Limbs and Back Tests and Anatomy Flashcards
What cytokines are released during tendon healing, and what is their function?
PDGF - chemotaxis
TGF beta - collagen type control
In primary Hyperparathyroidism what would you expect the blood results to show?
Increased PTH
Increased Ca2+
Decreased Phosphate
In Malignant Hyperparathyroidism, what would you expect the blood results to show?
Increased Ca2+
Reduced/ Suppressed PTH
What could be a cause of Hyperparathyroidism?
Adenoma of Parathyroid
What are the reasons for Hypocalcaemia?
Low Vitamin D - not enough sun light, unable to convert to active form - kidney failure.
Hypoparathyroidism - injury to parathyroid from surgery
What test can be conducted to test for carpel tunnel syndrome?
Phalen’s Test
Tinel’s Test
What is the angle of femoral neck and femoral shaft?
130 degrees
What test can be done to test for Ulnar Palsy?
Froment’s test
What is the unhappy triad? - usually caused by a lateral blow to the knee
Anterior cruciate
Medial collateral ligament
Medial Meniscus
Which muscle tilts the scapula?
Trapezius
What are the intrinsic back muscles covered by?
thoraco lumbar fasica
What structure passes through the intertubecler groove?
Long head of the biceps
Where does the cephalic vein travel down?
Clavipectoral triangle
Which nerve is flanked by the brachial artery?
Median nerve
What artery passes OVER the pronator teres?
Ulnar Artery
What artery passes UNDER the pronator teres?
Radial Artery
What vein is superficial to the bicep aponeurosis?
Median cubital vein
What structures lie deep to the bicep aponeurosis?
Median Nerve
Brachial Artery
What muscle is pierced by the deep branch of the radial nerve?
Supinator muscle
What is the injury that can occur to the baby during delivery, resulting in damage to the UPPER brachial plexus that leaves the child unable to lift or move arm but maybe wiggle fingers?
Erb’s Palsy
What is the injury that can occur to the baby during delivery, resulting in damage to the LOWER brachial plexus that leaves the child unable to flex or move intrinsic muscles of the hands?
Klumpke’s Palsy
What type of fracture can result in avascular necrosis of the hip?
Intracapsular fracture
What artery goes through both the greater and lesser sciatic foramen?
Internal pudendal artery
What structure makes up the lateral border of the femoral triangle?
Medial aspect of the sartorious
What does the superior gluteal nerve supply?
Gluteus Medius and minimus
What is Colles fracture and what deformity is commonly seen with it?
Colles fracture is a complete fracture of the distal end of the radius.
- due to forced extension of an outstretched hand.
- usually trying to break a fall.
[Fork deformity] is typically seen.
What is the foramen called that the spinal cord passes through in ONE vertebrae?
Vertebrae foramen
What is the space called that the spinal cord passes through when there is a uniting of the vertebrae?
Spinal canal
How many articular processes are there on a typical vertebrae and where are they?
4.
2 superior
2 inferior
What nerve passes through the Quadrangular space?
Axillary nerve
What structure separates the deep back muscles from the superficial?
Thoraco-lumbar fascia
What is the function of Teres Major? and where does it insert?
Medial rotation of the arm.
Intertubercle sulcus of the humerus
What is a myeloma?
Tumour in the bone marrow
What is a suggestive feature of myopathy in children?
Having to use their arms to push of their legs to stand up from a sitting position
- difficulty getting up.
Where does the pectoralis major insert?
Lateral border of bicipital groove
What travels down the Clavipectoral triangle?
Cephalic vein
Which artery flanks the median nerve?
Brachial
What muscle does the musclecuntaneous nerve pierce?
Coracobrachialis
Which nerve pierces the Supinator muscle?
Radial
What is the site that gracilis, sartorius and semitendonsis insert into?
Pes Anserinus
What is Alkock’s canal?
It is the pudendal canal found in the obturator internus
What is flexion of the neck?
tilting head forward
What are the important ligaments that strengthen the wrist joint?
Dorsal and planter ligaments
radial and ulnar collateral ligaments
What ligament covers overs Guyon’s canal?
Palmer carpel ligament
What is the basic blood supply through the hand?
2 palmer arteries
- superficial
- deep
1 dorsal artery
What is the function of pectineus muscle?
Anterior Hip flexor
What bursas are present around the the knee?
Anterior:
- Supra patella
- Infra petella
Posterior:
- popliteal bursa
What makes up the adductor canal?
Medial:
Adductor longus
Adductor magnus
Lateral:
Vastus lateralis
Roof:
Anterior medial intramuscular septum
What important ligament is used to support the foot that is also called the spring ligament?
Calconeonavicular ligament
What is the Superior doorway to the thoracic cavity called?
Superior thoracic aperture
What intercostal muscles don’t cover the anterior portion of the rib cage?
External intercostal
What group of nerves form the subcostal nerve?
Anterior Ramus of T12.
At the sternal angle, what vertebrae are directly across from it?
T4/ T5
What ribs are “atypical” in their articulations?
1st Rib - only articulates with T1.
10 - 12 only articualte with corresponding vertebra
11 & 12 have no articulation with the transverse process
How far does the diaphragm move during quiet breathing?
1-2 cm
How far does the diaphragm move during forced breathing?
6-10cm
What is the name of the surgical procedure that is used to initiate cartilage repair in partial thickness injuries?
Perforation of the subchondral bone.
- initiate IRR process.
What surgical technique is used for cartilage healing that replaces the cartilage with grown chrondrocytes from another area of the bone?
Autologous Chondrocyte implantation
What bursa is present around the elbow joint?
Olecranon Bursae
Subcuntaneous bursa of the lateral epicondyle
Subcuntaneous bursa of the medial epicondyle
Subtendious bursa of triceps
Bursa of anconeus
Where is lister’s tubercle?
Dorsum of wrist, just distal to the radial styloid
Whats the difference in movement available at the 1st Metacarpal phalangeal joint and the 2-5th MPJ?
1st - can only flex and extend
2-5th can
- flex
- extend
- abduct
- adduct
- circumduct
What artery passes under the anatomical snuff box?
Radial
What makes up the anatomical snuff box?
Extensor Pollicis longus
Abductor Pollicis Longus
Extensor Pollicis Brevis
What is the function of the ACL?
Prevents the tibial sliding forward over the femur
What is the function of PCL?
Prevents the tibial sliding back behind the femur
What is the function of the Rhomboids?
Retract the scapula
Depress the glenoid cavity
What is the main function of Latissimus dorsi?
Powerful adductor of the humours.
also plays role in extension internal rotation
What are the muscle adaptations to endurance training?
increased fat metabolism
Increased mitochondria
Increased blood supply
increased in GLUT 4 receptors
What are the initial responses to weight training?
neural response - 4-6 weeks
Hypertrophic response - 8-10 weeks
What do the satellite cells differentiate into before making muscle fibres?
myotubus