Dissection manual Flashcards
Action of superficial muscles in p forearm
Extensors
Supinators
3 origins of PT + insertion (1)
Supra condylar ridge
Cfo
Coronoid process
Max convexity of radius
Another origin of FCU
Olecranon
Another origin of FDS
Coronoid process
Branches of brachial artery x 4
Profunda brachii
Humeral nutrient
Ulnar collateral
Muscular branches to BBC
Branches of brachial artery at cubital fossa
Radial > radial recurrent
Ulnar > common interroseous
Course of brachial artery
T major to elbow
Course of cephalic vein
Dp groove to snuffbox
Course of subclavian artery?
Subclavian –> outer border 1st rib)
- -> brachial (anterior arm)
- -> radial/ulnar (elbow)
Does FDP also originate from ulna or radius and insertion
Ulna –> base of terminal phalanx
Do FDS tendons go through carpal tunnel
Yes
Does FPL originate from radius or ulna and insertion
Radius –> base distal thumb
ECRL INSERTIONS and origin
Supra condylar ridge –> 2nd mc base
Floor of cubital fossa
Brachialis
Supinator
How does for abduct wrist?
With radial extensors
How/where does radial nerve leave posterior compartment
Pierces lateral IM SEPTUM at cubital fossa between brachialis and brachii radials
Insertion and origin of COracobrachalis
Coracoid–> mid humeral shaft
Brachialis
Mid humeral shaft –> COranoid process
Anconeus Insertion
Ulna
Insertion of ECRB
3rdmc base
Insertion of EDC
4 tendons in dorsum
Insertion of EDM
Dorsal expansion lil finger
Insertion of FCR
2nd/3rd mc base
Insertion of FCU
Pisiform
Hamate/5mc via ligament
Insertion of FDS
Radial and ulna middle phalanx
Insertion of PL
Palmar alone
AbPL
Ulna to base of thumb mc
EPB
Radius –> proximal thumb phalanx
Supinator
Supinator crest –> proximal radius
Deep muscles of posterior forearm x5
Supinator AbPL EPL EI EPB
Nerve supply of deep anterior forearm muscle
Anterior interroseous branch median nerve
Nerve supply to deep muscles in posterior forearm
Pin EXC anconeus, brachioradialis, ECRL
Biceps
Long head is supraglenoid tubercle
Short head is COracoid
Radial tuberosity
Brachioradialis
Supracondylar ridge –> radial styloid process
ECU
Ulna –> 5th mc base
EPL
Ulna –> terminal thumb phalanx
Triceps
Long head is infraglenoid tubercle Lateral Medial Lips of spiral groove --> olecranon
Origin of posterior forearm muscles
CEO except EI, ECRL, brachioradialis
EI
Ulna –> dorsal expansion of lil finger
Radial nerve relation to triceps
Between medial and lateral heads WITH PROFUNDA BRACHII ARTERY
MC Nerve relation to biceps and brachialis
Deep to biceps and superficial to brachialis
Roof of cubital fossa x5
Bicipital aponeourisis
M/LCNFOREARM
MC vein
Deep fascia of forearm
Triangular borders of cubital fossa
2 humeral epicondyles
PT
Brachioradialis
Deep muscles of anterior forearm
FPL
FDP
PQ
What do the long and lateral head of triceps do
Fuses
Long head stabilises shoulder joint
What happens to mc nerve at cubital fossa
LCNFOREARM
What happens to basilic vein at cubital fossa
Pierces deep fascia
Joins VC of brachial artery to become axiallary vein
What happens to EDC TENDONS?
Split over PIP Into 3
Middle to middle phalanx base
Outers rejoin at distal phalanx
What happens to the radial nerve at cubital fossa
Pin and superficial
What is FDP supplied by
Anterior interroseous
Ulnar
What’s special about FCR tendons
NOT in carpal tunnel
What is cephalic vein used for and why?
