arm and shoulder joint Flashcards

1
Q

lymph fluid from the extremeties is conveyed by a series of ____ and ___ vessels

A

superficial and deep

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2
Q

Supraglenoid tubercle

A

for attachment of the long head of the biceps

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3
Q

Infraglenoid tubercle

A

for attachment of the long head of the triceps

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4
Q

Capitulum

A

for articulation with the head of the radius

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5
Q

Trochlea

A

articulation with the ulna

(think trochlea is near the trunk)

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6
Q

sheath of deep fascia that encloses the arm like a sleeve, continuous from the deltoid, pectoral, and axillary fascia proximally

A

brachial fascia

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7
Q

fascia

A

the pectoral fascia then becomes the deltoid fascia then becomes the brachial fascia between shoulder and elbow and then its the antebrachial fascia distally into the forearm

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8
Q

strong ___ arise from the brachial fascia and attach to the shaft of the humerus

A

septa

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9
Q

in the brachial fascia, _____ and ____ intermuscular septa divide the arm into an ______ and ______ compartment with muscles that share the same function and innervation

A

medial/lateral

anterior (flexor)/Posterior (extensor)

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10
Q

biceps muscles cross ___ joints

A

two

shoulder and elbow hence it acts on both joints

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11
Q

innervation of biceps brachii

A

C5 (and C6) of the musculocutaneous nerve

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12
Q

origin of biceps brachii

A

long head - supraglenoid tubercle of scapula (tendon courses in the intertubercular sulcus or bicipital groove)

short head - coracoid process of scapula

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13
Q

Rupture of the _____ of the biceps generally occurs due to “wear and tear” or prolonged tendonitis (baseball pitchers, weight lifters) or chronic arthritis (i.e. rheumatoid arthritis) within the joint

A

long head

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14
Q

insertion of brachialis

A

proximal ulna (tuberosity)

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15
Q

insertion of biceps brachii

A

radial tuberosity of the proximal radius as well as the anterachial fascia via the bicipital aponeurosis

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16
Q

innervation of posterior arm compartment

A

radial nerve

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17
Q

only muscle located in posterior compartment of the arm

A

triceps brachii

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18
Q

located deep to the biceps

A

brachialis

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19
Q

origin of brachialis

A

distal half of the humerus

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20
Q

saturday night palsy

A

compression of radial nerve against the humerus can cause a temporary wrist drop

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21
Q

located on the posterior surface for passage of the radial nerve and the deep brachial artery

A

radial groove!

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22
Q

on posterior aspect of medial epicondyle

A

ulnar nerve

(common site for ulnar nerve impingment)

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23
Q

muscles of the anterior arm compartment

A

biceps brachii

coracobrachialis

brachialis

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24
Q

muscles of the anterior arm compartment are innervated by the

A

musculocutaneous nerve

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25
the venous system of the upper limb consists of ________ and ________ veins
superficial and deep veins
26
what innervates the muscles that extends the wrist
radial nerve
27
perforating veins
connect the superficial veins to the deep veins in the upper limb
28
superficial veins are located wtihin the _____ tissues
subcutaneous (easily visible)
29
common site for phelbotomy
median cubital vein
30
what are the superficial veins?
cephalic vein and basilic vein (basilic is medial/basilic near boob)
31
pulsating ____ help propel venous blood towards the heart
arteries
32
vein that descends the anterior lateral aspect of the arm
cephalic vein
33
deltopectoral triangle boundaries
clavicle, pectoralis major, deltoid
34
where cephalic vein joins the axillary (deep) vein
deltopectoral triangle
35
vein that ascends the anterior medial aspect of the arm
basilic
36
both superficial veins communicate via the _________ anterior to the elbow
median cubital vein
37
deep veins
brachial veins
38
there are ___ veins for every artery in the arm
2
39
any muscle that crosses two joints
has a tendancy to tear
40
prime flexor of arm
brachialis
41
prime supinator of arm
biceps brachii
42
this nerve pierces the coracobrachialis
musculocutaneous nerve
43
action of coracobrachialis
adductor and flexor of arm
44
lateral cutaneous nerve of the forearm
musculocutaneous nerve
45
musculocutaneous nerve innervates the ______ and proviedes sensation to the \_\_\_\_\_\_\_\_
muscles in the anterior compartment of the arm lateral forearm
46
describe the subclavian artery and its changes
the subclavian artery passes the 1st rib and becomes the acillary artery, the axillary artery traverses the teres major muscle and becomes the brachial artery, the brachial artery divides into radial and ulnar arteries which end up vascularizing the arches in the hand SABUR
47
branches of the brachial artery
deep profunda brachial artery radial and middle collateral arteries (deep branch) superior ulnar collateral artery inferior ulnar collateral artery
48
the brachial artery is accompanied with the ______ throughout its course
median nerve
49
provides arterial supply to muscles of the arm and humerus
brachial artery
50
it is clinically significant that the _________ can sometimes be ligated just above the elbow to control for heavy post traumatic bleeding
brachial artery - bc of extensive collateral branches can cnotinue to perfuse the forearm and hand
51
only muscle located in the posterior compartment of the arm
triceps brachii
52
insertion of triceps brachii
all heads insert onto the olecranon process
53
radial nerve gives rise to the ______________ of the arm and forearm which supply sesation to the skin along the posterior dorsal aspect of the limb
posterior cutaneous nerves
54
the ______ continues into the forearm and innervates the extensors of the wrist/fingers
radial nerve
55
mid shaft humeral fractures
proximal fragment often displaces laterally due to pull of deltoid muscle
56
\_\_\_\_\_\_\_\_\_\_\_\_\_ drain lymph fluid from the skin and subcutaneous tissues and converge to follow the _____ and _____ veins
superficial lymphatic vessels cephalic and basiic veins
57
deep lymphatic vessels drain lymph from \_\_\_\_\_\_\_
joints, muscles, and bones
58
deep lymphatic vessels accompany the
deep veins
59
lymph from the nodes of the arm joins the systemic venous system via the ______ or the \_\_\_\_\_
right lympatic duct thoracic duct
60
61
musculocutaneous nerve
arises from the lateral cord of the brachial plexus
62
anconeus
short muslce the assists the tricpes and helps extend the elbow
63
glenoid labrum
a fibrocartilagenous "ring" that surrounds and deepnds the glenoid cavity, providing greater stability
64
musculotendinous rotator cuff
helps stabilize and hold the humeral head with glenoid cavity
65
66
holds long head of bicep tendon in the bicipital groove
Transverse humeral ligament
67
extrinsic protective ligament that prevents superior dislocation of humeral head
Coracoacromial Ligament (arch)-
68
the glenohumeral joint is extremely
mobile
69
most frequently dislocated major joint in the body
the glenohumeral joint
70
this aspect of the glenohumeral joint is the weakest
inferior
71
glenohumeral joint dislocations are common in the ________ direction, often tearing the _____ and \_\_\_\_\_\_\_\_
anterior-inferior labrum anterior joint capsule/subscapularis
72
anterior dislocations of the shoulder
subcoracoid dislocation (humeral head often ends up beneath the coracoid process
73
cutaneous nerves from the medial cord of the plexus
medial cutaneous nerve of the arm medial cutaneous nerve of the forearm
74
cutaneous neves of the upper limb - radial nerve
posterior cutaneous nerve of the arm posterior utaneous nerve of the forearm superficial branch of the radial nerve
75
shoulder dislocations can tear/damage the ______ which results in a high incidence of recurrence
glenoid labum
76
the ______________ is susceptible to tenonitis and subequent tears due to its course through the bicipitalgroove and intra articular position within the shoulder joint
long head of the bicep