post forearm Flashcards

1
Q

muscles in superficial lat layer (3)

A
  • Brachioradialis
  • Extensor carpi radialis longus
  • extensor carpi radialis brevis
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2
Q

muscules in superficial posterior layer (3)

A
  • extensor digitorum
  • Extensor digiti minimi
  • extensor carpi ulnaris
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3
Q

Muscues in deep extensor layer (5)

A
  • supinator
  • abd pollicis longus
  • extensor pollicis brevis
  • ext pollicis longus
  • extensor indices
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4
Q

floor of the anatomical stuff box (4)

A
  • scaphoid
  • trapezium
  • ECRL tendon
  • ECRB tendon
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5
Q

what muscle is the most prox for a deep radial n entrapment

A

deep radial n

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6
Q

what makes up extensor expansion

A

3 bands-> one central and 2 collateral connected by circular fibres called the hood

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7
Q

what can rupture the extensor expansion

A

hyperfexion of distal interphalangeal J

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8
Q

med and lat borders of anatomical stuff box

A

lat= Abductor pollicis longus + extensor pollicis brevis tendons

Med=extensor pollicis longus tendon

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9
Q

roof of anatomical snuff box (3)

A

superficial fascia
skin
superficial radial n branches

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10
Q

Contents of anatomical snuff box

A

Radial a +v

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11
Q

tendons of extensor expansion lat to med (6)

A

1- abd pollicis br + ext pollicis brev

  1. Ext carpi radialis longus + brevis
  2. ext pollicis longus
  3. ext digitorum + ext indicis
  4. ext digiti minimi
  5. ext carpi ulnaris
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12
Q

path of radial n and its two terminal br

A

radial n runs in radial groove into the ant arm into the cubital fossa, ant to lat epicondyle and split into deep and superfical radial

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13
Q

where does the superfical radial n run and what does it supply

A
  • runs bw brachioradialis and ECRL on lat forearm

- supplies skin over snuffbox and distal pollex

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14
Q

when does the deep radial n change names to post interosseus n

A

after it emerges from distal 1/3 of supinator

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15
Q

the deep radial n will innervate what muscles before changing names to post interosseus (5)

A
ECRB
Supinator
ECU
Ext digitorum
Ext dig min
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16
Q

main branch of radial n innervates (2)

A

brachiradialis

ECRL

17
Q

what does the superficial radial n supply is dorsal hand

A

lat 3.5 fingers

18
Q

what does the dorsal branch of ulnar n supply

A

med 1.5 fingers

19
Q

3 areas radial n can be injured

A

Axilla
Radial groove
Supinator

20
Q

What is the cause of a axilla injury and sensory and motor impaiments

A

-from crutches, lymph nodes

weakness of ext of arm, forearm, hand, fingers (wrsit drop)
Parasthesia at post aspect of arm, forearm, dorsum, lat 3.5 fingers

21
Q

what is cause of radial groove injury and what are the deficits

A

fracture of humerus, arm rested on sharp chair

long head of tri and post cuteneous are spared

22
Q

what is cause of supinator m injury and what are the deficits

A

-Entrapment neuropathy, muscle hypertension

no sensory
-extensors of forearm, digits involved
ECRL, brachioradialis and brachialis spared

23
Q

mallet/baseball finger mech and result

A

mech- servere tension on ext tendons since distal interphalangeal j are forced into extreme flexion

result- extensior expansion is ruptured and distal phalanx is stuck flexed

24
Q

what is a synovial cyst of the wrist and what is it commonly attached to

A

non tender cystic swelling on dorsum of hand commonly attached to ECRB and ECRL

25
Q

where can the radial n be impinged to cause wrist drop

A
  1. fracture of humeral shaft

2. entrapment by supinator