Upper Limb 3 - Anterior Forearm, Neurovascular, Carpal Tunnel, Hand + Wrist Flashcards

1
Q

What action do the muscles of the anterior forearm perform?

A

Flexion of the wrist and fingers

Pronator of the Forearm

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2
Q

What are the 3 different groups of the anterior forearm known as?

A

1 - Superficial

2- Intermediate

3 - Deep

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3
Q

What are the 4 muscles of the superficial group of muscles in the anterior forearm?

A

1 - Pronator Teres

2 - Flexor Carpi Radialis

3 - Palmaris Longus

4 - Flexor Carpi Ulnaris

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4
Q

What is the action of pronator teres?

A

Pronation of forearm

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5
Q

What is the innervation of pronator teres?

A

Median nerve

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6
Q

Which muscle of the superficial anterior forearm compartment performs adduction at the wrist joint?

A

Flexor Carpi Ulnaris

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7
Q

Which muscle of the superficial group of muscles is responsible for abduction at the wrist joint?

A

Flexor Carpi Radialis

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8
Q

Which nerves innervate the muscles of the superficial group of muscles in the anterior forearm?

A

Median nerve - Pronator Teres, Flexor Carpi Radialis, Palmaris Longus

Ulnar nerve - Flexor Carpi Ulnaris

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9
Q

On which joint does the brachioradialis muscle act?

A

Elbow

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10
Q

What is the main action of brachioradialis?

A

Flexion of the elbow

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11
Q

Which nerve innervates the brachioradialis muscle?

A

Radial nerve

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12
Q

What is the only muscle of the posterior compartment which performs flexion?

A

Brachioradialis

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13
Q

To which digits are the tendons of flexor digitorum superficialis attached?

A

All fingers except the thumb

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14
Q

Onto which phalynx of the fingers do the tendons of the flexor digitorum superficialis attach?

A

Middle

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15
Q

What actions do the flexor digitorum superficialis muscles perform?

A

Flex the wrist, metacarpophalangeal and interphalangeal joints

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16
Q

On which joint of the fingers do the flexor digitorum superficialis muscles not act?

A

Distal interphalangeal joints

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17
Q

Which nerve innervates the flexor digitorum superficialis muscle?

A

Median nerve

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18
Q

Which muscles make up the deep group of muscles of the anterior forearm?

A

Flexor Pollicis Longus

Flexor Digitorum Profundus

Pronator Quadratus

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19
Q

What joints does the flexor digitorum profundus muscle act on?

A

Wrist and all finger joints

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20
Q

What is the action of flexor digitorum profundus on the wrist and fingers?

A

Flexion

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21
Q

Which part of the flexor digitorum profundus muscle is supplied by the ulnar nerve?

A

Medial half

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22
Q

Which part of the flexor digitorum profundus muscle is supplied by the median nerve?

A

Lateral half

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23
Q

Which nerve innervates flexor pollicis longus?

A

Median nerve

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24
Q

What is the action and innervation of pronator quadratus?

A

Pronates forearm - Median nerve

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25
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
26
Which muscles does the median nerve not supply in the anterior forearm?
Flexor carpi Ulnaris Flexor Digitorum Profundus - Medial half
27
How does the median nerve enter the hand?
It passes below the flexor retinaculum
28
What is the relationship of the ulnar nerve in relation to the ulnar artery?
Medial
29
What are the 2 terminal branches of the brachial artery?
Radial artery Ulnar artery
30
Which arterial pulse can be felt medial to the tendon of the flexor carpi radialis muscle?
Radial pulse
31
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
32
Which structure of the carpal tunnel is most commonly affected in carpal tunnel syndrome?
Median nerve
33
What are the different muscle compartments of the hand?
Thenar compartment Hypothenar compartment Adductor compartment Lumbricals and long flexor tendons - central compartment Interosseous compartment
34
What are the muscles that make up the Thenar muscle group?
Opponens Pollicis Flexor Pollicis Brevis Abductor Pollicis Brevis
35
Which nerve innervates all the muscles of the Thenar muscle group?
Median nerve
36
Which segmental levels make up the Median nerve?
C6, C7, C8, T1
37
What muscles make up the Hypothenar group of muscles?
Opponens Digiti Minimi Flexor Digiti Minimi Abductor Digiti Minimi
38
Which nerve innervates the Hypothenar muscles?
Ulnar nerve
39
Which nerve innervates the Adductor Pollicis?
Ulnar nerve
40
From the tendons of which muscles do the lumbricals originate?
Flexor Digitorum Profundus
41
What action do the lumbricals have on the fingers at the metacarpophalangeal joints?
Flex
42
Which nerve innervates the medial two lumbricals?
Ulnar nerve
43
Which nerve innervates the two lateral lumbricals?
Median
44
How many dorsal interossei muscles are there?
4
45
How many palmar interossei muscles are there?
3
46
What is the action of the dorsal interossei muscles?
Abduct the fingers
47
What is the action of the palmar interossie muscles?
Adduct the fingers
48
What nerve innervates the dorsal and palmar interossei muscles?
Ulnar nerve
49
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
50
Which artery contributes the most to the superficial palmar arch?
Radial artery
51
Which artery contributes the most to the deep palmar arch?
Ulnar artery
52
What are the main nerves which supply the hand?
Median nerve Ulnar nerve
53
What does the radial nerve innervate within the hand?
Skin on the dorsal aspect of the hand
54
Through which structure does the median nerve enter the hand?
Carpal Tunnel
55
Which structures does the ulnar nerve not innervate?
Thenar Muscles Lumbricals of the 1st and 2nd finger
56
Which segmental nerve values make up the median and ulnar nerves?
Median nerve - C6, C7, C8, T1 Ulnar nerve - C8 and T1
57
Which cord of the brachial plexus does the ulnar nerve originate from?
Medial cord
58
What type of joint is the wrist joint?
Synovial Condyloid
59
What structures form the proximal part of the wrist joint?
Distal end of Radius Articular disc
60
Which carpal bones form the distal articular part of the wrist joint?
Scaphoid Lunate Triquetrium
61
What movements can be performed at the wrist joint?
Flexion Extension Adduction Abduction
62
What function do the muscles of the anterior compartment of the forearm have on the wrist joint?
Flexion
63
What is the combined action of flexor and extensor carpi ulnaris on the wrist joint?
Flexors Medial deviation
64
Which muscles are responsible for abduction of the wrist?
Flexor carpi radialis Extensor carpi radialis longus Extensor carpi radialis brevis Abductor pollicus longus
65
What is the action of the muscles in the posterior compartment of the forearm on the wrist?
Extension
66