Upper Extremity, Topnotch Flashcards
Axilla, boundaries: Posterior
Scapular 1) Subscapularis 2) Latissimus dorsi 3) Teres major
Axilla, boundaries: Medial
Costal 1) 2nd-6th rib and intercostal muscles 2) Serratus anterior
Axilla, boundaries: Lateral
Humeral 1) Humerus 2) Long and short heads of biceps brachia 3) Coracobrachialis
Axilla, boundaries: Apex
3 bones 1) Anterior: Clavicle 2) Posterior: Scapula 3) Medial: 1st rib
Axilla, boundaries: Base
Skin, subcutaneous fascia, and axillary fascia
The axillary fascia that covers the axillary sheath is a continuation of
Lateral prolongation of pre vertebral fascia
Axillary fascia extends up to
Elbow
Dislocation: Sudden violence applied to humerus with joint fully abducted tilts the humeral head downward into the inferior weak part
Anterior inferior dislocation
Dislocation: Rare dislocation of shoulder joint
Posterior
Shoulder joint: Most commonly affected tendon in inflammation
Supraspinatus tendon
Symptom of inflammation of supraspinatus tendon
Pain anterior and superior to shoulder on abduction
Nerve supply: Supraspinatus
Suprascapular
Nerve supply: Infraspinatus
Suprascapular
Nerve supply: Teres minor
Axillary
Nerve supply: Teres major
Lower subscapular
Nerve supply: Deltoid
Axillary
Actions at shoulder joint: Supraspinatus
Abductor
Actions at shoulder joint: Infraspinatus
Lateral rotator
Actions at shoulder joint: Teres minor
Lateral rotator
Actions at shoulder joint: Subscapularis
Medial rotator
Actions at shoulder joint: Deltoid
Abductor
Actions at shoulder joint: Teres major
Medial rotator
Triangular space, boundaries: Superior
Teres minor
Triangular space, boundaries: Inferior
Teres major
Triangular space, boundaries: Lateral
Long head of biceps brachii
Triangular space, boundaries: Contents
Circumflex scapular vessels
Forearm: Main flexor
Brachialis
Forearm: Main supinator
Biceps brachii
Forearm: Main extensor
Triceps brachii
Innervation of flexor muscles in forearm
Median nerve
Flexor muscles in forearm: Superficial group (4)
1) Pronator teres 2) Palmaris longus 3) Flexor carpi radialis 4) Flexor carpi ulnaris
Flexor muscles in forearm: Intermediate group
Flexor digitorum superficialis
Flexor muscles in forearm: Deep group (3)
1) Flexor digitorum profundus 2) Flexor palmaris longus 3) Pronator quadratus
2 flexor muscles in forearm not innervated by median nerve but by the ulnar nerve
1) Flexor carpi ulnaris 2) Flexor digitorum profundus
Foreram: Origin of common flexor tendon
Medial epicondyle of humerus
Common flexor tendon is common origin of which muscles
Superficial and intermediate group of forearm flexors
Nerve supply of extensors of forearm
Radial nerve
Extensors of forearm: Deep group
SEEEA 1) Supinator 2) EPB 3) EPL 4) EI 5) Abpolo
Foreram: Origin of common extensor tendon
Lateral epicondyle of humerus
Inflammation of common flexor tendon
golFer’s elbow
Inflammation of common extensor tendon
Tennis elbow
Inflammation due to repetitive flexion and pronation of forearm at elbow
Golfer’s elbow
Inflammation due to forced extension and flexion of forearm at elbow
Tennis elbow
Floor of cubital fossa
1) Brachialis 2) Supinator
Thenar muscles (3)
1) Abpobre 2) Flexpobre 3) Opponens pollicis
Thenar muscles are supplied by what nerve
Median
Adductor pollicis is supplied by what nerve
Ulnar
Intrinsic muscles of hand (3)
1) Palmar interossei 2) Dorsal interossei 3) Lumbricals
Flexors of the PIP
Flexor digitorum superficialis
