Axillary & Arm Flashcards
Bony Landmark: Anatomical Neck
Site of glenohumeral joint capsule
Bony Landmark: Humerus Head
Articulates with glenoid cavity
Bony Landmark: Greater Tubercle (3 Facets)
Superior Facet - Supraspinatus
Middle Facet - Infraspinatus
Inferior Facet - Teres Minor
Bony Landmark: Lesser Tubercle
Subscapularis
Bony Landmark: Intertubercular Sulcus (3 Attachments)
Lateral Lip: Pec Major
Medial Lip: Teres Major
Floor: Latissimus Dorsi
Bony Landmark: Shaft (3 Landmarks)
Surgical Neck
Sulcus for Radial Nerve
Deltoid Tuberosity
Bony Landmark: Capitulum
Articulates with Radius
Bony Landmark: Trochlea
Articulates with Trochlear Notch of Ulna
Bony Landmark: Lateral Epicondyle
Common Extensor Tendon
Bony Landmark: Lateral Supracondylar Ridge
Extensor Carpi Radials Longus
& Brachioradialis
Bony Landmark: Coronoid Fossa
Accommodates the Coronoid Process of Ulna
Bony Landmark: Medial Epicondyle
Common Flexor Tendon
Bony Landmark: Olecranon Fossa
Accommodates the Olecranon Process of Ulna
5 Muscles of Axillary & Arm
Anconeus
Biceps Brachii
Brachialis
Coracobrachialis
Triceps Brachii
Anconeus - Actions
Extension of Elbow
Anconeus - Innervation
Radial Nerve (C7-C8)
Biceps Brachii - Action
Flexion of shoulder & elbow
Supinate forearm
Biceps Brachii - Innervation
Musculocutaneous Nerve (C5-C6)
Brachialis - Action
Flexion of Elbow
Brachialis - Innervation
Musculocutaneous Nerve & Small Branch from Radial Nerve (C5-C6)
Coracobrachialis - Action
Flexion & Adduction of Shoulder
Coracobrachialis - Innervation
Musculocutaneous Nerve (C6-C7)
Triceps Brachii - Action
Extension of Shouder (long head)
Extension of Elbow (all heads)
Triceps Brachii - Innervation
Radial Nerve (C6-T1)
Anconeus - Attachments
Lateral Epicondyle of Humerus
To
Lateral Surface of the Olecranon Process
Biceps Brachii - Attachments
Coracoid Process of Scapula (Short Head)
Supraglenoid Tubercle of Scapula (Long Head)
To
Radial Tuberosity & Deep Antebrachial Fascia (Aperoneus)
Brachialis - Attachments
Distal Anterior Shaft of Humerus &
Lateral & Medial Intermuscular Septa to the Coronoid Fossa
To
Ulnar Tuberosity
Coranoid Process
Coracobrachialis - Attachments
Coracoid Process
To
Proximal Medial Shaft of Humerus
Triceps Brachii - Attachments
Long Head: Infraglenoid Tubercle of Scapula
Lateral Head: Proximal Posterolateral Shaft of Humerus
Medial Head: Distal Posteromedial Shaft of Humerus
To
Olecranon Process of Ulna
Boundaries of Axilla
Superior: Clavicle & 1st Rib
Inferior: Skin of Armpit
Medial: Thoracic Wall // Serratus Anterior
Lateral: Humerus
Anterior: Pec Major
Posterior: Subscapular
Content of Axilla
Neurovascular Bundle (Axillary Artery, Axillary Vein, Axillary Lymph Nodes)
3 Cords of Brachial Plexus
Brachial Plexus - Root Level Nerves
Dorsal Scapular (C4-C5)
Long Thoracic (C5-C7)
Brachial Plexus - Trunk Level Nerves
Suprascapular (C4-C6)
Subclavian (C5-C6)
Brachial Plexus - Cord Level Nerves
Lateral Pectoral (C5-C7)
Upper Subscapular (C5-C7)
Thoracodorsal (C6-C8)
Lower Subscapular (C5-C7)
Medial Pectoral (C8-T1)
Medial Cutaneous Arm (C8-T1)
Medial Cutaneous Forearm (C8-T1)
Brachial Plexus - Nerve Level Nerves
Musculocutaneous (C5-C7)
Axillary (C5-C6)
Radial (C5-T1)
Median (C5-T1)
Ulnar (C7-T1)
Brachial Plexus: “Lines” @ Root
6 lines (One for Each Nerve)
