Upper Limb 3 - Anterior Forearm, Neurovascular, Carpal Tunnel, Hand + Wrist Flashcards
What action do the muscles of the anterior forearm perform?
Flexion of the wrist and fingers
Pronator of the Forearm
What are the 3 different groups of the anterior forearm known as?
1 - Superficial
2- Intermediate
3 - Deep
What are the 4 muscles of the superficial group of muscles in the anterior forearm?
1 - Pronator Teres
2 - Flexor Carpi Radialis
3 - Palmaris Longus
4 - Flexor Carpi Ulnaris
What is the action of pronator teres?
Pronation of forearm
What is the innervation of pronator teres?
Median nerve
Which muscle of the superficial anterior forearm compartment performs adduction at the wrist joint?
Flexor Carpi Ulnaris
Which muscle of the superficial group of muscles is responsible for abduction at the wrist joint?
Flexor Carpi Radialis
Which nerves innervate the muscles of the superficial group of muscles in the anterior forearm?
Median nerve - Pronator Teres, Flexor Carpi Radialis, Palmaris Longus
Ulnar nerve - Flexor Carpi Ulnaris
On which joint does the brachioradialis muscle act?
Elbow
What is the main action of brachioradialis?
Flexion of the elbow
Which nerve innervates the brachioradialis muscle?
Radial nerve
What is the only muscle of the posterior compartment which performs flexion?
Brachioradialis
To which digits are the tendons of flexor digitorum superficialis attached?
All fingers except the thumb
Onto which phalynx of the fingers do the tendons of the flexor digitorum superficialis attach?
Middle
What actions do the flexor digitorum superficialis muscles perform?
Flex the wrist, metacarpophalangeal and interphalangeal joints
On which joint of the fingers do the flexor digitorum superficialis muscles not act?
Distal interphalangeal joints
Which nerve innervates the flexor digitorum superficialis muscle?
Median nerve
Which muscles make up the deep group of muscles of the anterior forearm?
Flexor Pollicis Longus
Flexor Digitorum Profundus
Pronator Quadratus
What joints does the flexor digitorum profundus muscle act on?
Wrist and all finger joints
What is the action of flexor digitorum profundus on the wrist and fingers?
Flexion
Which part of the flexor digitorum profundus muscle is supplied by the ulnar nerve?
Medial half
Which part of the flexor digitorum profundus muscle is supplied by the median nerve?
Lateral half
Which nerve innervates flexor pollicis longus?
Median nerve
What is the action and innervation of pronator quadratus?
Pronates forearm - Median nerve
Where does the median nerve lie in relation to the brachial artery within the cubital fossa?
The median nerve lies medial to the brachial artery
Which muscles does the median nerve not supply in the anterior forearm?
Flexor carpi Ulnaris
Flexor Digitorum Profundus - Medial half
How does the median nerve enter the hand?
It passes below the flexor retinaculum
What is the relationship of the ulnar nerve in relation to the ulnar artery?
Medial
What are the 2 terminal branches of the brachial artery?
Radial artery
Ulnar artery
Which arterial pulse can be felt medial to the tendon of the flexor carpi radialis muscle?
Radial pulse
What are the contents of the flexor retinaculum?
Median Nerve
4 Tendons of Flexor Digitorum Superficialis
4 Tendons of Flexor Digitorum Profundus
1 Tendon of Flexor Pollicis Longus
Which structure of the carpal tunnel is most commonly affected in carpal tunnel syndrome?
Median nerve
What are the different muscle compartments of the hand?
Thenar compartment
Hypothenar compartment
Adductor compartment
Lumbricals and long flexor tendons - central compartment
Interosseous compartment
What are the muscles that make up the Thenar muscle group?
Opponens Pollicis
Flexor Pollicis Brevis
Abductor Pollicis Brevis
Which nerve innervates all the muscles of the Thenar muscle group?
Median nerve
Which segmental levels make up the Median nerve?
C6, C7, C8, T1
What muscles make up the Hypothenar group of muscles?
Opponens Digiti Minimi
Flexor Digiti Minimi
Abductor Digiti Minimi
Which nerve innervates the Hypothenar muscles?
Ulnar nerve
Which nerve innervates the Adductor Pollicis?
Ulnar nerve
From the tendons of which muscles do the lumbricals originate?
Flexor Digitorum Profundus
What action do the lumbricals have on the fingers at the metacarpophalangeal joints?
Flex
Which nerve innervates the medial two lumbricals?
Ulnar nerve
Which nerve innervates the two lateral lumbricals?
Median
How many dorsal interossei muscles are there?
4
How many palmar interossei muscles are there?
3
What is the action of the dorsal interossei muscles?
Abduct the fingers
What is the action of the palmar interossie muscles?
Adduct the fingers
What nerve innervates the dorsal and palmar interossei muscles?
Ulnar nerve
Lesions of which nerve trunk affects the short muscles (interossie and lumbricals) of the hand? What is the resulting paralysis called?
Lower Trunk - Klumpke Paralysis
Which artery contributes the most to the superficial palmar arch?
Radial artery
Which artery contributes the most to the deep palmar arch?
Ulnar artery
What are the main nerves which supply the hand?
Median nerve
Ulnar nerve
What does the radial nerve innervate within the hand?
Skin on the dorsal aspect of the hand
Through which structure does the median nerve enter the hand?
Carpal Tunnel
Which structures does the ulnar nerve not innervate?
Thenar Muscles
Lumbricals of the 1st and 2nd finger
Which segmental nerve values make up the median and ulnar nerves?
Median nerve - C6, C7, C8, T1
Ulnar nerve - C8 and T1
Which cord of the brachial plexus does the ulnar nerve originate from?
Medial cord
What type of joint is the wrist joint?
Synovial Condyloid
What structures form the proximal part of the wrist joint?
Distal end of Radius
Articular disc
Which carpal bones form the distal articular part of the wrist joint?
Scaphoid
Lunate
Triquetrium
What movements can be performed at the wrist joint?
Flexion
Extension
Adduction
Abduction
What function do the muscles of the anterior compartment of the forearm have on the wrist joint?
Flexion
What is the combined action of flexor and extensor carpi ulnaris on the wrist joint?
Flexors
Medial deviation
Which muscles are responsible for abduction of the wrist?
Flexor carpi radialis
Extensor carpi radialis longus
Extensor carpi radialis brevis
Abductor pollicus longus
What is the action of the muscles in the posterior compartment of the forearm on the wrist?
Extension