Forearm and hand* Flashcards
Which vein does the median cubital vein join?
The basilic vein
What are the three main veins that drain blood from the arm?
Basilic, brachial and cephalic
What are the five main veins that drain the forearm?
The cephalic, radial, median antebrachial, basilic and ulnar veins
What are the main contents of the cubital fossa?
Radial nerve, biceps tendon, brachial artery, median nerve (Really need beer to be at my nicest)
Where do the brachial veins lie in relation to the brachial artery?
medial
Which muscles mark the borders of the cubital fossa?
Brachioradialis (laterally), pronator teres (medially), transverse line between epicondyles of the humerus (superior)
What are the attachments of brachioradialis?
O: Lateral supracondylar ridge of the humerus
I: Styloid process of the radius
What is the innervation to brachioradialis?
Radial nerve (C5-6)
What is the action of brachioradialis?
Forearm flexion
Which nerve pierces the supinator muscle?
The deep branch of the radial nerve
What is the deep branch of the radial nerve called when it pierces the supinator muscle?
Posterior interosseous nerve
What are the attachments of the flexor retinaculum?
Pisiform and hook of hamate to scaphoid and trapezium
What is Guyon’s canal?
A separate part of the carpal tunnel that transmits the ulnar vessels and nerves
Which tendons do not pass through the carpal tunnel into the hand?
Flexor carpi radialis - it travels through a separate part. Palmaris longus - passes superficial to the carpal tunnel
What are the four muscles that make up the superficial layer of the anterior forearm?
Palmaris longus, flexor carpi ulnaris, flexor carpi radialis, pronator teres
What is the common origin of most of the flexor muscles of the forearm?
The medial epicondyle of the humerus
What are the attachments of pronator teres?
O: Medial supracondylar ridge of humerus, coranoid process of ulna
I: Lateral surface of radius
Which nerve innervates the flexor compartment of the forearm?
The median nerve
What are the attachments of flexor carpi radialis?
O: medial epicondyle of the humerus
I: Bases of metacarpals 2-3
What are the attachments of palmaris longus?
O: Medial epicondyle of the humerus
I: Flexor retinaculum, palmar aponeurosis
Which nerve passes between the heads of pronator teres?
The median nerve
What are the attachments of flexor carpi ulnaris?
O: Medial epicondyle of the humerus, olecranon of ulna
I: Pisiform, hamate, base of metacarpal 5
What are the attachments of flexor digitorum superficialis?
O: Medial epicondyle of the humerus, coranoid process of ulna, anterior border of radius
I: Sides of middle phalanges of digits 2-5
What are the actions of flexor digitorum superficialis?
Metacarpophalangeal and PIP joint flexion
What are the attachments of flexor digitorum profundus?
O: proximal half of anterior surface of ulna, interosseous membrane
I: palmar surface of distal phalanges of digits 2-5
What is the innervation to flexor digitorum profundus?
Medial half: Ulnar nerve
Lateral half: Median nerve
What is the innervation to the flexor compartment of the forearm?
Median nerve, except medial half of flexor digitorum profundus and flexor carpi ulnaris (ulnar nerve)
What are the attachments of flexor pollicis longus?
O: Anterior surface of radius and interosseous membrane
I: palmar surface of distal phalanx of thumb
What are the attachments of pronator quadratus?
O: Distal anterior surface of ulna
I: Distal anterior surface of radius
The anterior interosseous nerve is a branch of which nerve?
The median nerve
Which artery contributes most of the superficial palmar arch?
The ulnar artery
Which artery contributes most to the deep palmar arch
The radial artery
What artery does the interosseous arteries come from?
The ulnar artery
How many phalanges are there in the thumb?
2
Which carpal bones articulate with the radial bone?
Scaphoid, lunate and part of triquetrum
Which carpal bones articulate with the ulna?
None of the carpal bones articulate with the ulna
What is the function of the palmar aponeurosis?
Gives firm attachment to the skin to improve grip, protects underlying neurovasculature
What is dupuytren’s contracture?
Thickening and contraction of the ulnar side of the aponeurosis
What is the name for where the tendons of flexor digitorum profundus pass through the split tendons of flexor digitorum superficialis?
Campers chiasm
What are the attachments of the palmar aponeurosis?
O: Palmaris longus tendon, palmaris brevis
I: The distal sheath of each finger (not thumb), skin
What are the attachments of palmaris brevis?
O: Palmar aponeurosis, flexor retinaculum
I: Dermis of hypothenar region
What is the function of palmaris brevis?
To tighten the palmar aponeurosis
What is the innervation to palmaris brevis?
Superficial branch of ulnar nerve (C8, T1)
What does the recurrent branch of the median nerve innervate?
The muscles of the thenar eminence
What causes the ape hand deformity?
Damage to the recurrent motor branch of the median nerve
Where does the ulnar artery bifurcate?
Distal and lateral to the pisiform bone
Which artery provides the majority of blood supply to the superficial palmar arch?
The ulnar artery
Which artery provides the majority of the blood supply to the deep palmar arch?
The radial artery
What is the name of the arteries that come off the superficial palmar arch to supply the digits?
The common palmar digital arteries