Exam 2-Part 2 Flashcards

1
Q

List the bones of the arm.

A

humerus

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2
Q

List the bones of the forearm.

A

radius and ulna

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3
Q

The radius is located on the same side as the ____ of your hand while the ulna is located on the same side as your ____ ____ of your hand.

A

thumb, little finger

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4
Q

The ulna is _____ than the radius.

A

longer

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5
Q

The radius projects further _____ than the ulna.

A

distally/inferiorly

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6
Q

The radial tuberosity is an attachment point for the….

A

biceps tendon

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7
Q

The ulnar notch is located on the ____ on the medial aspect of its distal end.

A

radius

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8
Q

The styloid process of the radius is located of the ____ aspect of its distal end.

A

lateral

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9
Q

The dorsal tubercle of the radius is located on on its posterior aspect on its ____ end.

A

distal

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10
Q

During flexion, the coronoid process moves into the… of the humerus.

A

coronoid fossa

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11
Q

The trochlear notch is located on the ____ side of the ulna.

A

anterior

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12
Q

The radial notch of the ulna is located of the lateral side of the….. and articulates with what?

A

coronoid process, head of the radius

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13
Q

The ulnar tuberosity is on the distal end of the coronoid process and acts as the attachment point for what muscle?

A

brachialis

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14
Q

The supinator crest and supinator fossa are anatomical landmarks on what bone?

A

ulna

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15
Q

The radius and ulna are _____ in anatomical position.

A

parallel

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16
Q

What joins the radius and ulna?

A

interosseous membrane

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17
Q

The interosseous membrane is an example of a _____ which is a type of ____ joint.

A

syndesmosis, fibrous

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18
Q

The fibers of the interosseous membrane are oriented ______.

A

inferomedially

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19
Q

The interosseous membrane provides strength and stability and allows forces to be transferred from the ____ to the ____.

A

radius to ulna

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20
Q

The ulna is firmly attached to the _____ while the radius is in closer contact with the _____ bone(s).

A

humerus; carpal (wrist)

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21
Q

A transverse fracture of the distal end of the radius (often comminuted broken into pieces) is known as a _____ fracture

A

Colles

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22
Q

A Colles fracture often happens due to….. and is common in osteoporotic women.

A

falling with an outstretched arm

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23
Q

The arm is enclosed in ____ fascia which is continues with the pectoral and axillary fascia and also deep fascia of the forearm.

A

brachial

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24
Q

The medial and lateral intermuscular septa attach to…… and divide the arm into ____ and _____ compartments.

A

the medial and lateral supracondylar ridges of the humerus;

anterior (flexor) and posterior (extensor) compartments

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25
Q

What muscles are contained in the anterior fascial compartment of the arm and what nerve innervates these muscles?

A

biceps brachii, brachialis, coracobrachilis;

musculocutaneous nerve

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26
Q

What muscle is the “uncorking” muscle?

A

biceps brachii

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27
Q

The biceps brachii has ____ head(s)

A

two, long and short

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28
Q

The tendon of the long head of the biceps is within the the capsule of the shoulder joint in the ____ _____ covered by the ____ _____ ligament.

A

intertubercular groove, transverse humeral ligament

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29
Q

True or False: The bicipital aponeurosis is a broad flat tendon.

A

True

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30
Q

What are the functions of the biceps?

A

supinate and flex the forearm, assist in shoulder flexion

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31
Q

The brachialis is located ____ to the biceps.

A

deep

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32
Q

Which muscle is the prime mover for flexion of the forearm (at elbow)?

A

brachialis, in all positions

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33
Q

What nerve pieces the coracobrachialis?

A

musculocutaneous

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34
Q

What muscles are located in the posterior fascial compartment of the arm and what nerve innervates these muscles?

A

triceps brachiii and anconeus;

radial nerve

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35
Q

The triceps has ___ head(s).

A

three (long, lateral, and medial)

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36
Q

The antagonist of the triceps brachii would be the ____ muscle.

A

brachialis

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37
Q

The olecranon bursa is located between….

A

triceps tendon and olecranon

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38
Q

The triceps is the main ____ of the arm.

A

extensor

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39
Q

The anconeus is located of the ____ part of the posterior elbow.

