Chapter 6 Upper Limbs Flashcards
Efficiency of hand function result bc of
Ability to place proper position by movements at the scapulothoracic, glenohumeral, elbow, radio-ulnar and wrist joints
What is the upper limb characterized by
It’s mobility and ability to grasp, strike and perform fine motor skills
Shoulders include
Deltoids
Pectoral
Scapular
Lateral cervical region
What is the superior appendicular skeleton
Pectoral girdle
Bones of the free part of the upper limb
Where does the superior appendicular skeleton articulate
Sternoclavicular joint allowing great mobility
What supports the pectoral girdle
Axio appendicular muscles which attach to the rib, sternum, and vertebrae of axial skeleton
What does the clavicle do
Connects upper limb to the trunk
The curvatures of the clavicle allow what
Increases the resilence
What does the clavicle do
Serves as a pivoting strut(rigid support) from which the scapula and free limbs are suspended
Forms one of the boundaries of the cervical-auxiliary canal
Transmits shocks from the upper limbs
Glenohumeral joint is composed
Lateral surface of the head of scapula has a glenoid cavity, which articulates with the head of humerus at the glenohumeral joint
Humerus is what type of bone
Largest bone in the upper limb
What separates the lesser tubercle from the greater tubercle
Inter tubercle sulcus
What separates the heads from the tubercle
Anatomical neck of the humerus
Pectoral fascia does what
Invest the pectoralis major and is continuously inferiority with the fascia of the anterior abdominal wall
What does the axillary fascia form
Forms the floor of the axilla
Claivipectoral fascia does what
Descends from the clavicle, enclosing the subclavius and then the pectoralis minor becoming continuously inferiorly with the axillary fascia
the clavipectoral fascia has what membrane between the pectoralis minor and subclavius
Costocoracoid membrane
Lateral pectoral nerve supplies what
Pectoralis major
What does the suspensory ligament of axilla do
Supports the axillary fascia and pulls it and the skin inferior to it upward during abduction of the arm, forming the axillary fossa
Deltoid fascia invest what
Deltoid and is continuos with the pectoral fascia anterior lay
Brachial fascia does what
A sheath of deep fascia, encloses the arm
Where does the brachial fascia attach
Inferiorly to the epicondyles of the humerus and the olecranon of the ulna
The two inter muscular septa, the medial and lateral inter muscular septa divide the arm into what
Anterior( flexor) and posterior (extensor)fascia compartments
Antebrachial fascia is separated by
In the forearm and separated by Interosseous membrane
Extensor retinaculum is formed by
The antebrachial fascia of the distal end of the radius and ulna to form a transverse band
What holds the extensor tendons in position
Extensor retinaculum
Flexor retinaculum continuous from
Antebrachial fascia
Where do the flexor tendons and median nerve pass
Carpal tunnel
Palmar fascia is what
The deep fascia of the upper limb after the extensor and flexor retinacula
The palmar aponeurosis is what
Central part of palmar fascia
Is thick, tendinous and triangular
What forms the base of the palmar aponeurosis
Superficial transverse metacarpal ligaments
What are superficial transverse metacarpal ligament
Strong skin ligaments, holding the palmar skin close to the aponeurosis
Where are most cutaneous nerves of the upper limb are derived from
Brachial plexuses (c5-t1)
Cutaneous nerves from the shoulder derived from the
Cervical plexuses
Posterior cutaneous nerve of arm (C5-C8)
A branch of the radial nerve, supplies posterior surface skin of arm
Posterior cutaneous nerve of forearm (C5-C8)
A branch of radial nerve
Supplies the skin of posterior forearm
Superior lateral cutaneous nerve of the arm (C5-C6)
Terminal branch of axillary
Supplies the skin over the lower part of deltoid and on lateral side of the midarm
Inferior lateral cutaneous nerve of arm (C5-C6)
Branch of radial nerve
Supplies the skin over the infero laterally aspect of arm
Lateral cutaneous nerve of forearm (c6-c7)
Branch of musculocutaneous nerve
Supplies lateral side of forearm
Medial cutaneous nerve of the forearm (C8-T1)
