Lecture final (upper body) Flashcards
what does the dorsal scapular nerve innervate
rhombois
what does the long thoracic nerve innervate
serratus anterior
what does the suprascapular nerve innervate
supraspinatus and infraspinatus
what does the subclavian nerve innervate
subclavius
what does the lateral and medial pectoral innervate
pectoralis major and pectoralis minor
what does the musculocutaneous nerve innervate
anterior compartement of arm
-coracobraciallis, biceps brachii, and brachialis
what does the median nerve innervate
anterior forearm compartement
-excpet for flexor carpi ulnaris, and ulnar half of flexor digitorum profundus
what does the ulnar nerve innertave
intrinsic muscles of hand and
-flexor carpi ulnaris
-ulnar half of flexor digitorum profundus
what does the upper subscapular nerve innervate
superior portion of subscapularis
what does the lower suprascapular nerve innervate
inferior portion of subscapularis
teres major
what does the thoracodorsal nerve innervate
latissimus dorsi
what does the axillary nerve innervate
teres minor
deltoid muscles
what does the radial nerve innervate
posterior compartements of arm and forearm
the arm extends from where to where
shoulders to elbow
what are the 4 types of movement that occur between the arm and the forearm at the elbow joint
flexion-extention
pronation-supination
what main movement do the anterior and posterior muscles produce
a: flexor
p: extensor
what are the 3 flexors of the arm and what compartement are they found in
anterior
-biceps brachii
-brachialis
-coracobrachilias
what is the extensor of the arm and what compartement is it found in
triceps brachii
posterior
what broad band passes from the greater tubercle from lesser to the greater tubercle of the humerus
transverse humerus ligament
where does the transverse humerus ligament pass over what
from the lesser to the greater tubercle of the humerus
what does the transverse humerus ligament converts what structure into what other structure
the tubercular groove into a canal for the tendon of the long head of the biceps
what is the small triangular muscle on the psoterior aspect of the elbow and what does it cover
anconeus
-covers the posterior aspect of the ulna proximally
when the elbow is extended, what is the main movement of the biceps
flexion
-when elbow flexion approaches 90 degrees and more power is needed
when is the biceps the most powerful supinator of the forearm
when the elbow flexion is near 90 degrees and more power is needed
what type of muscle is the brachialis and where does it lie to the biceps
flattened fusiform
-deep
what does a fusiform muscle look like
spindle shaped
-wide in middle and tappers near ends
what muscle is the only pure elbow flexor
brachialis
what arm muscle is a useful landmark for locating other structures
coracobrachialis
what type of muscle is the triceps bracii
large fusiform
what muscle is the chief extensor of the elbow
triceps brachii
what muscle assists the triceps in extending the elbow
anconeus
what muscle may abduct the ulna during pronation
anconeus
proximal and distal attachments of the biceps brachii
PROXIMAL
short head: coracoid process
long head: supraglenoid tubercle
DISTAL
-tuberosity of radius
-fascia of forearm
what are the 3 actions of the biceps brachii
- supinates forearm
- when supinated, flexes elbow joint
- short head resists dislocation of shoulder
proximal and distal attachments of brachialis
PROXIMAL
-distal half of anterior surface of humerus
DISTAL
-coronoid process
-tuberosity of ulna
action of brachialis
flexes elbow joint in all positions
distal and proximal attachments of coracobrachialis
PROXIMAL
-coracoid process
DISTAL
-medial surface of humerus
what are the 3 actions of the coracobrachialis
- resists shoulder dislocation
helps - flex shoulder
- adduct shoulder
proximal and distal attachments of triceps brachii
PROXIMAL
-long head: infraglenoid tubercle
-lateral head: posterior surface of humerus (superior to radial groove)
-medial head: posterior surface of humerus (inferior to radial groove)
DISTAL
-proximal posterior end of olecranon of ulna
-fascia of forearm
what are the 3 actions of the triceps brachii
- chief extensor of the elbow
- long head extends shoulder
- resists dislocation of humerus (especially during abduction)
proximal and distal attachments of anconeus
PROXIMAL
-lateral epicondyle of humerus
DISTAL
-olecranon
-posterior surface of ulna
what are the 3 actions of the anconeus
- assists triceps in extending elbow
- stabilizes elbow joint
- abducts ulna during pronation
what and where is the cubital fossa
-shallow triangular depression
-anterior surface of elbow
what are the boundaries of the cubital fossa, superiorly, medially, laterally, floor, and roof
superiorly
-imaginary line connecting the medial and lateral epicondyles
medially
-pronator teres
laterally
-brachioradialis
floor
-brachialis
-supinator
roof
-brachial and antebrachial fascia
-bicipital aponeurosis
-subcutaneous tissue
-skin
superior border of the cubital fossa
imaginary line connecting medial and lateral epicondyle of humerus
medial border of cubital fossa