A

lateral

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40
Q

True or False. The anconeus usual blend with the triceps and therefore is often considered part of its medial head.

A

True

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41
Q

What are the “three musketeers” muscles?

A

biceps brachii, brachialis, and coracobrachialis

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42
Q

The main artery of the arm is the ____ artery.

A

brachial

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43
Q

The brachial artery is a continuation of the ____ artery and at what point does it change and become the brachial artery.

A

axillary; begins at inferior border of the teres major

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44
Q

What protects the brachial artery?

A

The bicipital aponeurosis in the bicipital fossa

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45
Q

The brachial artery further divides into ____ and ____ arteries, which are usually located opposite the neck of the radius and are also covered by the bicipital aponeurosis.

A

radial and ulnar

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46
Q

Name three branched of the brachial artery.

A

Profunda brachii artery (deep brachial)
Superior ulnar collateral artery
Inferior ulnar collateral artery

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47
Q

What is the largest branch of the brachial artery?

A

Profunda brachii artery (deep brachial)

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48
Q

The deep brachial artery (profunda brachii) accompanies. the…

A

radial nerve in the radial groove

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49
Q

The superior ulnar collateral artery arises….and the inferior ulnar collateral artery arises…

A

S-arises near the middle of the arm

I- arises just proximal to the elbow crease

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50
Q

The….artery accompanies the ulnar nerve posterior to the medial epicondyle

A

superior ulnar collateral artery

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51
Q

The superior ulnar collateral artery anastomoses with the….. and…..

A

posterior ulnar recurrent (branch of the ulnar artery) and the inferior ulnar collateral

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52
Q

The inferior ulnar collateral artery passes _____ to the medial epicondyle

A

anterior

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53
Q

The inferior ulnar collateral artery is important for ____ _____

A

collateral circulation

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54
Q

There is/are ____ deep brachial vein(s) that travel(s) with the brachial artery (venae comitantes)

A

two

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55
Q

The deep veins of the arm begin at the elbow by union of the ___ ___ of the radial and ulnar arteries and merge with the _____ vein to form the axillary vein

A

venae comitantes; basilic

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56
Q

The superficial veins of the arm include….(3 veins)

A

cephalic vein, basilic vein, and median cubital vein

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57
Q

The cephalic vein is located along the anterolateral surface of the ___ and empties into the ____ vein.

A

biceps, axillary

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58
Q

The basilic vein is located of the ____ side of the inferior part of the arm and becomes the ____ vein

A

medial, axillary

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59
Q

The median cubital vein is located on in the ___ ____ anterior to the bicipital apopneurosis.

A

cubital fossa

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60
Q

The median cubital vein acts as communication between what two veins?

A

basilic and cephalic

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61
Q

Which superficial vein of the arm is often used to draw blood?

A

median cubital vein

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62
Q

Cutaneous nerves of the arm include…(6 nerves)

A

supraclavicular nerves (C3, C4)
intercostobrachial nerve (T2-second intercostal nerve)
medial cutaneous nerve of the arm
upper lateral cutaneous nerve of the arm
inferior lateral cutaneous nerve of the arm
posterior cutaneous nerve of the arm

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63
Q

Which cutaneous nerve of the arm is often associated with pain in the arm before an individual would experience a heart attack?

A

intercostobrachial nerve (T2-second intercostal nerve)

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64
Q

The median nerve has ___ branch(es) in the axilla and arm.

A

none, zero, nada

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65
Q

The median nerves runs with the _____ artery

A

brachial

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66
Q

What does the median nerve supply?

A

supplies all but 1 and 1/2 flexor muscles in the forearm (exception: flexor carpi ulnaris and 1/2 of flexor digitorum profundus)

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67
Q

The ulnar nerve arrises from the ____ cord and has ____ branch(es) in the arm.

A

medial;

none, zilch

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68
Q

What corresponds to someone’s crazy/funny bone?

A

The ulnar nerve traveling along the medial epicondyle of the humerus

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69
Q

True or False: The ulnar nerves travels along the lateral side of the brachial artery.

A

False, it travels along the medial side of the brachial artery

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70
Q

At the middle of the arm the ulnar nerve pierces the medial intermuscular septum and descends between it and….

