Epicondyles
Pronator teres
Brachioradialis
Bicipital aponeurosis
Extension of biceps tendon…roof of cubital fossa
What is found in cubital fossa and where relative to bicipital aponeurosis
Tendon of biceps
Brachial artery
Median nerve
Which vein does bicipital aponeurosis protect?
Median cubital vein
Components of forearm
Posterior and anterior
Antebrachial fascia
Deep fascia that encloses both compartment muscles
What is proximally attached to antebrachial fascia?
Forearm muscles
What separates forearm posterior and anterior
Interosseus membrane holding together radius and ulna
Which forearm bone has intermuscular septa and which doesn’t
Radius
Ulna is subcutaneous the entire way down
Layers of anterior compartment of forearm and how separated?
Deep and superficial
Fascial cleft
Majority of anterior forearm muscles arise from
Medial epicondyle
Major action of anterior forearm
At writse…some flexing of forearm
Muscles of superficial layer of anterior forearm
Pronator teres Flexor carpi radialis Palmaris Longus Flexor carpi Ulnaris Flexor digitorum superficialis
Muscles of deep layer of anterior forearm
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus
Innervation of anterior compartment of forearm
All innervated by median nerve except for flexor carpi ulnaris and the medial half of flexor carpi digitorum profundus
Pronator teres function and innervation
Pronates and flexes the forearm
Median nerve
Flexor carpi radialis function and innervation
Flexes and abducts the hand
Median nerve
Palmaris longus function and innervation
85% of people
Flexes hand
Median nerve
Flexor carpi ulnaris function and innervation
Flexes and adducts hand
Ulnar nerve
Flexor digitorum superficiales function and innervation
Flexes IP joint (and MCP joint and wrist)
Median nerve
Flexor digitorum profundus function and innervation
Flexes distal IP joint (and proximial IP and MCP and wrist)
Median nerve for digits 2 and 3, ulnar nerve for digits 4 and 5
Flexor pollicis longus function and innervation
Flexes IP joint (and MCP and wrist)
Median nerve
Pronator quadratus function and innervation
Pronates forearm
Median nerve