Upper limb 2 Flashcards
Flat ligament between radius and ulna
interosseous membrane
Tip of the elbow of ulna
Olecranon process
Bones of the hand (3 types)
Carpus, Metacarpus, Phalanges
Carpal bones in order (thumb to pinky)
Scaphoid, Lunate, Triquetral, Pisiform, Trapezium, Trapezoid, Capitate, Hamate
Carpals that articulate with Radius
Scaphoid, Lunate
Muscles on the humerus (anterior)
Pectoralis Major
Coracobrachialis,
Muscles on the humerus (posterior)
Teres Major
Latissimus Dorsi
5 muscles that cross shoulder joint
Deltoid
Pectoralis Major
O: Clavicular head, Sternocostal head
I: intertubercular groove of humerus
A: Flexion, Adduction, Medial rotation
I: Lateral and Medial Pectoral nerves
Synergist of Pectoralis Major
Coracobrachialis
Coracobrachiails
O: Coracoid process of scapula
I: medial humerus
A: Flexion, Adduction, Medial rotation
I: Musculocutaneous nerve (C5-7)
Teres Major
O: Inferior angle of scapula (posterior)
I: intertubercular groove of humerus
A: Extend, Adduct, medially rotate
I: lower subscapular nerve (C6-7)
Latissimus Dorsi
O: spinous processes of T7-12, Thoraculumbar fascia, iliac crest, inferior 3-4 ribs
I: intertubercular groove of humerus
A: Extend, Adduct, Medially rotate shoulder
I: thoracodorsal nerve (C6-8)
Synergist w Latissimus Dorsi
Teres Major
Deltoid - anterior fibre
O: Lateral clavicle
I: deltoid tuberosity
A: flexion, medial rotation
I: axillary nerve
Deltoid - medial fibre
O: Acromium
I: deltoid tuberosity
A: Abduction
I: axillary nerve
Deltoid - posterior fibre
O: spine of scapula
I: deltoid tuberosity
A: Extension, lateral rotation
I: axillary nerve
Axillary nerve palsy
Innervation of deltoid and teres minor compromised
atrophy and loss of function
loss of cutaneous sensation
Compartments of the limbs
Dense fibrous tissue divide the muscles of the limbs into compartments
Compartment syndrome
abnormal elevation of interstitial pressure in compartment resulting in microvascular compromise
Anterior muscles of the Arm
Biceps brachii
Brachialis
Posterior muscles of the Arm
Triceps brachii
Biceps brachii
O: Short head: coracoid process Long head: supraglenoid tubercle (both scapula)
I: Tuberosity of radius and bicipital aponeurosis
A: flexion, supination
I: Musculocutaneous nerve (C5,C6)
Brachialis
*only crosses elbow joint O: distal anterior surface of humerus I: Coronoid process of ulna A: Flexion of forearm I: Musculocutaneous nerve + Radial nerve
Triceps brachii
Origin: Long head: infraglenoid tubercle (scapula) Medial head: posterior humerus (below) Lateral head: posterior humerus (above) I: Olecranon process, forearm fascia A: Extension I: Radial nerve (C6-8)
Triceps reflex Absence
spondolysis, myopathy, damage to C7-8, poliomyelitis
Musculocutaneous Nerve
Arm: Anterior Muscles
Forearm: Cutaneous sensory
Median Nerve
Forearm: Anterior Muscles
Hand: 3 lateral thenars 2 lateral lumbricles
Ulnar Nerve
Forearm: Flexor Carpi Ulnaris + 1/2 Flexor digitorum profundus
Hand: all remaining intrinsic muscles
Radial Nerve
Arm: Posterior muscles + Brachioradialis
Forearm: Posterior muscles
Hand: Cutaneous sensory