A

the medial head of the triceps

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71
Q

The musculocutaneous nerve arises from the lateral cord and begins opposite what muscle?

A

pec major

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72
Q

The musculocutaneous nerve becomes the…. and supplies the skin of the forearm.

A

The lateral cutaneous nerve of the forearm

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73
Q

The radial nerve is a direct continuation of the….

A

posterior cord

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74
Q

The radial nerve passes the __ ___ artery around the humerus in the radial groove.

A

deep brachial

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75
Q

The radial nerve divides into deep and superficial branches at the ____ ____.

A

lateral epicondyle

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76
Q

The ____ _____ is a triangular, hollow area on the anterior surface of the elbow.

A

cubital fossa

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77
Q

What are the boundaries of the cubital fossa?

A

superior- imaginary line between lateral and medial epicondyles
medial-pronator teres
lateral- brachiradialis
floor- brachialis and supinator
roof-deep fascia-covered by superficial fascia and skin

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78
Q

What are the contents of the cubital fossa?

A

T- biceps tendon
A- brachial artery
N- median nerve
brachial veins

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79
Q

What are the muscles in the cubital fossa?

A

supinator, brachioradialis, and pronator teres

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80
Q

The sternoclavicular joint is the only bony articulation between what?

A

the upper extremity and axial skeleton

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81
Q

True or False: The sternoclavicular joint is a very weak articulation and is often dislocated.

A

False. It is a very strong articulation and rarely dislocated

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82
Q

The sternoclavicular joint is considered a ____ type of ____ joint and moves with movement of the scapula/clavicle.

A

saddle, synovial

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83
Q

The medial end of the clavicle articulates in a shallow socket formed by the ____ and…

A

manubrium, first costal cartilage

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84
Q

The articular disc prevents ____ displacement and divides the joint into 2 synovial cavities.

A

medial

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85
Q

The upper portion of the articular disc is attached to the ____ and the lower portion is attached to the ____ and ____

A

clavicle;

sternum and 1st rib-costal cartilage

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86
Q

The articular capsule of the sternoclavicular joint has 4 ligaments. name them.

A
anterior and posterior sternoclavicular ligaments (intrinsic)
interclavicular ligament (extrinsic)
costoclavicular (extrinsic)
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87
Q

What is the blood supply for the sternoclavicular joint?

A

branches of the internal thoracic artery and suprascapular artery

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88
Q

The innervation of the sternoclavicular joint is….

A

the branches of the medial supraclavicular nerve and nerve to the subclavius

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89
Q

The acromioclavicular joint is a ___ type of ____ joint.

A

plane, synovial

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90
Q

As the scapula is moved anteriorly and posteriorly, the acromion rotates on the clavicle and moves ____ and ____

A

anteriorly and posteriorly

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91
Q

The lateral end of the clavicle articulates with the medial end of the ____

A

acromion

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92
Q

Describe the articular disc of the acromioclavicular joint.

A

variable in size, sometimes described as meniscoid shape

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93
Q

Give an example of a pivot joint.

A

Atlantoaxial joint

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94
Q

What is Hiltons Law?

A

The principle that the nerve supplying a joint also supplies both the muscles that move the joint and the skin covering the articular insertion of those muscles

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95
Q

The articular capsule of the acromioclavicular joint has ____ and ____ ____ ligaments and the _____ligament

A

superior and inferior acromioclavicular;

coracoclavicular

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96
Q

The coracoclavicular is made up of the _____ ligament and _____ ligament

A

trapezoid and conoid

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97
Q

The coracoclavicular ligament is an ______ ligament that is strong and important for stability.

A

extrinsic

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98
Q

The blood supply to the AC joint is….

A

branched of the suprascapular and thoracoacromial arteries

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99
Q

The innervation of the AC joint is the….

A

supraclavicular, lateral pectoral and axillary nerves

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100
Q

The shoulder joint is also called the _____ joint

A

glenohumeral

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101
Q

The shoulder joint is a ____ type joint that permits flexion/extension, abduction/adduction, and rotation and circumduction.

