Upper limb 3 Flashcards
Anterior compartment muscles of forearm actions
Flexion -> wrist and digits
Pronators -> forearm
Superficial group of anteiror compartment muscles of forearm
(4 of them)
Pronator teres
Flexor capri radialis
Palmaris longus
Flexor carpi ulnaris

Common flexor tendon attachments

Origin -> Medial epicondyle of humerus
Insertion -> superficial layer of anterior forearm muscles
Pronator teres action on forearm

Pronation
Flexion
Innervation of pronator teres
Median nerve
(lateral and medial cord -> C5-T1)

median nerve roots
lateral cord -> C5-7
medial cord -> C8-T1
So, C5-T1

What superfical anterior forearm muscles adduct and abduct the wrist (2 muscles)
Adduction -> flexor carpi ulnaris
Abduction -> flexor carpi radialis
(picture is of felxor carpi ulnaris)

Innervation of superficial muscles of forearm
Ulnar nerve (1)
Flexor carpi ulnaris
Median nerve (3)
Protonator teres
Flexor capri rdialis
Palmaris longus
Brachioradialis is in what compartment

Extensor (posterior) compartment
Funny beacuse is is a felxor in the extensor compartment - absolute madness
Brachioradialis acts on what joint
Elbow
Main action of brachioradialis and in what position

Flexion of elbow (in mid pronated position)
Innervation of brachioradialis
Radial nerve
(as it’s in the extensor compartment remember
Intermediate group of anterior forearm muscles

Flexor digitorum superficialis (FDS)

FDS tendons attach to the

Middle phalanges of the fingers
(thumb is not a finger hahahahahah)

FDS action on writs, MCP and IP joints
Flexion
Does the FDS act on the distal IP joint?
Aboslutley…NOT
(the flexor diitorum profundus does this)
3 muscles of deep group of anterior forearm
Flexor digitorum profundus (FDP
Flexor pollicus longus
Pronator quadratus

FDP action on wrist and IP joints of digits 2-5 (not thumb obvs)
Flexion
FDP dual nerve supply
medial part (digit 4+5) - ulnar nerve
lateral part (digit 2+3) - median nerve
Nerve innervating flexor pollicus longus
Medial nerve
Main nerve of anterior compartment of forearm
Median nerve
in the cubital fossa, where is the median nerve in relation to the brachial artery
median nerve is medial to brachial artery

Which muscles does the median nerve not innervate in forearm?
Flexor carpi ulnaris
Medial half of FDP
(ulnar nerve innervates these 2 bad boys)
Does median nerve enter hand by passing below or above flexor retinaculum?
Below it baby

How does ulnar nerve enter forearm?

Passing between heads of flexor carpi ulnaris
Ulnar nerve position in relation to ulnar artery
Nerve medial to artery
(nerve is closer to the body so it is on the outter part of the arm)

2 terminal branches of brachial artery?
Radial and ulnar

What is the carpal tunnel?
Passageway deep to flexor retinaculum
Between scaphoid and trapezius on lateral side and psiform and hamate on medial side
lateral side -> scaphoid and trapezius
medial -> psiform and hamate
Contents of carpal tunnel
Median nerve
4 tendons of FDS
4 tendons of FDP
1 tendon of FPL
carpal tunnel syndrome is due to compression of what

median nerve

Muscle contributing to palmar aponeurosis

Palmaris longus
Thenar muscles main responsibility

Opposition of thumb (via opponens pollicis)

3 thenar muscle
Abductor pollicus brevis
Flexor pollicus brevis
Opponens pollicus

Innervation of thenar muscles
Median nerve

Hypothenar muscles
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi
Innervation of hypothenar muscles
Ulnar nerve

2 heads of adductor pollicus
Oblique and transverse

Adductor pollicus innervation
Ulnar nerve
Which flexor tendon do lumbricals originate?

Flexor digitorum profundus (FDP)
Lumbricals action
Flexion -> metacarpophalangeal joints
Extension -> IP joint (2-5 digit)
Where are interossei located?
Between metacarpal bones

How many interossei?
4 dorsal and 3 palmar

Actions of the palmar and dorsal interossei muscles
dorsal interossei -> abduction (DAB)
palmar interossei -> adduction (PAD)
DAB and PAD
Innervation of interossei
Ulnar nerve
Superficial and deep palmar arterial arches main contributors

Superficial -> ulnar artery
Deep -> radial artery
Does radial nerve supply any hand muscles?
No
Only skin on back of hand

Ulnar nerve - what it does NOT innervate in the hand
Thenar muscles
1st and 2nd lumbricals
(innervatde by the median nerve)
carpal bones
SOME LOVERS TRY POSITIONS THAT THEY CAN’T HANDLE
s - scaphoid
L - lunate
t - triquetrum
p - pisiform
t - trapezium
t - trapezioid
c - capitate
h - hamate

wrist joint type
synovial condylor
Articular part of wrist
radius
lunate
scaphoid
triquetrum
(no ulna)

movements of wrist
flexion
extension
circumduction
abduction
adduction
Anterior compartment of forearm on wrist
Flexion
Extensor and flexor carpi ulnaris on wrist
Flexor -> Adduction and flexion
Extensor -> extension
abduction of wrist is caused by what muscle
flexor carpi radialis
(also casues flexion)
What is the action of most of posterior compartment muscles of forearm on wrist joint?
Extension
innervation of lumbricals
Medial 2 -> ulnar nerve
Lateral 2 -> median nerve
What is the combined function of the flexor and extensor carpi ulnaris
Adduction
What is the combined function of the flexor and extensor capri radialis?
Abduction
What are the clinical fucntions of the cubital fossa
BP measuring
Iv injections into medial cubital vein
Need to know where the brachial artery is in supracondylar fractures
What is the course of the radial nerve

Branches off the BP’s poseior cord
v
Travels posteiror to axillary artery
v
Decscneds down the humerus’ radial groove
(joined by profunda biceps artery)
v
enters cubital fossa
v
Travels anterior to the lateral malloelus
v
Gives off too branches -> superficial and deep
Superficial branch -> sensory to dorsum of hand
Deep branch -> posterior interosseus nerve

What is the course of the ulnar nerve

Branches off the median branch of BP
v
Medial to axillary artery
v
enters intermuscular septum
v
posterior compartment
v
travels posterior to medial epicondyle
v
pierces heads of fexlor carpi ulnaris
v
travels superficial to flexor retinaculum
v
Enters hand via ulnar canal
What is the course of the median nerve

Branches off the median and lateral cords of BP
v
Travels lateral to axillary artery
v
Travels laterally to brachial artery
v
Crosses to medial side of brachial artery
v
enters cubital fossa
v
travels between the FDS and FDP
v
gives off 2 branches
v
Enters the carpal tunnel
If a questio nwas to ask what is the ‘combined function’ of muscles in the forearm, what is the only 2 answers that it can be
Adduction or aduction
(think about the flexor/extensor capri ulnaris/radialis muscels)