Outline 7-8: Brachium/Antebrachium Flashcards
Anterior compartment of Brachium contains which muscles?
Biceps, brachialis (flexors), and coracobrachialis (adductor)
Blood supply of anterior Brachium. And nerve supply?
Brachial artery; musculocutaneous nerve
Posterior Brachium contains which muscles?
Triceps (extensor), anconeus, articularis cubiti
Posterior Brachium blood and nerve supply.
Brachial profunda artery; radial nerve
Anterior and posterior Brachium compartments divided by:
Deep fascia
The workhorse of elbow flexion
Brachialis
The forearm must be in which position to activate biceps?
Supinated
Workhorse of elbow extension
Medial head of triceps
Articularis cubiti attaches to:
The joint capsule
Anconeus is a tiny (flexor/extensor/other) that travels from (X) to (Y)
Extensor
X = lateral epicondyle Y = lateral olecranon process
The axillary artery becomes the brachial artery after passing which landmark?
Teres major
The brachial artery splits into how many main branches? List them.
4 main branches:
- Superior ulnar collateral
- Profunda brachii
- Inferior ulnar collateral
- Nutrient artery
Brachial profunda artery splits into:
- Anterior (radial) collateral artery
2. Posterior (middle) collateral artery
The superior ulnar collateral artery travels:
Posterior to medial elbow side
The inferior ulnar collateral artery travels:
Anterior to medial elbow side
Musculocutaneous nerve emerges in antebrachium as (X) after traveling between (Y) and (Z) muscles.
X = lateral antebrachial cutaneous nerve Y = biceps Z = brachialis
Which nerve(s) have NO innervation in Brachium?
Median and ulnar nerves
Traveling from the upper Brachium to the lower Brachium, the (X) nerve gradually moved from the (post/ant) compartment to the (post/ant) compartment.
X = ulnar
Anterior to posterior
How many cutaneous branches originate from radial nerve in Brachium? List them.
3 cutaneous branches:
- Lower lateral brachial cutaneous
- Posterior brachial cutaneous
- Posterior antebrachial cutaneous
As the radial nerve travels down the Brachium, it innervates (X) before traveling with which artery in which part of the humerus?
X = triceps
Travels with brachial profunda artery in spiral groove (to anterior compartment)
The radial nerve innervates (X) and (Y), right before dividing in front of (Z) of humerus.
X = brachioradials Y = extensor carpi radialis longus Z = lateral epicondyle
Radial nerve eventually divides into which branches? What does each innervate?
Superficial (cutaneous to posterolateral hand)
Deep (muscular branch)
Anterior forearm muscles blood supply:
Superficial: Ulnar artery
Deep: anterior interosseous artery
Anterior forearm nerve supply:
Median nerve
EXCEPT: FCU and ulnar half FDP (ULNAR NERVE)
Muscles of superficial anterior forearm:
- Pronator Teres
- Palmaris longus
- Flexor carpi radialis
- Flexor carpi ulnaris
- Flexor digitorum superficialis
Deep muscles of the anterior forearm:
- Flexor pollicis longus
- Flexor digitorum profundus
- Pronator quadratus
Medial epicondyle is a common origin for which muscles?
All superficial muscles of anterior forearm
pronator teres, palmaris longus, flexor carpi radialis, flexor carpi ulnaris, and FDS
Blood supply of superficial muscles of posterior forearm:
Radial artery
Blood supply of deep muscles in posterior forearm:
Posterior interosseous artery
Nerve supply to posterior forearm:
Deep radial nerve
EXCEPT: brachioradialis and extensor carpi radialis longus (RADIAL NERVE)
Superficial muscles of the posterior forearm:
- Brachioradialis
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- Extensor carpi ulnaris
- Extensor digitorum
- Extensor digiti minimi
Which muscles have common origin on lateral epicondyle?
All extensors in superficial layer of posterior antebrachium EXCEPT brachioradialis
Deep muscles of the posterior forearm include:
- Supinator
- Abductor pollicis longus
- Extensor pollicis longus
- Extensor pollicis brevis
- Extensor indicis
Median nerve enters forearm between:
Two heads of pronator teres
(X) muscle in the forearm is not found in all people, not really needed, and is formally termed a(n) (Y) muscle.
X = Palmaris longus Y = vestigial
The ulnar nerve enters the forearm by passing between:
Two heads of flexor carpi ulnaris
The only flexor of DIP, digits 2-5, is:
Flexor digitorum profundus
Muscles sharing common origin on lateral supracondylar ridge:
Brachioradialis and extensor carpi radialis longus
Muscles sharing common origin on lateral epicondyle:
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- Extensor digitorum
- Extensor digiti minimi
- Extensor carpi ulnaris
Radial nerve enters forearm through which muscle(s)?
Supinator
Which part of the radius acts as a pulley for (X) muscle?