A

ball and socket

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102
Q

The stability of the shoulder is primarily due to…

A

muscles

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103
Q

The ___ ____ is the superior portion of the shoulder joint that blends with the tendon of the long head of the biceps

A

glenoid labrum

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104
Q

The _____ portion of the articular capsule of the shoulder joint is the weakest.

A

inferior

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105
Q

The capsule of the shoulder joint ____ with abduction

A

tightens

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106
Q

There are 2 openings of the articular capsule of the shoulder joint. What are the openings for?

A

tendon of the long head of the biceps and communication with the subscapular bursa

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107
Q

The intrinsic ligaments of the shoulder joint are_____ of the fibrous capsule but do not provide much support.

A

thickenings

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108
Q

The glenohumeral ligaments include superior, middle, and inferior parts and are thickenings of the _____ capsule running from the supraglenoid tubercle to the lesser tubercle and anatomical neck of the humerus.

A

anterior

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109
Q

The ____ ____ is an extra amount of fibrous capsule

A

axillary pouch

110
Q

The most common dislocation of the glenohumeral joint occurs in what direction?

A

anteriorly

111
Q

The transverse humeral ligament passes from the ___ to the ____ ____

A

greater to lesser tubercles

112
Q

The…..forms a canal for the synovial sheath and tendon of the long head of the biceps

A

transverse humeral ligament

113
Q

The coracohumeral ligament strengthens the superior capsule and passes from the…to the….

A

coracoid process to the greater tubercle of the humerus

114
Q

The extrinsic ligaments of the shoulder joint include…

A

the coracoacromial arch and coracoacromial ligament

115
Q

The coracoacromial arch is formed by…

A

the coracoid process, coracoacromial ligament and acromion

116
Q

The coracoacromial arch prevents ____ displacement of the humerus

A

superior

117
Q

Stability of the shoulder joint is maintained by what in each of the following directions: superior, posterior and anterior

A

superior- supraspinatus and coracoacromial arch
posterior- infraspinatus and teres minor
anterior- subscapularis

118
Q

What is a bursa?

A

a fluid filled sac of synovial fluid

119
Q

Name some examples of bursa in and around the shoulder joint.

A

subscapular bursa, subacromial/subdeltoid bursa

120
Q

Blood supply of the shoulder joint is….

A

branches of the anterior and posterior circumflex humeral arteries and the suprascapular artery

121
Q

The innervation of the shoulder joint is…

A

branches of the suprascapular, axillary, and lateral pectoral nerves

122
Q

How many carpal bones are there?

A

eight

123
Q

How many rows of carpal bones are there?

A

two, arranged into a proximal and distal row

124
Q

Name the proximal row of carpal bones from lateral to medial.

A

scaphoid, lunate, triquetrum, pisiform

125
Q

Name the distal row of carpal bones from lateral to medial.

A

trapezium, trapezoid, capitate, hamate

126
Q

What is another name for the scaphoid?

A

navicular

127
Q

The pisiform is an example of a ____ bone.

A

sesamoid, found within the tendon of the flexor carpi ulnaris

128
Q

The hook of hamate projects in what direction?

A

anteriorly

129
Q

Which is the largest carpal bone?

A

scaphoid

130
Q

The ___ ____ is converted into the carpal tunnel by the flexor reticnaculum.

A

carpal groove

131
Q

The flexor retinaculum is attached to which carpal bones laterally (2) and which carpal bones medially(2)?

A

laterally: scaphoid and trapezium
medially: pisiform and hook of hamate

132
Q

There are ____ metacarpal bones.

A

five

133
Q

The heads of the metacarpals are at the distal end and articulate with….

A

phalanges

134
Q

On the dorsal side of the heads of the metacarpals, there is a tubercle on each side for the attachment of….

A

collateral ligaments and joint capsules

135
Q

Name the three joints of the metacarpal bones.

A

carpometacarpal (CMC), metacarpophalangeal (MCP), and intermetacarpal joints

136
Q

The thumb has ____ phalanges while each finger has ____

A

2,3

137
Q

True or False. There are proximal, middle, and distal phalanges on each of the four fingers.

A

True

138
Q

The base of the phalanges is the ____ end, the shaft is the middle, and the head is the ____ end

A

proximal, distal

139
Q

PIP stands for…, and DIP stands for…

A

proximal interphalangeal joint, distal interphalangeal joint

140
Q

What is the common flexor attachment of the forearm?

