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*FRCR Anatomy > Upper Limb > Flashcards

Upper Limb Flashcards

1
Q

Surgical Vs Anatomical Neck

A
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2
Q

Structure running immediately lateral to less tubercle of humerus

A

Long head of the biceps brachii runs in the intertubercular groove

Inserts on supraglenoid tubercle

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3
Q

Structure connecting underside of clavicle to coracoid process

A

Trapezoid and conoid components of the coracoclavicular ligament

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4
Q

Distal Humerus anatomy

A
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5
Q

Extends around radial head to allow rotation

A

Annular ligament - in which radial head articulates with capitulum

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6
Q

Common flexor origin

A

Medial humeral epicondyle (tennis elbow site)

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7
Q

Proximal ulnar anatomy

A
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8
Q

On an axillary view
The lesser tubercle is anterior so same side as a corocoid

A
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9
Q
A

C - Spine of scapula
D - Conoid tubercle of clavicle
E - Corocoid process

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10
Q

Conoid tubercle - anatomical variant

A
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11
Q
A
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12
Q
A
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13
Q

3 Muscles attached to corocoid

Pec Minor
Coracobrachialis
Biceps Brachii (short head)

A

Remember coracoid is anterior (B) so
D - is body
A - is spine

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14
Q

Muscle in the subacromial joint space

A

Supraspinatous muscle

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15
Q

Ossification of the elbow

CRITOL

A

Roughly at 1,3,5,7,9,11

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16
Q

Ossification of the hand

A

Capitate 2-4 m
Hamate 3-6 m
Triquetral 2-3 y
Lunate 4-5 y
Trapezium 6y
Trapezoid 6-7 years
Scaphoid 6-7 years
Pisiform 11-12 years

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17
Q

A - OLECRANON EPIPHYSIS
B - Med. Condyle Apohysis
C - TROCHLEAR EPIPHYSIS
D - Radial epiphysis
E - Capitulum epiphysis

A
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18
Q

A - Corocoid - so anterior
B - Glenoid of scapular
C - Clavicle
D - Acromion
E - Scapula

A
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19
Q

Origins and insertion of biceps

A

Short head: coracoid process of the scapula.

Long head: Supraglenoid tubercle

Insertion: Radial tuberosity and bicipital aponeurosis into deep fascia on medial part of forearm

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20
Q

Labelled swimmers view

A
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21
Q

Subscapularis attaches to…

A

Lesser humeral tuberosity

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22
Q

Supraspinatus tendon inserts onto the

A

Superior facet of the greater tubercle of the humerus

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23
Q

Thumb sesamoid lies in…

A

Flexor Pollicis Longus

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24
Q

English = Capitulum

A
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25
Q

LESS TUBEROSITY ON

A
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26
Q

Os acromiale

A
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27
Q

Coalition of lunate and triquetral

A
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28
Q

Spine of scapula is more posterior and continuous with acromion

http://terminologia-anatomica.org/en/Search?query=scapula

A

Superior edge of scapula NOT scapula blade

Continuous with the glenoid

http://terminologia-anatomica.org/en/ImageSet/ViewSet/2100?imageId=511&mobile=False

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29
Q

Radial and ulnar arteries terminate as the…

A

superficial and deep palmar arches

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30
Q

Just distal to the origin of the ulnar artery, it gives off

A

The common interosseus artery that then divides into anterior and posterior interosseous arteries

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31
Q

A - Axiliary artery
B - circumflex humeral artery
C - Brachial artery
D - Profunda Brachii
E - Superficial ulnar collateral artery

A
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32
Q

Axillary artery becomes brachial artery at the…

A

Lower border of teres major muscle

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33
Q

Final branches of axillary artery

A

Anterior and posterior circumflex humeral arteries

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34
Q

B is medial - Basilic
A - Cephalic
C - Median Antecubital Vein
E - Trochlear

A
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35
Q

Axillary vein formed by

Basilic and paired brachial veins
Cephalic then joins this

A
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36
Q

E - corocoid so anterior
D - just below clavicle so SUPRAspinatus
B - more posteromedial to supraspinatus = infraspinatus
A - Teres minor

A
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37
Q

Shoulder MRI labelled

A
38
Q

Rotator cuff tendons labelled

A
39
Q

External rotators of shoulder

A

Teres minor and infraspinatus

Both insert into greater tuberosity

40
Q

Initiates shoulder abduction

A

Infraspinatus also inserts into great tuberosity

41
Q

TRANSVERSE Humeral Ligament
Spans the inter-tubercular bicipital groove

A
42
Q

A - Transverse humeral ligament
B - Subscapularis tendon
E - Coracoid process

A
43
Q

Anterior deltoid fibres originate from the upper surface and most of the anterior border of the lateral third of the clavicle

A
44
Q

A - Corocoid

B - Anterior fibres of deltoid arising from E - Clavicle

C - Supraspinatus
D - Infraspinatus

A
45
Q

The 5th terminal branch of brachial plexus you always forget

A

Musculocutaneous nerves

46
Q

A - Coracoid Process
B - Anterior Glenoid Labrum

D - MIDDLE GLENOHUMERAL LIGAMENT

E - Posterior fibres of deltoid
C - Infraspinatus

A
47
Q

E - SUPRASCAPULAR NOTCH
C - Acromion
B - Supraspinatus TENDON
D - SUPERIOR GLENOID LABRUM
A - Lateral fibres of deltoid

A

CORONAL

48
Q

Axial shoulder MRI with muscles and arteries

Axillary Vein is more anteromedial

A
49
Q

A - Acromion
B - Supraspinatus
C - Spine of the scapula
D - Teres Minor
E - Teres Major - also originates from lower border of scapula, but inserts into the distal intertubercular groove.

