Midterm 3: Dorsal Regions - Superior (Dustin) Flashcards

1
Q

Nuchal region borders?

A

Superior: from external occipital protuberance to mastoid process

Inferior: vertebra prominens (C7)

Medial: midline btwn superior and inferior points

Lateral: the lateral borders of trapezius from mastoid process until the inferior boundary

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2
Q

Nuchal region: layers from outer to inner?

6 things

A
  1. skin
  2. subcutaneous with fat and nerves
  3. superficial cervical fascia
  4. three superficial nuchal muscles (detailed later)
  5. deep cervical fascia
  6. deep nuchal muscles with suboccipital triangle
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3
Q

what are the 3 superficial nuchal muscles, from outer to inner?

what nerves innervate them?

A

2 and 3 innervated by suboccipital nerve

  1. trapezius (from CN XI)
  2. splenius capitis
  3. semispinalis capitis
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4
Q

what are the borders of the suboccipital triangle?

what are the contents?

A

base: posterior atlanto-occipital membrane

medially: rectus capitis posterior major

supero-laterally: oblique capitis superior

infero-laterally: oblique capitis inferior

contents: vertebral artery, suboccipital nerve

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5
Q

What two arteries and three nerves can be found in the nuchal region?

A

Arteries:

  1. Occipital artery (from ext carotid)
  2. Vertebral artery (from subclavian)

Nerves:

  1. suboccipital nerve (motor innervation for suboccipital muscles)
  2. greater occipital nerve (sensory)
  3. third occipital nerve (sensory)
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6
Q

Scapular region: boundaries

A

Superior: horizontal line between acromion and T1 spinous process

Inferior: horizontal line between inferior scapular angle and posterior axillary fold

Medial: midline

Lateral: obliquely, line between acromion and lateral end of the posterior axillary fold

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7
Q

What are the 2 superficial muscles of the scapular region?

What nerve innervates them?

A

Trapezius (CN XI)

Deltoid: spinous part (axillary n)

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8
Q

What are 6 layers of the scapular region, starting from the skin and going deeper?

A
  1. skin
  2. subcutaneous tissue / fat
  3. fascia of superficial muscles
  4. superficial muscles (trapezius, deltoid)
  5. supraspinal and infraspinal fascia
  6. deeper muscles (supraspinatus, teres min/maj, etc.)
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9
Q

What are the important relationships of vessels/nerves around the suprascapular notch?

A

The suprascapular nerve goes through the notch. The notch is covered by the transverse ligament, and above this ligament is the suprascapular artery

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10
Q

What anastomoses does the suprascapular artery form, and with what other arteries?

A

Together with the circumflex scapular artery and the dorsal scapular artery, form the arterial network of the scapula: rete of the scapula

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11
Q

What is the content of the medial axillary hiatus?

also called medial triangular space

A

circumflex scapular artery

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12
Q

what is the content of the lateral axillary hiatus?

also called the quadrangular space

A

posterior circumflex humeral artery

axillary nerve

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13
Q

What muscles do the suprascapular nerve innervate?

From which trunk of the brachial plexus does it originate?

A

supraspinatus

infraspinatus

comes from superior trunk

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14
Q

What nerve innervates the rhomboids and levator scapulae?

from which trunk does it originate?

A

Dorsal Scapular Nerve

from Superior Trunk

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15
Q

What muscles do the subscapular and thoracodorsal nerves innervate?

From which cord of the brachial plexus do they originate?

A

Subscapular: Subscapularis and Teres Major

Thoracodorsal: Latissimus Dorsi

Originate in the posterior cord

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16
Q

What nerve invervates teres minor?

From which cord of the brachial plexus does this nerve originate?

A

Axillary nerve (also innervates deltoid)

from Posterior Cord

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17
Q

Posterior brachial region: borders

A

Proximal: posterior axillary fold level

Distal: 3 fingers above the olecranon

medial: medial bicipital groove
lateral: lateral bicipital groove

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18
Q

4 layers of posterior brachial region

A
  1. skin
  2. subcutaneous tissue/fat, with subcutaneous nerves
  3. brachial fascia
  4. triceps brachii muscle
19
Q

What can be found between the lateral and medial heads of the triceps brachii muscle?

A

radial nerve

deep brachial artery

20
Q

Which septa divide the posterior brachial and anterior brachial regions?

A

Lateral and Medial Intermuscular Septa

21
Q

What nerve innervates triceps brachii?

From which cord of the brachial plexus does this nerve originate?

A

Radial nerve

from Posterior Cord (makes sense because it goes to posterior muscles)

22
Q

label 17, 18, 19, 20

A

17 Long head of triceps brachii muscle
18 Lateral head of triceps brachii muscle
19 Medial head of triceps brachii muscle
20 Medial intermuscular septum

23
Q

Which two nerves supply most of the cutaneous innervation to the posterior brachial region?

