Exam 4: Not From Muscle Tables Flashcards
Act as walls to separate breast into 15-20 lobes, each lobe containing milk glands.
Suspensory ligaments (cooper’s ligaments
Fractures of the distal phalanx. Treated by splinting and caring for associated soft tissue injuries
Tuft fracture
Features include:
Soft tissue swelling
Increased coracoclavicular distance (5mm more than the normal side)
Widening of AC join (2-4mm asymmetry
Superior displacement of the distal clavicle
AC joint separation
Arteries of the mammary gland
Internal thoracic artery (medially)
Thoracocromial artery
Lateral thoracic artery
Results from damage to the long thoracic nerve. ______ no longer holds the scapula to thoracic wall. (Two answers)
Winged scapula
No longer holds serratus anterior muscle
Layer of loose connective tissue separating breast from deep fascia. Potential space allows for movement of breasts over underlying structures. Tumors can sometimes invade the deep fascia and pectoralis major leading to fixation of breast to thoracic wall
Retromammary space
“Ulnar artery territory”
Medial 3.5 digits
Drains the lateral breast. About 75% of lymph from breast
Pectoral nodes
Amount of AC joint assymetry indicative of an AC joint separation?
2-4mm
What age group / activity is most commonly associated w clavicle fracture
Children and adolescents
Athletic activities
Severance of the radial nerve due to fracture of the humerus leads to
Wrist drop (unable to extend wrist)
[DOES NOT AFFECT TRICEPS bc lets off branches before it gets to the radial groove]
Most common injury to the shoulder
Fracture of the clavicle
View that prevens the overlap of the humeral head over the glenoid.
Considered the true AP view of shouder
Grashey View
Relatively rare deformity which is the result of a fall on outstretched, hyperextended hand. Occurs when lunate maintains normal position w respect to the distal radius while all other carpal bones are dislocated posteriorly
Almost always associated w a scaphoid fracture
Lunate appears triangular in shape on frontal view
Perilunate dislocation
3 ligaments that make up the glenohumeral joint
Coracohumeral
Transverse humeral
Glenohumeral
What are the two openings in the capsule of the glenohumeral joint
Opening for the subscapular bursa
Opening for the tendon of long head of biceps brachii
Most commonly fx’d carpal
Mech of injury usually falling on outstretchd hand resulting in hyper-extension of wrist
Radiographs indicated if there is post-traumatic wrist pain w/ anatomical snuff box tenderness
If fx missed, avascular necrosis of prox pole of bone may occur
Scaphoid fracture
The lactiferous duct empties at the __
Nipple
Transverse fracture of the 5th metacarpal.
Most common type of metacarpal fx.
Usually a result of a direct blow w a clenched fist against a solid surface
Boxer’s Fracture
Amount of coracoclavicular asymmetry indicative of an AC joint separation?
5mm
What tendons have sesamoid bones in them in the thumb ?
One sesamoid bone in tendons of flexor pollicis brevis and abductor pollicis brevis.
One sesamoid bone w/in tendon of adductor pollicis
Action of the superficial layer of muscles of the back
Move upper extremity
Modified sweat gland located in superficial fascia.
Mammary gland
Contents of clavipectoral (deltopectoral) trianlge
Cephalic vein
Tip of coracoid process of scapula
Ligament that can stay intact during dislocation of AC joint
Coracoacromial ligament
Lobectomy
Removal of 1 of 15-20 lobes
Responsible for abduction of arm in 15* to 20* range
Deltoid
This is normal on elbow x-rays unless it has the appearance of a sail
Anterior fat pad
Most common type of shoulder dislocation/
Anterior
Borders of clavipectoral (deltopectoral) triangle
Deltoid, pectoralis major, clavicle
Initiates the first 15* of abduction of the arm
Supraspinatous
Gradual degeneration with wear and tear or other inflammatory disorders such as RA
Attrition
Joint between head of ulna and ulnar notch of radius
Distal radioulnar joint
Most commonly torn tendon of rotator cuff
Supraspinatous tendon
Deep branch of ulnar nerve innervates? (4)
All interosseous muscles
Lateral 2 lumbricals
Hypothenar muscles
Adductor pollicis
Most common shoulder injury in middlee age individuals?
Shoulder dislocations and AC joint separations
C5 C6 nerve damage causing motor deficits which includes medial rotation of arm and pronation of the forearm
Erb-Duchenne Palsy
Most frequently broken bone in body
Clavicle
Most common shoulder injury in elderly individuals
Proximal humerus fractures
Insertion of superficial group of back muscles
Scapula, clavicle, hmerus
Drains the lateral side of the superficial aspect of upper limb. Enters deltopectoral triangle, and pierces clavipectoral fascia to join the axillary vein
Cephalic vein
GROUP of back muscles that act to extend trunk when acting bilaterally, are located dorsal to the vertebral column and are innervated by dorsal primary rami of spinal nervees
Deep group
Suggests an occult fracture and indicates the presence of elbow joint effusion
Posterior fat pad sign
Or
Positive sail sign
Type of indirect force to the arm which will cause an anterior shoulder dislocation?
Abduction, extension, and external rotation
The axillary tail of the mammary gland which extends into the armpit (is removed in modified radical or radical mastectomy)
Tail of Spencee
Major Nerve that enters the palm of hand by passing through the carpal tunnel
Median nerve
A branch of the lateral cord of the brachial plexus
Lateral pectoral nerve
Physical exam finding that is characteristic of Klumpke Palsy
Claw Hand (fingers hyperextended at MP joints and flexed at PIP and DIP joints)
Drains milk ducts to the nipple
Lactiferous duct
Fx of the distal 1/3 of the radius assoc w subluxation of the head of the ulna at the wrist.
Commonly occurs w FOOSH injury
(Aka reverse monteggia fracture)
Galeazzi Fracture
Boundaries of the triangle of auscultation (good place to listen to lung sounds)
Inferior: lattisumus dorsi
Superior: trapezius
Lateral: Rhomboid Major
Weakened abduction of the arm (15-120 degrees) and loss of cutaneous innervation to upper lateral arm
Axillary nerve damage
Function of deep layer of muscles of the back
Move trunk and back; support body weight
What three ligaments are involved in the metacarpophalangeal joints?
Deep transverse metacarpal ligament
Palmar ligament
Collateral ligaments