A
50
Q

Proximal radio-ulnar joint

A
51
Q
A
51
Q

Superficial flexors of the forearm

A
52
Q

Radial nerve path and supply

A
53
Q

A - Flexor carpi ulnaris
B - Radial nerve
C - Biceps tendon
D - Proximal R-U joint
E - ANCONEUS - high up and posterior - (lateral condyle to posterior olecranon to extend elbow).

A
54
Q

E - Medial epicondule, so
A - Common FLEXOR tendon (MEDIAL)
B - Common extensor tendon (LATERAL)
C - Olecranon
D - Ulnar nerve

A
55
Q

Elbow with ligaments

A
56
Q

The supinator is a muscle within the deep compartment of the posterior forearm.

It forms the floor of the cubital fossa, and has two heads – which the deep branch of the radial nerve passes between.

Attachments: Originates from the lateral epicondyle of the humerus and the posterior surface of the ulna. Inserts onto the posterior surface of the radius.
Actions: Supination of the forearm.
Innervation: Radial nerve (deep branch).
Blood supply: Ulnar artery.

A
57
Q

A - Coronoid process of ulnar
B - Radial collateral ligament
C - Olcranon fossa
E - SUPINATOR

A
58
Q

Anconeus and Supinator

A
59
Q

A - Biceps - inserts into bicipital tuberosity of the radius
C - Brachioradialis - distal humerus and into coronoid process
B - Triceps - posterosuperior part of olecranon

A
60
Q

Arteries ABOVE elbow

A
61
Q

Arteries and veins ABOVE elbow

A
62
Q

A - Cephalic V
E - Basilic V
C - Brachial V
D - Brachial A
B - Humerus

A
63
Q

A - Med Epicondyle
B - Ulnar nerve
C - Olecranon process
D - ANCONEUS
E - Lateral epicondyle

A
64
Q

Anterior so A - CORONOID FOSSA
C - MEDIAL epicondyle - FLEXOR tendon attached
D - trochlear of the humerus
E - Capitulum of the humerus

A
65
Q

Brachioradialis

A
66
Q

A - Brachioradialis
D - MEDIAN NERVE
B - Anconeus

A
67
Q

A - Cephalic V
B - Biceps Brachii
C - Brachialis
D - Medullary Cavity of the humerus
Structures in E - Radial Nerve, Deep brachial arteries and veins

A
68
Q

WRIST [270]

A
69
Q

A - Radial VAN
B - Ceph Ve
D - Ulnar
E - Interosseous membrane

A
70
Q

A - HYPOthenar eminence
B - Ulnar VAN
C - Flexor retinaculum
D - Carpal tunnel: 4x FDS, 4x FDP, Median Nerve + FPL

A
71
Q

Axial of the wrist - pay attention to nerves

A
72
Q

C - Thenar eminence - bigger - radial side
B - 2nd most radial FDS of middle finger

A - Palmar aponeurosis
D - Palmar digital arteries
E - Ring finger lumbrical

A
73
Q

Median and ulnar nerves terminate..

A

In the palm

74
Q

FDS Splits and inserts into

A

the sides of the middle phalanx - so flex the PIPJs

75
Q

FDP inserts onto

A

terminal phalanx so flexes the PIPJs and DIPJs

76
Q

Lumbricals arise from FDP tendons on its way to the base of the distal phalanx

A

And sit superficial to the interosseous muscles between the metacarpals

77
Q

Triangular fibrocartilagenous complex

Fibrocartilagenous articular disc with
Ligaments from medial radius to ulnar styloid

A
78
Q

A - HOOK OF HAMATE
B - FDP tendons
C - FPL
D - MEDIAN NERVE
E - ULNAR NERVE

A
79
Q

Carpal tunnel bound by….

A

MEDIALLY - HOOK OF HAMATE + PISIFORM
RADIALLY - SCAPHOID + TRAPEZIUM

MEDIAN NERVE IS SUPERFICIAL WITHIN IT

80
Q

Ulnar doesn’t go through carpal tunnel but….

A

Guyon’s canal

81
Q

Same side as radius and scaphoid so D - Trapezium

E - FDP tendons
A - ECU (dorsal like FDP)
B - Triangular fibrocartilagenous complex
C - Neck of the Ulna

A
82
Q

A - FDS
B- FDP
C - Lunate with D - Capitate - within the 3 finger line so
E - base of third metacarpal

A
83
Q

A - Hamate
B - Triquetral
C - Base of SECOND MC as capitate articulates with 3rd
D - Trapezoid
E - Radial styloid

A
84
Q

E - FPL
A - FDP (AS FDP AND FPL RUN IN THE SAME PLANE)
C - Lunate
B - Pisiform
D - under thumb - Trapezium

A
85
Q

LEFT IS RADIAL - BIGGER
BOTTOM IS PALMAR LOOK FOR CARPAL TUNNEL AND MORE STUFF

Radial side
A - Abductor Pollicis Longus or EPB
C - Extensory carpi radiolais longus ECLR
E - MORE RADIAL - BREVIS / ECRB

Ulnar side
B - Distal Ulnar
D - Extensor carpi ulnaris

A
86
Q

E - Median Nerve
D - Ulnar artery

A
87
Q

D - Scaphoid lunate ligament

A
88
Q

A - tendon of biceps inserting into radius
B - high up, wrapping around radial side of radius - SUPINATOR
D - Going between radius and ulnar Dorsally = ANCONEUS
E - High up in elbow, chunk radial muscle - brachioradialis

Anterior most lateral = brachioradialis
Anterior most medial = pronator teres

A
89
Q

A - Radius
B - Ulna
C - DORSAL TUBERCLE OF THE RADIUS
D - RADIAL ARTERY - Circular not ovoid!!
E - ECU

A
90
Q
A

*FRCR Anatomy (7 decks)

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