Remember
Brachial Plexus: “Lines” @ Trunk
3 Lines: Upper (C5-6), Middle (C7), Lower (C8-T1)
TO
Brachial Plexus: “Lines” @ Divisions
6 Lines:
3 Lines Anterior (Middle Goes Up, Upper & Lower Goes Across)
3 Lines Posterior (Makes and Arrow to Middle Cord)
Drink
Brachial Plexus: “Lines” @ Cords
3 Lines: Lateral, Posterior, Medial + Ansa Pectoralis
Cold
Brachial Plexus: “Lines” @ Branches of Nerves
7 Lines:
2 from lateral - nerve + lateral root of __
2 from posterior - 2 nerves
2 from medial - nerve + medial root of __
1 from roots converging to make nerve
BEER
Hand pneumonic for Branches of Nerves
3 Musketeers (Musculocutaneous - Top 3)
Were Assassinated (Axillary - Top 2)
By the 5 Mice (Medial - All)
5 Rats (Radius - All)
& 3 Unicorns (Ulnar (Bottom 3)
Dorsal Scapular Nerve
C4-C5
Roots Segment
Post-Gang & Motor (no sensory)
Lavator Scapulae & Rhomboids
Long Thoracic Nerve
C5 - C7
Roots Segment
Serratus Anterior
Suprascapular Nerve
C4-C6
Upper Trunk Segment
Supraspinatus & Infraspinatus
Subclavian Nerve
C5 - C6
Upper Trunk Segment
Subclavian Muscle
Lateral Pectoral Nerve
C5-C7
Lateral Cord Segment
Pec Major (Clavicle) & Pec Minor
Medial Pectoral Nerve
C8-T1
Medial Cord & Ansa Pectoralis
Pec Major (sternocostal head) & pec minor
Medial Cutaneous of Arm & Forearm
C8-T1
Medial Cord Segment
No Motor
Skin Overlaying medial aspect of arm & forearm
Upper Subscapular Nerve
C5-C6
Posterior Cord
Subscapularis
Thoracodorsal Nerve
C6-C8
Posterior Cord
Latissimus Dorsi
Lower Subscapular Nerve
C5-C6
Posterior Cord
Subscapularis & Teres Minor
Musculocutaneous Nerve
C5-C7
Branch of Lateral Cord
Muscle branch - biceps brachii, Coracobrachialis, Brachialis
Lateral Cutaneous - (no motor) - skin overlying lateral aspect of forearm
Ulnar Nerve
C7-T1
Branch of Medial Cord
Muscle Branches in Forearm - flexor carpi Ulnaris, flexor Digitorum profundus
Deep Terminal - 8 muscles
Palmar Cutaneous - (no motor) - skin ulnar side of palm
Dorsal Cutaneous - (no motor) - skin dorsal surface of digits 4&5
Axillary Nerve
C5-C6
Branches of Posterior Cord
Muscle Branch - Deltoid & Teres Minor
Superior Lateral Cutaneous - (no motor) skin superior lateral aspect of arm
Radial Nerve
C5-T1
Branch of Posterior Cord
Muscle Branch in arm - triceps Brachii & Brachialis
Muscle Branch in forearm - 12 muscles
Posterior Cutaneous (no motor) skin posterior aspect of forearm
Superficial Terminal (no motor) skin radial side of dorsal of hand
Median Nerve
Lateral Root (C5-C7)
Medial Root (C8-T1)
Muscle branches in forearm
Anterior Interosseous
Palmar Cutaneous (no motor) skin radial aspect of palm
Muscular Branch of Hand
Recurrent Branch of Median Nerve
Common & Proper Palmar Digital Nerves (no motor) skin digits 1-4
Triangular Space
Teres Minor, Teres Major, Long Head Triceps Brachii
Circumflex Scapular Artery
Triceps Hiatus
Teres Major, Long Head Triceps, Humerus
Profunda Brachii Artery, Radial Nerve
Anterior Compartment of Arm
Flexes Shoulder & Elbow
Musculocutaneous Nerve
Brachial Artery
Biceps, Coracobrachialis, Brachialis
Posterior Compartment of Arm
(Content, Action, Nerve)
Extension Shoulder & Elbow
Radial Nerve
Profunda Brachii Artery
Triceps, Anconeus
What creates the Anterior and Posterior Compartments of Arm?
Lateral & Medial Intermuscular Septum