Unit 3 Arm Flashcards
Humerus Head Articulation
- Glenohumeral joint
Humerus Necks
- Anatomical
- Surgical
Anatomical Neck
- Epiphyseal plate of long bone
Common Break Site
- Surgical neck
Humerus Shaft Components
- Greater & lesser tubercle
- Intertubercular sulcus
Elbow Articulation
- Capitulum
- Trochlea
Flexor/Anterior Compartment
- Innervated by musculocutaneous
Extensor/Posterior Compartment
- Innervated by radial
Arm Flexor Muscles
- Biceps brachii
- Coracobrachialis
- Brachialis
Flexor Muscle Innervation
- Shoulder
- Elbow
Biceps Brachii Attachment
- Distal to elbow
- Tendon attaches to radius
- Aponeurosis attaches to ulnar
Biceps Brachii Function
- Pronation
Aponeurosis Function
- Weak flexion of forearm
- Flexion of elbow
- Protect cubital fossa
Coracobrachialis
- Shoulder flexor
Brachialis
- Elbow flexor
Musculocutaneous Innervation
- Biceps
- Coracobrachialis
- Brachialis
Radial Innervation
- Brachialis
Rupture of Bicep (Long Head)
- Tendon torn/avulsed
- Pulled off supraglenoid tubule (glenohumeral joint)
- Not surgical
- Muscle will atrophy
Musculocutaneous Nerve Pathway
- Anterior to humerus
- Pierces coracobrachialis
Musculocutaneous Injury Function Implications
- Loss of shoulder flexion
- Loss of forearm supination
- Loss of elbow flexion
Extensor/Posterior Muscles
- Triceps (long, medial, lateral heads)
Long Head of Triceps Function
- Arm extension
- Crosses shoulder joint
All Tricep Heads Function
- Forearm Extension
Radial Nerve Innervation
- All tricep heads
Humeral Shaft Fracture Young People
- High energy trauma
Humeral Shaft Fracture Old People
- Osteopenia
Humeral Shaft Fracture Risks
- Radial nerve at radial groove
- Radial nerve palsy
- Reduced risk extension
- Radial deviation
- Reduced elbow flexion
Radial Nerve Pathway
- Posterior to humerus
- Under lateral head of triceps
- Along radial groove
Axilla Boarders
- Anteriorly pectoralis major & minor
- Medially, serratus anterior & thoracic
- Posteriorly, subscapularis, teres minor & latissimus dorsi
- Laterally, intertubercular sulcus