Arm And Cubital Fossa Flashcards

1
Q

Humeral head articulates with?

A

The glenoid cavity of the scapula; glenohumeral joint

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2
Q

Intertubercular groove (sulcus)

A

Separates the greater and lesser tubercles

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3
Q

Anatomical neck of humerus

A

Lies between the head and the tubercles

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4
Q

Surgical neck of the humerus

A
  • lies at the beginning of the body or shaft, distal to the tubercles
  • more likely region of breakage
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5
Q

Deltoid tuberosity

A

-anterolateral “bump” indicating insertion of deltoid muscle

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6
Q

Radial groove

A

(Spiral groove)

  • posterior aspect
  • position of the radial nerve
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7
Q

Trochlea

A
  • Articulates with ulna
  • medial to trochlea is a deep groove
  • sulcus for ulnar nerve
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8
Q

Capitulum

A

Articulates with the radius

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9
Q

What are the 3 articulations of the elbow

A
  • humeroulnar
  • humeroradial
  • proximal radioulnar
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10
Q

What does the brachial vein anastomose with?

A

Paired vein and superficial veins

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11
Q

Muscular branches to the muscles of the anterior compartment come off which artery?

A

Brachial artery

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12
Q

Muscular branches to the posterior compartment come off which artery?

A

Deep brachial artery

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13
Q

What does the deep brachial artery divide into?

A

Anterior and posterior descending branches surrounding the lateral epicondyle of the humerus

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14
Q

What do the anterior and posterior descending branches anastomose with?

A

Collaterals from the brachial artery

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15
Q

Profunda brachii artery

A
  • first and largest branch
  • this artery branches and follows the radial n. posteriorly around the radial groove to the posterior surface of the humerus
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16
Q

Radial and ulnar arteries are found where?

A

At the level of the cubital fossa as a result of the brachial artery branching

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17
Q

Radial artery

A

Has one recurrent branch

18
Q

Ulnar artery

A

Has anterior and posterior recurrent branches

19
Q

The anastomosis around the elbow is formed from?

A
  • anterior and posterior branches of the deep brachial a.
  • radial recurrent a.
  • superior and inferior ulnar collaterals
  • anterior and posterior ulnar recurrent arteries
20
Q

Superior and inferior ulnar collateral arteries arise from?

A

The brachial artery proximal to its division within the cubital fossa

21
Q

The muscles of the arm receive innervation from which nerves?

A

Radial and musculocutaneous nerves

22
Q

Where do the median and ulnar nerves descend?

A

Descend along the brachial artery thru the arm to reach the forearm
(Where they innervate muscles and skin)

23
Q

Where are the median and ulnar nerves formed?

A

The axilla

24
Q

The largest branch of the radial n.

A
  • formed from the posterior cords
  • curves posteriorly around the humerus in the radial groove (w/ the deep brachial a.)
  • innervates the triceps and anconeus
25
Q

Musculocutaneous nerve

A
  • small branch of the lateral cord
  • innervates the muscles of the anterior compartment of the arm
  • continues into the forearm as the lateral cutaneous nerve of the forearm
26
Q

Where do the median and ulnar nerves travel down?

A

The lateral and medial sides of brachial artery respectively

27
Q

Where is the median nerve protected?

A

In the cubital fossa by lying deep to the bicipital tendon

28
Q

Where does the ulnar nerve begin?

A
  • In the anterior muscular compartment

- then pierces the medial intermuscular septum to continue distally along the medial head of the triceps brachii

29
Q

Superior border of the cubital fossa

A

Line crossing from medial to lateral epicondyles of the humerus

30
Q

Medial boundary of cubital fossa

A

Pronator teres muscle

31
Q

Lateral boundary of cubital fossa

A

Brachioradialis muscle

32
Q

Boundaries of the cubital fossa

A
  • superior: line crossing from medial to lateral epicondyles of the humerus
  • medial: pronator teres muscle
  • lateral: brachioradialis muscle
  • floor: brachialis and supination muscles
  • roof: deep fascia including bicipital aponeurosis
33
Q

What does the cubital fossa contain?

A
  • bicipital tendon
  • brachial artery and its terminal radial and ulnar branches
  • brachial veins
  • parts of the median and radial nerves
34
Q

Where does the median cubital vein run?

A

Runs in the loose connective tissue superficial to the deep fascia covering the cubital fossa

35
Q

Wrist drop

A
  • long term paralysis or weakness of the extensor muscles of the wrist in the forearm
  • results from pressure on the radial nerve
36
Q

Damage to musculocutaneous nerve in the axilla results in?

A

Weakened flexion and supination of the forearm

-anesthesia of the lateral forearm is possible

37
Q

Damage to the median nerve results in?

A
  • loss of sensation to the lateral portion of the palm

- loss of pronation, flexion of the wrist/digits, and complex thumb movements

38
Q

Damage to the ulnar nerve results in?

A
  • weakened flexion and adduction of the wrist

- innervates fewer flexors in forearm so flexion is less severely affected than with median nerve damage

39
Q

Hitting your “funny bone” is?

A
  • ulnar nerve

- results in tingling or anesthesia of the medial 2 digits

40
Q

Damage to brachial/axillary artery results in?

A
  • loss of blood supply to the forearm causes paralysis of deep flexors
  • permanent damage may occur causing permanent flexion due to atrophy and shortening of deep flexor muscles