MSK workbook Flashcards
anterior of the wall of the axilla is formed by
pectoralis major and pectoralis minor muscle
posterior wall of the axilla is formed by
latissimus dorsi muscle
medial wall of the axilla is formed by the
thoracic wall and serratus anterior muscle
lateral wall of the axilla is formed by the
intertubercular sulcus of the humerus
the axillary artery is the continuation of which artery
subclavian
what anatomical point does the axillary artery begin
lateral border of the 1st rib
axillary artery continues as the
brachial
what anatomical point does the name of the axillary artery change into the brachial
inferior border of the teres major
clinical compression of the axillary artery may be necessary when
there is severe bleeding of the upper limb
enlargement of which lymph nodes is common in infection in the upper limb
axillary lymph nodes
brachial plexus is formed by the ventral rami of
C5-T1
what’s erbs point
C5 and C6
what nerve roots form the upper trunk
C5 and C6
Erb’s Palsy description
medially rotated with wrist flexed
cause of Erb’s Palsy
hyperextension of the head from the shoulder
Klumpke’s palsy nerve roots
c8 and T1
Lower trunk of the brachial plexus refers to
C8 and T1
muscles affected by Klumpke’s palsy
intrinsic muscles of hand and ulnar flexors of the wrist and fingers
cause of Klumpke’s palsy
undue abduction of the arm
branches of the lateral cord of brachial plexus
lateral pectoral, lateral root of median nerve, musculocutaneous
branches of medial cord of brachial plexus
medial pectoral, ulnar nerve, medial cutaneous nerve of arm, medial cutaneous nerve of forearm, medial root of median nerve
branches of posterior cord of brachial plexus
thoracodorsal nerve, axillary nerve, radial nerve, subscapular nerve
posterior veins of the hand
cephalic, basilic, and dorsal venous network
the cephalic vein arises at what end of the dorsal aspect of the hand
lateral end of the dorsal venous arch
basilic vein arises at what end of the dorsal aspect of the hand
medial end of the dorsal venous arch
median cubital nerve shunts blood from what and to
cephalic vein to the basilic vein
dermatome of the thumb
C6
dermatome of the index finger
C7
dermatome of the pinky is the
c8
axillary lymph nodes consist of
anterior/pectoral posterior/subscapular apical central lateral
the entire upper limb and pectoral girdle articulates at one small joint only, which one?
acromioclavicular joint
what type of joint is AC
gliding/plane
sc joint is what type of joint?
saddle
scapular elevation is by
levator scapulae and partly trapezius
scapular depression is by
inferior trapezius
scapular protraction is by
serratus anterior
scapular retraction is by
trapezius and rhomboids
scapular lateral upward rotation is by
trapezius descending and ascending
scapular medial upward rotation is by
gravity, levator scapulae, the rhomboids, and pectoralis minor
the labrum consists of
fibrocartilaginous glenoid labrum
what are the ligaments of the shoulder
joint capsule, coracohumeral, coracoacromial, transversus humeral ligament, glenohumeral ligaments
coracohumeral ligament strengthens what aspect
superior joint capsule
the coraco-acromial arch consists of
made up of the acromion, coracoid process of the scapula and acromial arch ligament
the coraco-acromial arch prevents what direction of displacement
superior
what direction is most prone to dislocation in the shoulder
anteriorly
which bursae communicates with the joint cavity
subscapular
what is the role of the subacromial bursae
facilitates movement of supraspinatus tendon
rotator cuff muscle’s most important role is
supports the joint
anterior fibres of deltoid assists
flexion and medially rotates
middle fibres of the deltoid assists
abduction
posterior fibres of the deltoid assists
extension and lateral rotation
deltoid nerve supply
axillary C5, C6
in what common injury is the axillary nerve injured
surgical neck of the humerus fracture
loss of the axillary nerve would result in the loss of what sensation
badge area of the deltoid
pectoralis major fibres originate from
medial third of the clavicle, sternum, ribs
pectoralis major role on the shoulder is
medial rotation and adduction
which vein is found in the deltopectoral triangle
cephalic vein
nerve supply of the serratus anterior is
long thoracic nerve, C6, C7
if the long thoracic nerve is injured what sign is evident
winged scapula
what procedure may cause a winged scapula via long thoracic nerve injury
lymph node biopsy
superior fibres of the trapezius action on the scapula
elevates
middles fibres of the trapezius action on the scapula
retracts
the inferior fibres of the trapezius action on the scapula
depresses
trapezius is innervated by
spinal accessory nerve
what are the actions of the teres major on the shoulder joint
adducts and medially rotates
latissimus dorsi action on the shoulder joint
medially rotates
flexion of the shoulder joint movements are by which shoulder joint muscles
deltoid anterior
extension of the shoulder joint movements are by which shoulder joint muscles
deltoid posterior
adduction of the shoulder joint movements are by which shoulder joint muscles