Dorsal tubercle
X = extensor pollicis longus
Wrist abduction/adduction occurs via combined efforts of:
Flexor and extensor carpi radialis (abduction) and ulnaris (adduction)
The brachial artery divides in the:
Cubital fossa
The radial artery travels under (X) muscle, entering the forearm.
X = brachioradialis
The radial recurrent artery anastomoses with (X) on (ant/post) side of:
X = anterior collateral artery
On anterior side of lateral elbow
The ulnar artery travels between (X) muscle(s).
X = FCU and FDP
The anterior ulnar recurrent artery anastomoses with (X). And the posterior ulnar recurrent with (Y).
Where does each occur, with respect to the elbow joint?
X = inferior ulnar collateral (anterior to medial elbow)
Y = superior ulnar collateral (posterior to medial elbow)
The ulnar artery eventually gives off a branch (X), which subsequently divides into:
X = common interosseous artery
Divides into anterior and posterior interosseous arteries
The posterior interosseous artery has a recurrent artery that anastomoses with:
Posterior collateral artery
The cephalic vein pierces (X) at the top of the (Y) to enter the (Z) vein.
X = clavipectoral fascia Y = deltopectoral groove Z = axillary
The cephalic and basilic veins are connected by (X) at the (Y).
X = medial cubital vein Y = cubital fossa
The basilic vein pierces (X) and joins (Y) vein.
X = fascia Y = brachial
The median nerve enters the Antebrachium through (X), traveling between which muscle(s)?
X = pronator teres
Travels between FDS and FDP
The median nerve gives off which branches in the antebrachium? Where does each respective branch go?
- Articular branch (elbow)
- Muscular branch (flexors)
- Palmar cutaneous branch (lateral palm and thenar eminence)
The ulnar nerve gives off which branches in the antebrachium? What does each respective branch supply?
- Articular branch (elbow)
- Muscular branch (FCU and ulnar half of FDP)
- Cutaneous (ulnar side of hand, dorsal fingers, hypothenar eminence)
The ulnar nerve enters the antebrachium through (X), traveling between which muscle(s)?
X = FCU
Travels between FCU and FDP (with ulnar artery)
The radial nerve innervates which muscle(s) in posterior antebrachium?
Brachioradialis, extensor carpi radialis longus
After innervating the muscle(s) in the posterior antebrachium, the radial nerve divides into:
Superficial and deep branches
The superficial branch of the radial nerve travels under (X) with (Y) nerve.
X = brachioradialis Y = radial (proper)
What does the superficial branch of the radial nerve innervate in the forearm?
Nothing
The deep branch of the radial nerve travels through (X) to innervate:
X = supinator
Innervates posterior compartment of forearm
In the cubital fossa, the brachial artery is deep to (X), which protects it.
X = bicipital aponeurosis
The (X) vein is superficial to the bicipital aponeurosis.
X = median cubital
Stability of the elbow joint can be attributed to:
- Ligaments
- Capsule
- Bone shapes
- Muscles
There is a total of (X) elbow joints. How many are pivot? How many hinge? How many ball in socket?
X = 3
2 hinge joints
1 pivot joint
The names of the elbow joint(s):
- Humeroulnar
- Humeroradial
- Proximal radioulnar
The stabilizing collateral ligament for the humeroulnar joint is termed:
Medial (ulnar) collateral ligament
The humeroulnar joint is between (X) of the humerus and (Y) of the ulna:
X = trochlea Y = trochlear notch
What are the parts of the ulnar collateral ligament? What does each part connect?
- Anterior (medial epicondyle to coronoid)
- Posterior (medial epicondyle to olecranon)
- Oblique (olecranon to coronoid)
The stabilizing collateral ligament for the humeroradial joint is termed:
Lateral (radial) collateral ligament
The humeroradial joint is between (X) of the humerus and (Y) of the radius:
X = capitulum Y = head
What specifically does the radial collateral ligament attach to/connect?
From lateral epicondyle to annular ligament
The proximal radioulnar joint connects:
The radial head to the radial notch (on ulna)
The stabilizing ligament(s) for the proximal radioulnar joint are termed:
- Annular ligament
2. Quadrate ligament
Explain the attachment of the annular and quadrate ligaments.
Annular: from radial notch, circles head of radius
Quadrate: from radial notch, attaches to head of radius
Abduction of elbow is prevented by (X) ligament.
Medial (ulnar) collateral ligament
Adduction of elbow is prevented by (X) ligament.
Lateral (radial) collateral ligament
List the radioulnar joints:
- Proximal/Superior
- Middle
- Distal/Inferior
Which radioulnar joint(s) is /are syndesmoses?
The middle
Which radioulnar joint(s) is /are pivot?
Proximal and Distal
The distal radioulnar joint connects:
The ulnar head and the radius
TFCC stands for (X) and represents:
X = triangular fibrocartilage complex
Represents the distal radioulnar joint