Upper Limb Flashcards
Where do the nerve roots of the brachial plexus originate from?
Anterior rami
C5, C6 C7 C8 T1
The nerves of the brachial plexus leave the anterior rami and pass through the _______
Intervertebral foramina
What muscles does the original nerve roots of the brachial plexus pass through?
Anterior and medial scalene muscle
The lateral cord of the brachial plexus leads to what 3 nerves?
Musculocutaneous
Median
The median nerve is made up of what cords?
Lateral, Medial
The median nerve is made up of what trunks?
Superior, Middle and Inferior
The posterior cord of the brachial plexus becomes __________
Axillary
Radial
What are the five main branches of the brachial plexus?
Axillary
Ulnar
Radial
Median
Musculocutaneous
What roots create the ulnar nerve
C8 T1
What muscles are supplied by the ulnar nerve?
Muscles of the hand
Flexor carpi ulnaris
Flexor digitorum
Medial 2 lumbricals
What nerve of the brachial plexus is the most medial?
Ulnar
What are the root origins of the musculocutaneois nerve?
C5 C6 C7
What muscles does the musculocutaneous nerve innervate?
Biceps Brachii
Coracobrachialis
Brachialis
What are the nerve root origins of the axillary nerve?
C5 C6
Where would a sensory deficit be felt in axillary nerve injury?
Regimental badge area
What muscles are innervated by the axillary nerve?
Deltoid
Teres minor
What are the nerve root origins of the median nerve?
C6 C7 C8 T1
What nuscles are innervated by the median nerve?
Most flexor muscles (not the flexor carpi ulnaris)
Lateral lumbricals
Thenar muscles
Where is sensory innervation of the median nerve?
Lateral palm
1st 2nd 3rd and quarter of 4th finger
What muscles are innervated by the radial nerve?
Triceps brachii
Posterior compartment of the forearm (i.e the extensors muscles)
What nerve roots make up the radial nerve?
C5 C6 C7 C8 T1
What nerve passes along the groove of the posterior aspect of the medial epicondyle?
UInar Nerve
What compartment is impacted in De Quervian’s Tenosynocitis?
1st compartment
What are the miscles of the 1st compartment
Abductor pollicus longus
Extensor pollicus brevis
Waht are the 3 attachments on the humerus greater tuberosity?
Supraspinatus
Infraspinatus
Teres minor
what rotator cuff muscle attaches to the lesser tuberosity of the humerus?
Subscapularis
What muscles attach to the intertubular sulcus of the humerus?
LAttisimus dorsi
Pectoralis major
Teres minor
What clinical sign will be seen on the humeral surgical neck fracture?
Unable to abduct
What nerve is injured in humeral surgical neck fracture?
Axillary
Where does the axillary nerve pass through?
The quadrangular space
What passes through the clavipectoral triangle?
The cephalic vein enters
Medial and lateral pectoral nerves leave
What vessel can be damaged in a supracondular fracture?
Brachial artery
What muscles attaches to the humerus shaft and where does it attach?
Deltoid
To the deltoid tuberosity
What nerve will be damaged in a mid humeral shaft fracture
Radial nerve
What are the clinical signs seen in humeral shaft fracture?
Wrist drop
Sensory loss to posterior 1-3 lateral fingers
What vessel is at risk of damage in a humeral shaft fracture/
The profunda brachii aka the deep brachial artery
What causes Volkman’s ischaemic contracture?
Damage to brachial artery (supracondylar fracutere)
What does Volkmann’s ischaemia contracture look like?
Uncontrolled flexion of the hand
How to test for Volkman’s contracture?
Ok sign - shows weakness of pollicus longus
What is the branch of the median nerve called?
The anterior interosseus nerve
What classification is used to describe supracondular fractures?
Gartland Classification
Where does the triceps brachiii attach?
Ulna bone - at the olecrannon
Where is the radial notch on the ulna?
LAteral surface
What muscle attaches to the ulnar tuberosity?
Brachiallis
What the the fracture pattern of a Monteggia’s fracture?
Fractured proximal shaft of ulna
Proximal radial head dislocation
What the the fracture pattern of a Galaezzi’s fracture?
Fractured distal radius
Dislocation of the ulnar head
What muscle attaches to the anterior shaft of the ulna?
Pronator Quadratus
What forms the roof of the ulnar tunnel?
Arcuate ligament
What movement elicits difficulty in cubital tunnel syndrome?
Elbow flexion