Upper Limb Flashcards
What three bones make up the pectoral girdle?
Clavicle
Scapula
Manubrium of sternum
What structures make up the four walls of the axilla?
Anterior wall- pectoralis major and minor, subclavius and their fascia
Posterior wall- teres major and latismuss dorsi
Medial wall- thoracic wall and serratus anterior
Lateral wall- intertubular sulcus of the humerus
What are the contents of the axilla?
Axillary artery and vein Axillary lymph nodes Parts of brachial plexus Short head and long head of biceps brachii Coracobrachialis
At what landmark does the subclavian artery become the axillary artery?
Lateral border of the first rib
At what landmark does the axillary artery become the brachial artery?
Inferior border of teres major
What two structures lie in the axillary sheath?
Axillary artery
Brachial plexus
What spinal nerves form the brachial plexus?
Ventral rami of C5-T1
What are the cords of the brachial plexus named in relation to?
The axillary artery
Which spinal nerves form what trunks of the brachial plexus?
Superior- C5 and C6
Middle- C7
Inferior-C8 and T1
What are the three cords of the brachial plexus?
Lateral
Posterior
Medial
Between which two muscles do the three trunks of the brachial plexus emerge from?
Scalenus medius and scalenus anterior
What are the terminal branches of the lateral cord of the brachial plexus?
Median (lateral root)
Musculocutaneous
Lateral pectoral
What are the terminal branches of the posterior cord of the brachial plexus?
Axillary
Radial
Thoracodorsal
Lower and upper subscapular
What are the terminal branches of the medial cord of the brachial plexus?
Ulnar Median (medial root) Medial pectoral Medial cutaneous nerve of arm Medial cutaneous nerve of forearm
What pathology does an injury to the upper trunk of the brachial plexus cause and what appearance does this give the arm?
Erb’s palsy
“Waiter’s tip”-medially rotates the arm and flexes the wrist
What kind of injury to the lower trunk of the brachial plexus would cause Klumpke’s palsy and what muscles would be affected by this?
Undue abduction of the arm
Intrinsic muscles of the hand and ulnar flexors of the wrist and fingers
Which cutaneous vein of the arm lies laterally?
Cephalic
What does the basilic vein join with to form the axillary vein?
Venae comitantes of the brachial artery
What are the five distinct groups of axillary lymph nodes?
Anterior/pectoral group Posterior/subscapular group Apical group Central group Lateral group
What are the three joints of the shoulder, what types of joint are these and what bones are articulating in them?
Glenohumeral-ball and socket synovial, scapula and humerus
Sternoclavicular- synovial saddle, sternum and clavicle
Acromioclavicular- synovial plane, scapula and clavicle
What are the two attachments of the trapezius?
External occipital protuberance
Spinous process of T12 vertebra
What are the actions of the trapezius?
Superior/descending fibres-elevate the scapula and when the scapula is fixed, they laterally flex the neck
Middle fibres- retract the scapula
Inferior/ascending fibres- depresses scapula
All fibres- act together to rotate the scapula and abduct the arm
What three muscles attach to the medial border of the scapula?
Levator scapulae
Rhomboid major and minor
What are the actions of Levator scapulae?
Elevates the scapula
Rotates the scapula