Upper limb 3+4 anatomy Flashcards
In the anterior forearm, what are the actions of the 4 superficial muscles?
- Flexors of wrist
- Pronators of forearm
What are the 4 superficial muscles of anterior forearm, going from lateral to medial?
- Pronator teres
- Flexor carpi radialis
- Palmaris longus
- Flexor carpi ulnaris
Where does the common flexor tendon of the 4 superficial muscles of anterior forearm attach to?
Medial epicondyle of humerus
What is the action of pronator teres?
Pronates forearm and flexes wrist
What nerves innervate the 4 superficial nerves of forearm?
Median nerve innervates
- Pronator teres
- Flexor carpi radialis
- Palmaris longus
Ulnar nerve innervates
-Flexor carpi ulnaris
What superficial muscle is responsible for adduction as well as flexion of wrist?
Flexor carpi ulnaris
What superficial muscle is responsible for abduction as well as flexion of wrist?
Flexor carpi radialis
What is the main action of brachioradialis?
Flexion of elbow joint
What nerve innervates brachioradialis?
Radial nerve
Why is it unusual for radial nerve to innervate brachioradialis?
General rule is that radial nerve supplies only extensor muscles (brachioradialis is flexor muscle) and that all flexors lie in anterior compartment
What muscle makes up the intermediate group of muscles of the anterior forearm?
Flexor digitorum superficialis (FDS)
The FDS has 4 tendons. What is the distal attachment of these 4 tendons?
Middle phalanges of medial 4 digits
What nerve innervates FDS?
Median nerve
What are the 3 deep muscles of the anterior forearm?
- Flexor digitorum profundus (FDP)
- Flexor pollicis longus
- Pronator quadratus
What bone of the forearm is the flexor digitorum profundus related to?
Ulna
What bone of the forearm is the flexor pollicis longus related to?
Radius
What part of the forearm is the pronator quadratus related to?
Distal radioulnar joint
Does the FDP act on all the fingers?
Not first digit (thumb)
What is the distal attachment of the FDP?
Distal phalanges of 2-5 digits
What is the main action of FDP on wrist and interphalangeal joints of digits 2-5?
Flexion
The FDP has a dual nerve supply. What part is innervated by
- Ulnar nerve
- Median nerve?
- Ulnar nerve: medial part (digits 4 and 5)
- Median nerve: lateral part (digits 2 and 3)
What is the action of flexor pollicis longus?
Flexion of thumb
What is the innervation of flexor pollicis longus?
Median nerve
What is the action and innervation of pronator quadratus?
Pronation of forearm, median nerve
The median nerve is the main nerve in the anterior compartment of the forearm. In the cubital fossa, where can you find the median nerve in relation to the brachial artery?
Medial to brachial artery
What muscles does the median nerve NOT supply in the forearm? What nerve supplies these?
- Flexor carpi ulnaris: Ulnar nerve
- Medial half of flexor digitorum profundus running to digits 4+5: Ulnar nerve
The flexor retinaculum is a fibrous band on the palmar side of the hand. Does the median nerve enter the hand above or below this?
Below
Describe the path of the ulnar nerve through the forearm?
Passes posterior to medial epicondyle –> Enters forearm by passing between heads of flexor carpi ulnaris muscle–> descends close to ulnar artery
Where is the ulnar nerve in the forearm in relation to the ulnar artery?
Medial
What are the two terminal branches of brachial artery?
Radial and ulnar artery
Closely related to what part of the radius bone does the brachial artery divide?
Neck of radius
What are the bones making up the medial and lateral boundaries of the carpal tunnel?
Lateral: Trapezium and scaphoid
Medial: Hamate and pisiform
What are the contents of the carpal tunnel that pass through to the hand?
- Median nerve
- 4 tendons of flexor digitorum superficialis
- 4 tendons of flexor digitorum profundus
- Tendon of flexor pollicis longus
What joint of the finger does flexor digitorum superficialis flex?
Proximal interphalangeal joint of medial 4 digits
What joint of the finger does flexor digitorum profundus flex?
Distal interphalangeal joint of medial 4 digits
What nerve is affected in carpal tunnel syndrome?
Median nerve
What muscle of the forearm is continuous with the palmar aponeurosis in the palm?
Palmaris longus
What are the 5 compartments where the intrinsic muscles of the hand lie?
- Thenar compartment
- Hypothenar compartment
- Adductor compartment
- Lumbricals and long flexor tendons - central compartment
- Interosseous compartment
Where are the thenar muscles of the hand located?
Lateral part of palm, responsible for mainly the apposition of thumb
What are the three thenar muscles of hand?
- Abductor pollicis brevis
- Flexor pollicis brevis
- Opponens pollicis (located deep to other two muscles)
What nerve innervates the thenar muscles?
Median nerve
The median nerve carries what root values to the thenar muscles?
C8, T1
Where are the hypothenar muscles in the hand?
Medial side of the palm, move pinky finger
What are the three hypothenar muscles of the hand?
- Abductor digiti minimi
- Flexor digiti minimi
- Opponens digiti minimi