A

medial epicondyle of the humerus

141
Q

The anterior forearm muscles have ____ layers.

A

3

142
Q

The anterior forearm muscles are the ___-____ group.

A

flexor-pronator

143
Q

All flexor tendons are located on the _____ surface of the wrist.

A

anterior

144
Q

Name the muscles of the superficial muscles of the anterior forearm.

A

pronator teres, flexor carpi radialis, palmaris longes, flexor carpi ulnaris

145
Q

The _____ artery is just lateral to the long tendon of the flexor carpi radialis.

A

radial

146
Q

The flexor carpi radialis is ____ to the pronator teres.

A

medial

147
Q

The tendon of the palmaris longus is (superficial or deep?) to the flexor retinaculum.

A

superficial

148
Q

The median nerve passes ____ to the tendon of the palmaris longus

A

lateral

149
Q

The ___ ____ is often an absent muscle.

A

palmaris longus (about 14%)

150
Q

What muscle of the superficial flexors is the most medial?

A

flexor carpi ulnaris

151
Q

The _____ nerve passes between the two proximal heads of the flexor carpi ulnaris in the forearm.

A

ulnar

152
Q

Both the ulnar nerve and artery are ____ to the tendon of the flexor carpi ulnaris at the wrist.

A

lateral

153
Q

Name the muscle(s) of the intermediate layer of the anterior forearm.

A

flexor digitorum superficialis

154
Q

The ulnar and median nerves and ulnar artery pass ____ between the two heads of the flexor digitorum superficialis.

A

deeply

155
Q

The ____ tendons of the flexor digitorum superficialis pass deep to the flexor retinaculum.

A

four

156
Q

The tendons of the flexor digitorum superficialis split in order to do what?

A

transmit the tendon of the flexor digitorum profundus

157
Q

The ____ nerve is located on the deep surface of the flexor digitorum superficialis.

A

median

158
Q

The deep layer of the anterior forearm muscles is not attached to the humerus. Where do they attach?

A

radius or ulna

159
Q

Name the deep layer muscles of the anterior forearm.

A

flexor digitorum profundus, flexor pollicis longus, pronator quadratus

160
Q

Which muscle is the only muscle capable of flexing the distal interphalangeal joints (DIP)?

A

flexor digitorum profundus

161
Q

The flexor digitorum profundus travels in a fibrous sheath with tendons of the flexor digitorum superficialis and has ___ parts with ____ tendons.

A

4,4

162
Q

The….muscle covers the anterior aspect of the ulna while the….muscle covers the anterior aspect of the radius.

A

flexor digitorum profundus,

flexor pollicis longus

163
Q

What is the deepest muscle of the anterior forearm?

A

pronator quadratus

164
Q

What muscle is the prime mover in pronation?

A

pronator quadratus

165
Q

The muscles of the anterior forearm can be organized into three functional groups. Name the three functional groups.

A
  1. pronators
  2. flex the hand
  3. flex the digits
166
Q

Name the muscles in the anterior forearm responsible for pronation.

A

pronator teres and pronator quadratus

167
Q

Name the muscles in the anterior forearm responsible for flexion of the hand.

A

flexor carpi radialis, flexor carpi ulnaris, palmaris longus

168
Q

Name the muscles in the anterior forearm responsible for flexion of the digits.

A

flexor digitorum superficialis, flexor digitorum profundus, flexor pollicis longus

169
Q

Name the cutaneous nerves of the anterior forearm.

A

medial cutaneous nerve of the forearm, lateral cutaneous nerve of the forearm, posterior cutaneous nerve of the forearm

170
Q

The lateral cutaneous nerve of the forearm is the termination of the ____ nerve.

A

musculocutaneous

171
Q

Which nerve is the principal nerve of the anterior fascial compartment?

A

median nerve

172
Q

The median nerve enters the forearm with the ____ artery

A

brachial

173
Q

The median nerve enters the hand through the carpal tunnel between the tendon of the…. and the tendon of the…

A

flexor digitorum superficialis, flexor carpi radialis

174
Q

The median nerve has branches in the forearm. In particular the ___ ____ branch travels with a branch of the ulnar artery with the same name to innervate the deep muscles.

