Humerus Flashcards
Common site for fracture of humerus?
Surgical neck
How many necks of humerus?
2:
1- Anatomical Neck
2- Surgical Neck
The surgical neck of humerus is in close contact with which two structures?
1- Axillary Nerve
2- Posterior Humeral Circumflex Artery
Lateral epicondyle of humerus is lateral to which structure?
Capitulum
Capitulum is seen in posterior or anterior view of humerus?
Anterior
Lateral epicondyl gives attachment to?
Extensor muscles of the forearm
(LatEx)
Medial epicondyl serves as an origin point for?
Flexor muscles of forearm
(Mid AF)
Radius articulates with which part of humerus?
Capitulum
Ulna articulates with which part of humerus?
Trochlea
Olecrannon fossa is present in anterior or poseterior side?
Posterior
Condyles of humerus?
There are 2:
1- Medial
2- Lateral
What separates head of humerus from greater and lesser tuberosities?
Anatomical neck
Greater tuberosity is situated laterally or medially?
Laterally
Greater tuberosity of humerus serves as an attachment site for insertion of which 3 muscles?
3 of the 4 Rotator Cuff muscles:
1. Supraspinatous (on superior facet of greater tuberosity)
2. Infraspinatous (on middle)
3. Teres minor (on inferior)
How many surfaces of greater and lesser tuberosity?
-Greater (anterior + posterior)
-Lesser (only anterior)
Lesser Tuberosity of humerus provides attachment site for which muscle?
One of the rotator cuff muscle:
-Subscapularis
The 2 tuberosities are separated by?
A groove:
Intertuberculur sulcus or bicipital groove
Tendon of long head of biceps brachii runs through this groove
Deltoid tuberosity is on which side of shaft of humerus?
Lateral side
Radial(or spiral) groove is present on anterior or posterior surface of humerus?
Posterior
What structures lie in radial groove?
- Radial nerve
- Profunda brachii Artery
What muscles anteriorly attach with shaft of humerus?
Origin
- Brachialis
- Brachioradialis
Insertion - Deltoid
- Choracobrachilalis
What muscles posteriorly attach with shaft of humerus?
Medial and lateral head of triceps
Anconeus muscle
Midshaft fracture causes ?
Wrist drop:
Unoppsed flexion of wrist
Midshaft fracture of humerus results in damge to?
- Radial nerve
- Profunda Brachii Artery
What structures does radial nerve innervates?
Extensors of the wrists
Groove for ulnar nerve is present near? And on which surface?
On the posterior aspect of medial epicondyl
Name the 3 depressions on distal portion of the humerus?
- Coronoid fossa(medial) over trochlea
- Radial fossa (lateral) over capitulum
- Olecrannon fossa
What nerves and arteries are damaged in supracondylar fracture?
1.Brachial Artery is damaged
Or
- Damage to anterior interosserous nerve(branch of the median nerve),
Ulnar nerve or
Radial nerve
What are the results of supracondylar fracture?
Damage to brachial artery
The resulting ischemia can cause:
Volksmann’s ischemic Contracture
- uncontrolled flexion of hand- as flexor muscles become fibrotic and short
- clawlike deformity of hand, fingers and wrists
How can anterior interosseous nerve damage be tested?
By asking the patient to make OK sign, testing for weakness of flexor pollicis longus
How is supracondylar fracture treated?
By Gartland Classification
1.Type - I: is minimally displaced
2. Type - II: is displaced but with intact posterior cortex
3. Type - III: is completely off-ended
Type 1 can be treated conservatively with above elbow cast
Type 2 & 3 require surgical fixation with crossed bicortical k wires
Which is the longest bone of upperlimb?
Humerus
Position of greater and lesser tubercle laterally and medially?
Greater tubercle- lateral to the head
Lesser tubercle- inferior to the head and medial to the greater tubercle
Deltoid tuberosity is present?
Laterally
What is tennis elbow?
Inflammation of extensor tendon is termed as lateral epicondylitis or tennis elbow
Where does ulnar nerve passes from?
Crosses the posterior surface of medial epicondyl
In the ulnar groove
What is the funny bone response?
When u hit your elbow Contact of ulnar nerve against the medial epicondyl of humerus results in tingling sensations in medial border of hand and fifth digit