SM_222a: Organization of the Upper Limb Flashcards
Joint complex consists of _____, _____, _____, _____, and _____
Joint complex consists of bones, joints, ligaments, muscles, and nerves
Limbs are outgrowths of the body well, innervated by ______ of spinal nerves through ______
Limbs are outgrowths of the body well, innervated by ventral rami of spinal nerves through nerve plexi
Muscles within compartments share ______, ______, ______, and ______
Muscles within compartments share embryological origins, nerve and blood supply, attachment points, and function
(compartments separated by deep fascia)

Muscles of the upper limb are innervated by branches of the _____, a network of anterior (ventral) rami of spinal nerves _____
Muscles of the upper limb are innervated by branches of the brachial plexus, a network of anterior (ventral) rami of spinal nerves C5-T1

Type and range of motion at any synovial joint is mainly determined by the shape of the _____
Type and range of motion at any synovial joint is mainly determined by the shape of the articulation
Describe the different types of joints
Types of joints
- Ball and socket joints (shoulder, hip): permit movement on several axes (most mobile)
- Condylar joints (knee): permit motion in one major and one minor direction
- Hinge joints (elbow, upper ankle): permit motion in one direction

Ball and socket joints permit motion _____ and include _____ and _____
Ball and socket joints permit motion on several axes and include shoulder and hip
(most mobile)
Condylar joints permit motion _____ and include the _____
Condylar joints permit motion in one major and one minor direction and include the knee
Hinge joints permit motion _____ and include the _____ and _____
Hinge joints permit motion in one direction and include the elbow and upper ankle
Ligaments are _____ that connect _____ to _____
Ligaments are tough bands of fibrous connective tissue that connect bones to other bones
Ligaments prevent damage to joints by _____ and _____
Ligaments prevent damage to joints by limiting the range of movement in the normal direction of motion and preventing movements in unwanted directions
Damage to a ligament is called a _____, which is graded based on _____ and _____
Damage to a ligament is called a sprain, which is graded based on the degree of tear and resulting joint instability
Role of muscles is _____
Role of muscles is to generate the forces necessary to move the body or to stabilize the body against forces
(prevent or limit joint damage)
(muscle facts include name, attachment, action, and nerve supply)
(usually origin is proximal and fixed, while insertion is distal and moves)
With regards to muscles, the muscles the _____ performs the action, while the _____ performs the movement opposite
With regards to muscles, the protagonist performs the action, while the antagonist performs the movement opposite
(flexion of the elbow joint: biceps brahcii is protagonist, triceps brachii is the antagonist)

Joints in the shoulder are _____, _____, _____, _____, and _____
Joints in the shoulder are sternoclavicular, coracoclavicular, acromioclavicular, glenohumoral, and scapulothoracic (not true joint)

Glenohumoral joint is a _____ joint capable of _____, _____, _____, and _____
Glenohumoral joint is a ball and socket joint capable of flexion-extension, abduction-adduction, internal (medial) and external (lateral) rotation, and circumduction
(greatest ROM of any joint, least stable joint, most commonly dislocated)

Glenohumoral joint has the greatest _____ of any joint but is the _____ stable and most commonly _____
Glenohumoral joint has the greatest ROM of any joint but is the least stable and most commonly dislocated

Acromioclavicular joint is a _____ joint which allows _____ sliding movements between the acromion of the scapula and distal end of the clavicle
Acromioclavicular joint is a synovial joint which allows small sliding movements between the acromion of the scapula and distal end of the clavicle

Coracoclavicular joint is a _____ joint, not a _____ joint
Coracoclavicular joint is a fibrous joint, not a synovial joint

_____ and _____ joints anchor the scapula to the clavicle and can be disrupted in a separated shoulder
Acromioclavicular and coracoclavicular joints anchor the scapula to the clavicle and can be disrupted in a separated shoulder

_____ joint is the joint between the sternum and clavicle
Sternoclavicular joint is the joint between the sternum and clavicle

