Upper limb 2 Flashcards
3 muscles of anterior/flexor compartment of arm
brachialis
biceps brachii
coracobrachialis
Biceps brachii heads
2 (long+short) arise from scapula
both heads unite at distal 1/3 of upper arm and form tendon to insert into radial tuberosity
What joints does biceps brachii act on?
shoulder
elbow
radio-ulnar
Which head of biceps arise from coracoid process along with coracobrachialis?
short
Long head of biceps pathway
supraglenoid tubercle and runs in bicipital groove of humerus
Tendon of biceps attached distally
radial tuberosity
biceps - shoulder and elbow action
flexion
Biceps on superior radio-ulnar joint
supinator and flexor
Nerve supply to biceps
musculocutaneous - C5/6
Action of coracobrachialis on shoulder
flexion and adduction
Nerve supply to coracobrachialis
musculocutaneous
Brachialis origin and insertion
shaft of humerus –> cornonoid process of ulna
Coracobrachialis origin and insertion
tip of coracoid process –> medial margin of humerus
Brachialis on elbow joint
flexion
Nerve supply to brachialis
musculocutaneous
How does musculocutaneous nerve enter arm?
perforate coracobrachialis and descend between biceps and brachialis
musculocutaneous nerve roots
C5-7
Why is nerve called musculocutaneous?
innervates anterior muscles of arm
sensation from lateral aspect of arm
Does musculocutaneous nerve supply any muscles in forearm or hand?
no
Knife in axilla - musculocutaneous
paralysis of BBC muscles
loss of sensation on lateral aspect of arm
Deep artery of arm
profundal brachii
Median nerve pathway
lateral side of axillary artery and upper part of brachial artery
middle part of arm crosses to medial side and enters cubital fossa
Does median nerve supply any muscles in arm?
No
How does ulnar nerve enter posterior compartment?
medial intermuscular septum
run along medial head of triceps and medial epicondyle
Does ulnar nerve innervate any muscles in arm?
no
3 common sites of humerus and 3 nerve injuries
axillary - surgical neck
ulnar - medial epicondyle
radial - radial groove
What is the cubital fossa?
triangular depression in front of elbow
Pulsation medial to tendon of biceps brachii
brachial artery
base of cubital fossa
imaginary line between 2 epicondyles of humerus
medial border of cubital fossa
pronator teres
lateral border of cubital fossa
brachioradialis
Muscle of posterior compartment of arm
triceps
triceps origin and insertion
long head from scapula
2 shorter heads (medial and lateral) from humerus
common tendon into olecranon process of ulna
olecranon process and coronoid process - which bone?
ulna
main action of triceps on elbow
extension
Anconeus function
extension and stabilise
triceps and anconeus innervation
radial nerve
Radial nerve
extensor compartment of arm and forearm
Radial nerve path
enters arm anterior to long head of triceps
runs with profundal femoris
curves around radial groove
Radial nerve roots
C5-T1
Radial nerve injury sign
wrist drop
Elbow joint type
synovial hinge
articulating parts of elbow
capitulum, trochlea, radius, ulna
Elbow ligaments
ulnar collateral and radial collateral
What ligament holds the head of radius?
annular
flexors of elbow joint
BBC muscles
Extensors of elbow joint
triceps, anconeus
olecranon bursitis
students elbow
Radio-ulnar joint types
synovial pivot
Supination muscles
supinator
biceps brachii **
Pronation muscles
pronator teres
pronator quadratus **