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

A

TRUE

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
Q

Guyon Canal Ulnar border

A

Pisiform bone and pisohamate ligamentm, abductor digiti minimi muscle belly

26
Q

Guyon canal radial border

A

The hook of the hamate

27
Q

As it enters the hand the nerve divides into

A

2 branches (superficial and deep)

28
Q

Ulnar nerve gives no branches in the

A

arm

29
Q

In forearm, ulnar nerve gives 3 branches:

A

muscular branches, cutaneous branches and articular branches

30
Q

muscular branches of ulnar nerve in forearm:

A

FCU, ulnar half of FDP

31
Q

Cutaneous branch of ulnar nerve in forearm

A

palmar and dorsal branches

32
Q

Palmar cutaneous branch of ulnar nerve

A

arises in the middle of the forearm and supplies the skin of the HYPOTHENAR eminance

33
Q

Palmar cutaneous branch of ulnar nerve passes

A

superficial to volar ligament (roof of Guyon Canal)

34
Q

Dorsal Branch of Ulnar nerve

A

Ulnar 1.5 fingers

35
Q

Articular branch of ulnar nerve

A

through cubital tunnel to the Elbow joint

36
Q

DEEP Branch of Ulnar nerve

A

MOTOR NERVE

37
Q

Muscular branches supplied by the deep branch

A

8 Interossei, Ulnar 2 lumbricals, Adductor pollicis brevis

38
Q

Also the deep branches give articular branches to the

A

wrist joint

39
Q

SUPERFICIAL BRANCH is

A

SENSORY mainly

40
Q

Superficial branch only motor brach supplies the

A

PALMARIS BREVIS MUSCLE

41
Q

Superficial branch divides into

A

medial (ulnar) and lateral (radial)

42
Q

Ulnar part supplies the

A

ulnar aspect of the little finger

43
Q

Radial branch AKA common digital branches

A

Supplies the radial aspect of the small finger and the ulnar aspect of the RING finger

44
Q

Ulnar nerve Motor inntervation in FOREARM

A

FCU, FDP (ulnar)

45
Q

Ulnar nerve Motor inntervation in Thenar muscles

A

Adductor pollicis, deep head of FPB

46
Q

Ulnar nerve Motor inntervation in Fingers

A

Interossei (8), 3rd and 4th lumbricals, Hypothenar muscles, abductor digiti minimi, opponens digiti minimi, flexor digiti minimi.

47
Q

Musician’s nerve is

A

ULNAR NERVE

48
Q

Ulnar nerve trapped at

A

Cubital and guyon tunnel

49
Q

If injury of UN at the elbow

A

loss of motor innervation at forearm, hand and loss of sensation

50
Q

FCU and ulnar FDP motor loss leads to

A

pt cannot make a fist

51
Q

Los of FCU leads to

A

loss of flexion at the wrist

52
Q

Adduction of the thumb is lost bc of

A

paralysis of adductor pollicis

53
Q

Injury of the ulnar nerve at the wrist causes

A

CLAW HAND

54
Q

CLAW HAND features

A

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