Practical topic 15 Flashcards

Carpal and digital extensors of the forelimb, its nerves; superficial venous system and its relationship to the deep system in the forelimb and to the v. jugularis externa

1
Q

Give the carpal extensors of the forelimb

A
  1. M. Extensor carpi radialis
  2. M. Extensor carpi ulnaris (ulnaris lateralis)
  3. M. Extensor digitorum communis
  4. M. Abductor digiti 1 longus
  5. M. Extensor digitorum lateralis
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2
Q

Give the digital extensors of the forelimb

A
  1. Extensor digitorum communis
  2. Extensor digitorum lateralis
  3. Extensor digiti 1 et 2
  4. Abductor digiti 1 (policis) longus
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3
Q

M. Extensor carpi radialis

A

Origin: Crista epicondylus lateralis of humerus

Insertion: Tuberositas ossis metacarpalis 2-3 (dorsal surface of metacarpals base)

Action: Strongest extensor of the carpal joint

Innervation:N. radialis

Blood supply:

  • A. interossea cranialis
  • A. brachialis
  • A. medianus
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4
Q

M. Extensor digitorum communis

A

Origin: Epicondylus lateralis of humerus.

Insertion: Processus extensorius of distal phalanx of digits 2-5.

Action: Extends carpus and joints of digits 2-5.

Innervation: N. radialis

Blood supply:

  • A. interossea cranialis
  • A. medialis
  • A. brachialis
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5
Q

M. Extensor digitorum lateralis

A

Origin:

  • Epicondylus lateralis of humerus
  • Ligamentum collaterale laterale

Insertion:

  • Goes to digits 3-5. At the level of the first digit it unites with tendons from m. Extensor digitorum communis and interosseus muscles.
  • Inserts on proximal ends of all the distal phalanges of digits 3-5, mainly on processus extensorius of the distal phalanges

Action: Extends the carpal joint and digits 3-5.

Innervation: N. radialis

Blood supply

  • A. interossea cranialis
  • A. mediana
  • A. brachialis
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6
Q

M. Abductor digiti 1 (pollicis) longus

A

Origin: Adjacent lateral surface of radius and ulna, and from the interosseus membrane.

Insertion: Mc 1 base medially

Action:

  • Abducts the first digit (pollex)
  • Extends the carpal joint.

Innervation: N. Radialis

Blood supply: A. brachialis superficialis

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7
Q

M. extensor carpi ulnaris

A

Origin: Epicondylus lateralis (behind collateral ligament)

Insertion:

  • Lateral aspect of mc 5 base.
  • Attaches with a short and strong tendon to accessory carpal bone.

Action:

  • Supports carpus when extended to bear weight.
  • Helps in flexion
  • Abducts and lateral rotation of carpal joint since its attachemnt to os carpi accessorium.

Innervation: N. radialis

Blood supply:

  • A. interossea cranialis
  • A. brachialis
  • A. ​medianus
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8
Q

M. Extensor digiti 1 et 2 (pollicis et indicis)

A

Origin:

Middle third of ulna, laterally. (Adjacent to m. Abductor to m. Abductor digiti 1 longus).

Insertion

  • Pollicis:
    • Head of Mc 1
  • Indicis:
    • Unites with m. Extensor digitorum communis.

Together inserts on distal phalanx of digit 2.

Action:

  • Extends digits 1-2.
  • Indicis adducts dew claw (which is not in contact with the ground)

Innervation: N. radialis

Blood supply:

  • A. interossea cranialis
  • A. medialis
  • A. brachialis
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9
Q

Give the brances of n. radialis

A
  • N. radialis superficialis
    • Runs along with v. cephalica
  • N. radialis profundus
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10
Q

Where does n. radialis arise from?

A

C7-T1(2) spinal nerves

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11
Q

What type of nerve is n. radialis

A

Motor nerve

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12
Q

Where does the n. radialis run?

A

Caudally to a. brachialis (along with n. mediana and n. ulnaris)

→ enters space between m. triceps brachii and humerus (distal to m. teres major)

Runs on m. brachialis (follows sulcus brachialis), goes over lateral side

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13
Q

Which muscles in innervated by n. radialis?

A
  • All extensors of the elbow (m. triceps brachii)
  • Carpal and phalageal extensors (the extensors in the topic)
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14
Q

Which vessels belong to the superficial venous system?

A
  • V. cephalica
    • V. axillobrachialis
    • V. mediana cubiti
    • V. cephalica accessoria
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15
Q

Which vessel anastomoses with v. axillborachialis

A

V. circumflexa humerale caudale

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16
Q

Which vessel anastomoses with v. mediana cubiti

A

V. brachialis superficialis → v. brachialis

17
Q

V. cephalica accessoria

  1. Arise from
  2. Becomes
A
  1. V. cephalica
  2. V. digitalis dorsalis communis 3
18
Q

Craniolateral

A
  1. M. extensor carpi radialis
  2. M. extensor digitorum communis
  3. M. extensor digitorum lateralis
  4. M. ulnaris lateralis
  5. M. brachioradialis
  6. M. abductor pollicis longus
  7. Extensor retinaculum
19
Q
A
  1. M. extensor digitorum communis
  2. M. extensor digitorum lateralis
  3. M. extensor carpi radialis
  4. M. ulnaris lateralis
  5. M. anconeus
  • * Lateral epicondyle of humerus
20
Q
A
  1. V. cephalica
  2. V. jugularis externa
  3. V. axillobrachialis
  4. M. deltoideus
    • Reflected
  5. V. omobrachialis
    • From v. omobrachialis
  • * M. cleidobrachialis
21
Q

Lateral view of the brachium and antebrachium

A
  1. N. radialis
  2. M. triceps brachii
    • Innervated by n. radialis
    • N. radialis divides into deep and superficial branches
  3. N. radialis profundus
    • Innervating craniolateral antebrachial muscles
  4. N. radialis, medial branch
    • Supply skin of the cranial antebrachium and dorsal manus
  5. N. radialis, latral branch
    • Supply skin of the cranial antebrachium and dorsal manus
  6. A. brachialis superficialis
  • * M. brachialis