pronator teres
lateral border of cubital fossa
brachioradialis
floor of cubital fossa
brachialis and supinator mucscle
roof of cubital fossa
brachial and antebrachial fascia
-bicipital aponeurosis
-subcutaneous tissue
-skin
what are 3 contents in the cubital fossa
-biceps brachii tendon
-median nerve
-radial nerve (dividing into superficial and deep branches)
what is the role of forearm movement
assist shoudler in application of force and in controlling the placement of the hand in space
what compartement of forearm are flexors and pronators found in and are innvervated mainly by what
anterior
median nerve
the extensors and supinators of the forearm are found in what compartment and are all innervated by what
posterior
radial nerve
what 4 muscles are all attached proximally by a common flexor tendon to the medial condyle of the humerus, the common flexor origin
-pronator teres
-flexor carpi radialis
-palmaris longus
-flexor carpi ulnaris
(superficial layer)
the superficial and intermediate muscles of the forearm all cross what joint
elbow joint
proximal and distal attachments of pronator teres
PROXIMAL
ulnar head
-coronoid process of ulna
humeral head
-medial epicondyle of humerus
DISTAL
-lateral surface of radius
innvervation of pronator teres
medial nerve
what are the 2 actions of the anterior forearm
- pronates forearm
- flexes elbow
proximal and distal attachments of flexor carpi radialis
PROXIMAL
-medial epicondyle of humerus
DISTAL
-base of 2nd metacarpal
innervation of flexor carpi radialis
median nerve
2 actions of flexor carpi radialis
flexes and abducts hand
proximal and distal acttachments of palmaris longus
PROXIMAL
-medial epicondyle of humerus
DISTAL
-flexor retinaculum
-palmar aponeurosis
innervation of palmaris longus
median nerve
2 actions of palmaris longus
-flexes hand
-tenses palmar aponeurosis
proximal and distal attchments of flexor carpi ulnaris
PROXIMAL
humeral head
-medial epicondyle of humerus
ulnar head
-olecranon
-posterior border of ulna
DISTAL
-pisiform
-hamate
-5th metacarpal
innervation of flexor carpi ulnaris
ulanr nerve
2 actions of flexor carpi ulnaris
flexes and adducts hand
innervation of biceps brachii
musculocutaneous nerve
innervation of brachialis
musuclocutaneous nerve
innervation of coracobrachialis
musculocutaneous nerve
innvervation of triceps brachii
radial nerve
innvervation of anconeus
radial nerve
proximal and distal attachments of flexor digitorum superficialis
PROXIMAL
humeroulnar head:
-medial epicondyle of humerus
-coronoid process of ulna
radial head:
-oblique line of radius
DISTAL
-shafts of middle phalanges 2-5
innervation of flexor digitorum superficialis
median nerve
what are the 3 actions of the flexor digitorum superficialis
- flexes carpometacarpal joints
- flexes proximal interphalangeal joints
- flexes primal phalanges at metacarpophalngeal joints
proximal and distal attachment of flexor digitorum profundus
PROXIMAL
-medial and anterior surface of ulna and interosseous membrane
DISTAL
-bases of distal phalanges 2-5
innervation of flexor digitorum profundus
lateral part(digits 2-3): median nerve
median part(4-5): ulnar nerve
what are the 3 actions of flexor digitorum profundus
- flexes carpometacarpal joints
- flexes distal interphalangeal joints 2-5
- assist in wrist flexion
proximal and distal attachments of flexor pollicis longus
PROXIMAL
-anterior surface of radius
-adjacent interosseous memrbane
DISTAL
-base of distal phalanx of thumb
innervation of flexor pollicis longus
-anterior interosseous nerve (from median nerve)
attachments of pronator quadratus
PROXIMAL
-distal end of the anterior surface of ulna
-distal end of anterior surface of radius
innervation of pronator quadratus
anterior interosseous nerve
2 actions of pronator quadratus
-pronates forearm
-deep fibers bind radius and ulna togther
what compartement of the forearm are the extensor muscles in and what are they all innervated by
posterior
radial nerve
what are the 3 muscles that extend and abduct or adduct the hand at the wrist
-extensor carpi radialis longus
-extensor carpi radialis brevis
-extensor capri ulnaris
what 3 muscle extendsat least one digit from digits 2-5
-extensor digitorum
-extensor indicis
-extensor digiti minimi
what 3 muscles extend and abuduct or adduct the thumb
-extensor pollicis brevis
abductor pollicis longus
extensor pollicis longus
what are the 6 superficial extensor muscles of the forearm
-extensor digitorum
-extensor digiti minimi
-extensor carpi radialis brevis
-extensor carpi ulnaris
-extensor carpi radialis longus
-brachioradialis
the superficial extensor muscles are attached proximally by what tendon and to where. name the muscles that attach to each spot
COMMON EXTENSOR TENDON
attach to lateral epicondyle of the humerus
-extensor carpi radialis brevis
-extensor digitorum
-extensor digiti minimi
-extensor carpi ulnaris
attach to lateral supracondylar ridge of humerus and adjacent lateral intermuscular septum
-brachioradialis
-extensor carpi radialis longus
what muscles is the “beer drinking” muscle
brachioradialis
attachments of the brachioradilias
PROXIMAL