Scapulothoracic joint refers to _____, but is not a true joint
Scapulothoracic joint refers to the fact that the scapula, which is embedded in muscle, must be able to move freely over the posterior thoracic wall in order to facilitate movement of the upper arm, but is not a true joint

Scapulothoracic rhythm refers to the fact that _____
Scapulothoracic rhythm refers to the fact that the scapula and humerus move in a 1:2 ratio
(when arm abducted 180 degrees, 60 degrees occurs by rotation of the scapula and 120 degrees by rotation of the humerus at the shoulder joint)

In the glenohumoral joint, the _____ ligament is strong and prevents upward dislocation of the humerus
In the glenohumoral joint, the coracoacromial ligament is strong and prevents upward dislocation of the humerus

Stability of the glenohumoral joint is primarily provided by the _____
Stability of the glenohumoral joint is primarily provided by the tendons of the rotator cuff muscles

Describes muscles of the shoulder joint by their action

Shoulder extensors include _____, _____, and _____
Shoulder extensors include deltoid, latissimus dorsi, and triceps brachii

Shoulder flexors include _____, _____, and _____
Shoulder flexors include deltoid, pectoralis major, and biceps brachii

Shoulder abductors include the _____ and _____
Shoulder abductors include the deltoid and supraspinatus

Shoulder medial/internal rotators include _____ and _____
Shoulder medial/internal rotators include teres major and subscapularis

Shoulder adductors include _____ and _____
Shoulder adductors include latissimus dorsi and teres major

Shoulder lateral/external rotators include _____ and _____
Shoulder lateral/external rotators include infraspinatus and teres minor

Muscles of the rotator cuff strengthen the _____ joint and include _____, _____, _____, and _____
Muscles of the rotator cuff strengthen the glenohumoral joint and include supraspinatus, infraspinatus, teres minor, and subscapularis
(SITS)

Arm is divded into the _____ and _____ compartments
Arm is divided into the anterior (flexor) and posterior (extensor) compartments

Describe muscles of the anterior/flexor compartment of the arm
Muscles of the anterior/flexor compartment of the arm
- Muscles: biceps brachii, coracobrachialis, brachialis
- Muscle actions: flexion of shoulder and elbow joint
- Nerve: musculocutaneous
- Skeletal landmarks: coracoid process, radial tuberosity

Muscles of the anterior/flexor compartment of the arm include _____, _____, and _____
Muscles of the anterior/flexor compartment of the arm include biceps brachii, coracobrachialis, and brachialis

Muscles of the anterior/flexor compartment of the arm function to _____
Muscles of the anterior/flexor compartment of the arm function to flex the shoulder and elbow joint

Muscles of the anterior/flexor compartment of the arm are innervated by the _____ nerve
Muscles of the anterior/flexor compartment of the arm are innervated by the musculocutaneous nerve

Skeletal landmarks of muscles of the anterior/flexor compartment of the arm are the _____ and _____
Skeletal landmarks of muscles of the anterior/flexor compartment of the arm are the coracoid process and radial tuberosity

Describe the muscles of the posterior/extensor compartment of the arm
Muscles of the posterior/extensor compartment of the arm
- Major muscle: triceps brachii
- Muscle actions: extend shoulder and elbow
- Nerve: radial
- Skeletal landmarks: infraglenoid tubercle, olecranon process of ulna

Major muscle of the posterior/extensor compartment of the arm is _____
Major muscle of the posterior/extensor compartment of the arm is triceps brachii

Muscles of the posterior/extensor compartment of the arm function to _____
Muscles of the posterior/extensor compartment of the arm function to extend the shoulder and elbow
Muscles of the posterior/extensor compartment of the arm are innervated by the _____ nerve
Muscles of the posterior/extensor compartment of the arm are innervated by the radial nerve

Skeletal landmarks of the muscles of the posterior/extensor compartment of the arm are _____ and _____
Skeletal landmarks of the muscles of the posterior/extensor compartment of the arm are the infraglenoid tubercle and olecranon process of ulna