A

anteriro interosseous

175
Q

The ulnar nerve enters the forearm by passing between the two heads of the flexor carpi ulnaris through a space called the….

A

canal of Guyon

176
Q

The ulnar nerve becomes superficial in the ___ end of the forearm.

A

distal

177
Q

The ulnar nerve has _____ and ______ branches in the forearm.

A

muscular and articular

178
Q

The radial nerves divides into superficial and deep branches in the cubital fossa between what two muscles?

A

brachialis and bracioradialis

179
Q

The superficial branch of the radial nerve is ____ while the deep branch is _____.

A

cutaneous, motor

180
Q

The superficial branch of the radial nerve becomes cutaneous at the ____ ____ aspect of the forearm.

A

distal lateral

181
Q

The deep branch of the radial nerve pierces the ____ muscle and is then found in the extensor forearm.

A

supinator

182
Q

The brachial artery ends opposite the…..by dividing into the radial and ulnar arteries

A

neck of the radius

183
Q

Which of the two branches of the brachial artery is larger?

A

ulnar

184
Q

The ____ ____ artery participates in arterial anastomosis around the elbow

A

radial recurrent

185
Q

The radial nerve supplies muscles on the _____ forearm.

A

lateral

186
Q

How does the radial artery leave the forearm?

A

by winding around the lateral aspect of the radius–crosses the floor of the anatomical snuffbox

187
Q

The radial artery passes between the two heads of the adductor pollicis and ends by completing the…. in conjunction with the ulnar artery.

A

deep palmar arterial arch

188
Q

Accompanied by the median nerve, the ____ artery passes between the ulnar and radial heads of the flexor digitorum superficialis

A

ulnar

189
Q

The ulnar artery passes ____ to the flexor retinaculum.

A

superficial

190
Q

The ulnar artery supplies muscles…

A

in the forearm and hand-primarily the pronator/flexor group

191
Q

The ulnar artery continues across the palm as the….

A

superficial palmar arterial arch

192
Q

Name the branches of the ulnar artery.

A

Anterior ulnar recurrent, posterior ulnar recurrent, and common interosseous artery

193
Q

The common interosseous artery has both ____ and ____ parts.

A

anterior and posterior

194
Q

The elbow joint is a ____ joint.

A

hinge

195
Q

At the elbow joint the trochlea and capitulum of the humerus articulate with the….and….respectively.

A

trochlear notch of the ulna and head of the radius

196
Q

The capsule of the elbow joint is (weaker or stronger?) anteriorly and posteriorly.

A

weaker

197
Q

The capsule of the elbow joint is strengthened by _____ ligaments.

A

collateral

198
Q

At the elbow joint the radial (lateral) collateral ligament resists ____ force and the ulnar (medial) collateral ligament resists ____ stress.

A

varus;

valgus

199
Q

The radial collateral ligament is attached from ___ ___ to ____ ____

A

lateral epicondyle to annular ligament

200
Q

The ulnar collateral ligament has ____ parts.

A

3, anterior, transverse, and posterior

201
Q

For the ulnar collateral ligament, the anterior part is attached from ____ ____ to ____ ____.
the posterior part is attached from ______ _____ to ____ ___
The transverse part is not as distinct as the anterior part.

A

anterior: medial epicondyle to coronoid process
posterior: medial epicondyle to coronoid process

202
Q

Which ligament encircles the head of the radius?

A

annular ligament

203
Q

For blood suuply of the elbow joint, there is _____ around the elbow.

A

anastomosis

204
Q

The innervation of the elbow joint is…….

A

musculocutaneous, ulnar, and radial nerves

205
Q

Name the bursae of the elbow joint.

A

Olecranon bursua (intratendinous, subtendinous, subcutaneous)

206
Q

What is the carrying angle?

A

decribes the 15 degrees of valgus angulation between the longitudinal axis of the humerus and the longitudinal axis of the ulna.

207
Q

True to False: The carrying angle is typically larger in men.

A

False, typically larger in women,

208
Q

The radioulnar joints are ____ types of synovial joints that allow for what two actions?

