MSK 2 - Upper Limbs 2 Flashcards
What is A?
Lesser tubercle
What is B?
Coronoid fossa
What is C?
Trochlea
What is D?
Capitulum
What is E?
Radial fossa
What is F?
Deltoid tuberosity
What is G?
Intertubercula groove
What is H?
Greater tubercle
What is I?
Surgical neck
What is J?
Radial groove
What is K?
Medial epicondyle
What is L?
Olecrannon fossa
What is M?
Shaft
What is N?
Anatomical neck
What is O?
Head
What do fascial compartments contain?
Groups of muscles and neurovascular structures enveloped by a layer of connective (fibrous) tissue
How do muscles within the same comparment compare to each other?
Usually act similarly on a joint, sharing a common nerve and blood supply
What joints do the muscles of the anterior comparment of the arm act on?
Elbow and superior radio-ulnar joint
What is 1?
Bicep brachii (short head)
What is 2?
Brachialis
What is 3?
Musculocutaneous nerve
What is 4?
Coracobrachialis
What is the most superficial muscle of the anterior compartment of arm?
Bicep brachii
What is the origin and insertion of bicep brachii?
- Origin
- Scapula via 2 heads
- Insertion
- Radial tuberosity
- Also attaches through the bicipital aponeurosis to deep fascia of forearm
What joints does the bicep brachii act on?
Shoulder
Elbow
Radio-ulnar joints
Where do the following heads of bicep brachii originate:
- short head
- long head
- Short head
- Coracoid process of scapula
- Long head
- Supraglenoid tubercle of the scapula
Where does the long head of bicep brachii tendon run?
Passes through shoulder joint and runs down the intertubercular groove of humerus
What action does the bicep brachii have on:
- shoulder
- elbow
- superior radio-ulnar joint
- Shoulder
- Flexion
- Elbow
- Flexion
- Radio-ulnar joint
- Involved in supination (action of radius rotating over ulna)
For the coracobrachialis:
- origin
- insertion
- action
- Origin
- Tip of carocoid process of scapula
- Insertion
- Medial aspect of mid-shaft of humerus
- Action
- Flex and adduct the arm at shoulder joint
For brachialis muscle:
- origin
- insertion
- action
- Origin
- Anterior surface of distal shaft of humerus
- Insertion
- Coronoid process of ulna
- Action
- Flexion of elbow
What are the muscles of the anterior compartment of arm?
- Bicep brachii
- Caracobrachialis
- Brachialis
What is the deepest muscle of the anterior compartment of arm?
Brachialis
What nerve supplies all the muscles of the anterior comparment of arm?
Musculocutaneous nerve
What does the musculocutaneous nerve branch from?
Terminal branch from lateral cord of brachial plexus
What is the course of the musculocutaneous nerve?
It enters the arm by perforating the coracobrachialis, descending distally between the biceps brachii and brachialis muscles. After crossing the elbow joint it gives off its terminal branch to supply the skin as the lateral cutaneous nerve of the forearm.
What branch comes of the musculocutaneous nerve?
Lateral cutaneous nerve of forearm
What is the segmental or root value of the musculocutaneous nerve?
C 5 to C 6
Does the musculocutaneous nerve supply any muscles in the forearm or hand?
Yes, as the lateral cutaneous nerve of the forearm
What is 1?
Axillary artery
What is 2?
Median nerve
What is 3?
Radial nerve
What is 4?
Ulnar nerve
What is the brachial artery a continuation of?
Axillary artery
Where does the brachial artery begin, and when does it divide?
It begins at the lower border of teres major and ends in the cubital fossa by dividing into radial and ulnar arteries, close to the neck of the radius.
What does the brachial artery divide into?
Radial and ulnar arteries
What artery branches from the brachial artery and goes deep?
The profunda brachii (or deep artery of the arm) is one of the main branches given off passing deep to the triceps muscle, along with the radial nerve.
What does the profunda brachii travel alongside?
Radial nerve
What is non-invasive blood pressure taken with?
Sphygmomanometer
What sounds can be heard with stephoscope at the brachial artery to measure BP?
Korotkoff’s sounds
For median nerve:
- arises from
- course
- branches
- Arises from
- 1 root from lateral cord and 1 root from medial cord of brachial plexus
- Course
- Descends along anterior side of axillary artery and upper part of brachial artery
- In the middle part of arm it crosses to the medial aspect of brachial artery and enters cubital fossa
- Branches
- Gives of no branches either in the axilla or upper arm
How does the median nerve lie relative to axillary artery?
