Need to learn Flashcards

1
Q

Pectoralis major (A)

Morph? ect..

A
  • position - anterior side of upper body, on chest
  • morphology - fan-shaped muscle
  • origin
    (1) - Clavicular part: anterior surface of medial half of clavicle
    (2) - Sternocostal part: anterior surface of sternum, Costal cartilages of ribs 1-6
    (3) - Abdominal part: Anterior layer of rectus sheat
    Insertion
    (1) - Crest of greater tubercle of humerus (lat dorsi inserts inbetween pec major / teres major)
  • Describe the direction of fibres -
    up - abdo part,
    horiztonal -sternocostal part and
    downwards - clavicular part
  • Actions - shoulder adduction / medial rotator [ Arm flexion (clavicular head), arm extension (sternocostal head)]
  • functions of daily living -
  • nerve supply - Lateral and medial pectoral nerves (C5-T1)
  • contraction? -
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2
Q

Function of elbow joint?

A

Can change the height and length of the arm / position hand in space

[Superior rad / ulnar - Rotation allows effective positioning]

Key for functional tasks (e.g. eating, drinking)

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3
Q

o / I of sternocleomastiod?

A

Origin: Manbrium (sterno), medial portion of clavicle (cleo)
I: Mastiod process of temporal bone (Mastoid), superior nuchal line

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4
Q

nerve for trapezius

nerve for sternocleomastiod?

A

both accessory

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5
Q

Nerves / mucsles?

+ anterior interosseous nerve part of which nerve?
Deep branch of __ nerve?

A

There is the Anterior interoseous nerve which is the deep branch of the median nerve - supplies different muscles:
Abductor pollicis brevis
Opponens pollicis
Lumbricals: 1st & 2nd
± Flexor pollicis brevis (also innervated by ulnar nerve)

=====

Deep branch radial nerve

    Supinator
    Extensor carpi radialis brevis
    Extensor digitorum
    Extensor carpi ulnaris
    Extensor pollicis longus
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6
Q

relevance of carrying angle? (3)

A

Arms need to clear pelvis in gait
Allows greater ROM in flexion
Mechanical advantage for carrying heavy objects

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7
Q

ulnar / radial styloid processess

A

-

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8
Q

head of ulnar is where?e

A

by wrist !

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9
Q

extension at C spine?

A
  • semispinalis capitus / cervius
  • erectus spinae (same as lumbar / thoracic spine)
  • levator scapulae (retreact / elevate scapular)
  • trapezius (retreact / elevate scapular)
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10
Q

flexino at T spine?

A

Flexion: Rectus abdominus / int oblique / ext oblique / psoas major

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11
Q

Stretch superficialis / profondus?

A

Flexor digitorm superficalis - extend wrist + fingers [pressure on middle finger biases superficalis] - note FDS attaches to the middle phalanges of 2-5 mets

Flexor digitorum profundus - extend wrist + fingers [ pressure on end of finger biases prfondus] note this is where FDP attaches, the distal phalanges of the fingers 2-5

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12
Q

ROM C spine flex extend?

A

Flexion / extension: 130 in total, 100 from neurtral - chin to chest

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13
Q

Identify two ligaments associated with the joints of Thumb or fingers.

A

Metacarpophalangeal joints / Carpometacarpal strengthened by: collateral ligs and Palmer ligs

You collide in to ollie palmer - snaping his finger ligaments

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14
Q

attachments biceps / triceps

A

Morphology - Fusiform, 3 Heads (long head, medial head & lateral head)

O-
Infraglenoid tubercle (Long Head)
Lateral side (lateral head), of posterior surface of humerus
medial side (medial head) of posterior surface of humerus

I-Olecranon process

An infared beam of light shines on glencoe which prevents lattitude from happening in a medevil castle so ole has to cancel his ticket

Action-
Extension of elbow and shoulder

Nerve - Radial

====

Morphology - Fusiform, 2 Heads (short head and long head)

O-
Supraglenoid tubercle (Long Head)
Corocoid Process (Short head)

I-Radial Tuberosity
[+bicipital aponeurosis into deep fascia on medial part of forearm]

Super man jumps off glencoe and catches corona virus so jumps in a radioactive tube to get rid of it

Action-
Flexion of elbow and shoulder
Supinator of forearm

Nerve - Musculocutaneous

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15
Q

Route of musc / ax nerve?

A

see video

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16
Q

greater / lesser tubicle / intertubecular sulcus attachements?

