Summative Two Concepts Flashcards
What 2 muscles and 1 bone make up the boundaries of the posterior triangle?
Trapezius, Sternocleidomastoid, and Clavicle
The _________ muscles separate the posterior triangle into a occipital triangle and a supraclavicular triangle.
The OMOHYOID muscles separate the posterior triangle into a occipital triangle and a supraclavicular triangle.
The ______ and ________ of the brachial plexus are located between the anterior and middle scalene muscles.
The ROOTS and TRUNKS of the brachial plexus are located between the anterior and middle scalene muscles.
The interscalene triangle holds the _____ of the ____ ____(nerves) and the ___________ artery.
The interscalene triangle holds the ROOTS of the BRACHIAL PLEXUS (nerves) and the SUBCLAVIAN artery.
The _____ of the axilla is in the posterior triangle of the neck.
The APEX of the axilla is in the posterior triangle of the neck.
Four muscles of the posterior wall of the axilla:
Subscapularis, lattismus dorsi, teres major, long head of triceps brachii
What bone makes up the lateral wall of the axilla?
Humerus
Three muscles of the anterior wall of the axilla:
Pectoralis major, pectoralis minor & subclavius
Muscle of the medial wall of the axilla:
Serratus Anterior
Contents of the axilla:
Axillary A, Cords of Brachial Plexus & Deep Veins of the Upper Limb
Injury of the upper trunk of the brachial plexus will result in:
Waiter’s Tip Hand
(diving into a shallow pool)
Injury of the lower trunk of the brachial plexus will result in:
Claw hand deformity
(dangling on tree limb)
_______/______ in an ultrasound looks hypo echoic (____).
BLOOD/FLUID in an ultrasound looks hypo echoic (dark)
______ look heterogenous in an ultrasound.
MUSCLES look heterogenous in an ultrasound.
________ look either hyper echoic or hypo echoic in an ultrasound.
NERVES look either hyper echoic or hypo echoic in an ultrasound.
_______ looks hyper echoic in an ultrasound. ____ reflective.
FASCIA looks hyper echoic in an ultrasound. HIGHLY reflective.
_____ on an ultrasound looks hyper echoic with shadowing. Also ________ reflective.
BONE on an ultrasound looks hyper echoic with shadowing. Also HIGHLY reflective.
An ________ nerve block blocks the roots of the brachial plexus.
An INTERSCALENE nerve block blocks the roots of the brachial plexus.
A __________ nerve block blocks the trunks of the brachial plexus.
A SUPRACLAVICULAR nerve block blocks the trunks of the brachial plexus.
An ________ nerve block blocks the cords of the brachial plexus.
An INFRACLAVICULAR nerve block blocks the cords of the brachial plexus.
An ________ nerve block blocks the branches of the brachial plexus.
An AXILLARY nerve block blocks the branches of the brachial plexus.
Interscalene nerve blocks:
Looks like a _________. Found between the ______ and _______ _____ muscles.
Interscalene nerve blocks:
Looks like a STOPLIGHT or SNOWMAN. Found between the ANTERIOR and MIDDLE SCALENE muscles.
An inter-scalene block also blocks what nerve?
Why does this matter?
Phrenic nerve,
Results in hemidiaphragmic paralysis - important because you don’t want to give this block to someone who already has trouble breathing.
Innervation of Pec Major:
Medial and Lateral Pectoral Nerves
Innervation of Pec Minor:
Medial Pectoral Nerve
Innervation of Serratus Anterior:
Long Thoracic Nerve
Innervation of Trapezius:
Spinal Accessory Nerve
Innervation of Latissimus Dorsi:
Thoracodorsal Nerve
Innervation of Levator Scapulae:
Dorsal Scapular Nerve
Innervation of Rhomboid Minor:
Dorsal Scapular Nerve
Innervation of Rhomboid Major:
Dorsal Scapular Nerve
Innervation of Deltoid:
Axillary Nerve
Innervation of Supraspinatus:
Suprascapular Nerve
Innervation of Infraspinatus:
Suprascapular Nerve
Innervation of Teres Minor:
Axillary Nerve
Innervation of Teres Major:
Lower Subscapular Nerve
Innervation of Subscapularis:
Upper and Lower Subscapular Nerves
Innervation of Biceps Brachii:
Musculocutaneous Nerve
Innervation of Coracobrachialis:
Musculocutaneous Nerve
Innervation of Brachialis:
Musculocutaneous Nerve
Innervation of Triceps Brachii:
Radial Nerve
The radial nerve is a branch of the ______ cord. It runs through the ______ ______ and then runs down the ______ _____ of the humerus.
