MSK and Spine Flashcards
what are the 4 segments of upper limb
- shoulder
- arm
- forearm
- hand
what determines if a bone is a long bone
- upper end
- lower end
- shaft
what type of bone is the scapula
flat bone
main nerves of the upper limb
branches of the brachial plexus
- axillary nerve
- radial nerve
- musculocutaneous nerve
- ulnar nerve
- median nerve
what vertebral level is the brachial plexus
C5-T1
what are the muscles of the scapula
origin from scapula
1. rotator cuff:
- subscapularis
- supraspinatus
- infraspinatus
- teres minor
- teres major
- latissimus dorsi
- coracobrachialis
- deltoid
insertion on scapula
1. rhomboids
2. trapezius
3. pectoralis minor
4. serratus anterior
5. levator scapulae
anterior compartment muscle of arm
flexor of forearm:
- biceps brachii
- brachialis
- brachioradialis
posterior compartment muscle of arm
extensors of forearm:
- triceps brachii
- anconeus
nerve innervation for the front compartment of the arm
musculocutaneous nerve
nerve innervation of most part of the forearm
median nerve
nerve innervation of the medial side of forearm
ulnar nerve
nerve innervation of back of arm
radial nerve
nerve supplying flexor digitorium superficialis
median nerve
nerve supplying flexor carpi radialis
median nerve
nerve supplying pronator teres
median nerve
nerve supplying palmaris longus
median nerve
nerve supplying flexor carpi ulnaris
ulnar nerve
nerve supplying pronator quadratus
median nerve
nerve supplying flexor pollicis longus
median nerve
nerve supplying flexor digitorium profundus
ulnar nerve (medial 1/2)
median nerve (lateral 1/2)
4 superficial muscles of the forearm in the anterior compartment
pronator teres
flexor carpi radialis
palmaris longus
flexor carpi ulnaris
deep muscles of the forearm in the posterior compartment
flexor digitorium profundus
flexor pollicis longus
pronator quadratus
superficial muscles of the forearm in the posterior compartment
extensor carpi radialis longus
extensor digitorium
extensor carpi ulnaris
deep muscles of the forearm in the posterior compartment
supinator
abductor pollicis longus
extensor pollicis longus + brevis
extensor indicus
nerve supplying all the digiti minimi muscles
ulnar nerve
what does the median nerve supply in the intrinsic muscles of the hand
thumb
- abductor pollicis brevis
- flexor pollicis brevis
- opponens pollicis
- lumbricals
what does the ulnar nerve supply in the intrinsic muscles of the hand
all digiti mini muscles
thumb: adductor pollicis
palmar + dorsal interossei
lumbricals
which interossei is responsible for the adduction of fingers
palmar (P AD)
which interossei is responsible for the abduction of fingers
dorsal (D AB)
venous drainage of the superficial muscles of the upper limb
- cephalic
- basilic
- median cubital
- median vein
- superficial palmar venous arch
venous drainage of the deep muscles of the upper limb
- subclavian
- axillary
- brachial
- radial
- ulnar
- deep palmous venous arch
arterial supply of the upper limb
subclavian
axillary
brachial
radial
ulnar
superficial and deep palmar arches
joints of the upper limb
- sternoclavicular joint
- acromioclavicular joint
- shoulder joint
- elbow joint - humero-ulnar joint and humeroradial joint
- wrist joint - radiocarpal joint
- carpometacarpal joint
- metacarpophalangeal joint
- proximal and distal interphalangeal joint
components of joints
bones
articular cartilage
synovial cartilage
synovial cavity
synovial fluid
synovial membrane
capsule
bones of the lower limb
hip
femur
patella
fibula
tibia
tarsal
metatarsal
phalanges
parts of the hip bone
ilium
pubis
ischium
major nerve of the lower limbs
from lumbar and sacral plexus:
- femoral nerve (front of thigh)
- obturator nerve (medial)
- sciatic nerve (posterior)
- gluteal nerve (glutes)
sciatic nerve branches into:
- tibial nerve
- common fibular nerve
what are the 3 compartments of the muscle of the thigh
anterior
posterior
medial
what is included in the anterior compartment of the thigh muscles
psoas major
iliacus
sartorius
quadriceps femoris
- rectus femoris
- vastus lateralis
- vastus medialis
- vastus intermedius
what is included in the posterior compartment of the thigh muscles
biceps femoris
semitendinosus
semimembranosus
what is included in the medial compartment of the thigh muscle
gracilis
pectineus
adductor longus
adductor brevis
adductor magnus
obturator externus
what nerve innervates the anterior compartment of the thigh
femoral nerve
what nerve innervates the medial compartment of the thigh
obturator nerve
what nerve innervates the posterior compartment of the thigh
sciatic nerve
3 compartments of the leg
anterior
lateral
posterior
superficial group of the posterior compartment of the leg
