LABs 22, 23, 24: Upper Extremity Flashcards

1
Q

anterior/posterior compartments of arm: which is flexor, which is extensor?

A

anterior: flexor
posterior: extensor

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2
Q

what creates anterior/posterior compartments of arms’ division?

A

brachial fascia (deep fascia of the arm)

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3
Q

components of anterior compartment of arm

A

biceps brachii m.
brachialis m.
coracobrachialis m.
musculocutaneous nerve

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4
Q

components of posterior compartment of arm

A

triceps brachii m.

anconeus m.

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5
Q

what does short head of biceps brachii muscle attach to?

A

coracoid process of scapula

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6
Q

what does long head of biceps brachii muscle attach to?

A

supraglenoid tubercle of scapula

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7
Q

which part of biceps brachii m enter should joint?

A

long head of biceps brachii

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8
Q

biceps brachii function

A

supinates, flexes the forearm via biceps brachii tendon

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9
Q

what innervates the anterior compartment of arm muscles?

A

musculocutaneous nerve

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10
Q

coracobrachialis m. function?

A

adducts, flexes the humerus

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11
Q

distal continuation of musculocutaneous nerve?

A

lateral cutaneous nerve of the forearm

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12
Q

brachialis muscle function?

A

flexes the forearm

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13
Q

where does median nerve course distally?

A

within medial intermuscular septum

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14
Q

where does ulnar nerve travel distally re: forearm?

A

ulnar nerve is in contact w/ the posterior surface of medial epicondyle of humerus

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15
Q

brachial artery is continuation of?

A

axillary artery

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16
Q

brachial artery branches in arm?

A

1) deep artery of the arm
2) superior ulnar collateral artery
3) inferior ulnar collateral artery

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17
Q

what is the cubital fossa

A

the depression on anterior surface of the elbow

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18
Q

borders of cubital fossa

A

lateral: brachioradialis m.
medial: pronator teres m.
superior: imaginary line connecting medial-lateral epicondyles of humerus
superficial boundary: antebrachial fascia
deep boundary: brachialis and supinator muscles

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19
Q

heads of triceps brachii muscle

A

1) long head
2) lateral head
3) medial head

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20
Q

triceps brachii m function?

A

extends the forearm

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21
Q

where do radial nerve and deep artery of the arm run?

A

in opening between long and lateral heads of triceps brachii m

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22
Q

anconeus muscle function

A

extends forearm (with triceps brachii m)

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23
Q

what innervates posterior compartment of the arm muscles?

A

radial nerve

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24
Q

do median and ulnar nerve innervate muscles in the arm?

A

no!

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25
Q

what bone articulations make the elbow joint?

A

1) articulation of trochlear notch of ulna, trochlea of humerus
2) articulation of head of radius, capitulum of humerus

26
Q

when are radius and ulna parallel?

A

supination / anatomical position

27
Q

when does radius cross ulna?

A

pronation

28
Q

muscles of superficial layer of flexors of forearm?

A

1) pronator teres
2) flexor carpi radialis
3) palmaris longus
4) flexor carpi ulnaris

29
Q

which muscles flex the hand

A

flexor carpi radialis, palmaris longus, flexor carpi ulnaris

30
Q

which muscle pronates hand

A

pronator teres m

pronator quadratus m (deep)

31
Q

which muscle adducts hand

A

flexor carpi ulnaris

32
Q

intermediate layer of forearm muscle(s)?

A

ONLY the flexor digitorum sperficialis m!

33
Q

why might ulnar artery be mistaken for a vein?

A

because in 3% of upper limbs, rachial artery bifurcates in the arm and therefore ulnar artery might course superficial to superficial layer of flexor muscles
if inject drug here, can severely damage hand

34
Q

what does median nerve innervation?

A

flexor compartment of forearm muscles

35
Q

what supplies deep layer of flexor muscles?

A

anterior interosseus artery

36
Q

what supplies extensor group of forearm muscles?

A

posterior interosseus artery

37
Q

deep layer of forearm flexor muscles?

A

flexor digitorum profundus, flexor pollicis longus, pronator quadratus

38
Q

innervation of flexor digitorum profundus

A

lateral half: median nerve

medial half: ulnar nerve

39
Q

what flexes digit 1

A

flexor pollicis longus m

40
Q

how many carpal bones in hand

A

8

41
Q

how many metacarpal bones in hand

A

5

42
Q

how many phalanges bones in hand

A

14

43
Q

thenar group muscles

A

1) abductor pollicis brevis
2) flexor pollicis brevis
3) opponens pollicis

44
Q

superficial layer of extensor muscles

A

brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris

45
Q

deep layer of extensor muscles

A

supinator, abductor pollicus longus, extensor pollicis brevis, extensor pollicis longus, extensor indicis

46
Q

what supinates the hand

A

supinator muscle!!!

47
Q

does radial nerve innervate any muscles in the hand?

A

no! because no intrinsic muscles in the dorsum of the hand

48
Q

contents of axilla

A

axillary sheath, brachial plexus, axillary vessels and branches, lymph nodes, lymphatic vessels

49
Q

boundaries of axilla

A

apex: clavicle, scapula, first rib
base: skin and fascia of armpit
anterior: pec major m, pec minor m, clavipectoral fascia
posterior: posterior axially fold, subscapularis m
medial: thoracic wall, serratus anterior m
lateral: intertubercular sulcus of humerus

50
Q

axillary vein forms from?

A

joining of 2 brachial veins

51
Q

subclavian artery becomes..?

A

subclavian a > axillary a > brachial a

52
Q

how many parts of axillary artery

A

3

53
Q

branch of 1st part of axillary artery

A

superior thoracic artery

54
Q

branches of 2nd part of axillary artery

A

thoacoaromial a, lateral thoracic a

55
Q

branches of thoracoaromial artery

A

clavicular, acromial, pectoral, deltoid

56
Q

branches of 3rd part of axillary artery

A

subscapular a., posterior circumflex humeral a., anterior circumflex humeral a

57
Q

branches of posterior cord of brachial plexus

A

axillary n., radial n., 3 subscapular nerves

58
Q

subscapular nerves arise from what?

A

posterior cord

upper, middle, lower subscapulars

59
Q

what muscles form posterior wall of the axilla

A

latissimus dorsi, teres major, subscapularis

60
Q

medial wall of axilla is formed by what muscle

A

serratus anterior m

61
Q

what nerve runs on superficial surface of posterior side of serratus anterior m

A

long thoracic n