A

Greater - other rotator cuff muscles

Lesser Tubercle: subscapularis

intertubercular sulcus: lat dorsi, pec majjor , biceps tendon is in this region

17
Q

surface mark GH joint

A

coracoid process - lat third of clav then down

Then a laterally and then down 3cm

18
Q

muscles for each shoulder movement??

A

Flexion:
Pectoralis major (A)
Deltoid (Anterior fibres) (A)
Biceps brachii (long head) (A)

Extension:
Latissimus dorsi (A)
Deltoid (posterior fibres) (A)
Triceps (long head) (A)
Teres major
[Pec major]

abduction:
Supraspinatus (A)
Deltoid (middle fibres) (A)

Adductors:
Pec Major
Lat dorsi
Teres major muscle

19
Q

degrees ROM at elbow? / end feel

A

Fulcrum on lateral epicondyle, fixed arm towards shoulder

Flexion: 140°-160°
Extension: 0° (up to 10° hyperextension)

End feel
Flexion: soft (soft tissue bulk)
Extension: hard (olecranon in olecranon fossa)

20
Q

Nerve pecs

A

pectoral nerve

21
Q

pecs attachments

A

(1) - Clavicular part: anterior surface of medial half of clavicle
(2) - Sternocostal part: anterior surface of sternum, Costal cartilages of ribs 1-6
(3) - Abdominal part: Anterior layer of rectus sheat
Insertion
(1) - Crest of greater tubercle of humerus (lat dorsi inserts inbetween pec major / teres major)

22
Q

Test the end feel for flexion/extension/abduction and identify the limiting factors GH

A

Firm - ligaments - Transverse humeral ligament, coracohumeral lig, coracoacomial lig, inferior / mid / superior glenoidhueral ligaments

23
Q

Coracobrachials actions?

A

GHJ flexion / adduction

24
Q

End feel radial deviation?

A

hard

25
Q

Erectus spinae

A

A

Morph:

  • Large complex muscle
  • Head down to sacrum
  • Located on the posterior side of the trunk

Actions: EXTENSION of the spine, helps with side flexion / rotation

  • Longissimus (middle) - level of transverse process - capitis / cervisis / Thoracis / Lumborum
  • Ilieocostalis (lateral) - level of rib cage - cervisis, thoracis, Lumborum
  • Spinalis (medial) - level of spinous process - capitis, cervisis, thoracis

(ie throaccic spine, cervial , lumbar..)

O: Sacrum, iliac crest, spinous process T11-L5

I: Ribs, all transverse processes, mastoid process (behind the ear)

Santa filling his sac full of rum (1) on the moons crest (2) when he spins around 11 Times (3) and Laughs 5 times (3) so much so that he falls off the moon into a restraunt, he orders ribs (4 ), meets a transexual (5) and maturbates (6) before ramming his nob in the door and breaking his spine (nerves)

26
Q

Distal / inferior radio ulnar joint – classification, movements, ART, structures ect.. 4 points

A
  • Classification - synovial pivot joint
  • uni axial (one pair of movements)
  • Articulating surfaces
    • Concave ulnar notch
    • Medial aspect of the distal end of the radius
    • Include Triangular fibrocartilage complex [TFCC]

Movements

  • Supination - palm up
  • Pronation - palm down
27
Q

Measuring ROM + degrees of wrist, positioning - end feel?

A

Flexion - 60-80 - Fulcrum on triquretum - moving hand on 5th met - firm end feel
Extension - 60-75 - Fulcrum on triquretum - moving hand on 5th met - firm end feel

Radial deviation / abduction - 15-25 - fulcrum on capiate / lateral epicondyle - moving arm on medial metacarpal
Ulnar deviation / adduction - 30-40

Supination - 90 - start in midprone (karate chop position) - pt to hold pen
Pronation - 90 - start in midprone - pt to hold pen

28
Q

Nerve msucles median , radial, ulnar

A

Median Pronator teres
Pronator quadratus
Flexor carpi radialis
Flexor digitorum profundus to 2nd & 3rd fingers

Radial triceps anconeous, Brachioradialis

Ulnar flexor carpi ulnaris, flexor digitorum profundus, lumbrical muscles,

29
Q

What is the root value of Sciatic nerve? Name the branches?

A

Tibial.. common peroneal..

30
Q

Surface mark the joint line of wrist. Demonstrate a PAM of your choice at this joint.

A
  • https://www.youtube.com/watch?v=blk3oypLhf0 55 secs
31
Q

Demonstrate Longitudinal caudad/ lateral distraction at the GH joint.

A

-