-lateral supracondylar ridge of the humerus
DISTAL
-lateral surface of the distal end of the radius
the distal attachement of the brachioradialis is proximal to what process
styloid process of the radius
innervation of the brachioradialis
radial nerve
action of the brachioradialis and when is this action maximal
weak flexion of the elbow
-maximal when the forearm is in midpronated position
attachment of the extensor carpi radialus longus
PROXIMAl
-lateral supracondylar ridge of the humerus
DISTAL
-dorsal aspect of the base of 2nd metacarpal
innervation of the extensor capri radialis
radial
what are the 3 actions of the extensor carpi radilais longus
-extends and abducts wrist joint
-extends carpometacarpal joints
attachment of the extensor carpi radialis brevis
PROXIMAL
-lateral epicondyle of the humerus
DISTAL
-dorsal aspect of base of 3rd metacarpal
innervation of extensor carpi radialis brevis
radial nerve
4 actions of the extensor carpi radialis brevis
-extends and abducts wrist
-extends carpometacarpal joints
-active during fist clenching
attachments of extensor digitorum
PROXIMAL
-lateral epicondyle of the humerus
DISTAL
-extensor expansion of digits 2-5
innervation of extensor digitorum
posterior interosseous nerve
what are the 3 actions of the extensor digitorum
-extends wrist
-extends carpometacarpal joints
-extends digits 2-5
the extensor digitorum extends the digits 2-5 at what joint
primarily: metacarpophalangeal joints
secondarily: interphalangeal
attachments of the extensor digiti minimi
PROXIMAL
-lateral epicondyle of the humerus
DISTAL
-extensor expansion of 5th digit
innervation of extensor digiti minimi
posterior interosseous nerve
what are the 3 actions of the extensor digiti minimi
-extends wrist
-extends carpometacarpal joints
-extends 5ht digit
extensor digiti minimi extends the 5th digit at what joint
primarily: metacarpophalangeal
secondarily: interphalangeal
attachments of extensor carpi ulnaris
PROXIMAL
-lateral epicondyle of humerus
-posterior border of ulna (via shared aponeurosis)
DISTAL
-dorsal aspect of base of 5th metacaparln
innervation of extensor capri ulnarisq
posterior interosseous nerve
what are the 3 actions of the extensor carpi ulnaris
-extends and adducts wrist and carpometacarpal joints
-active during fist clenchind
what 2 extensor muscles are active during fist clenching
extensor carpi radialis brevis and ulnaris
attachmetns of supinator
PROXIMAL
-lateral epicondyle of humerus
-radial collateral ligament
-anular ligament of radius
-supinator fossa
-crest of ulna
DISTAL
-later, posterior and anterior surfaces of proximal radius
innervation of supinator
radial nerve
2 actions of supinator
-supinates arm
-rotates radius to turn palm anteriorly or superiorly (if elbow is flexed)
attachments of abductor pollicis longus
PROXIMAL
-posterior surface of proximal ulna, radius and interosseous membrane
DISTAL
-base of 1st metacarpal
innervation of abductor pollicis longus
posterior interosseous nerve
what are the 5 actions of the abductor pollicis longus
-extends wrist
-extends carpometacarpal joints
-abducts thumb
-extends thumb at carpometacarpal joints
attachment of extensor pollicis longus
PROXIMAL
-posterior surface of middle ulna and interosseous membrane
DISTAL
-dorsal aspect of base of distal phalanx of thumb
innervation of extensor pollicis longus
posterior interosseous nerve
what are the 3 actions of the extensor pollicis longus
-extends wrist
-extends carpometacarpal joints
-extends distal phalanx of thumb at interphalangeal joint
attachments of extensor pollicis brevis
PROXIMAL
-posterior surface of distal radius and interosseous membrane
DISTAL
-dorsal aspecct of base of proximal phalanx of thumb
what are the 3 actions of the extensor pollicis brevis
-extends writs
-extends carpometacarpal joitnts
-extends proximal phalanx of thumb at metcarpophalangeal joints
innercation of extensor pollicis brevis
posterior interosseous nerve
attachments of extensor indicis
PROXIMAL
-posterior surface of distal ulna and interosseous membrane
DISTAL
-extensor expansion of 2nd digit
innervation of extensor indicis
posterior interosseous nerve
what are the actions of the extensor indicis
-extends wrist
-extends 2nd digit
what tendons bound the anatomical snuff box laterally and medially
laterlly
-abductor pollicis longus
-extensor pollicis brevis
medially
-extensor pollicis longus
where and when is the anatomical snuff box visibel and how is this caused
lateral aspect of wrist when thumb is extended fully
-this draws the abductor pollicis longus, extensor pollicis brevis and longus tendons up, producing a concavity between them
what lies on the floor of the anatomical snuff box
radial artery
what can be palpated proximally and distally from the anatomical snuff box
proximal
-radial styloid process
distal
-base of 1st metacarpal
what can be felt in the floor of the anatomical snuff box and they between what 2 structures
-scaphoid and trapezium
-between radial styloid process and 1st metacarpal
how did the lumbricals get this name
because of their worm like appearance
what thenar muscle opposes
opponens pollicis