MSK Workbook 1 Flashcards
The anterior wall of the axilla is formed by the ____ and the ____
Pectoralis Major Muscle
Pectoralis Minor Muscle
The posterior wall of the axilla is formed by 3 muscles:
Scapularis
Teres Major
Latissimus Dorsi
The medial wall of the axilla is formed by the___
Thoracic wall
Serratus Anterior Muscle
The lateral wall of the axilla is formed by the ____
Intertubercular Sulcus of the Humerus
Name the 4 main contents of the axilla
Axillary Artery
Axilla Vein
Brachial Plexus
Axillary Lymph Nodes
The axillary artery is a continuation of which artery
Subclavian artery
At what anatomical point does the axillary artery begin
Outer border of the first rib
the axillary artery continues beyond the axilla as which vessel
Brachial Artery
At what anatomical point does the axillary artery become the brachial artery
Lower border of Teres major
The brachial plexus is formed by the ventral rami of ___ to ___
C5 to T1
Which nerve roots of the brachial plexus form the upper trunk
C5 and C6
Which roots of the brachial plexus contribute to the lower (inferior) trunk
C8 and T1
Which root of the brachial plexus forms the middle trunk
C7
Which artery and vein are the trunks of the brachial plexus closely related to
Axillary artery and vein
Describe the division of the brachial plexua
Roots Trunks Divisions Cords Terminal Branches
Injury to upper trunk causes what?
Erb’s Palsy
Medial rotation of the arm with wrist flexion
What group of muscles are affected in Erb’s Palsy
Deltoid Biceps Brachialis Infraspinatus Supraspinatus Serratus anterior
Injury to the lower trunk causes___?
Klumpke’s Palsy
Intrinsic muscles of the hand
Klumpke’s and Erbs Palsy are commonly caused by___
Shoulder dystocia at birth or following traumatic injury
Where does the Thoracodorsal nerve branch from
Posterior cord
Where does the upper and lower sub scapular nerve branch from
Posterior cord
Where does the lateral pectoral nerve branch from
Lateral cord
Where does the medial cutaneous nerve branch from
Medial cord
Where does the medial pectoral nerve branch from
Lateral and Medial cord
Name the major arterial branches of the upper limb
Subclavian Artery Axillary Artery Brachial Artery Ulnar Artery Radial Artery
Name the major veins of the upper limb
Anterior:
Radial
Basilic
Median Cubital
Posterior:
Cephalic
Basilic
Dorsal venous network
What is the most common place for venepuncture
Superficial veins of the upper arm
The cephalic vein arises at the _____ end of the dorsal venous arch
Lateral
The basilic vein arises at the ___end of the dorsal venous arch
Medial
What is the function of the medial cubital vein
Shunts blood from cephalic to basilic
Following an injury to a spinal root a sensory loss (parasthesia) will be mapped on the skin corresponding to that specific _____
Dermatome
All lymphatic vessels from the upper limb drain into the _____
Axillary nodes
Name the 5 lymph node groups
Anterior/Pectoral Group Posterior/Subscapular group Apical group Central group Lateral/Brachial group
Which group of lymph nodes will be involved if the lymphatic spread of infection begins in the little finger
Axillary
Which group of lymph nodes will be involved if the lymphatic spread begins in a boil in the scapular region
Axillary
Which group of lymph nodes will be involved if the lymphatic spread begins in the medial part of the breast (close to sternum)
Internal Thoracic (Internal mammary)
Which group of lymph nodes will be involved if the lymphatic spread begins as an infection around the umbilicus
Can spread to axillary and superficial inguinal groups
Name the 2 bones that make the pectoral girdle
Scapula
Clavicle
Name the 2 joints that are in the pectoral girdle
Sternoclavicular joint
Acromioclavicular joint
What part of the clavicle is the weakest and commonly breaks
Lateral and middle thirds as flatter and thinner
What type of joint is the acromioclavicular joint
Synovial plane
What type of joint is sternoclavicular joint
Synovial saddle
Name the 2 muscles involved in the elevation of the scapular
Rhomboid
Levator scapulae
Name the 2 muscles involved in scapular depression
Pectoralis minor
Serratus anterior
Name the muscle involved in scapular protraction (forward movement)
Serratus anterior
Name the 2 muscles involved in scapular retraction (backward movement)
Trapezius and Rhomboids
Name the muscle involved in lateral rotation (shrugging shoulders)
Serratus anterior
Name the 4 muscles involved in downward rotation (Depression)
Gravity
Levator scapulae
Rhomboid
Pectoralis minor
What type of the joint is the shoulder joint
Ball and socket
What is the name of the cartilage that surrounds the glenoid cavity
Glenoid Labrum
What is the function of the Glenoid labrum
To make the socket of the shoulder joint wider and deeper
What is the name of the ligament that connects the acromion and coronoid process
Coraco-acromial ligament
What is the function of the coraco-acromial ligament?
Prevents superior displacement of the humeral head
Which part of the shoulder joint capsule is weakest
Glenohumeral joint
What are the 2 main bursae in the shoulder?
Subacromial and Subscapular
What is the role of the subacromial bursa
Serves as a gliding mechanism between rotator cuff and coracoacromial arch
How does the subscapularis move the shoulder joint
Adductor and medial rotator of the humerus
How does the Supraspinatus move the shoulder joint
Abduction
How does the Infraspinatus move the shoulder joint
Lateral rotator of the humerus
How does the trees minor move the shoulder muscle
Adductor and lateral rotator of the humerus
What is the primary function of the rotator cuff muscles
Support and stabilise shoulder joint movement
Anterior fibres of deltoid _____ and ______ at the shoulder joint
Flexes and Medially Rotate
Middle fibres____the arm at the shoulder joint
Abduct
What is the nerve supply to the deltoid
Axillary Nerve
In what common injury is this nerve often trapped and therefore damaged
Direct blow to the deltoid muscle
Where would you test for loss of sensation to determine if a nerve injury had occurred after a deltoid direct blow
Anterior shoulder and arm
What is the action of the pectorals major on the shoulder joint
Adductor
Internally Rotate the humerus at the glenohumeral joint
What muscles are responsible for the abduction of the scapula
Deltoid
Teres major
Superior fibres of trapezius ____scapula
Elevate
Middle fibres of trapezius____the scapula
Brace
Inferior fibres of trapezius_____ medial aspect of scapula
Depress
Which cranial innervates the trapezius
CNXI- Accessory
Which foramen of the skull does CNXI travel through
Foramen magnum
Name the muscles responsible for flexion of shoulder
Anterior deltoid
Pectoralis Major
Name the muscles responsible for the extension of the shoulder
Posterior deltoid
Latissimus dorsi
Name the muscles responsible for the adduction of the shoulder joint
Latissimus dorsi
Pectoralis major
Name the muscles responsible for the abduction of the shoulder joint 0 to 90 degrees
Deltoid
Supraspinatous
Name the muscles responsible for the medial and internal rotation of the shoulder (4)
- Subscapularis
- Latissimus dorsi
- Pectoralis major
- Teres major
Name the muscles responsible for the lateral or external rotation of the shoulder
Infraspinatus
Teres minor
Deltoid
Trapezius