The radial nerve is a branch of the POSTERIOR cord. It runs through the TRIANGULAR INTERVAL and then runs down the RADIAL GROOVE of the humerus.
The axillary nerve is a branch of the _______ cord. It runs through the _______ _____, then wraps around the ________ ______ of the humerus. It also gives off the ______ ______ _____ _____ nerve.
The axillary nerve is a branch of the POSTERIOR cord. It runs through the QUADRANGULAR SPACE, then wraps around the SURGICAL NECK of the humerus. It also gives off the SUPERIOR LATERAL BRACHIAL CUTANEOUS nerve.
The musculocutaneous nerve come from the ______ cord. It pierces the __________ muscle then runs between the ______ muscle and ________ ______ muscles. It will later become the ________ __________ ________ nerve.
The musculocutaneous nerve come from the LATERAL cord. It pierces the CORACOBRACHIALIS muscle then runs between the BRACHIALIS muscle and BICEPS BRACHII muscles. It will later become the LATERAL ANTE BRACHIAL CUTANEOUS nerve.
Supra scapular nerve is a branch of the _______ trunk. It passes through the _____ ____. It then passes ______ to the transverse scapular ligament, then passes through the _______ _____.
Supra scapular nerve is a branch of the SUPERIOR trunk. It passes through the POSTERIOR TRIANGLE. It then passes INFERIOR to the transverse scapular ligament, then passes through the SUPRASCAPULAR NOTCH.
The long thoracic nerve runs on the ________ surface of serratus anterior.
The long thoracic nerve runs on the SUPERFICIAL surface of serratus anterior.
The ________ joint is prone to dislocation.
The GLENOHUMORAL joint is prone to dislocation.
Dislocation of the shoulder happens ______, but it is called a ________ dislocation because the head of the humerus ends _____________.
Dislocation of the shoulder happens INFERIORLY, but it is called a ANTERIOR dislocation because the head of the humerus ends ANTERIORLY.
The _______ nerve is likely to get injured in a shoulder dislocation.
The AXILLARY nerve is likely to get injured in a shoulder dislocation.
The ___________ joint is very stable and dislocations are rare.
What will likely happen instead?
The STERNOCLAVICULAR joint is very stable and dislocations are rare.
What will likely happen instead?
The clavicle will fracture instead.
Dislocation of the _________ joint is typically caused by a direct blow (either in contact sports, hard fall on the shoulder or on the outstretched upper limb) and causes a complete rupture of the ___________ ligament. This is called a ______ ________.
Dislocation of the ACROMIOCLAVICULAR joint is typically caused by a direct blow (either in contact sports, hard fall on the shoulder or on the outstretched upper limb) and causes a complete rupture of the CORACOCLAVICULAR ligament. This is called a SHOULDER SEPARATION.
_________ ________ syndrome: caused by repeated ________ activity; leads to inflammation underneath the coracoacromial arch which is already a small space.
SHOULDER IMPINGEMENT syndrome: caused by repeated OVERHEAD activity; leads to inflammation underneath the coracoacromial arch which is already a small space.
Injury to the long thoracic nerve will result in:
Winged Scapula
Injury to the Axillary Nerve will result in:
Numbness where?
Loss of contour where?
Weakness in what movement?
Numbness on lateral surface of upper arm.
Loss of contour in shoulder.
Weakness in abduction.
Injury to Musculocutaneous Nerve will result in:
Numbness over ______ ______.
Weakness in ________ and _________.
Injury to Musculocutaneous Nerve will result in:
Numbness over LATERAL FOREARM.
Weakness in FLEXION and SUPINATION.
The Median nerve innervates all of the muscles of the anterior forearm except for what? What are the exceptions innervated by?
Flexor Carpi Ulnaris
Medial 1/2 of Flexor Digitorum Profundus
These are innervated by the Ulnar Nerve
What nerve innervates the posterior compartment of the forearm?
