ULNAR NERVE Flashcards

1
Q

Medial cord of b plexus C8-T1

A

Ulnar nerve

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2
Q

Formed in axilla is

A

ULnar nerve

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3
Q

ULnar nerve in axilla

A

Between axillary (third part) artery and vein

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4
Q

Then Ulnar nerve enters in arm

A

Posteromedial to Brachial Artery and stays medial in arm

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5
Q

At the mid arm level the nerve pierces the

A

medial intermuscular septum at the arcade of struthers

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6
Q

Arcade of struthers are

A

aponeurotic fibers from medial triceps to intermuscular septum

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7
Q

Arcade of Struthers is located 8 cm proximal to the

A

medial epicondyle

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8
Q

So up to the mid arm level the ulnar nerve is in the

A

Anterior compartment of the arm

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9
Q

After piercing the IM septum, it becomes in the

A

posterior arm compartment

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10
Q

Then lies antero medial to the

A

Triceps Brachii muscle

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11
Q

Then becomes posterior to the

A

medial epicondyle

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12
Q

Then goes through the

A

CUBITAL TUNNEL

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13
Q

Also the artery in the cubital tunnel is the

A

SUPERIOR ULNAR COLLATERAL ARTERY

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14
Q

Cubital Tunnel roof formed proximally by

A

OSBORNE LIGAMENT

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15
Q

Cubital tunnel floor is formed by

A

Posterior and transverse bands of medial carpal ligaments and elbow joint capsule

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16
Q

Then nerve passes through the 2 heads of the

A

FCU

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17
Q

Also the nerve passes under the

A

FLEXOR PRONATOR APONEUROSIS

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18
Q

Then nerve dives into the

A

Anterior compartment of the forearm

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19
Q

In the forearm it passes between FCU and

A

FDP

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20
Q

Enters the hand passing lateral to which bone?

A

PISIFORM

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21
Q

The ulnar nerve is Superficial or Deep to the flexor retinaculum?

A

SUPERFICIAL

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22
Q

ULnar nerve if superficial to the Transverse carpal ligament ? T/F

23
Q

GUYON’S CANAL ROOF

A

VOLAR CARPAL LIGAMENT

24
Q

Guyon Canal floor

A

Transverse carpal ligament, Hypothenar muscles and flexor retinaculum

25
Guyon Canal Ulnar border
Pisiform bone and pisohamate ligamentm, abductor digiti minimi muscle belly
26
Guyon canal radial border
The hook of the hamate
27
As it enters the hand the nerve divides into
2 branches (superficial and deep)
28
Ulnar nerve gives no branches in the
arm
29
In forearm, ulnar nerve gives 3 branches:
muscular branches, cutaneous branches and articular branches
30
muscular branches of ulnar nerve in forearm:
FCU, ulnar half of FDP
31
Cutaneous branch of ulnar nerve in forearm
palmar and dorsal branches
32
Palmar cutaneous branch of ulnar nerve
arises in the middle of the forearm and supplies the skin of the HYPOTHENAR eminance
33
Palmar cutaneous branch of ulnar nerve passes
superficial to volar ligament (roof of Guyon Canal)
34
Dorsal Branch of Ulnar nerve
Ulnar 1.5 fingers
35
Articular branch of ulnar nerve
through cubital tunnel to the Elbow joint
36
DEEP Branch of Ulnar nerve
MOTOR NERVE
37
Muscular branches supplied by the deep branch
8 Interossei, Ulnar 2 lumbricals, Adductor pollicis brevis
38
Also the deep branches give articular branches to the
wrist joint
39
SUPERFICIAL BRANCH is
SENSORY mainly
40
Superficial branch only motor brach supplies the
PALMARIS BREVIS MUSCLE
41
Superficial branch divides into
medial (ulnar) and lateral (radial)
42
Ulnar part supplies the
ulnar aspect of the little finger
43
Radial branch AKA common digital branches
Supplies the radial aspect of the small finger and the ulnar aspect of the RING finger
44
Ulnar nerve Motor inntervation in FOREARM
FCU, FDP (ulnar)
45
Ulnar nerve Motor inntervation in Thenar muscles
Adductor pollicis, deep head of FPB
46
Ulnar nerve Motor inntervation in Fingers
Interossei (8), 3rd and 4th lumbricals, Hypothenar muscles, abductor digiti minimi, opponens digiti minimi, flexor digiti minimi.
47
Musician's nerve is
ULNAR NERVE
48
Ulnar nerve trapped at
Cubital and guyon tunnel
49
If injury of UN at the elbow
loss of motor innervation at forearm, hand and loss of sensation
50
FCU and ulnar FDP motor loss leads to
pt cannot make a fist
51
Los of FCU leads to
loss of flexion at the wrist
52
Adduction of the thumb is lost bc of
paralysis of adductor pollicis
53
Injury of the ulnar nerve at the wrist causes
CLAW HAND
54
CLAW HAND features
Hyperextension of MCP joints, flexion of IP joints, inability to spread fingers, loss of flexion of ring and little finger, loss of adduction power of the thumb