A

pivot, supination and pronation

209
Q

For the proximal radioulnar joint, the head of the radius is held in position by the strong ____ ligament, a -shaped ligament attached to the anterior and posterior margins of the radial notch.

A

annular

210
Q

The _____ ligament extends between the radial notch of the ulna and the medial surface of the neck of the radius

A

Quadrate

211
Q

The quadrate ligament covers the synovial membrane, which probably helps ___ it.

A

support

212
Q

The ____ ____ is a extra loose sac of synovial membrane around the neck of the radius. What is its purpose?

A

sacciform recess; accommodates the twisting that occurs with rotation of the head of the radius

213
Q

The proximal radioulnar joint is innervated by what nerves?

A

mainly musculocutaneous, median, and radial nerves

214
Q

What is nursemaid’s elbow?

A

The dislocation of the radial head, strong pull is applied to the forearm, causes the distal attachment of the annular ligament to be torn and the radial head dislocates

215
Q

What is the proximal radioulnar joint?

A

The radial head articulates with the radial notch of the ulna

216
Q

What is the distal radioulnar joint?

A

the rounded side of the head of the ulna articulates with the ulnar notch in the distal end of the radius

217
Q

The distal radioulnar joint gets its blood supply from…

A

the anterior and posterior interosseous arteries

218
Q

The distal radioulnar joint is innervated by…

A

branches of the median (anterior interosseous nerve) and radial (posterior interosseous nerve) nerves

219
Q

During supination and pronation, the ___ ___ rotates within the ring formed by the annular ligament and the radial notch of the ulna. Distally, the end of the radius rotates around the…

A

radial head, head of the ulna

220
Q

The wrist or radiocarpal joint is a ____ type of joint

A

condyloid

221
Q

The distal end if the radius and the articular disc if the distal radioulnar joint articulate with the _____ row of carpal bones, with the exception of the pisiform bone.

A

proximal

222
Q

Name the ligaments of the wrist joint.

A
  1. palmar radiocarpal ligaments
  2. palmar ulnocarpal ligaments
  3. dorsal radiocarpal ligaments
  4. ulnar collateral ligament
  5. radial collateral ligament
223
Q

The blood supply of the wrist joint is…

A

branches of the dorsal and palmar carpal arches

224
Q

Innervation of the wrist joint is…

A

median, radial, and ulnar nerves

225
Q

Intercarpal joints are ____ synovial joints.

A

plane

226
Q

____ or ____ plates are connected by the deep transverse metacarpal ligament

A

volar or palmar

227
Q

The thick skin of the palm has numerous ___ ___.

A

sweat glands

228
Q

The deep fascia of the palm is continuous with the _____ fascia and fascia on the _____ of the hand.

A

forearm, dorsum

229
Q

The ___ ____ is a strong, thick, well define triangular portion of the deep fascia of the palm that continues proximally with the flexor retinaculum and palmaris longus muscle

A

palmar aponeurosis

230
Q

The hypothenar compartment is on the ____ side and the thenar compartment is on the ____ side

A

medial, lateral

231
Q

What is contained in the central fascial compartment of the palm?

A

flexor tendons and their sheaths, superficial palmar arch, and branches of the median and ulnar nerves

232
Q

What is the deepest muscular plane in the palm and what muscles does it contain?

A

adductor compartment, adductor pollicis muscle

233
Q

Why are the potential spaces of the palm important clinically?

A

Because they may become infected

234
Q

The thenar muscles are supplied by…

A

the recurrent branch of the median nerve

235
Q

Name the thenar muscles

A

abductor pollicis brevis, flexor pollicis brevis, opponens pollicis

236
Q

What is the most important movement of the thumb?

A

opposition

237
Q

What is the chief responsibility for the thenar muscles?

A

opposition of the thumb

238
Q

The adductor pollicis has 2 heads. Name them.

A

Transverse and oblique

239
Q

What artery passes through the gap between the two heads of the adductor pollicis?

A

radial

240
Q

Name the hypothenar muscles.

A

abductor digiti minimi, flexor digiti minimi brevis, opponens digiti minimi

241
Q

The hypothenar muscles are innervated by…

A

deep branch of the ulnar nerve

242
Q

The short muscles of the hand include…

A

4 lumbricals, 4 dorsal interossei, and 3 palmar interossei

243
Q

The palmar interossei are responsible for _____ of the fingers while the dorsal interossei are responsible for ____ of the fingers.