Flexors of the DIP
Flexor digitorum profundus
Nerve to the flexor digitorum superficialis
Median nerve
Nerve to the flexor digitorum profundus
Median and ulnar nerve
Hypothenar muscles (3)
1) Abductor digiti minimi 2) Flexor digiti minimi 3) Opponens digiti minimi
Nerve to the hypothenar muscles
Ulnar nerve
Nerve roots of biceps brachii tendon reflex
C5,6
Reflex, nerve roots: Triceps tendon
C6,7,8
Reflex, nerve roots: Brachioradialis tendon
C5,6,7
In Erb-Duchenne syndrome, there is altered sensation where (4)
1) Lateral arm 2) Forearm 3) Thum 4) Index finger
Long thoracic nerve is most commonly injured at what site
As it courses superficial to the serratus anterior on the lateral wall of the thorax
Etiologies of long thoracic nerve lesion (3)
1) Thoracic surgery 2) Radical mastectomy 3) Stab wounds
Nerve injured: Difficulty in elevating the trunk as if attempting to climb
Thoracodorsal nerve
Nerve injured: Difficulty in using a crutch
Thoracodorsal nerve
Uncommon upper extremity nerve lesion
Musculocutaneous nerve
Action of forearm spared in radial nerve lesion
Extension
Lesion: Hand of Benediction
Median nerve
Lesion: Ape hand
Median nerve
Lesion: Claw hand
Ulnar nerve
Lesion: Lunate dislocation
Median nerve
First bone to begin ossification during feral development
Clavicle
Last bone to complete ossification
Clavicle
Clavicle completely ossifies at about what age
21
Clavicle: Weakest point
Junction between medial 2/3 end and lateral 1/3 end
Fracture of clavicle: Medial segment
Elevated by pull of SCM
Fracture of clavicle: Lateral segment
Displaced downward by gravity and pull of deltoid
Fracture of clavicle: Brachial plexus injury
Lower trunk
Brachial plexus: 5 rami are formed in the
Neck
Brachial plexus: 6 divisions are related to the
Clavicle
Brachial plexus: 3 cords are related to the
Axilla
Fracture of clavicle: Hemorrhage from what vessel
Subclavian vein
Radial fracture: Posterior displacement of distal segment
Colles fracture/dinner fork/silver fork deformity
Radial fracture: Anterior displacement of distal segment
Smith fracture
Anatomical snuffbox, boundaries: Lateral
Tendons of EPB and abpolo
Anatomical snuffbox, boundaries: Medial
Tendon of EPL
Anatomical snuffbox, boundaries: Floor
Scaphoid and trapezium
Anatomical snuffbox: What artery can be palpated
Radial artery
Pain and tenderness over the anatomical snuffbox indicates fracture of what bone
Scaphoid
Most commonly dislocated carpal bone
Lunate
Anteriorly vs posteriorly: Lunate is commonly dislocated
Anteriorly
Thickening and contracture of the palmar aponeurosis
Dupuytren’s contracture
Fracture of the base of the first metacarpal
Bennet’s
Oblique/transverse fracture of the necks of the 2nd and 3rd metacarpals (CDB: 4th and 5th)
Boxer’s fracture
Oblique/transverse fracture of the necks of the 4th and 5th metacarpals
Bar room fracture
Triangular interval, boundaries: Superior
Teres major
Triangular interval, boundaries: Lateral
Lateral head of the triceps or the humerus
Triangular interval, boundaries: Medial
Long head of the triceps
Triangular interval, contents (2)
1) Profunda brachii artery 2) Radial nerve
Three important spaces of the shoulder that are bordered by the triceps (shoulder spaces)

Muscular contents of anterior compartment of leg

Anterior compartment of leg, neurovascular contents

Lateral compartment of leg, contents

Superficial posterior compartment of leg, contents

Deep posterior compartment of leg, contents