Arises from medial cord of the brachial plexus
Supplies skin on medial side of the arm
Intercostobrachial nerve (T2)
Branch of the 2nd intercostal nerve
Supplies the Innervation of the skin on the medial surface of the arm
Medial cutaneous nerve of forearm (C8-T1)
Arises from the medial cord of the brachial plexus
Supplies the skin on the anterior and medial surfaces of forearm
Acronym for rotatores cuff
SITS Supraspinatus Infraspinatus There's minor Subscapularis
The boundaries of the axilla
pyramidal space inferior to the glenohumeral joint and superior to the skin and axillary fascia
what does the axilla provides a passageway for what
vessels and nerves going to and from the upper
what is the apex of the axilla
the cervico-axillary canal
passageway between the neck and axilla
where is the cervico-axillary canal bounded to
first rib
clavicle
superior edge of scapula
another name for the base of the axilla is
armpit and axillary fossa
what is the anterior wall of the axilla formed by
major and minor pectoralis
clavipecctoral fascia
what is the anterior axillary fold
inferiormost part of the anterior wall
what the posterior wall of the axilla formed by
scapula
subscapularis on its anterior surface
and inferiorly by the teres major
where is the posterior axillary fold
inferiormost part of the posterior wall that may be grasped
lateral wall of the axilla is made by
intertubercular sulcus of humerus
medial wall of axilla is formed by
thoracic wall and serratus anterior
What does the axillary artery continues as
Subclavian artery
where does the axillary artery begin and end
begins at the first rib and ends at the inferior border of the teres major
where is the axillary vein
initially on the anterior medial side of the axillary artery
what forms the axillary vein
union of the accompanying brachial vein and basilic vein
where does the axillary vein end
first rib where it becomes subclavian vein
internal thoracic artery origin
inferior surface of the subclavian artery
the course of the internal thoracic
branches off to posterior end of sternal end of clavicle and enters thoracic
thyrocervial trunk artery origin
anterior surface of subclavian artery
subclavian artery gives rise to
internal thoracic artery
thyrocervical trunk
course of thyrocervical trunk
gives rise to inferior thyroid artery and cervicodorsa trunk
cervicodorsal give rise to suprascapular and dorsal scapular arteries
suprascapular artery origin
thyrocervial trunk
passage of suprascapular artery
crossing anterior scalene muscle, phrenic nerve, subclavian artery and brachial plexus
axillary artery breaks into three components
first, second and third part
what is the first part of the axillary artery
superior thoracic
superior thoracic artery course
pectoralis minor and passes between it and pectoralis major
supplies the 1st and 2nd intercostal space and superior part of serratus anterior
second part of the axillary artery contain
thoraco-acromial
lateral thoracic
course of thoraco-acromial
pectoralis minor
pierces cotocoracoid membrane
breaks into four branches: pectoral, deltoid, acromial and clavicular
lateral thoracic (axillary artery)
pectoralis minor
supplies lateral aspect of breast
third part of axillary contains
circumflex (anterior an posterior)
subscapular artery
course of anterior and posterior circumflex humeral artery
encircles surgical neck of humerus
course of subscapular artery
on the scapula and breaks into
circumflex scapular and thoracodorsal arteries
ciircumflex scapular ( subscapular artery) course
infrasipinous fossa and anastomosing with supracapular artery
thoracodorsal (subscapular artery) course
enter the apex of latts
brachial artery breaks into three arteries
profunda brachii artery
superior and inferior ulnar collateral artery
profunda brachii artery origin and course
origin; near middle of arm
course: supplyingg posterior compartment of arm and participates in the elbow joint
anterior ulnar collateral (brachial artery) origin and passage
near middle of arm
course: accompanies ulnar nerves to posterior aspect of elbow
inferior ulnar collateral ( brachial artery) origin and course
origin superior to medial epicondyle of humerus
