cubital fossa/anterior forearm LOs Flashcards

1
Q

abductor pollicis longus m.

A
  • BL: proximal posterior radius/ulna, interossesous membrane > base of first metacarpal, trapezium
  • action: adducts/extends thumb at carpometacarpal joint, abducts hand at wrist (radial deviation)
  • innervation: radial nerve
  • SC: C6-8
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2
Q

brachioradialis m.

A
  • BL: lateral supracondylar ridge of humerus > distal radius lateral to styloid process
  • action: flexes elbow
  • innervation: radial nerve
  • SC: C5-6
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3
Q

extensor carpi radialis brevis m.

A
  • BL: lateral epicondyle of humerus > base of 3rd metacarpal
  • action: extends and abducts hand at wrist
  • innervation: radial nerve
  • SC: C6-8
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4
Q

extensor carpi radialis longus m.

A
  • BL: lateral supracondylar ridge of humerus > base of 2nd metacarpal
  • action: extends and abducts hand at wrist, assists in elbow flexion
  • innervation: radial nerve
  • SC: C6-8
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5
Q

extensor carpi ulnaris m.

A
  • BL: lateral epicondyle of humerus > base of 5th metacarpal
  • action: extends and adducts wrist
  • innervation: radial nerve
  • SC: C6-8
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6
Q

extensor digitorum m.

A
  • BL: lateral epicondyle of humerus > extensor expansions of digits 2-5
  • action: extends phalanges (at metacarpophalangeal, second at interphalangeal), extends wrist
  • innervation: radial nerve
  • SC: C6-8
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7
Q

extensor digiti minimi m.

A
  • BL: lateral epicondyle of humerus > digitial expansion of 5th digit
  • action: extends 5th digit (metacarpophalangeal and interphalangeal)
  • innervation: radial nerve
  • SC: C7-8
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8
Q

extensor indicis m.

A
  • BL: posterior surface of ulna, interosseous membrane > digital expansion of 2nd digit
  • action: extends 2nd digit (metacarpophalangeal and interphalangeal)
  • innervation: radial nerve
  • SC: C7-8
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9
Q

extensor pollicis brevis m.

A
  • BL: posterior radial surface, interosseous membrane > base of 1st proximal phalanx
  • action: extends thumb (metacarpophalangeal), extends and abducts CMC joint
  • innervation: radial nerve
  • SC: C6-8
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10
Q

extensor pollicis longus m.

A
  • BL: middle 1/3 of posterior ulna, interosseous membrane > base of 1st distal phalanx
  • action: extends thumb (CMC, metacarpophalangeal, interphalangeal)
  • innervation: radial nerve
  • SC: C6-8
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11
Q

flexor carpi radialis m.

A
  • BL: medial epicondyle > palmar aspect of base of 2nd metacarpal
  • action: flexes and abducts hand at wrist, pronation of forearm, flexion of elbow
  • innervation: median nerve
  • SC: C6-8
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12
Q

flexor carpi ulnaris m.

A
  • BL: medial epicondyle, proximal ulnar shaft > pisiform
  • action: flexes and adducts hand at wrist, flexion of elbow
  • innervation: ulnar nerve
  • SC: C7-T1
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13
Q

flexor digitorum profundus m.

A
  • BL: anterior proximal 2/3 of ulna, interosseous membrane > base of distal phalanges of digits 2-5
  • action: flexion of digits 2-5 (metacarpophalangeal, distal interphalangeal, proximal interphalangeal), flexion of hand at wrist
  • innervation: anterior interosseous of median nerve (digits 2-3), ulnar nerve (digits 4-5)
  • SC: C7-T1
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14
Q

flexor digitorum superficialis m.

A
  • BL: medial epicondycle > sides of middle phalanges of digits 2-5
  • action: flexion of digits (metacarpophalanges, PIP), flexion of hand at wrist
  • innervation: median nerve
  • SC: C7-T1
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15
Q

flexor pollicis longus m.

A
  • BL: anterior surface of radius, interosseous membrane > base of distal phalanx of thumb
  • action: flexes thumb (metacarpophalangeal and interphalangeal)
  • innervation: anterior interosseous nerve of median n.
  • SC: C7-T1
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16
Q

palmaris longus m.

