Upper Extremity Flashcards

0
Q

Contents of axilla (medial to distal)

A

Axillary vein, Axillary artery, brachial plexus

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1
Q

Boundaries of the axilla

A
Ant: pectoral
Post: scapular
Medial: costal
Lateral: humeral
Apex: clavicle, scapula, first rib
Base: skin, Axillary fascia
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2
Q

Rotator cuff muscles

A

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

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3
Q

Nerve supply of teres minor

A

Axillary

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4
Q

Rotator cuff:most commonly affected

A

Supraspinatus

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5
Q

Quadrangular triangle

A

Above: teres minor
Below: teres major
Medial: long head of triceps brachii
Lateral: surgical neck of humerus

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6
Q

Contents of quadrangular space

A

Axillary nerve

Posterior Circumflex humeral vessel

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7
Q

Triangular space

A

Above: teres minor
Below: teres major
Lateral: long head of triceps brachii

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8
Q

Content of triangular space

A

Circumflex scapular vessels

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9
Q

Nerve supply of anterior flexor group

A

Musculocutaneous n.

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10
Q

Main flexor of the forearm

A

Brachialis

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11
Q

Flexor muscle of the forearm, inner acted by median nerve except

A

FCU, FDP: ulnar nerve

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12
Q

Muscles originating from the medial epicondyle of the humerus

A
Pronator teres
FCR
Palmaris longus
FCU- humeral head
FDS- humoroulnar head
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13
Q

Flexor muscle found posteriorly

A

Brachioradialis

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14
Q

Originates at lateral epicondyle of humerus

A
ECRB
ED
EDM
ECU
Anconeus
Supinator
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15
Q

Inflammation of common flexor

A

Golfer’s elbow

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16
Q

Inflammation of common extensors

A

Tennis elbow

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17
Q

ABG: brachial artery

A

Medial to the biceps tendon in the cubital fossa

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18
Q

Contents of the cubital fossa (medial to lateral)

A

Median nerve
Brachial artery
Biceps brachii tendon
Radial nerve

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19
Q

Innervation of the near muscles

A

Median nerve

*adductor pollicis: ulnar nerve

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20
Q

Thenar muscles

A

Abductor pollicis
Flexor pollicis
Opponents pollicis

Adductor pollicis

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21
Q

Hypothenar muscles

A

Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi

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22
Q

Innervation of hypothenar muscle

A

Ulnar nerve

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23
Q

Rule in upper extremity

A

Anterior: flexor
Posterior:extensor

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24
Q

Rule in lower extremity

A

Anterior: extensor
Posterior: flexor

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25
Q

Innervation of the intrinsic muscles of the hand

A

Ulnar nerve

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26
Q

Brachial plexus

A
"Robert Taylor Drinks Coffee Black"
Roots: 5 (C5-T1)
Trunk: 3 (upper, middle, lower)
Division: 6
Cord: 3 (lateral, posterior, medial)
Branch: musculocutaneous (LC), median (LC, MC), ulnar (MC), axillary and radial (PC)
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27
Q

Posterior division is formed from _____division of all three trunks

A

Posterior

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28
Q

Roots arising from ____

A

Neck

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29
Q

Division at level of ____

A

Clavicle

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30
Q

Cords at ____

A

Axilla

31
Q

Anterior division fibers

A

Musculocutaneous, median, ulnar

Lateral and medial pectoral nerves

32
Q

Posterior division

A

Radial, Axillary

Upper, middle, lower subscapular n.

33
Q

Innervation of SERRATUS ANTERIOR

A

Long thoracic (C5-C7)

34
Q

Muscles innervated by musculocutaneous (C5-C7)

A

Coracobrachialis
Biceps brachii
Brachialis

35
Q

Roots of ulnar nerve

A

C8-T1

36
Q

medial root of Median nerve

A

C8 and T1

37
Q

Innervated by Axillary nerve/ root

A

Deltoid, teres minor / C5 and C6

38
Q

Roots of Radial nerve

A

C5, C6, C7, C8, T1

39
Q

Innervated by radial n.

A

Posterior/extensor compartment of the arm and forearm

40
Q

Innervated by the median n.

A

Anterior/flexor compartment of the forearm, except FCU and FDP

41
Q

Tendon reflex: biceps brachii

A

C5, C6

42
Q

Tendon reflex: triceps tendon

A

C6, C7, C8

43
Q

Tendon reflex: brachioradialis tendon

A

C5, C6, C7

44
Q

Waiter’s tip

A

Erb-Duchenne’s syndrome

C5,C6

45
Q

Ape hand and claw hand

Altered sensation in medial hand, ring, and little finger

A

Klumpke’s paralysis

C8, T1

46
Q

Long thoracic n. Lesion

A

Winging of the scapula
Weakness on protraction
SERRATUS anterior (C5, C6, C7)

47
Q

Radial n. Injury

A

Wrist drop

48
Q

Ulnar nerve injury

A

Claw hand deformity

49
Q

Median n. Injury

A

Ape hand

Hand of Benediction

50
Q

Nerve affected during fracture of the surgical neck of humerus

A

Axillary nerve

51
Q

Nerve affected during spinal fracture at mid shaft

A

Radial nerve

52
Q

First part of Axillary artery

A

Superior thoracic artery: first 2 ICS

53
Q

2nd part of Axillary artery

A

Thoracoacromial (pectoral, acromial, deltoid, clavicular)

Lateral thoracic

54
Q

3rd part of Axillary artery

A

Subscapular (thoracodorsal-SERRATUS anterior, circumflex scapular- subscapularis, teres major and latissimus dorsi)

55
Q

Cephalic vs. basilic

A

Lateral vs. medial

56
Q

First bone to begin ossification and the last to complete at age 21

A

Clavicle

57
Q

Weakest part of the clavicle

A

Jxn bet the medial and lateral aspect

*medial 2/3 convex, lateral 1/3 flattened

58
Q

Fracture of the clavicle results to _____

A

Brachial plexus injury and hemorrhage from subclavian vein

59
Q

Supracondylar fracture of the humerus (nerve injury)

A

Median nerve injury

60
Q

Medial epicondyle fracture

A

Ulnar n.

61
Q

Silver fork

Displacement of the distal segment

A

Colle’s fracture

62
Q

Anterior displacement

A

Smith’s fracture

63
Q

Boundaries of anatomical snuff box

A

Lat: tendons of EPB and Abd PL
Med: tendon of EPL
Floor: scaphoid and trapezius

64
Q

Contents of snuff box

A

Radial artery, styloid process of radius, base of first metacarpal bone

65
Q

C2

A

Back of head

66
Q

Tip of shoulder

A

C5

67
Q

C6

A

Thumb

68
Q

Middle finger

A

C7

69
Q

Small finger

A

C8

70
Q

Nipple

A

T4-T5

71
Q

Inguinal

A

L1

72
Q

Knee, medial leg

A

L4

73
Q

L5

A

Lateral leg, improve

74
Q

S1

A

small toe

75
Q

S5

A

Perenium

76
Q

Used vein for BLOOD extraction

A

Median cubital v