gastrocnemius
plantaris
soleus
deep group of the posterior compartment of the leg
popliteus
flexor hallucis longus
flexor digitorium longus
tibialis posterior
what nerve innervates the posterior compartment of the leg
tibial nerve
muscles at the back of the leg are what muscles
flexors
what nerve innervates the lateral compartment of the leg
superficial fibular nerve (branch of the common fibula nerve)
muscles in the anterior compartment of the leg
tibialis anterior
extensor hallucis longus
extensor digitorium longus
fibularis tertius
what nerve innervates the anterior compartment of the leg
deep fibular nerve
venous drainage of the superficial muscles of the leg
short saphenous vein (lateral side of leg) -> popliteal vein
great saphenous vein (medial side of leg) -> femoral vein
joints of the lower limb
hip joint
knee joint
ankle joint
intertarsal joint
ligament of the hip joint
- capsular ligament with synovial membrane
- acetabular labrum and transverse acetubular ligament
- ligament of head of femur
- iliofemoral
- pubofemoral
- ischiofemoral ligaments
ligaments of the knee joint
anterior and posterior cruciate ligaments
medial and lateral meniscus
medial (tibial) and lateral (fibula) collateral ligaments
ligaments of the ankle joints
medial ligaments
lateral ligaments
what are the 2 midtarsal joints
talocalcaneonavicular joint
calcaneocuboid joint
structure that joins the vertebral body and transverse process
pedicle
structure that joins the transverse process with spinous process
lamina
what is the zygapophyseal joint
superior and inferior articular facet joins
what does the anterior arch of a vertebrae comprise of
vertebral body
anterior 1/3 of the pedicles
what does the posterior arch of a vertebrae comprise of
posterior 2/3 of the pedicles
lamina
processes
what is spina bifida
when anterior and posterior arches dont fuse together
the joint between C1 and C2
atlanto-axial joint = rotation of neck
special features of lower cervical vertebrae (C3 to C6)
transverse formen
bifid spinous process
nerve compression in spine most common in
lumbar region
characteristics of body of thoracic vertebrae
- progressive increase in mass from T1 to T12
- heart shaped when viewed superiorly
characteristics of pedicles of thoracic vertebrae
small diameter
characteristics of laminae of thoracic vertebrae
vertical, with “roof tile” arrangement
characteristics of spinous process of thoracic vertebrae
long, overlapping, projected downwards
characteristics of intervertebral foramen of thoracic vertebrae
less incidence of nerve compression
special feature of thoracic vertebrae
costal facets for ribs
difference between cervical and thoracic vertebrae foramen
cervical - triangular
thoracic - circular
difference between cervical and thoracic vertebral body
cervical - round
thoracic - heart shaped
characteristics of body of lumbar vertebrae
progressively increase in mass L1 to L5
characteristics of pedicles of lumbar vertebrae
longer and wider than thoracic
oval shaped
characteristics of spinous process of lumbar vertebrae
horizontal
square shaped
characteristics of transverse process of lumbar vertebrae
smaller than thoracic region
characteristics of intervertebral foramen of lumbar vertebrae
increased incidence of nerve root compression
joint between the occiput and C1
atlanto-occipital joint = flexion and extension of neck
ligaments of the spine
anterior longitudinal ligament
posterior longitudinal ligament
interspinous ligament
supraspinous ligament
ligamentum flavum
ligamentum nuchae
superficial extrinsic back muscles
trapezius
latissimus dorsi
levator scapulae
rhomboids
intermediate extrinsic back muscles
serratus posterior superior and inferior
intrinsic (deep) back muscle
superficial layer
- splenius cervicis
- splenius capitis
intermediate layer
- iliocostalis
- longissumus
- spinalis
deep layer
- semispinalis
- multifidus
- rotatores
nerve innervation of the intrinsic back muscle
spinal nerve
action of the biceps brachii
flexion of forearm at elbow join
supination at proximal radio-ulna joint
action of brachioradialis
flexion of forearm at elbow joint
what does the interossei aid the lumbricals in
- extension of IPJ
- flexion of MCPJ
ligaments of the elbow joint
radial collateral ligaments
ulnar collateral ligaments
anular ligament of radius
the patella is also known as
sesamoid bone
what is the structure that is in contact with the chair when a person is seated
ischium
where does the common fibular nerve and tibial nerve supply
common fibular nerve - lateral compartment of leg
tibial nerve - posterior compartment of leg
erector spinae muscles
iliocostalis
spinalis
longissimus