Radial Nerve
________ of the radius occurs when the radial head is ______ from the annular ligament.
Clinical Presentation typically includes holding the arm close to the body and an unwillingness to move the arm.
SUBLUXATION of the radius occurs when the radial head is DISPLACED from the annular ligament.
Clinical Presentation typically includes holding the arm close to the body and an unwillingness to move the arm.
Damage to the Radial Nerve will cause:
Wrist Drop
Fracture of the _____ carpal bone - possibly due to a fall - will result in tenderness when the ______ _____ box is pressed.
Fracture of the SCAPHOID carpal bone - possibly due to a fall - will result in tenderness when the ANATOMICAL SNUFF box is pressed.
The Ulnar Nerve passes ______ to the Medial Epicondyle.
It then comes to lie and runs under the cover of _____ ______ ______.
The Ulnar Nerve passes POSTERIOR to the Medial Epicondyle.
It then comes to lie and runs under the cover of FLEXOR CARPI ULNARIS.
The Radial Nerve comes out of the ____ _____ of the humerus and runs under the __________ muscle. It runs underneath it and then branches.
The deep branch pierces the _______ muscle. The superficial branch goes to innervate what?
The Radial Nerve comes out of the RADIAL GROOVE of the humerus and runs under the BRACHIORADIALIS muscle. It runs underneath it and then branches.
The deep branch pierces the SUPINATOR muscle. The superficial branch goes to innervate what?
The skin at the back of the hand.
The Median Nerve passes between the two heads of ____ ____. It then runs between ______ _____ _____ muscle and ______ ______ _____ muscle.
The Median Nerve passes between the two heads of PRONATOR TERES. It then runs between FLEXOR DIGITORUM SUPERFICIALIS muscle and FLEXOR DIGITORUM PROFUNDUS muscle.
Pronator Teres syndrome causes compression of what nerve?
Median Nerve
The fat pad sign is indicative of what?
An intra-articular fracture of the elbow.
The Ulnar Nerve innervates all of the muscles of the hand except for what? And those are innervated by?
Muscles of the Thenar Eminence:
-Abductor Pollicus Brevis
-Flexor Pollicus Brevis
-Opponens Pollicus
First Two Lumbricals
Innervated by the Median Nerve.
What bones make up the wrist joint?
The radius and carpal bones? NOT THE ULNA.
______ fracture: fracture of the radius. Indicated when the styloid process of the radius and the ulna are ______.
COLLES fracture: fracture of the radius. Indicated when the styloid process of the radius and the ulna are IN-LINE.
Carpal tunnel syndrome causes compression of which nerve?
Median Nerve
Injury to the median nerve distal to the wrist would have the greatest impact on what?
Opposition of the thumb
The ulnar bursa is continuous with which digits?
If you had a patient with diabetes, you should tell them to prick which fingers to take their blood sugar?
Why is this important?
Pinky and Thumb
Middle 3 Fingers
If they got an infection it would not spread to the rest of the hand and beyond it would stay in the finger.
Injury to the ulnar nerve results in what?
-what is it called?
-what movement is lost?
Injury to the ulnar nerve results in what?
Claw hand deformity
Z Movement Lost
Damage to the median nerve: what is it called?
The patient will be able to flex which 2 fingers?
Which 3 fingers will they not be able to flex?
Hand of Benediction
Able to flex pinky and ring finger.
Unable to flex index finger, middle finger, or thumb.
The Ulnar Nerve passes under ______ ______ ______ muscle, the superficial to ______ ________. It runs in between the _______ and ______ carpal bones. It then has a ______ and ______ branch.
The Ulnar Nerve passes under FLEXOR CARPI ULNARIS muscle, the superficial to FLEXOR RETINACULUM. It runs in between the PISIFORM and HAMATE carpal bones. It then has a SUPERFICIAL and DEEP branch.
The Median Nerve runs through the ____ _____. Immediately after, it gives a ______ branch to the ______.
It also has a ______ and ______ branch.
The Median Nerve runs through the CARPAL TUNNEL. Immediately after, it gives a RECURRENT branch to the THUMB.
It also has a SUPERFICIAL and DEEP branch.
Dupuytrens contracture of the _____ _____. Causes a deformity of the hand due to fibrosis.
Dupuytrens contracture of the PALMAR APONEUROSIS. Causes a deformity of the hand due to fibrosis.