Lecture 10: Brachium, Cubital Fossa Flashcards
What is the facial septa?
Touch fibrous connective tissue membranes that divide a limb segment into two or more compartments
Where does the medial intermuscular septum go to and from?
from subcutaneous sheet to humerus
What does the medial inter muscular septum separate?
muscles of anterior arm from medial side of triceps complex
Where does the lateral intermuscular septum go to and from?
from subcutaneous sheath to humerus
What does the lateral inter muscular septum separate?
muscles of anterior arm from lateral side of triceps complex
What are the muscles of the anterior brachial compartment?
biceps brachii
coracobrachialis
brachialis
What are the functions of the muscles of the anterior brachial compartment?
forearm flexors
biceps also flexes shoulder and supinates forearm
What is the innervation of the muscles in the anterior brachial compartment?
musculocutaneous nerve
functional neurological level: C5-C6
What nerves are passing through the anterior brachial compartment?
median nerve
ulnar nerve
What is the vascularization of the anterior brachial compartment?
brachial artery
basilic vein and venae comitantes
What is the biceps brachii?
two joint muscle crossing both the glenohumeral and elbow joints
Tendon for long head biceps brachii passes through bicipital groove between ____________ of the humerus
lesser and greater tubercles of the humerus
What is the proximal attachment of the biceps brachii?
short head from tip of coracoid process
long head from supraglenoid tubercle of scapula
What is the distal attachment of the biceps brachii?
tuberosity of radius
What is the action of the biceps brachii?
flexion and supination of forearm
assists in forearm flexion
What is the innervation of the biceps brachii?
musculocutaneous nerve
C5-6
What is the coracobrachilais?
single joint muscle crossing only glenohumeral joint
What pierces the coracobrachilais?
musculocutaneous nerve
What is the proximal attachment of the coracobrachilais?
tip of coracoid
What is the distal attachment of the coracobrachilais?
middle third of medial border of humerus
What is the action of the coracobrachilais?
weakly flexes and adducts arm
What is the innervation of the coracobrachilais?
musculocutaneous nerve
C6-7
What is the brachialis?
single joint muscle crossing only over the elbow joint
What is the proximal attachment of the brachialis?
distal half of anterior surface of humerus and inter muscular septum
What is the distal attachment of the brachialis?
tuberosity of coronoid process
What is the action of the brachialis?
main flexor of forearm
What is the innervation of the brachialis?
musculocutaneous nerve
C5-6
What are the muscles of the posterior brachial compartment?
triceps brachii: long, lateral, medial head
Anconeus
What is the function of the posterior brachial compartment?
forearm extensors
long head of triceps can extend shoulder (brachium)
Synergists in forearm supination
What is the innervation of the posterior brachial compartment?
radial nerve
functional neurological level = C7
What are the nerves passing through posterior brachial compartment?
median nerve
ulnar nerve
What is the vascularization of the posterior brachial compartment?
deep brachial artery
What is the triceps brachii?
lateral and medial heads are single joint muscles that cross only the elbow joint
long head is a multipoint muscle crossing both the elbow and shoulder joints
What is the proximal attachment of the triceps brachii long head?
infraglenoid tubercle of the scapula
What is the proximal attachment of the triceps brachii lateral head?
posterior surface of humerus above the radial groove
What is the proximal attachment of the triceps brachii medial head?
posterior surface of humerus below the radial groove
What is the distal attachment of the triceps brachii?
olecranon process
What is the action of the triceps brachii?
forearm extension
long head also assists in arm extensions
What is the innervation fo the triceps brachii?
radial nerve
C6-8
Anconeus proximal attachment
posterior aspect of lateral epicondyle of humerus
Anconeus distal attachment
lateral surface of olecranon
superior part of posterior surface of ulna
Anconeus action
abducts ulna during pronation of forearm
assists triceps during forearm extension
Anconeus innervation
radial nerve
C7-8, T1
Where does the superior lateral cutaneous nerve of arm branch from?
axillary nerve
Where does the medial brachial cutaneous nerve branch from?
direct branch from from medial cord
Where does the medial ante brachial cutaneous nerve branch from?
