L4 Anterior Compartment: Arm, Forearm, Hand Flashcards
Elbow joint shape and movement
Hinge shaped synovial joint
Humeral-radial and humeral-ulnar
Capitulum and radial head meet (lateral)
Trochlea and trochlear notch meet (medial)
Transverse axis allows for flexion and tension only
Proximal radio-ulnar joint shape and movement
Between radial notch of ulnar and radial head
Pivot shaped synovial
Vertical axis allows rotation of radius on ulna (pronation/supination)
What major branches make up the anterior compartment of the brachial plexus of the arm? And what are their main actions?
Musculocutaneous n.
Flexion of arm and forearm
Supination of forearm
Median and ulnar n. Pass through arm but DONT innervate anything
(Ulnar nerve gives funny bone response)
What major branches make up the anterior compartment of the brachial plexus of the forearm? And what are their main actions?
Median n. , ulnar n.
Flexion of forearm, WRIST and FINGERS
Pronation of forearm
Distal radio-ulnar joint shape and movement
Pivot shaped synovial joint
Between distal end radius and ulna
Vertical axis allows rotation of radius on ulna (pronation/supination)
Ulna does not touch carpals because of articular disc
Why is adduction of the hand greater than abduction?
Styloid process of the radius limits abduction
Wrist (radiocarpal) joint shape and movement
Conyloid shaped synovial joint
Between radius and lunate and scaphoid of wrist (ulna doesn’t participate)
Transverse axis allows flexion and extension
Anteroposterior axis allows abduction and adduction
Carpometacarpal joints shape and movement
Between carpal and metacarpals
Fingers -plane shaped synovial allow adduction and abduction
Thumb- saddle shaped synovial allows flexion, extension, adduction, abduction, circumduction
What are three ligaments of the elbow?
Radial collateral ligament
Ulnar collateral ligament
Anular ligament
What are parts of the elbow that form the joint ?
Capitulum and radial head
Trochlea and trochlear botch
What compartment is the musculocutaneous nerve in, where does it travel, and what does it innervate/what sensory info does it get?
Anterior
Lateral cord pierces through coracobrachialis travels between biceps brachii and coracobrachialis/brachialis
Terminates at the lateral cutaneous nerve of forearm
Motor innervation of C5 and C6
Sensory info from lateral forearm (C6)
How can you test C5 and C6 spinal cord segments?
Hit inner elbow joint and observe biceps reflex
Brief jerk= good
Prolonged/excessive response =bad
What 3 ligaments hold radius and ulna together?
Anular ligament
articular disc at distal radio-ulnar joint
interosseous membrane- seen between radius and ulna in cross-section of forearm
Metacarpophalangeal joints shape and movements
Condyloid shaped synovial joints
Rotation around transverse axis- flexion and extension
Rotation around anteroposterior axis- abduction, adduction, circumduction
What are the four metacarpal ligaments?
Deep transverse metacarpal ligament
Lateral collateral ligaments
Medial collateral ligaments
Palmar ligament