lecture 8 - axilla brachial plexus Flashcards

1
Q

axilla walls - apex

A

“armpit”

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2
Q

axilla walls - base

A

formed by skin

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3
Q

anterior wall of the axilla walls?

A

pectoralis major and minor

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4
Q

what forms the lateral wall of the axilla walls?

A

pectoralis minor and major

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5
Q

what forms the medial wall of the axilla walls?

A

serratus anterior and rib cage [4th rib]

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6
Q

what forms the posterior wall of the axilla walls?

A

lat dorsi, subscapularis, teres major

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7
Q

what are the roots of the brachial plexus?

A

anterior rami of…
-c5
-c6
-c7
-c8
-t1

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8
Q

R T D C B

A

R- rami
T -trunk
D - division
C - cords
B- branches

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9
Q

trunk sections..

A

superior, middle, inferior

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10
Q

divisions sections…

A

3 anterior and 3 posterior

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11
Q

cords sections…

A

lateral, posterior, medial

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12
Q

branches sections…

A

5 peripheral nerves

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13
Q

subclavius MA

A
  • depresses and anchors clavicle
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14
Q

subclavius PA

A

junction of first rib and its costal cartilage

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15
Q

subclavius DA

A

inferior surface of middle surface of clavicle

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16
Q

subclavius nerve

A

subclavian nerve [c5.c6] nerve to subclavius

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17
Q

anterior scalene nerve

A

cervical spinal nerve c4 to c6

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18
Q

anterior scalene MA

A
  • flex neck laterally
  • elevates first rib during forced inhalation
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19
Q

middle scalene MA

A
  • flex neck laterally
  • elevates first rib during forced inhalation
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20
Q

what are the IA for the anterior and middle scalenes?

A

first ribs!

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21
Q

middle scalene nerve

A

anterior rami of cervical spinal nerves

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22
Q

posterior scalene MA

A

flex neck laterally
elevated SECOND rib during forced inhalation

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23
Q

posterior scalene IA

A

external border of 2nd rib

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24
Q

what is thoracic outlet syndrome?

A

compression of nerves, arteries, and veins in thoracic outlet

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25
how does thoracic outlet occur?
occurs via compression in space between the clavicle and 1st rib, pec minor, or the presence of a cervical rib
26
quadrangular space
an anatomical conduit for neurovascular structures to pass from anterior axillary region to posterior scapular region
27
quadrangular space - inferior margin
teres minor
28
quadrangular space - superior margin
teres major
29
quadrangular space - lateral margin
long head of the triceps brachii
30
quadrangular space - contents
- posterior circumflex humeral artery and vein - axillary nerve
31
triangular space margins medial margin: superior margin: inferior margin:
medial margin: long head of biceps brachii superior margin: teres major inferior margin: teres minor
32
triangular space contents
circumflex scapular artery and vein
33
triangular interval margins lateral margins: inferior margin
lateral margin: long head of triceps brachii & shaft of humerus inferior margin: teres major
34
triangular interval contents
profunda brachii artery & radial nerve
35
what is the only synovial joint articulation between UE and axial skeleton?
sternoclavicular joint
36
what are the 3 muscles of the flexor compartment?
BBC B - brachialis B - iceps brachii C - coracobrachialis
37
main blood supply of UE?
brachial artery
38
what is the main action of the biceps brachii?
supination of the arm
39
Biceps brachii MA
- *supination of the arm - flexes forearm - short head resists dislocation of shoulder
40
biceps brachii PA
- Short head: coracoid process - Long head: supraglenoid tubercle & labrum
41
biceps brachii DA
radial tuberosity and fascia of forearm via bicipital aponeurosis
42
biceps brachii nerve
musculocutaneous nerve (c5,c6*,c7)
43
what muscles attach to the coracoid process?
coracoid brachialis biceps brachii short head pectoralis minor
44
coracobrachialis MA
- flexes scapula - adduct shoulder - resists dislocation of shoulder
45
coracobrachialis PA
coracoid process
46
coracobrachialis DA
middle third of medial surface of humerus
47
coracobrachialis nerve
musculocutaneous nerve c5,c6*,c7
48
who is the skrongest flexor of the elbow
brachialis
49
brachialis MA
flexes elbow in all positions - humorolnar joint
50
brachialis PA
distal half of anterior surface of humerus
51
brachialis DA
ulnar tuberosity and coronoid process of ulna
52
brachialis nerves
- musculocutaneous nerve (C5 & c6) & small branch from radial (c5 & c7)
53
Triceps brachii MA
chief extensor of forearm/elbow long head resists dislocation of humerus, especially during adduction
54
Triceps brachii PA
long head: infraglenoid tubercle lateral head: posterior humerus, superior to radial groove medial head: posterior humerus, inferior to radial groove
55
Triceps brachii DA
olecranon of ulna
56
Triceps brachii nerve
radial nerve (c6,c7,c8)
57
what nerve supplies the entire posterior compartment?
radial nerve
58
deep radial nerve changes name to...
posterior interosseous nerve [PIN]
59
radial nerve levels
c5.c6.c7.c8.t1
60
musculocutaneous level
c5.c6.c7
61
axillary nerve levels
c5.c6