Upper Limb 3 Flashcards
How many groups are the muscles of the anterior forearm split into?
Superficial
Intermediate
Deep
What are the superficial anterior forearm muscles?
Pronator teres
Flexor carpi ulnaris
Flexor carpi radialis
Palmaris longus
What is the action of pronator teres?
Pronates and flexes forearm
What is the action of flexor carpi ulnaris?
Flexion and adduction at wrist
What is the action of flexor carpi radialis?
Flexion and abduction at wrist
What is palmaris longus continuous with?
Palmar aponeurosis
What is the action of the brachioradialis?
Weak flexion at elbow
What is different about brachioradialis compared to the other flexors?
It is in the posterior compartment and is supplied by the radial nerve
How many tendons are produced from the FDS?
4 (going to digits 2-5)
What is the action of FDS?
Flexion at wrist and PIP
What is the innervation of all of the anterior forearm muscles (apart from the ulnar half of FDP and flexor carpi ulnaris)?
Median nerve
What are the deep group anterior forearm muscles?
FDP, flexor pollicis longus, pronator quadratus
What is the action of FDP?
Flexion at wrist and DIP of digits 2-5
What innervates FDP?
Ulnar 1/2 = ulnar nerve
Lateral 1/2 = median nerve
What is the action of flexor pollicis longus?
Flexion of thumb
What is the action of pronator quadratus?
Pronates forearm and deeper fibres bind radius and ulna together
Where does the pronator quadratus insert and originate?
Origin: ulnar
Insertion: radius
What nerve goes under the flexor retinaculum?
Median nerve
What are the borders of the carpal tunnel?
Roof: flexor retinaculum
Medial: scaphoid and trapezium
Medial: pisiform and hamate
What are the contents of the carpal tunnel?
Median nerve
4 tendons of FDS and FDP
Flexor pollicis lomngus
What can any lesion reducing the size of the carpal tunnel lead to?
Carpal tunnel syndrome
Nerve is affected leading to tingling, diminished sensation and absence of tactile sensation in area supplied by median nerve
What are the muscle groups in the palmar part of the hand?
Hypothenar Thenar Adductors Interossei Central compartment
What do the thenar muscles form?
Thenar eminence
What is the main action of the thenar muscles?
Opposition of the thumb
What are the 3 muscles composing the thenar eminence and what are their individual actions:
Abductor pollicis brevis: abduction of thumb
Flexor pollicis brevis: flexion of thumb
Opponens pollicis: opposition of thumb
What innervates the thenar muscles?
Median nerve
What is the segmental value of the median nerve?
C5-T1
What do the hypothenar muscles form?
Hypothenar eminence
What are the 3 muscles composing the hypothenar eminence?
Abductor digiti minimi: abducts little finger
Flexor digiti minimi: flexes little finger
Oponens digiti minimi: opposes little finger
What nerve supplies the hypothenar muscles?
Ulnar
What is the segmental value of the ulnar nerve?
C8 and T1
What are the muscles of the adductor compartment?
Transverse and oblique heads of the adductor pollicis muscle
What innervates the adductor pollicis?
Ulnar nerve
What is the action of the adductor pollicis?
Adduct the thumb
Where do the lumbricals attach?
Tendons of FDP
What are the actions of the lumbricals?
Flexion at MCP joint and extension IP joints
What innervates the lumbricals?
digits 4 & 5 - ulnar
digits 2 & 3 - medial
How many interossei muscles are there?
4 dorsal, 3 palmar
What innervates interossei muscles?
Ulnar nerve
What are the actions of the interossei muscles?
PAD DAB
Dorsal interossei abduct
Palmar interossei adduct
What kind of paralysis results from damage to the lower trunk of the brachial plexus?
Klumpke
Which two arteries contribute to the superficial and deep palmar arterial arches?
Radial and ulnar arteries
Superficial - ulnar more so
Deep - radial more so
What kind of joint is the wrist joint?
Condyloid
What bones make up the wrist joint?
Distal radius and proximal row of carpal bones (apart from pisiform)
NOT ULNAR
What movements are possible at the wrist?
Extension, flexion, adduction, abduction, circumduction
Most anterior forearm muscles cause what movement at the wrist?
Flexion
What posterior forearm muscles cause what movement at the wrist?
Extension
Simultaneous contraction of ECU and FCU leads to what?
Wrist adduction