Back/Upper Limbs Flashcards
What is the discount code to upgrade to Brainscape Pro?
MCPHS91BS
What are the 5 major superficial muscles of the back?
Latsismsis dorsi, trapizius, rhomboid major, rhomboid minor, levator scapulae
What are the 2 intermediate back muscles?
Serrates posterior superior, serrates posterior inferior
What are the 5 deep posterior back muscles?
1 Splenius capitis, 2 semispinalis capitis, 3,4,5 erector spinae (ILS…I Love Spine)
What are the three erector spinae muscles?
Iliocostalis (lateral) attaches to ribs, Longissmus (in between), Spinalis (medial, next to spine)
There are two divisions of a spinal nerve root. What are they, where are they, and what does each do?
Ventral nerve root- motor (Efferent) Dorsal nerve root- sensory (Afferent) Comes off the spinal cord->ventral/dorsal->nerve root->dorsal/ventral rami
What are the three layers of muscle in the back?
Superficial, middle, deep
Where do you find kyphosis?
Thoracic spine
What looks like a “hatchet shape” or the nose of a moose?
Spinous process of lumbar vertebra
Lumbar Vetebral foramen has what kind of shape?
Like a triangle
Where does the spinal cord stop and what does it become?
Spinal cord stops at L2 and turns into a bunch of fibers called “corda equina” aka horses tail
What attaches one vertebra to another?
The crossing fiber system of the annulus fibrosus
What is the cushion between vertebra?
Annulus fibrosus. Full of water but dries out with age and person loses height.
The annulus fibrosus is full of what?
Water
When the annulus fibrosus dries out what happens to a person?
Lose height
The nucleus pulposus has what sort of consistency?
Jello like
The nucleus pulposus is located between what and within what?
Between two vertebra and within the annulus fibrosis
Spinal nerves come out from where?
Intervertebral foramen
What comes out of the intervertebral foramen?
Spinal nerves
What are the most common sites of the nucleus pulposus to press on a nerve?
L4 and L5 most common site of nucleus pulposus pressing on nerve. Can be numbness or tingling
Lumbar puncture most commonly done where?
In between L4 and L5
What ligament holds clavicle to the first rib?
Costoclavicular ligament
What joint holds the upper limb onto the trunk?
SternoVicular ligament
What is the “roof” joint over the glenohumeral joint?
Acromioclavicular joint
Which muscle covers the subscapular space?
Subscapularis
What is the shoulder end of the clavicle called?
Acromial end. Articulates with scapula.
The acromial end of the clavicle articles with…?
Scapula
What is the “head end” of the clavicle called?
Sternal end
What does the sternal (head) end of the clavicle articulate with?
Manubrium of sternum
What is function of Erector Spina?
Extension of Vetebral column
Erector Spina made of three muscles
Iliocostalis, Longissimus, Spinalis
Dorsal spinal roots carry what?
Sensory information. Afferent back to spinal cord.
Posterior aka…?
Dorsal
Dorsal root also has ____ which ventral root doesn’t have
Ganglia
Anterior aka…?
Ventral
Ventral root carries what?
Motor
Afferent means?
Toward spinal cord
Efferent means?
Away from spinal cord
Afferent goes ___ and carries what?
Goes in and carries sensory innervation
Efferent goes ___ and carries what?
Goes out and carries motor innervation
What is the structure from the spinal cord to the rami?
Spinal cord->Ventral or Dorsal Nerve Root->Spinal Nerve-> Dorsal or Ventral Primary Ramus (DPR/VPR)
Posterior Rami aka
Dorsal Primary Rami
Anterior Rami aka
Ventral Primary Rami
Spinal nerve gives two branches called?
Dorsal Primary Rami (DPR) and Ventral Primary Rami (VPR). Dorsal means back, ventral means front (anterior). Both have sympathetic fibers in them from the sympathetic ganglion (only from T1 to L2)
Do spinal nerves cross the midline?
No
Where is the axilla?
Armpit
What are the boundaries of the triangular space? What’s in the triangular space?
Pec major, pec minor, serratus anterior, subscapularis. Nothing we are concerned about.
The cephalic vein is located where?
In the deltopectoral groove
Where does the cephalic vein drain toward and connects to?
Toward head, connects to the subclavian vein
What is the first section of the brachial plexus called? Two possible answers.
“Roots” or “Ventral Rami”
The subclavian artery comes off of what major artery?
Aorta
The rhomboids get their oxygenated blood from which artery?
Dorsal scapular artery (deep branch)
The dorsal scapular artery (deep branch) supplies which muscles?
Rhomboids
What two muscles does the suprascapular artery supply?
Supraspinatus and Infraspinatus
What does the axillary artery become when it leaves the neck?
Brachial artery
What artery does the brachial artery come from after the neck?
Axillary artery
What is the order or arteries from aorta to brachial?
Aorta->Subclavian->Axillary->Brachial
The Internal Thoracic Artery gives off what other arteries?
Intercostal arteries
What arteries are used in CABG?
Intercostal arteries
Which arteries do the intercostal arteries come from?
Internal Thoracic Arteries
The brachial artery has two branches called?
Radial artery, ulnar artery
The radial and ulnar arteries come from which artery?
Brachial artery
The radial and ulnar arteries join to form what?
Palmar Arches
The palmar arches are formed by what two artery?
Radial artery and Ulnar artery
What are the five major sections of the brachial plexus?
Roots, Trunks, Divisions, Cords, Branches
What is the mnemonic for the brachial plexus?
Ricki T. Drink Cold Beer=Roots, Trunks, Divisions, Cords, Branches
Rootlets become….?
Roots
A spinal nerve is the joining of what two parts?