A
  • BL: medial epicondyle > palmar aponeurosis
  • action: flexes hand at wrist, tenses palmar fascia
  • innervation: median nerve
  • SC: C7-8
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17
Q

pronator quadratus m.

A
  • BL: anterior surface of distal ulna > anterior surface of distal radius
  • action: ponates forearm
  • innervation: anterior interosseous nerve of median nerve
  • SC: C8-T1
18
Q

pronator teres m.

A
  • BL: medial epicondyle, ulnar coronoid process > lateral aspect of radius
  • action: pronates and flexes forearm
  • innervation: median nerve
  • SC: C6-7
19
Q

supinator m.

A
  • BL: lateral epicondyle, radial collateral ligament, supinator crest of ulna > lateral surface of proximal radius
  • action: supinates forearm
  • innervation: radial nerve
  • SC: C5-6
20
Q

humeroulnar joint classification

A

ginglymus/hinge

21
Q

humeroradial joint classification

A

radial/gliding

22
Q

proximal radio-ulnar joint classification

A

pivot/trochoid

23
Q

ulnar collateral ligament

A
  • attachments: medial epicondyle > medial margin of coronoid process, olecranon process
  • function: resists excessive cubital valgus
24
Q

radial collateral ligament

A
  • attachments: lateral epicondyle > anular ligament
  • function: resists excessive cubital varus
25
Q

annular ligament

A
  • attachments: anterior margin of radial notch > posterior margin of radial notch surrounding head of radius
  • function: stabilizes proximal radioulnar joint
26
Q

interosseous membrane

A
  • attachment: interosseous border of radius > interosseous border of ulna
27
Q

collateral circulation around elbow

A

axillary artery | teres major | brachial artery

  • ulnar side:
    • superior ulnar collateral <> posterior ulnar recurrent (ulnar a.)
    • inferior ulnar collateral <> anterior ulnar recurrent (ulnar a.)
    • brachial | ulnar | superficial palmar arch
  • brachial | common interosseous | anterior interosseous, posterior interosseous (recurrent interosseous)
  • radial side:
    • profunda brachii | radial collateral, middle collateral
    • radial collateral <> radial recurrent
    • middle collateral <> recurrent interosseous
    • brachial | radial | deep palmar arch
28
Q

location/function of bursae at elbow

A
  • subcutaneous bursa of medial epicondyle
  • subcutaneous bursa at leteral epicondyle
  • bursa of anconeus
  • bursa at origin of extensor carpi radialis brevis
  • olecranon bursa (between triceps tendon and olecranon): subtendinous, intratendinous, subcutaneous
29
Q

radial head subluxation

A
  • proximal radial head subluxates from anular ligament on lateral side of elbow due to pulling force
    • monkey bars, swinging child by hands
    • radial head not fully ossified in childhood
30
Q

olecranon bursitis

A
  • in posterior elbow joint olecranon bursae
  • after repeated, prolonged pressure
  • bursae are irritated and compressed, causing fluid buildup
31
Q

fascial compartment of the anterior forearm

A
  • action: flexion and pronation
  • contents: superficial, intermediate, deep layers
    • superficial layer:
      • median nerve: pronator teres, flexor carpi radialis, palmaris longus
      • ulnar nerve: flexor carpi ulnaris
    • intermediate layer:
      • median nerve: flexor digitorum superficialis
    • deep layer:
      • median and ulnar nerves: flexor digitorum profundus
      • anterior interosseous nerve of median nerve: flexor pollicis longus, pronator quadratus
  • innervation: mostly median nerve
  • blood supply: ulnar nerve
32
Q

predict nerovascular injuries base on fracture at medial epicondyle of humerus

A
  • brachial artery: inferior/superior ulnar collateral, posterior/anterior ulnar recurrent arteries
  • ulnar nerve, median nerve
33
Q
A

ulna (cross section)

34
Q
A

radius (cross section)

35
Q
A

flexor digitorum superficialis (corss section)

36
Q
A

flexor digitorum profundus (cross section)

37
Q
A

flexor carpi ulnaris (cross section)

38
Q
A

extensor indicis (cross section)

39
Q
A

interosseous membrane (cross section)

40
Q
A

pronator quadratus (cross section)