Arm and Forearm Flashcards
Name the arm flexor muscles. How many?
Three muscles (BBC)
- Biceps brachii (long and short head)
- Brachialis
- Coracobrachialis
Name the only arm extensor (posterior) muscle? What innervates it?
Triceps brachii (long, lateral, and medial)
Radial nerve (in radial groove) innervates it
Name the superficial flexor muscles of the forearm? How many?
What is their origin?
FOUR (P/F, P/F)
- Pronater Teres
- Flexor Carpi Radialis
- Palmaris Longus
- Flexor Carpi Ulnaris
Origin: Common flexor tendon at the medial epicondyle
Which muscle is absent in about 25% of people and used in autografts? What type of muscle is it?
Palmaris Longus - Superficial Forearm Flexor muscle
Name the only middle forearm flexor musle?
Name its OINA
Flexor digitorum superficialis (TRICKY, superficialis is middle here)
O: common flexor tendon and radius at extensive origin (medial epicondyle)
Ins: middle phalanges at digits 2-5
Inn: Median nerve
A: Flexes hand and joints at digits 2-5
Latin Roots
- Pollicis
- Carpi
- Digitorum
Pollicis = Thumb (thumbs up for politics)
Carpi = Wrist (Carpe Diem is risky)
Digitorum = Digit
Name the deep forearm flexor muscles
THREE
- Flexor pollicis longus
- Flexor digitorum profundas
- Pronater quadratus
Name the superficial forearm extensor muscles
What are the common origin, innervation, and action
SIX
Origin: Common exterior tendon at lateral epicondyle
Inn: Radial nerve
Action: Mostly extends wrist and digits
- Brachioradialis (Exception = NOT extensor, flexes forearm)
- Extensor Carpi radius longus
- Extensor Carpi radius brevis
- Extensor digitorum
- Extensor carpi ulnaris
- Extensor digiti minimi
Name the deep forearm extensor muscles
What are the common origins, innervations, and actions?
FIVE
- Supinator (Exception - flex forearm from common tendon)
- Extensor pollicis brevis
- Extensor pollicis longus
- Abductor pollicis longus
- Extensor indicis
O: Radius, ulna, and interosseous membrane
Inn: Posterior interosseous branch of the radial nerve
A: Mostly thumb related
What are the four major nerves of the upper extremity?
ALL from the ends of the brachial plexus
- Musculocutaneous nerve
- Radial nerve
- Median nerve
- Ulnar nerve
Forearm Supination
Biceps brachii (Major effect)
Supinator
Forearm Pronation
Pronator Teres
Pronator quadrates
Forearm Flexion
Biceps brachii
Brachialis
Brachioradialis
Arm Adduction
Coracobrachialis
Arm Flexion
Coracobrachialis
Arm Extension
Triceps brachii (Long head only)
Forearm Extension
Triceps brachii (Long, Lateral, and Medial)
Hand Flexion
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Flexor digitorum superficialis
Flexor digitorum profundus
Hand Extension
Extensor carpi radialis longus (at wrist)
Extensor carpi radialis brevis (at wrist)
Extensor digitorum (at wrist)
Extensor carpi ulnaris (at wrist)
Hand Abduction
Flexor carpi radialis
Extensor carpi radialis longus (at wrist)
Extensor carpi radialis brevis (at wrist)
Hand Adduction
Flexor carpi ulnaris
Extensor carpi ulnaris (at wrist)
MP/PIP joint Flexion
Flexor digitorum superficialis (MP/PIP joints of digits 2-5)
Flexor pollicis longus (MP/IP joints of thumb)
Flexor digitorum profundus (MP/DIP joints of digits 2-5)
Little Finger Extension
Extensor digiti minimi
Thumb Abduction
Abductor pollicis longus
Thumb Extension
Extensor pollicis brevis
Extensor pollicis longus
Index Finger Extension
Extensor indicis
Digits 2-5 Extension
Extensor digitorum
Musculocutaneous nerve
- What does it become and where?
- What does it pierce?
- What does it innervate?
- What action does it affect?
- Lateral antebrachial cutaneous nerve at elbow
- Pierces coracobrachialis
- Innervates skin of anterolateral forearm & ALL anterior arm muscles
- arm flexion & supination
Radial nerve
- What does it become and where?
- What does it pierce?
- What does it innervate?
- What action does it affect?
- posterior interosseous nerve (for deep forearm extensor muscles)
- Pierces supinator
- ALL Posterior parts (arm skin, arm muscles, forearm muscles
- Extension and abduction mostly (forearm, wrist, digits)
Median Nerve
What does it become and where?
What does it pierce?
What does it innervate?
What action does it affect?
- anterior interosseous nerve (for the deep flexor muscles)
- None
- Almost ALL Anterior Forearm muscles (except flexor carpi ulnaris)
- Flexion of hand/joints, Pronation of forearm
Ulnar nerve
What does it become and where?
What does it pierce?
What does it innervate?
What action does it affect?
- dorsal cutaneous branch (to medial dorsal hand/palm)
- None
- 2 nerves only: flexor carpi ulnaris and flexor digitorum profundas (medial half). skin of palm/hand
- Flexion of hand and joints
Describe the branching of the axillary artery and where it changes names
Axillary to brachial @ teres major
Brachial to radial/ulnar arteries at elbow
Radial artery deep to brachioradialis muscle, next to flexor carpi radialis
Ulnar artery deep to pronater muscle, next to ulnar nerve
What two branches does the ulnar artery become?
anterior interosseus artery and posterior interosseous artery
Describe the path of the superficial veins
Basilic venous system: Medial
Cephalic venous system: Lateral
Median cubital vein connects them
What are the venae comitantes?
Deep veins that follow the deep arteries
Cubital Fossa
- Where is it?
- Boundaries
- Superficial structures
- Deep structures
- Triangular region in front of elbow
- Lateral-Medial Line of Epicondytes, Brachioradialis (Lateral), Pronater Teres (Medial)
- Bicipital Aponeurosis (white fibrous tissue), median cubital vein
- Biceps Tendon, Brachial Artery, Median Nerve (TAN)
Anatomical Snuff Box
- Where is it?
- Boundaries, what innervates these?
- Superficial structures
- Deep structures
- triangle shaped depression near thumb
- Anterior: abductor pollicis longus/extensor pollicis brevis, Lateral: extensor pollicis longus, Floor: Scaphoid Bone: All muscles innervated by the radial nerve
- radial nerve
- radial artery
Which nerve travels between the two heads of the pronater teres?
Median nerve
Which nerve innervates the pronater quadratus
Anterior interosseous branch of the median nerve (deep flexor muscle)