UL Practical Flashcards
nerves from by lateral cord
ML2
Musculocutaneous nerve
lateral pectoral nerve
lateral root at median
nerves from medial cord
4MU medial pectoral nerve medial cutaneous nerve of arm and forearm medial root of median ulnar
nerves from posterior cord
STARS Subscapular nerve(2) nerve TO latissimus dorsi Axillary nerve Radial nerve
muscles connecting the upper limb to vertebral column
Trapezius Latissimus Dorsi Levator Scapulae Rhomboid Major Rhomboid Minor
muscles connecting limb to the thoracic wall
Pectoralis Major
Pectoralis Minor
Subclavius
Serratus Anterior
muscles of the shoulder
Deltoid Subscapularis Supraspinatus Infrapinatus Teres Minor Teres Major
shoulder girdle joints
glenohumeral
acromioclavicular
sternoclavicular
palpation of suprasternal notch
on either side, the medial ends of the clavicle project above the line of the manubrium
palpation of coracoid process
move laterally medial third of clavicle is convex palpable 2.5cm (1inch) below the junction of the outer and middle 1/3 of the clavicle
lateral end of clavicle vertical indentation above the glenohumeral joint
palpation of acromion process
- spine of scapula → acromial angle → lateral border of acromion
vertebral level of inferior angle of scapula
T7
Palpation of sterno-clavicular joint
palpable lateral corner manubrium / curved line concave laterally / approx 1cm length / extending 0.5 cm inferolaterally (in standing lies at the level of spinous process of T3)
palpation of acromio-clavicular joint
palpable, immediately lateral to the anterior concavity at the lateral one-third of the clavicle, approximately 1.5 cm medial to the lateral border of the acromion process
palpation of glenohumeral joint
represented by a line drawn from a point just lateral to the tip of the coracoid process 3.75cm (1.5 inches) long, concave laterally and directed towards the axilla. The lower 2/3 denotes the rim of the glenoid cavity.
myotome for shoulder girdle elevation
C4
myotome for shoulder abduction
C5
myotome for elbow flexion
C6
myotome for elbow extension
C7
myotome for thumb extension/finger flexion
C8
myotome for finger abduction, adduction
T1
Myotomes responsible for bicep reflexes
C5,C6
Myotomes responsible for brachioradialis reflexes
C5, C6
Myotomes responsible for tricep reflexes
C7
palpation of trapezius
patient in prone
shoulder abducted 90 degrees
palpation of serratus anterior
supine
patient shoulder flexion of 90 degrees with clenched fist
resist against your hand
palpate at lateral side of chest
palpate rhomboids
behind trapezius
dorsal of hand against
lumbar spine in seated position
palpate pectoralis major
90 degree shoulder abduction
either shoulder extension or shoulder flexion
palpate latissimus dorsi
patient in prone
arms extended
palpate anterior and posterior deltoid
shoulder abduction of 90 degrees
while maintaining abduction;
shoulder flexion for anterior head of deltoid
shoulder extension for posterior head of deltoid
palpate suprspinatus
shoulder abduction and applying hand above spine of scapula
palpate infraspinatus and teres minor
shoulder abducted 20 degrees
elbow flexed 60 degrees
whilst maintaing that elbow flexion and shoulder abduction shoulder should be extended
place hand below spine of scapula