Anterior
Ulnar nerve:
- arises from
- couse
- innervation in upper arm
- Arises from
- Medial cord of brachial plexus
- Course
- Descends along medial side of brachial artery and then enters the posterior compartment throught he medial intermuscular septum
- Runs along medial head of triceps and to the lie behind the medial epicondyle at elbow
- Innervation in upper limb
- None, only muscles in forarm and hands
How does the ulnar nerve lie relative to brachial artery?
Medial side
What does ulnar nerve travel through to enter posterior compartment?
Medial intermuscular septum
Through what head of the tricep does the ulnar head run next to?
Medial head
Ulnar nerve lies behind what epicondyle of elbow?
Medial epicondyle
What muscle(s) forms the posterior compartmet of arm?
Tricep brachii
For tricep brachii:
- origin
- insertion
- action
- innervation
- Origin
- Long head from infra-glenoid tubercle of scapula
- 2 shorter heads - lateral and medial heads - from humerus
- Insertion
- Olecranon process of ulna
- Action
- Extension of elbow
- Innervation
- Radial nerve
Which head of the triceps attaches onto the infra-glenoid tubercle of the scapula?
Long head
What is the main action of triceps on the elbow joint?
Extension
What muscle aids triceps action at elbow?
Anconeus muscle
What is the action of the triceps and anconeus muscle?
Extension
What is the nerve supply to triceps and anconeus?
Radial nerve
What is A?
Lateral head of tricep
What is B?
Long head of tricep
Radial nerve:
- arises from
- course
- innervates
- Arises from
- One of terminal branches of posterior cord of brachial plexus
- Course
- Enterns arm anterior to medial head of tricep and runs with the profunda brachii artery
- Descends down radial groove, then appears as one of the most lateral structures of distal arm between the brachioradialis and brachialis muscles
- Innervation
- All extensor muscles of elbow and wrist joint
Does the radial nerve go to anterior or posterior compartment of arm?
Posterior
What tricep head does the radial nerve run next to?
Anterior to medial head of tricep
What is the segmental (root value) value of the radial nerve?
C5-T1
What is the characteristic clinical sign of radial nerve injury?
Unwanted elbow and wrist flexion
Injury to the following nerves are most commonly due to fractures where:
- radial nerve
- ulnar nerve
- axillary nerve
- Radial nerve
- spiral groove
- Ulnar nerve
- medial epicondyle
- Axillary nerve
- surgical neck
What does the antecubutal fossa act as?
Conduit for passage of major neurovascular structures from arm down to forearm and hand
What is A?
Brachial artery
What is B?
Brachial vein
What is C?
biceps tendon
What is D?
Bicipital apneurosis
What is E?
Extensor carpi radialis longus
What is F?
radial nerve
What is G?
brachioradialis
Which vein lies anterior to the roof of the antecubital fossa?
Median cubital vein
At what level does the brachial artery bifurcate into the radial and ulnar artery?
Neck of the radias
Which of the cephalic and basilic veins are lateral and medial?
Medial - basilic vein
Lateral - cephalic vein
What kind of joint is the elbow joint?
Synovial hinge joint
What is A?
Radius head
What is B?
Proximal radio-ulnar joint
What is C?
Medial epicondyle
What is D?
Olecranon of ulnar
What is E?
Coronoid fossa
What is F?
Lateral epicondyle
What is support to the elbow joint provided by?
Support to the joint is provided by the thickening of the medial and lateral aspects of the capsule – this forming the medial and lateral collateral ligaments.
What ligaments are found around the elbow joint?
Medial collateral ligament
Lateral collateral ligament
Which ligament holds the ulnar in place?
Ulnar collateral ligament
Which ligament holds the head of the radius?
Radial collateral ligament
What 3 muscles cause flexion of elbow joint?
- Bicep brachii
- Brachialis
- Brachioradialis
What 2 muscles cause extension of elbow?
- Tricep brachii
- Anconeus
What are different kinds of eponymous elbows?
- Students elbow
- Tennis elbow
- Golfers elbow
What causes eponymous elbows?
A number of structures can be injured in the elbow through overuse and injury to these structures comes with a number of eponymous titles.
What structures damaged to cause:
- students elbow
- tennis elbow
- golfers elbow
- Students elbow
- Olecranon bursitis
- Tennis elbow
- Lateral epicondylitis
- Golfers elbow
- Medial epicondylitis
How many points do the radius and ulnar bones articulate?
2 points (proximal and distal)
What kind of joint are the radio-ulnar joints?
Both are pivot type synovial joints
What movement does the radio-ulnar joints allow?
Supination and pronation of forearm
What ligament supports the proximal radio-ulnar joint at elbow?
Annular ligament
Which is supination and pronation?
A - supination
B - pronation
What are the main muscles involved in supination of radio-ulnar joint?
- Bicep brachii
- Supinator
What are main muscles involved in pronation of radio-ulnar joint?
- Pronator quadratus
- Pronator teres