Upper Limb Flashcards
Girdles (similarities to leg)
Both limbs are connected to the body via a girdle
Pelvic girdle (ilium, ischium, pubis)
Shoulder girdle is formed by scapular, clavicle
Bones Of The upper limb
Shoulder girdle ( scapular and clavicle)
Humerus
Radius
Ulna
Carpals
Meta carpals
Phalanges
Upper vs lower (stability vs mobility)
Upper = mobility
Lower = stability
Upper and lower similarities (naming)
Femoral and humoral head
Epicondyles on distal humerus and femur
Fibulae heal and radial head at hinge joints
Malleoulus and styloid processes of wrist foot ligament attachment
Joints
Shoulder- relatively delicate compared to hip. More mobile
Elbow: hinge Joint. Like Knee, both supported by medial and lateral collateral ligament. Elbow also has pronation and supination. Elbow less stable than Knee.
Wrist: similar to ankle as both formed by a cluster of irregular small bones. Ankle is robust with strong ligament. Wrist has greater range of movement as bones are less tightly packed
Shoulder
Articulation Of The humeral head with the Glenoid fossa Of The scapular
Ball and socket Joint, synovial
Shoulder vs hip.
Hip:
Deep socket (very congruent)
Head and socket well sized matched
Strong ligament
Stable
Tight capsule
Shoulder:
Shallow socket (less congruent)
Head much larger than socket
Weak ligament
Mobile
Lax capsule (especially inferiorly)
Same 6 movements at each
Both ball and socket
Both synovial
Muscles
Similar to lower limb, muscles can be arranged into compartments: fascia bound groups, all with similar location, function and nerve supply
Compartments Of muscles in upper limb
Deltoid: abduction of shoulder. Axillary nerve
Anterior arm: flexing of elbow. Musculocutaneous nerve
Anterior forearm: flexing of wrist and fingers. Pronation. Median / ulna nerve
Hand: ab/adduction of fingers. Ulna/median nerve
Anterior chest: flexing of shoulder. Pectoral nerves
Back: extension of shoulder. Shoulder girdle actions. Misc. nerves
Posterior arm: extension of arm. Radial nerve
Posterior forearm: extension of fingers and wrist. Supination. Radial nerve
Terminology
Ulnaris- ulna aspect of forearm
Radialis- radial aspect of forearm
Digitorum: Of The digits
Carpi: Of The wrist
Brachii: in the arm
Superficialis: closer to the skin
Profundus: deeper inside the body
Pollicis: Of The thumb
terminology examples
Flexor digitorum superficialis- Flexor of the digits that lies superficially
Flexor digitorum profundus- Flexor of the digits, that lies deep
Extensor carpi ulnaris- Extensor of the wrist on the ulnar aspect of the forearm
Extensor carpi radialis- Extensor of the wrist on the radial aspect of the forearm
Biceps brachii- Bi = two, ceps = heads, brachii = in the arm
Pronator quadratus- A muscle that pronates and is square shaped
Abductor pollicis longus- Abductor of the thumb and is long (used when there is a shorter equivalent)
Subscapularis- Lies beneath the scapula