Dorsal root and Ventral root
A spinal nerve exits from what space?
Intervetebral foramina
How many trunks are in the brachial plexus? Name them.
Three: Upper, Middle, Lower
Which spinal nerves are associated with each of the three trunks of the brachial plexus?
Upper: C5-C6. Middle: C7. Lower: C8-T1
The brachial plexus is formed by which part of the spinal nerves and which specific spinal nerves?
Anterior rami (divisions) of the cervical spinal nerves C5, C6, C7; C8; and the first thoracic spinal nerve T1.
Each trunk of the brachial plexus turns into how many divisions?
Two branches. One division travels anteriorly and the other posteriorly.
The anterior and posterior divisions of the brachial plexus go into what region?
Axilla
The anterior and posterior divisions of the brachial plexus enter the axilla and become what three things?
Cords: Lateral Cord, Middle Cord, Posterior Cord
Which brachium does the median nerve innervate?
Anterior brachium
Posterior antebrachium/forearm innervated by?
Radial nerve
The radial nerve innervates which region?
Posterior brachium, posterior antebrachium
Posterior brachium innervated by?
Radial nerve
Musculocutaneous nerve innervates which two areas?
Anterior brachium and lateral forearm
Anterior brachium and lateral forearm innervated by which nerve?
Musculocutaneous nerve
Axillary nerve innervates which two muscles?
Teres minor and deltoid. (Axillary does Tm.D.)
Teres minor and deltoid innervated by which nerve?
Axillary (Axillary does Tm.D.)
Median nerve innervates which region?
Median nerve innervates anterior antebrachium/forearm EXCEPT 1.5 muscles (Flexor Carpii Ulnaris, medial half of Flexor Digitorum Profundus) digits 4 and 5
Ulnar nerve innervated everything in hand except?
Thenar eminence, first two lumbercules
What does a lumbercle do?
Flexes the metacarpal phalangie joint (MCP joint)
What flexes the MCP joint?
Lumbercle
How many lumbercles do we have?
4
Which lumbercles are innervated by the median nerve?
Lumbercles 1 and 2 on digitis 2 and 3
Which digit doesn’t have a lumbercle?
Thumb
Which lumbercles are innervated by ulnar nerve?
Lumbercles 3 and 4 on digits 4 and 5
Lumbercles 1 and 2, and thumb’s thenar muscles innervated by?
Median nerve (they make an M shape)
Pulling thumb away from plane of hand is what sort of motion
Abduction
When thumb touches other digit tip to tip this movement is called?
Opposition
What moves fingers?
Not muscles in the fingers but rather the tendons in the fingers attaches to muscles in forearm and hand
Are there muscles in fingers?
No. Only tendons, arteries, veins, and nerves.
The forearm is divided into two compartments called…..?
Anterior compartment (flexors), Posterior compartment (extensors)
The muscles in the anterior compartment of the forearm/antebrachium are extensors or flexors?
Flexors
The muscles in the posterior compartment of the forearm/antebrachium are extensors or flexors?
Extensors
What is the crow’s beak?
Corocoid process, under clavicle
The short head bicep attaches to which process?
Corocoid process
The musculocutaneous nerve pierces and innervates what muscle in the anterior brachium?
Corocobrachilais
Which nerve innervates the shoulder?
Axillary nerve
The interosseus membrane connects which bones?
Radius and ulna
The radius and ulna are connected by what membrane?
Interosseus membrane
Antebrachium is from what to what and is also called…?
Elbow to wrist. Forearm.
What the are compartment of the antebrachium?
Anterior and posterior compartment, AKA ant (flex) and post (extend)
Which nerve innervates posterior compartment of antebrachium/forearm?
Radial nerve
Which artery and vein for posterior comparment of antebrachium/forearm?
Posterior interosseus artery and vein
The anterior antebrachium is also called what?
Flexor compartment
Which nerves innervate the anterior antebrachium/forearm?
Median nerve and the “lazy” ulnar nerve
Which is the “lazy” nerve in the anterior antebrachium/forearm?
Ulnar nerve, only does 1.5 muscles
What arteries and veins in the anterior antebrachium/forearm?
3 arteries (radial, ulnar, anterior interosseus which is very deep)
The anterior antebrachium has how many arteries and nerves?
2 nerves (median and ulnar), 3 arteries (radial, ulnar, anterior interosseus which is very deep)
The posterior antebrachium has how many arteries and nerves?
1 vein (posterior interosseus vein), 1 artery (posterior interosseus artery/PIA), 1 nerve (radial nerve)
All the muscles of the antebrachium are involved in movements 3 areas?
Wrist, thumb, and fingers
The anterior forearm muscles start from?
Medial epicondyle (which flexes)
Flexors are from ____ epicondyle and extensors are from ____ epicondyle
Flex=Medial epidondyle. Extend=Lateral epicondyle. MFA, PEL.
Carpi are the ____ bones and how many?
Wrist, 8 of them
How many carpi bones are there?
8
What is the carpi bone mnemonic?
SLTPTTCH (some lovers try positions that they can’t handle)
Which carpi bone is under the thumb?
Trapezium, rhymes with thumb
How many flexor carpi muscles are there?
Two. Flexor Carpi Radialis (FCR), Flexor Carpi Ulnaris (FCU)
What are the three most superficial muscles coming from the medial epicondyle?
Flexor Carpi Radialis (FCR), Flexor Carpi Ulnaris (FCU), Ponator Teres (PT)
To flex the wrist which two muscles are used?
Flexor Carpi Radialis (FCP), Flexor Carpi Ulnaris (FCU)
How many flexor poliicis muscles are there?
Two. Longus and brevis.