Intravenous cannulation and venous access
Large size and constant position
What is the MCubital vein used for
Venepuncture
What lies in anterior arm compartment x8
BBC MEDIAN nerve UlnAr nerve Brachial artery + VC MCNa/f
What lies in posterior compartment of arm x3
Triceps
Radial nerve
PROFUNDA brachii artery
What makes up the snuffbox
3 muscles
2bones
AVN
EPL EPB AbPL scaphoid and trapezium Radial artery Cephalic vein Radial nerve -superficial branch
What makes up the pec girdle x5
Pecs Lat dorsi Serratus anterior Trapezius Rhomboidal
Nerve for muscles in anterior forearm
Median
When do biceps supinate
Flexed elbow
Origin of superficial anterior forearm muscles
CFO
ORigin of deep anterior forearm muscles
Interroseous membrane
Where do lymph nodes in Axilla filter blood from
Upper limb
Breast
Upper abdominal wall
Thoracic wall
Route of bicipital aponeourisis
Tendon to ulna
Where does BP start from
Anterior primary rami
Where does cephalic vein pierce and what does it become
Clavipectoral fascia –> axillary vein
Where does median nerve cross brachial artery
Cubital fossa to lie medial to it
Where does ulnar nerve lie in relation to axillary and brachial artery
Medial
Pierces IM septum
Where is brachial artery in proximal arm
Next to ulnar nerve
Where is the cfo
Anterior aspect of medial epicondyles
Where is median nerve and ulnar/radial artery in relation to PT
Median nerve in between heads
Ulnar deep
Radial over
Where is ulnar nerve in relation to FCU
Between heads
Which muscles in superficial anterior forearm
Pt FCR Pl FCU FDS
Which muscles go through carpal tunnel
FDS
FDP
FPL
Which muscles work to radially deviate wrist
ECRL
ECRB
FCR
Why is the flexor compartment more bulky
For gripping
Why is palmar aponeourisis thinner over the a/hypo?
Increases motility
Which nerves come off the root of BP? X3
Dorsal scapular -5
Long thoracic - 567
Subclavius -56
Which nerve comes from trunk of no? Upper
Supraacapular
Which muscles connect trunk to scapula? X5
Trapezius Pec minor Rhomboids Serratus anterior Lev scAp
What cords make up median nerve?
Lateral and medial
Which Cord is axillary from and what does it supply (1joint,2muscle) and what does it become?
Posterior
Shoulder
T minor and deltoid
Ipl na
Where is long thoraci and supply?
Root
Serratus anterior
Where is the capsules lax in glenohumeral joint?
Inferiorly
Where is dorsal scAp and supply? X2
Root
Lev scAp
Rhomboids
Where does pec major start and end?
Midpoint clavicle
Sternocostal head–> sternum
Clavicular head –> medial half clavicle
–> bicipital groove
Where are trunks of BP?
Posterior triangle
Roots of BP?
Posterior to scaleneus anterior
Divisions of BP?
Behind clavicle
Cords of BP?
Axilla
What nerve supplies HYPOTHENAR and what muscles are they?
ULNAR
AbDM -medial
FDM - lateral
ODM
What makes up snuffbox
3 muscles
2 bones
AVN
EPL EPB AbPL Trapezius ScFfoid Radial artery Superficial radial nerve Cephalic vein
What lies in the pec girdle? X3
BP
Axillary art/vein/nerve
CIRCUMFLEX HUMERAL ARTERY
What joints does median nerve supply?
Wrist
Inferior radio ulnar
Middle radio ulnar
What is the ONLY true adductor?
Coracobrachialis
Lat and pecs help adduct the adducted Ahoulder
What initiaties abduction and what carries it on?
Supraspinatus
Deltoid
What does thoracodorsal supply and where is it from?
Lat dorsi
Posterior
What does the superficial branch of radial supply?
Lateral dorsum skin
What does the sub scapular nerves supply?
Subscapularis
T MAJOR
What does the recurrent branch median supply?
Thenar
What does radial nerve (4) supply and what does it become (2)
Triceps Anconeus Brachioradialis ECRL LOwerlcna Plcna/f
What joint does pin supply and muscles? X9
Wrist joint Supinator AbPL EI ED EDM ECRB EPL EPB ECU
What does palmar Brevis do?
Improve grip on ulnar side
What does median nerve supply ? X6
Pt FCR PL FDS Lateral 2 lumbricals Skin 3.5 fingers
What does median branch split into?
AIN
RECURRENT BRANCH
what does medial pectoral supply?
Pecs
What does Ant int nerve of median supply?
FPL
PQ
FDP (lateral)
What does lat dorsi do before reaching humerus?
180degree twist
What do the rotator cuff do?
Hold humeral head within glenoid
What do lumbricals and interroseo do?
Flex mcp
Extend IP
What disc does sternoclav have?
Fibrocartilanginous intra articulatar disc
What cord is ulnar from and what does it supply?
2 joints
8
Medial Elbow Wrist FCU Medial half of FDP Medial 2 lumbricals HYPOTHENAR 7 interrosei Skin of 1.5 fingers Nail beds Adductor policis
What cord is MC from and supply? 3 muscles 1 joint and what does it become?
Lateral
Bbc
Elbow
Lcna
What comes off posterior cord of BP x4
Thoracodorsal
Upper and lower subscapular
Axillary
Radial
What comes off medial cord of BP? X3
Medial pectoral
MCNa/f
Ulnar
What comes off lateral cord of BP? X2
MC
Lateral pec
Thenar muscles? Nerve supply?