course: with anterior ulnar recurrent artery
The boundaries of the axilla
pyramidal space inferior to the glenohumeral joint and superior to the skin and axillary fascia
what does the axilla provides a passageway for what
vessels and nerves going to and from the upper
what is the apex of the axilla
the cervico-axillary canal
passageway between the neck and axilla
where is the cervico-axillary canal bounded to
first rib
clavicle
superior edge of scapula
another name for the base of the axilla is
armpit and axillary fossa
what is the anterior wall of the axilla formed by
major and minor pectoralis
clavipecctoral fascia
what is the anterior axillary fold
inferiormost part of the anterior wall
what the posterior wall of the axilla formed by
scapula
subscapularis on its anterior surface
and inferiorly by the teres major
where is the posterior axillary fold
inferiormost part of the posterior wall that may be grasped
lateral wall of the axilla is made by
intertubercular sulcus of humerus
medial wall of axilla is formed by
thoracic wall and serratus anterior
What does the axillary artery continues as
Subclavian artery
where does the axillary artery begin and end
begins at the first rib and ends at the inferior border of the teres major
where is the axillary vein
initially on the anterior medial side of the axillary artery
what forms the axillary vein
union of the accompanying brachial vein and basilic vein
where does the axillary vein end
first rib where it becomes subclavian vein
internal thoracic artery origin
inferior surface of the subclavian artery
the course of the internal thoracic
branches off to posterior end of sternal end of clavicle and enters thoracic
thyrocervial trunk artery origin
anterior surface of subclavian artery
subclavian artery gives rise to
Acronym SIT
internal thoracic artery
thyrocervical trunk
course of thyrocervical trunk
gives rise to inferior thyroid artery and cervicodorsa trunk
cervicodorsal give rise to suprascapular and dorsal scapular arteries
suprascapular artery origin
thyrocervial trunk
passage of suprascapular artery
crossing anterior scalene muscle, phrenic nerve, subclavian artery and brachial plexus
axillary artery breaks into three components
first, second and third part
Acronym ST LAPS
what is the first part of the axillary artery
superior thoracic
superior thoracic artery course
pectoralis minor and passes between it and pectoralis major
supplies the 1st and 2nd intercostal space and superior part of serratus anterior
second part of the axillary artery contain
thoraco-acromial
lateral thoracic
course of thoraco-acromial
pectoralis minor
pierces cotocoracoid membrane
breaks into four branches: pectoral, deltoid, acromial and clavicular
lateral thoracic (axillary artery)
pectoralis minor
supplies lateral aspect of breast
third part of axillary contains
circumflex (anterior an posterior)
subscapular artery
course of anterior and posterior circumflex humeral artery
encircles surgical neck of humerus
course of subscapular artery
on the scapula and breaks into
circumflex scapular and thoracodorsal arteries
ciircumflex scapular ( subscapular artery) course
infrasipinous fossa and anastomosing with supracapular artery
thoracodorsal (subscapular artery) course
enter the apex of latts
brachial artery breaks into three arteries
profunda brachii artery
superior and inferior ulnar collateral artery
profunda brachii artery origin and course
origin; near middle of arm
course: supplyingg posterior compartment of arm and participates in the elbow joint
anterior ulnar collateral (brachial artery) origin and passage
near middle of arm
course: accompanies ulnar nerves to posterior aspect of elbow
inferior ulnar collateral ( brachial artery) origin and course
origin superior to medial epicondyle of humerus
course: with anterior ulnar recurrent artery
Boundaries of triangular space
Content circumflex scapular artery
Inferior: teres major
Superior: teres minor
Lateral: long head of tricep
Tricep hiatus boundaries
Content: deep artery, radial nerve
Superior: teres major
Medial: long head of tricep
Lateral: humerus
Quadrangular space:
Teres minor:superior
Humerus:lateral
Teres major: inferiorly
Long head of triceps : medially