Axillary Artery and Brachial Plexus Flashcards

1
Q

palpable bones of the humerus

A

greater tubercle of humerus
lateral epicondyle of humerus
medial epicondyle of humerus

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2
Q

proximal end of humerus contains

A

head and anatomical neck
surgical neck
greater and lesser tubercles

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3
Q

shaft of humerus contains

A

deltoid tuberosity
radial groove

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4
Q

distal aspect of humerus

A

medial and lateral epicondyles
capitulum
trochlea
coronoid fossa
olecranan fossa

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5
Q

what is the axilla

A

the pyramidal space inferior to the glenohumeral joint

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6
Q

contents of the axilla

A

axillary artery and its branches
axillary vein and tributaries
axillary lymph nodes
brachial plexus

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7
Q

how many sets of lymph nodes

A

5 sets
most drains into the humeral and central nodes

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8
Q

what is the brachial plexus and its divisions

A

a union of central rami of c5-c8 and t1 nerve roots
divided into roots, trunks, divisions, cords, branches

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9
Q

what is the brachial plexus and its divisons

A

union of central rami of c5-c8 and t1 nerve roots
divided into roots, trunks, divisions, cords, branches

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10
Q

components of the brachial plexus

A

roots C5-T1
trunks (superior, middle and inferior)
divisions (anterior and posterior)
cords (posterior, medial, lateral)
branches (5 total)

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11
Q

what nerves branch off the roots

A

dorsal scapular nerve (c5)
long thoracic nerve (c5-c7)
unnamed muscular branches to deep cervical muscles

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12
Q

what are the trunks that form after the roots?

A

superior (upper) trunk: C5 and C6
middle trunk: C7
Inferior (lower) trunk: C8 and T1

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13
Q

what do the roots pass between

A

anterior and middle scalene muscles

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14
Q

what are the nerves that branch off of the trunks

A

suprascapular (C5 and C6)
nerve to subslavius (C5 and C6)
- subclavius muscle

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15
Q

what are the divisions that the trunks divide into

A

anterior - supply anterior (flexor) compartment in the arm and forearm
posterior - supply posterior (extensor) comparement in arm and forearm

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16
Q

the anterior and posterior divisions form 3 cords

A

lateral cord
posterior cord
medial cord

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17
Q

there are 5 terminal branches of the brachial plexus

A

musculocutanesous, axillary, radial, median, ulnar

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18
Q

posterior cord contains what nerves

A

upper subscapular nerve
lower subscapular nerve
thoracodorsal nerve

19
Q

nerves of medial cord

A

medial cutanesous nerve of the arm -sensory to medial arm
medial cutaneous nerve of forearm - sensory to medial forearm
medial pectoral nerve

20
Q

nerve of lateral cord

A

lateral pectoral nerve

21
Q

muscles innervated by musculocutaneous nerve

A

biceps, brachialis, coracobrachialis

22
Q

muscles innervated by axillary nerve

A

deltoid and teres minor

23
Q

muscles innervated by radial nerve

A

triceps/anconeus
extensor compartment in forearm

24
Q

muscles innervated by ulnar nerve

A

flexor carpi ulnaris
medial part of flexor digitorum profundus
hypothenar muscles
dorsal and palmar interossei
3 and 4 lumbricals
adductor pollicis

25
Q

muscles innervated by the median nerve

A

most of flexor compartment in forearm (exceptions with the ulnar nerve)
most thenar muscles
1st and 2nd lumbricals

26
Q

movements at the elbow joint

A

flexion of elbow
extension of elbow

27
Q

muscles of the anterior arm

A

biceps (short head and long head)
coracobrachialis
brachialis

28
Q

what is the distal continuations of the axillary artery

A

the brachial artery

29
Q

axillary artery - 1st part location

A

located between the lateral border of the 1st rib and the medial border of the pectoralis minor

30
Q

axillary artery - 1st part branch

A

only 1 branch - superior thoracic artery
supplies the first and second intercostal spaces

31
Q

axillary artery - 2nd part

A

lies posterior to the pec minor
2 branches - thoracromial trunk and lateral thoracic artery

32
Q

thoracoacromial trunk supplies

A

the shoulder and pectoral muscles

33
Q

the lateral thoracic artery supplies

A

the serratus anterior

34
Q

axillary artery - 3rd part

A

lateral border of pec minor to the inferior border of teres major
3 branches

35
Q

3 branches of axillary artery 3rd part

A
  • subscapular a
    anterior humeral circumflex
    posterior humeral circumflex
36
Q

subscapular artery branches to

A

circumflex scapular (participates in anastomosis around shoulder)
thoracodorsal (supplies latissimus dorsi)

37
Q

anterior humeral circumflex branches to

A

anastomoses with posterior humeral circumflex

38
Q

posterior humeral circumflex supplies

A

supplies deltoid, teres major and minor and long head of the triceps

39
Q

the posterior division of the brachial plexus suppies…

A

posterior - supply posterior (extensor) comparement in arm and forearm

40
Q

the anterior division of the brachial plexus supplies…

A

anterior - supply anterior (flexor) compartment in the arm and forearm

41
Q

how is the lateral cord formed

A

anterior divisions of the superior and middle trunks combine

42
Q

how is the posterior cord formed

A

by the posterior divisions of all 3 trunks (superior, middle, inferior trunks)

43
Q

how is the medial cord formed

A

by the anterior division of the posterior cord