Median
AbPB lateral
FBP medial
OP deep
Deep muscles of hand? X3
Adductor policis
Lumbricals
Interrosei
Nerve for superficial palmar arch?
Ulnar
Posterior wall of Axilla? LST
Lat dorsi
T major
SUBSCAPULAR
Nodes of Axilla
Apical
Trapezius nerve?
Spinal accessory
Sternocostal head of pec major NERVE?
MEDIAL PEC
Claviclar head of pec major nerve?
Lateral pec nerve
Muscles connecting trunk to humerus? X2
Lat dorsi
Pec major
Sternoclav movements
Protraction.
Retraction
Acromioclavicular movements?
Rotation
Medial wall of Axilla X11
Serrated anterior
Lateral wall of Axilla? Grove
Bicipital groove
Serrated anterior
Upper 8/9 ribs to scapula
Pec minor
Ribs 345 to COracoid crest
Lumbricals
FDP TENDONS
Dorsal expansion
Lev scAp
C1/4
Vert scAp border
Lat dorsi
Iliac crest
Bicipital groove
Deltoid
Scapula spine - aponeourisis
Acromion and clavicle - fleshy fibres
Deltoid tuberosity
Rhomboids
Ligamentum nuchae -> vert scAp border
Events at mid humerus x8
Insertion of deltoid Insertion of COraco Start of brachialis Ulnar nerve and artery pierce lateral IM SEPTUM Basilic pierces deep fascia Median nerve crosses brachial art Humeral nutrient arteries Radial nerve emerges from spiral groove
Lymph drainage in Axilla?
Infraclscicular to apical
Supratrochlear to lateral
All to Central to apical
DESCRIBE PAD
Palmar adducts
4
Each from 1 MC
UNIPENNATe
Describe dab
Dorsal abducts
4
Each from 2 MC
Bipennate
Deep palmar arch nerve?
Radial
Axilla contents?
3 arteries
1 vein
Lymph nodes
Subscapular artery
Axillary artery
Circumflex artery
Axillary vein and lymph nodes
Brachial artery branches at cubital fossa?
Radial and radial recurrent
Ulnar and common int
Branches of brachial artery
PROFUNDA brachii
Humeral nutrient
Ulnar collateral
Muscual branches to bbc
Median nerve autonomous area?
Index finee pulp
Ulnar nerve auto area?
Little finger pulp
Radial nerve auto area
First dorsal we space
Anterior Axilla wall 2 muscles, 1 fascia
Pecs
Subclavius
Clavipec fascia
What does the clavicle articulate with?
Acromion and sternum at the joints
What kind of joint is elbow?
Synovial hinge
What sort of joint is wrist?
Synovial ellipsiod
Articulations of wrist joint
Scaphoid
Lunate
Distal radius
What muscles Attach shoulder joint to pec girdle? X4
Deltoid
Rotator cuff
Biceps
Long head of triceps
Is FPL uni pennante?
Yes
Where does FCR lie?
In a groove in the trapezium
What does palmaris longus do?
Tense fascia
Flexes wrist
Anconeus
Posterior lateral epicondyle to ulna
Where is the ceo?
Anterior aspect of laterAl epicondyle
What joint does EPB extend
CMC
MCP
What joints do EPL extend
MCP
IP
What does EPL wind around and change direction at to reach thumb
Listers tubercle
Scapular artery anastomoses with what and where?
Circumflex humeral arteries
Surgical neck humerus
Supplies shoulder deltoid
WhT does supra scapular innervate?
SPURA/infraspinatus
ULNAR NERVE ROOT
MEdial aspect close COracobrachialis
Pierces medial IM septum to lie posteriorly between olecranon + ME
Enters anterior comp- 2 heads of FCU
How does ulnar nerve end
Supplies adductor policis
What supplies palmar Brevis
Superficial ulnar nerve
MEDIAN NERVE
Anteromedial with brachial artery Crosses artery at cubital fossa Heads of PT Adherent to FDS JUST BEFORE carpal tunnel -> palmar cutaneous branch to thenar Anterior int. ends in PQ
TriAngle of auscultation borders?
Lat dorsi
Trapezius
Scapula
Articulation of sternoclav?
Medial end of clavicle
Clavicular notch of manubroum
How is glenohumeral strengthened?
Coracohumeral ligament
3 anterior ligaments
Which joints mKe up scapula thoracic rhythm?
Scapulothoracic
Glenohumeral
ElevTion of upper limb requires what of scapula?
Elevation rotation
Where do interrosei arise from?
Metacarpal shafts
Clavicle attachments
Manubrium
Acromion of scapula
Where is the capsule lax in elbow joint?
Anterior and posterior for FE
Insertion of interrosei?
Proximal phalanges