A

adduction (PAD), abduction (DAB)

244
Q

Lumbricals 1 & 2 (more lateral) are _______ muscles while lumbricals 3 & 4 (more medial) are ______ muscles.

A

unipennate, bipennate

245
Q

Lumbricals 1 & 2 are supplied by the ___ nerve while Lumbricals 3 & 4 are supplied by the ____ nerve

A

median, ulnar

246
Q

Extrinsic muscles of the hand on the palmar side include

A

tendons of the flexor digitorum superficialis and profundus, flexor pollicis longus

247
Q

Bowstringing is prevented by 2 tendons in each fibrous digital sheath are by the annular and cruciform parts. These are called _____ _____ tunnels

A

Osseofibrous digital tunnels

248
Q

Tendons of the flexor digitorum superficialis and profundus enter a common synovial sheath ____ to the flexor retinaculum.

A

deep

249
Q

The tendon of the flexor digitorum superificialis _____ in order to let the tendon of the profundus pass through.

A

splits in the fingers

250
Q

The flexor pollicis longus travels in its own synovial sheath and enters the osseofibrous tunnel in the thumb–at the metacarpal head, the tendon runs between what?

A

2 sesamoid bones

251
Q

The median nerves enters the palm of the hand through the….

A

carpal tunnel

252
Q

Name the branches of the median nerve in the hand.

A

palmar cutaneous branch, recurrent branch of the median nerve (Lizanne’s fav), muscular branches to 1st and 2nd lumbricals, common palmar digital nerves –> proper palmar digital nerves

253
Q

True or False: The ulnar nerve has articular branches to wrist joints, intercarpal, carpometacarpal, and intermetacarpal joints.

A

True

254
Q

What branch of the ulnar nerve supplies skin on the medial palm?

A

palmar cutaneous branch

255
Q

True or False: The ulnar nerve has a deep and superficial branch, palmar cutaneous branch and dorsal cutaneous branch.

A

True

256
Q

The radial artery leaves the forearm by winding around the lateral aspect of the radius- crossing the floor of the _____ _____

A

anatomical snuffbox

257
Q

The radial artery ends by completing the…… in conjunction with the ulnar artery

A

deep palmar arterial arch

258
Q

The ulnar artery continues across the palm as the….

A

superficial palmar arterial arch

259
Q

Branches of the ulnar artery in the hand include…

A

common plantar digital arteries, which split into proper palmar digital arteries

260
Q

What is the common extension attachment of the forearm?

A

lateral epicondyle of the humerus

261
Q

What is the purpose of the extensor retinaculum?

A

to prevent bowstringing; not as thick or heavy as flexor retinaculum

262
Q

What muscles is sometimes known as the separation between the flexor and extensor forearm?

A

brachoradialis

263
Q

What muscles are contained in the anatomical snuffbox?

A

abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus

264
Q

The muscles in the anatomical snuffbox are often referred to as…

A

outcropping muscles

265
Q

The ____ and _____ bones lie in the floor of the anatomical snuffbox, while the ___ artery crosses it.

A

schaphoid and trapezium; radial

266
Q

The tendons of the extensor digitorum broaden to form…

A

the dorsal extensor expansion/hood

267
Q

For the extension expansion, on the proximal phalanx, the tendon divides into 3 slips. The middle slip inserts…. and the other two slips join on the dorsal surface of the middle phalanx and insert….

A

on the base of the middle phalanx;

on the base of the distal phalanx

268
Q

The two slips that join together are joined at there insertion by the tendons of what other two muscles?

A

lumbricals and interossei

269
Q

True or False: The radial nerve has innervations to muscles in the hand.

A

False, it does not

270
Q

The posterior interosseous artery arises from the… , helps supply the posterior forearm and dorsum of hand, and terminates by anastomosing with the termination of the anterior interosseous artery and the dorsal carpal arch.

A

common interosseus artery of the ulnar artery

271
Q

What is the Arcade of Frohse?

A

The area where the deep radial nerve hits the supinator–> it is a common site for entrapment