Forearm is divided into _____ and _____ compartments
Forearm is divided into anterior (flexor) and posterior (extensor) compartments

Describe muscles of anterior/flexor compartment of the forearm
Muscles of the anterior/flexor compartment of the forearm
- Muscles: wrist flexors (flexor carpi radialis), wrist and digital flexors (flexor digitorium superficialis, flexor digitorum profundus, and flexor policies longus), forearm pronators (pronator teres, pronator quadruatus)
- Muscle actions: flex the wrist and/or digits, pronate forearm
- Nerve: median nerve (ulnar nerve to flexor digitorium profundus and flexor carpi ulnaris)
- Skeletal landmarks: medial epicondyle of the humerus

Muscles of the anterior/flexor compartment of the forearm function to _____
Muscles of the anterior/flexor compartment of the forearm function to flex the wrist and/or digits and pronate the forearm

Muscles of the anterior/flexor compartment of the forearm are innervated by the _____
Muscles of the anterior/flexor compartment of the forearm are innervated by the median nerve
(ulnar nerve to flexor digitorium profundus and flexor carpi ulnaris)

Skeletal landmark of muscles of the anterior/flexor compartment of the forearm is _____
Skeletal landmark of muscles of the anterior/flexor compartment of the forearm is the medial epicondyle of the humerus

Describe muscles of the posterior/extensor compartment of the forearm
Muscles of the posterior/extensor compartment of the forearm
- Muscles: wrist extensors (extensor carpi radialis), wrist and digit extensors (extensor digitorum, extensor pollicis), thumb abductors (abductor pollicis longus), forearm supinator (supinator)
- Muscle actions: extend wrist and/or digits, abduct thumb, supinate forearm
- Nerve: radial nerve
- Skeletal structures: lateral epicondyle of humerus

Muscles of the posterior/extensor compartment of the forearm function to _____, _____, and _____
Muscles of the posterior/extensor compartment of the forearm function to extend the wrist and/or digits, abduct the thumb, and supinate the forearm

Muscles of the posterior/extensor compartment of the forearm are innervated by the _____ nerve
Muscles of the posterior/extensor compartment of the forearm are innervated by the radial nerve

Skeletal structure of muscles of the posterior/extensor compartment of the forearm is _____
Skeletal structure of muscles of the posterior/extensor compartment of the forearm is lateral epicondyle of humerus

Arm and forearm are divided into _____ and _____ compartments
Arm and forearm are divided into anterior (flexor) and posterior (extensor) compartments

Muscles of the upper limb are innervated by branches of the brachial plexus, a network of _____ rami of spinal nerves _____
Muscles of the upper limb are innervated by branches of the brachial plexus, a network of anterior (ventral) rami of spinal nerves C5-T1

Anterior compartment nerves of the upper limb include _____ and _____
Anterior compartment nerves of the upper limb include musculocutaneous nerve and median/ulnar nerves

Musculocutaneous nerve innervates the _____ compartment of the _____ and is responsible for _____
Musculocutaneous nerve innervates the anterior compartment of the arm and is responsible for flexion of the shoulder and elbow

Median/ulnar nerves innervate the _____ compartment of the _____ and are responsible for _____ and _____
Median/ulnar nerves innervate the anterior compartment of the forearm/hand and are responsible for flexion of the wrist/fingers and pronation of the elbow

Posterior compartment nerves of the upper limb include _____, _____, and _____

Radial nerve innervates the _____ compartments of the _____ and is responsible for _____
Radial nerve innervates the posterior compartments of the arm/forearm and is responsible for extension of the shoulder/elbow/wrist/fingers

Describe the compartments, muscles, and nerves of the upper limb
Compartments, muscles, and nerves of the upper limb

Sensation in areas of _____ will be altered in peripheral nerve damage
Sensation in areas of cutaneous innervation will be altered in peripheral nerve damage

Describe the actions controlled by each peripheral nerve
Actions controlled by each peripheral nerve

Describe the relationship between compartment, nerve, and function
Relationship between compartment, nerve, and function