From what nerve do they originate?

A

Posterior cutaneous brachial

Posterior cutaneous antebrachial

Both from radial nerve

24
Q

Posterior cubital region: borders

A

proximally and distally: three finers above and below olecranon

medially and laterally: medial/lateral epicondyles of humerus

25
Q

What nerve supplies the sensory innervation of the posterior cubital region?

from which nerve does it originate?

A

Posterior Cutaneous Antebrachial Nerve

from Radial Nerve

26
Q

What arterial anastomoses occurs on the posterior cubital region?

Which arteries contribute?

A

Rete Olecrani

from the collateral and recurrent arteries

(collaterals from brachial and deep brachial, recurrent from ulnar artery)

27
Q

What important nerve passes on the medial side of the posterior cubital region?

What cord of the brachial plexus is it from?

A

Ulnar nerve (in ulnar groove)

from Medial Cord

28
Q

Posterior antebrachial region: borders

A

Proximally: 3 fingers below olecranon

Distally: ulnar head

Laterally: lateral epicondyle -> styloid process of ulna

Medially: medial epicondyle -> styloid process of radius

29
Q

Posterior antebrachial region: 5 layers, starting at skin

A
  1. skin
  2. subcutaneous tissue/fat/nerves/veins
  3. posterior antebrachial fascia
  4. extensor muscles of forearm
  5. interosseus membrane, with ulna and radius
30
Q

What nerve innervates all of the extensor muscles in the posterior forearm?

What canal does it travel through to get there?

From what cord of the brachial plexus does it originate?

A

Deep Radial Nerve

Travels through Supinator Canal

From Posterior Cord

31
Q

What 3 nerves provide most of the cutaneous innervation of the posterior antebrachial region?

A
  1. Medial cutaneous antebrachial (from medial cord)
  2. Lateral cutaneous antebrachial (from musculocutaneous {lateral cord})
  3. Posterior cutaneous antebrachial (from radial {posterior cord})
32
Q

What 3 muscles make up the superficial radial extensor group?

(posterior antebrachial region)

A

Brachioradialis

Extensor carpi radialis longus

Extensor carpi radialis brevis

33
Q

What 3 muscles make up the superficial ulnar extensor group?

(posterior antebrachial region)

A

Extensor digitorum

Extensor digiti minimi

Extensor carpi ulnaris

34
Q

What 5 muscles make up the deep extensor group of forearm?

hint: 3 extensors, 2 others

(posterior antebrachial region)

A

Supinator

Abductor pollicis longus

Extensor pollicis brevis

Extensor pollicis longus

Extensor Indicis

35
Q

Posterior carpal region: borders

(this one is pretty useless)

A

Proximal: head of ulna

Distal: base of metacarpals

Ulna and radius as lateral borders

36
Q

Posterior carpal region: layers

6 things from skin

A
  1. skin
  2. subcutaneous tissue/fat
  3. fascia of forearm
  4. extensor retinaculum (by the dorsal carpal ligament)
  5. tendons of extensor muscles
  6. carpal bones
37
Q

What 2 superficial important veins travel over the posterior carpal region?

A

Cephalic

Basilic

38
Q

What are the tendons passing through the 6 extensor compartments in the extensor retinaculum?

(for the posterior carpal region)

A

Pattern: 221211

  1. Abductor pollicis longus and extensor pollicis brevis (2)
  2. extensor carpi radialis longus and brevis (2)
  3. extensor pollicis longus (1)
  4. extensor digitorum and extensor indicis (2)
  5. extensor digiti minimi (1)
  6. extensor carpi ulnaris (1)
39
Q

Dorsum of the hand: borders

A

proximal: basis of the metacarpals
distal: heads of the metacarpals

lateral margins based on the ulnar & radius

40
Q

What tendons make up the anatomical snuff box (foveola radialis)?

What important artery, vein, and nerve are in this area?

A

Extensor compartment 1 (abductor pol. longus/ ext. pol. brev)

+ Extensor compartment 3 (ext pol. longus)

Contains:

Radial artery

Cephalic Vein

Superficial Radial Nerve

41
Q

What happens to the radial artery in the dorsum of the hand?

A

It penetrates the first dorsal interosseus muscle to form the deep palmar arch

42
Q

How many dorsal interossei muscles are there in the hand?

What nerve innervates them?

A

4 dorsal interossei muscle

innervation from Ulnar nerve (deep branch)

43
Q

What parts of the dorsal hand are innervated by the median, radial, and ulnar nerves? (sensory)

A

Median nerve: distal tips of fingers 2 and 3, part of 4

Ulnar nerve: half of proximal finger 3, the remainder of 4, all of 5. Medial half of hand

Radial nerve: everything else