Upper limb Flashcards
what are the joints of the upper limb?
Sternoclavicular joint acromialclavicular joint glenohumeral joint elbow joint - humeroulnar joint and the radioulnar joint proximal radioulnar joint radiocarpal joint distal radioulnar joint
the sternoclavicular joint is a
saddle type joint
the acromioclavicular joint is a
plane type joint
the glenohumeral joint is a
ball and socket type joint
the elbow joint is a
hinge type joint
the proximal radioulnar and the distal radioulnar joint are
pivot type joints
the radoiocarpal joint is an
ellipsoid type joint
what happens to the radius during pronation?
it moves over the ulna
the joints of the hands
5 MCP joint
1st CMC joint
PIP
DIP
what type of a joint is the 5th MCP joint?
condyloid type
what type of a joint is the 1st CMC joint?
saddle type
what is the degree of rotation in the thumb?
90 degree
what are the axis-appendicular muscles?
trapezius
serrates anterior
rhomboid minor
rhomboid major
subclavius
latissimus dorsi
levator scapulae
what is the nerve innervation of the trapezius?
CNXI
what is the nerve innervation of the serrates anterior?
long thoracic nerve
what is the nerve innervation of the rhomboid minor and major?
dorsal scapula nerve
what is the nerve innervation of the elevator scapulae?
dorsal scapula nerve
what are the four rotator cuff muscles?
supraspinatus
infraspinatus
teres minor
subscapularis
which muscles of the rotator cuff attach to the greater tuberosity?
the supraspinatus
infraspinatus
teres minor
which of the rotator cuff muscles attach to the lesser tuberosity?
the subscapularis
what is the function of the rotator cuff?
the hold the head of the humerus in the glenoid fossa
what part of the humeral head is in contact with the glenoid fossa at all times?
1/3rd
what are the compartments of the arm?
anterior and posterior
what are the muscles of the anterior compartment of the arm?
biceps brachii
brachialis
coracobrachialis
what is the innervation of the anterior compartment of the arm?
musculocutaneous nerve
what are the actions of the muscles of the anterior compartment of the arm?
flexion of arm and forearm
biceps brachii also supinates forearm
what are the muscles of the posterior compartment of the arm?
triceps brachii
what is the innervation of the posterior compartment of the arm?
radial nerve
what are the actions of the posterior compartment of the arm?
extension of the arm and forearm
what are the muscles of the superficial layer of the forearm (anterior)?
pronator teres
flexor carpi radialis
palmaris longus
flexor carpi ulnaris
what are the muscles of the immediate layer of the forearm (anterior)?
flexor digitorum superficialis
what are the muscles of the deep layer of the forearm (anterior)?
flexor pollicis longus
flexor digitorum profundus
pronator quadratura
what are the innervations of the anterior compartment of the forearm?
median nerve except the flexor carpi ulnaris nd the medial half of the flexor digitorum superficial (ulnar nerve)
what are the actions of the anterior compartment of the forearm?
flexion of the wrist and digits, pronation, abduction and adduction of the wrist
what are the muscles of the superficial layer of the forearm (posterior)?
brachioradialis extensor carpi radialis longus extensor digitorum anconeus extensor carpi ulnaris extensory carpi radialis brevis extensor digiti minimi
what are the muscles of the deep layer of the forearm (posterior)?
supinator abductor pollicis longus extensor pollicis longus extensor pollicis brevis extensor indices
what is the innervation of the posterior compartment of the forearm?
radial nerve
what are the actions of the posterior compartment of the forearm?
extension of the wrist and digits, supination, abduction and adduction of the wrist
what are the muscles of the thenar eminence of the hand?
abductor pollicis brevis
flexor pollicis brevis
opponents pollicis
what is the innervation of the thenar eminence of the hand?
recurrent branch of the median nerve
what can affect the thenar eminence of the hand?
carpal tunnel syndrome
what are the muscles of the hypothenar eminence of the hand?
abductor digiti minimi
flexor digiti mini brevis
opponens digiti minimi
what is the innervation of the hypothenar eminence of the hand?
deep branch of the ulnar nerve
what are the lumbricals?
attached to tendons of flexor digitorum profundus
what is the innervation of the lumbricals?
median nerve - lateral 2
ulnar nerve - medial 2
what Is the function of the interossei of the hand?
abduction and adduction of digits
whats is the function of the dorsal interossei?
abduction of the digits
what is the function of the palmar interossei?
adduction of the digits
what is the innervation of the interossei?
ulnar nerve
what is the origin of the brachial plexus of the arm?
anterior rami of C5-T1
what is the course of the brachial plexus of the arm?
passes through the axilla to the medial arm
cords travel around the brachial artery
what is the mnemonic to remember the brachial plexus from proximal to distal?
Really Tired Drink Coffee Now
Roots, Trunks, Divisions, Cords, Nerves
what are the contents of the carpal tunnel?
flexor digitorum superficialis x4
flexor digitorum profundus
x4
flexor pollicis longus x1
median nerve
what is carpal tunnel syndrome?
compression of the median nerve
weakness in the thenar muscles
numbness in digits 1-3 and lateral half of digit 4
from proximal to distal, what is the arterial supply of the upper limb?
subclavian artery -> axillary artery -> brachial artery bifurcates to radial and ulnar artery -> superficial palmar arch (ulnar artery dominant) and the deep palmar arch (radial artery dominant)
what arteries anastomoses in the scapular?
supra scapular artery
dorsal scapular artery
circumflex scapular artery
what is present in the elbow?
an anastomosis
what is the venous supply from proximal to distal upper arm?
same as arteries:
subclavian vein -> axially vein-> brachial vein-> bifurcates to form the radial and ulnar vein -> superficial palmar arch (ulnar vein dominant) -> and the deep palmar arch (radial vein dominant)
what is the vena comitantes?
veins on both sides of the arteries. Paired veins
highly variable