direct branch from medial cord
Where does the lateral ante brachial cutaneous nerve branch from?
termination of musculocutaneous nerve
Where does the posterior cutaneous nerve of arm branch from?
from radial nerve
Where does the posterior cutaneous nerve of forearm branch from?
radial nerve
What does the median nerve supply?
flexor muscles on the radial side of the forearm
True or false? The median nerve does not supply muscles in the arm.
true
The median nerve travels with the _______ artery
brachial
The median nerve crosses the cubital fossa superficially with ______ and deep to _______
brachial artery
bicipital aponeurosis
What does the ulnar nerve supply?
flexor muscles on the ulnar side of the forearm
The ulnar nerve runs with the _________ artery
superior ulnar collateral artery
What does the ulnar nerve pierce?
medial intermuscular septum
The radial nerve is a _________ branch of the __________ cord of the brachial plexus
terminal
posterior
What does the radial nerve supply?
extensor muscles in posterior compartment of brachium
extensor muscles of wrist and hand
brachioradialis muscle
The radial nerve descends ________ to the axillary artery.
Posterior
What does the radial nerve pierce?
lateral intermuscular septum distal to deltoid insertion
Radial nerve divides into superficial and deep branches near _________ epicondyle.
lateral
The radial nerve branches in the axilla in what third of the arm?
upper third
What are the branches of the radial nerve in the axilla of the upper third of the arm?
muscular branch to long head of triceps
muscular branch to medial head of triceps
posterior brachial cutaneous nerve
What are the branches of the radial nerve in the radial groove of the middle third of the arm?
branch to lateral and medial triceps and ancones
lower lateral brachial cutaneous nerve
posterior cutaneous nerve of the forearm
What are the branches of the radial nerve in the distal third of the arm?
branch to brachioradialis
branch to extensor carpi radials longus
articular branches to elbow joint
What does the musculocutaneous nerve pierce?
coracobrachialis in upper half of third of brachium
fascia lateral to biceps tendon
What does the musculocutaneous nerve innervate?
muscles of anterior brachial compartment
what does the musculocutaneous nerve continue as?
lateral cutaneous nerve of the forearm
What does the lateral cutaneous nerve of the forearm supply?
skin on lateral forearm as far as wrist
The _____ artery is the direct continuation of the axillary artery
brachial
Where does the brachial artery begin?
inferior border of teres major
What is the main branch of the brachial artery?
deep brachial artery
What are the other branches of the brachial artery?
superior ulnar collateral to posterior ulnar recurrent
inferior ulnar collateral to anterior ulnar recurrent
The ______ vein is a lateral continuation of dorsal venous arch
cephalic
What does the cephalic vein pass through?
deltopectoral triangle
What does the cephalic vein empty into?
axillary vein
The cephalic vein ascends in the _______ fascia along ______ aspect of forearm and arm
superficial
lateral
The _______ vein is a medial continuation of dorsal venous arch
basilic
The basilic vein ascends in the ______ fascia along the ______ aspect of forearm and arm to ____ of arm
superficial
lateral
middle
What does the basilic vein pierce?
deep fascia and ascends in upper aspect of arm in deep fascia
Basilic vein joints _______ to form axillary vein
venae comitantes
What does the median cubital vein connect?
basilic and cephalic veins
Where does the median cubital vein review blood from?
median ante brachial vein
What does the median cubital vein drain?
blood from palmar hand
What are venae comitantes?
veins that parallel arteries
How many venae comitantes are there per artery?
two
What do venae comitantes do?
countercurrent heat exchange
Lateral boundary of cubital fossa
brachioradialis muscle
medial boundary of cubital fossa
pronator teres muscle
superior base of cubital fossa
line between two humeral epicondyles
floor of cubital fossa
supinator and brachilais muscle
roof of cubital fossa
skin, superficial and deep fascia, bicipital aponeurosis
What are the contents of the cubital fossa (lateral to medial)?
biceps tendon brachial artery median nerve bifurcation of radial and ulnar arteries brachial veins bicipital aponeurosis radial nerve