teres major, subscapularis
abduction of the shoulder joint movements are by which shoulder joint muscles
middle part of the deltoid, supraspinatus
medial or internal rotation of the shoulder joint movements are by which shoulder joint muscles
subscapularis, latissimus dorsi, pectoralis major, teres major
lateral or external rotation of the shoulder joint movements are by which shoulder joint muscles
teres minor, infraspinatous muscle deltoid posterior
biceps brachii originates from
from the scapula by two heads
both heads of the biceps brachii ends at
distal third of the upper arm with a short tendon that inserts into the tuberosity of the radius
which head of the biceps arise from the coracoid process along with the coracobrachialis
short head
what is the action of the biceps on the shoulder and the elbow joint
flexes
action of the biceps on the superior radio-ulnar joint
powerful supinator
nerve supply to the biceps is
musculocutaneous nerve C5/C6
what part of the brachial trunk supplies the biceps
lateral cord, superior and middle trunk
corachobrachialis originates from
tip of the coracoid process
corachobrachialis inserts into
medial margin of the humerus around the muscle
what is the action of the corachobrachialis on the shoulder joint
flexes and adducts the shoulder
neve supply of the corachobrachialis
musculocutaneous nerve C6
brachialis originates from
distal half of the shaft of the humerus
brachialis inserts into
the coronoid process of the ulna
brachialis is covered by
biceps brachii
main action of the brachialis
flexion of the elbow joint
nerve supply of the brachialis muscle
c6 musculocutaneous
musculocutaneous enters the arm by
perforating the coraco-brachialis
musculocutaneous nerve continues as the
lateral cutaneous nerve of the forearm
does the musculocutaneous nerve supply any muscles in the forearm?
N/A
knife in the axilla could cause
paralysis of the axillary nerve
brachial artery divides into
radial and ulnar
profundal brachii is the main branch of what?
deep artery of the brachial artery
median nerve arises from
one medial cord and one from the lateral cord of the brachial plexus
median nerve in the upper arm travels along
descends along the lateral artery and upper part of the brachial artery, in the middle part of the arm the nerve crosses to the medial side of the brachial artery and enters the cubital fossa
does the median nerve give any branches in the axilla and upper arm?
no
ulnar nerve arises from
the medial cord of the brachial plexus
ulnar nerve upper arm pathway
travels along the medial side of the brachial artery and enters the posterior compartment of the arm through the intermuscular septum and runs along the medial head of the triceps and to the back of the medial epicondyle
radial nerve site of damage
radial groove
ulnar nerve site of damage
medial epicondyle
axillary nerve site of damage
surgical neck
base of the fossa is an imaginary line drawn between the two
brachialis and supinator
medial border is formed by the which muscle
pronator teres
lateral border is formed by the which muscle
brachioradialis
triceps long head originates from
scapula
triceps two shorter heads originates form
the humerus
common tendon of the triceps originates by the
olecranon process of the ulna
olecranon process and coronoid process are parts of which forearm bone
ulna
main action of the triceps on the elbow joint
extensor
anconeus muscle action on the elbow
stabilizes joint and extension
nerve supply to the anconeus muscle and triceps
radial nerve
radial nerve from the brachial plexus is by
posterior cord of the brachial plexus
radial nerve innervates
extensor compartment of arm and forearm
radial nerve journey
enters arm anterior to the long head of the triceps and runs with the profundal femoris artery and curves around the midshaft region of the humerus in the radial groove
characteristic sign of radial nerve injury
wrist drop
ligaments of the elbow joint
medial ulnar collateral ligament, lateral radial collateral ligament and annular ligament
annular ligament supports which bone
head of the radius
bursitis of the elbow refers to
injury, infection from abrasions of the skin covering the olecranon. repeated excessive pressure and friction produces inflammation
elbow joint is what type of joint
hinge
radio ulnar joint is what type of joint
pivot
main muscles for supination
supinator, biceps brachii
main muscles for pronation
pronator teres, pronator quadratus
what other muscles assist supination
extensor pollicis longus, extensor carpi radialis longus
what other muscles assist pronation
flexor carpi radialis, palmaris longus and brachioradialis
stronger supinator of the forearm
biceps brachii
most powerful pronator of the forearm
pronator teres
superficial muscles of the front of the forearm
pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris
the common flexor origin of the superficial muscles of the forearm is the
medial epicondyle of the humerus
pronator teres innervation
median nerve
apart from flexing the wrist the flexor carpi ulnaris also does what to the wrist?
adduction