Upper limb 1 Flashcards
What forms the anterior wall of the axilla?
Pectoralis major and pectoralis minor
What forms the posterior wall of the axilla?
Scapularis, teres major and latissimus dorsi
What forms the lateral border of the axilla?
Intertubecular sulcus of the humerus
What forms the medial border of the axilla?
Serratus anterior
What is the axillary artery a continuation of? At what anatomical point does the artery begin?
Subclavian artery, begins at lateral margin of 1st rib
What does the axillary artery continue beyond the axilla as? Where does this change occur?
Continues as the brachial artery, this change happens at inferior border of teres major
When is compression of the axillary artery necessary?
When profuse bleeding occurs due to severe injury to upper limb
What causes enlargement of axillary lymph nodes?
infection of upper limb
Where is Erb’s point? What is it’s clinical significance?
Point on the border of the SCM where the 4 superficial branches of cervical plexus emerge. Injury to Erb’s point can be sustained by a fall on the shoulder or during birth.
Name some muscles that are affected by Erb’s palsy? (C5&6)
subclavicus, supraspinatus, infraspinatus, biceps brachii, brachialis, deltoid, teres minor, brachioradialis
What is Klumpe’s palsy? What muscles does it affect?
Injury to lower trunk of brachial plexus (C8 & T1). Caused by undue abduction of the arm, afects intrinsic muscles of hand and ulnar flexors of the wrist and fingers.
Where does the cephalic vein arise?
Lateral end of the dorsal venous arch
Where does the basilic vein arise?
Medial end of dorsal venous arch
Where does median cubital vein shunt blood to?
From cephalic to basilic vein
What lymph nodes drain above the umbilicus?
axillary
What lymph nodes drain below the umbilicus?
superficial inguinal
Where do lymphatic vessels from upper limb drain into?
axillary lymph nodes
What groups are the axillary lymph nodes divided into?
anterior, posterior, apical, central and lateral
What articulates at the glenohumeral (shoulder) joint?
entire upper limb and pectoral girdle
What type of joint is the glenohumeral joint? What is it made up of?
Synovial ball and socket joint. Formed from head of humerus and glenoid cavity.
What is the ring of cartilage surrounding the socket of the GH joint? What type of cartilage is it?
Glenoid labrum - fibrocartilaginous
What does the coracohumeral ligament do?
strengthens upper aspect of glenohumeral joint capsule
What does the glenohumeral ligament do?
strengthens the lower aspect of the glenohumeral joint capsule
What makes up the coracoacromial arch?
acromion and coracoid process of scapula & coracoacromial ligament
What point of the clavicle is the weakest?
junction between medial 2/3 and lateral 1/3 (junction between 2 curvatures)
What type of joint is the acromioclavicular (AC) joint?
synovial planar
What type of joint is the sternoclavicular (SC) joint?
synovial saddle
What,muscles elevate the scapula?
trapezius (upper fibres), levator scapulae
What muscles depress the scapula?
latissimus dorsi, trapezius (lower fibres), pectoralis minor and subclavius
What muscles protract the scapula?
serratus anterior, pectoralis major and minor
What muscles retract the scapula?
trapezius (middle fibres), rhomboids
What muscles cause upward rotation of the scapula?
trapezius, serratus anterior
What muscles cause downward rotation of the scapula?
pectoralis minor, levator scapulae, rhomboids, gravity
What is the role of subacromial bursa?
Facilitates movement of supraspinatous tendon and deltoid muscle
What common injury damages subacromial bursa?
dislocation of acromioclavicular joint
What 7 muscles go from the scapula to the humerus?
Subscapularis, supraspinatous, infraspinatous, teres minor, teres major, coracobrachialis and deltoid.
What muscles go from the trunk to the scapula?
serratus anterior, trapezius, levator scapulae, rhomboid major, rhomboid minor
What is the main action of the subscapularis?
internal rotation of the humerus
What is the main action of the supraspinatous?
adbuction of the humerus
What is the main action of the infraspinatous?
external rotation of the humerus
What is the main action of the teres minor?
external rotation of the humerus
What is the main action of the anterior fibres of the deltoid?
flexion of the humerus
What is the main action of the lateral fibres of the deltoid?
abduction of the humerus
What is the main action of the posterior fibres of the deltoid?
extension of the humerus
What is the main action of the superior fibres of serratus anterior?
upward rotation of the scapula
What is the main action of the of inferior fibres of the serratus anterior?
downward rotation of the scapula
What is the main action of the trapezius?
retraction of the scapula
What is the main action of the rhomboids?
elevates and retracts scapula
What is the main actions of the pectoralis minor?
…(?)
What is the main actions of the latissimus dorsi?
adduction of the humerus, depression of scapula
What is the main action of the pectoralis major?
adduction and internal rotation of the humerus
What are the branches of the lateral cord of the brachial plexus?
lateral pectoral, median nerve (lateral root), musculocutaneous nerve
What are the branches of the medial cord of the brachial plexus?
medial pectoral, median nerve (medial nerve), ulnar nerve, medial cutaneous nerve of arm and forearm
What are the branches of the posterior cord of the brachial plexus?
thoracodorsal nerve, axillary nerve, radial nerve and subscapular nerve