Upper Limb Flashcards
bony features of the anterior surface of scapula
coracoid process
sub scapular fossa
glenoid cavity
bony features of the posterior surface of scapula
supraspinous fossa
infraspinous fossa
spine of scapula
acromion
which muscles attach to the medial border of the scapula
anterior serratus anterior posterior superior: levator scapulae middle (level of spine): rhomboid minor inferior: rhomboid major
which muscle attaches to the inferior angle of the scapula
latissimus dorsi
which muscle attaches to the spine of scapula
trapezius
which muscle attaches to the acromion
deltoid
which muscles attach to the coracoid process
short head of biceps and coracobrachialis
pec minor
what muscle attaches to the infraglenoid tubercle
long head triceps
where is the bicipital groove
between the greater and lesser tubercles
which muscles attach to the acromial end of clavicle
deltoid
trapezius
which muscle attaches to the central, inferior surface of clavicle
subclavius
which muscles attach to the sternal end of clavicle
pec major and sternocleidomastoid
attachments of pec major
clavicle, costal cartilage ribs 1-6 and sternum
TO outer lip bicipital groove
action of pec major
flexion and adduction of arm
medial rotation of humerus
innervation of pac major
medial (C8-T1) and lateral (C5-7) pectoral nerves from medial and lateral cords of brachial plexus
what is the general rule for the action of muscles in the upper limb
if it crosses the.... anterior surface it flexes posterior surface it extends medial surface it adducts lateral surface it abducts
attachments ofpec minor
ribs 3/4/5
TO coracoid process of scapula
action of pec minor
pulls shoulder anterior and inferior
elevates ribs if shoulder fixed (tripod stance)
innervation of pec minor
medial pectoral nerve (C8-T1) from medial cord of BP
attachments of serratus anterior
outer surface of upper 8 ribs
TO medial border of scapula
action of serratus anterior
protraction of scapula
innervation of serratus anterior
long thoracic nerve (C5,6,7) of BP
attachments of trapezius
superior nuchal ling of occipital bone, nuchal ligament, spinous processes of C7-T12
TO lateral third of clavicle, acromion and spine of scapula
action of trapezius
superior part: elevates scapula, rotates glenoid cavity
middle fibres: retract scapula
superior fibres: depress scapula
innervation of trapezius
sinal accessory nerve (CN XI)
cervical plexus C3,4 (pain)
attachments of latissimus dorsi
ilium, thoracolumbar fascia, spinous processes of lower 6 thoracic vertebrae
TO floor of bicipital groove
action of latissimus dorsi
extension medial rotation and adduction of arm
climbing/pull ups
innervation of latissimus dorsi
thoracodorsal nerve from posterior cord of brachial plexus (C6-8)
attachments of levator scapulae
transverse processes of atlas and axis, 3/4 cervical vertebrae
TO medial medial scapular border between superior angle and medial end of scapula spine
action of levator scapulae
help control scapular position, elevate shoulder (with trapezius)
if shoulder fixed, can laterally flex neck to same side
innervation of levator scapulae
direct C3,45 via dorsal scapular nerve
attachments of rhomboid major
2-5 thoracic spines
TO medial border of scapula (spine to inferior angle)
attachments of rhomboid minor
nuchal ligament and C7-T1 spines
TO medial end of spine of scapula
action of rhomboids
retraction of scapula
innervation of rhomboids
dorsal scapular nerve (C4,5)
attachments of deltoid
lateral 1/3 scapula, acromion, spine of scapula
TO deltoid tuberosity of humerus
action of deltoid
anterior fibres: flexion and medial rotation
posterior fibres: extension and lateral rotation
middle fibres: abduction of arm from 10-110 degrees
innervation of deltoid
axillary nerve (C5-6) from posterior cord of BP
what is the name of the space between deltoid and pec major
delto-pectoral groove
which structure runs through the delta-pectoral groove
cephalic vein
attachments of tires major
lateral border of scapula (posterior, lower 1/3)
TO medial lip of bicipital groove
action of teres major
adduction and medial rotation of arm
innervation of teres major
sub scapular branch of posterior cord of BP (C5,6)
attachments of subclavius
sternal end of 1st rib
TO medial third of underside of clavicle
action of subclavius
draw down and slightly forwards during abduction
innervation of subclavius
nerve to subclavius C5,6
in which direction is dislocation of the shoulder most common and why
anteroinferior
no muscle in the underside of shoulder joint, so humeral head moves down and forward through the gap
attachments of subscapularis
sub scapular fossa
TO lesser tubercle of humerus
action of subscapularis
medial rotation of arm
innervation of subscapularis
upper and lower sub scapular nerves (C5,6,7) from posterior cord of BP
attachments of supraspinatus
supraspinous fossa
TO upper facet of greater tubercle
action of supraspinatus
abducts arm first 10-15 degrees
innervation of supraspinatus
supra scapular nerve (C5,6) from superior trunk of BP
attachment of infraspinatus
infraspinous fossa
TO middle facet of greater tubercle of humerus
action of infrapsinatus
lateral rotation of arm
innervation of infrapsinatus
suprascapular nerve (C5,6) from superior trunk of BP
attachment of teres minor
upper 2/3 of lateral border of scapula
TO lower facet of greater tubercle
action of teres minor
lateral rotation of arm
innervation of teres minor
axillary nerve (C5,6) branch of posterior cord of BP
which ligaments attach to the lesser tubercle of humerus
superior, middle and inferior glenohumeral ligaments
which ligament attaches to the greater tubercle of humerus
coracohumeral ligament
which ligament stretches between the greater and lesser tubercles
transverse humeral ligament
what is the function of the transverse humeral ligament
holds the biceps tendon in place
which ligaments are associated with the clavicle
acromioclavicular coracoclavicular Coraoacromial anterior and posterior sternoclavicular costoclavicular
what are the borders of the quadrangular space
superior: teres minor
inferior: teres major
lateral: humerus
medial: long head biceps
what passes through the quadrangular space
axillary nerve
posterior circumflex humeral artery
borders of the triangular space
base: teres major
medial: long head biceps
lateral: humerus
what passes through the triangular space
radial nerve and profunda brachii artery
anterior boundaries of axilla
pec major and minor
subclavius
fascia
floor of axilla
skin and arm/thoracic wall
roof of axilla
rib 1
clavicle
scapula
posterior wall of axilla
subscapularis
teres major
latissimus dorsi
long head triceps
lateral wall of axilla
humerus
medial wall of axilla
serrates anterior and wall of thorax
what are the contents of the axilla
vessels, nerves, lymphatics of upper limb
short head of biceps and coracobrachialis
adipose tissue
what is the most anterior of the major vessels of axilla
axillary vein
when does the axillary vein become the axillary vein
at the lower margin of teres major
basilic vein –> axillary vein
when does the axillary vein transition to the subclavian vein
lateral border of rib 1
the axillary artery is a branch of which artery
subclavian
at which point does the axillary artery transition to the brachial artery
inferior margin of teres major
where is the 1st part of the axillary nerve in relation to pec minor
proximal to pec minor
what is the name of the branch arising from the 1st part of axillary artery
superior thoracic artery
where is the 2nd part of axillary nerve in relation to pec minor
deep to pec minor
which branches arise from 2nd part of axillary artery
thoracoacromial
lateral thoracic
where is the 3rd part of axillary artery in relation to pec minor
distal to pec minor
which branches arise from the 3rd part of axillary artery
anterior and posterior circumflex arteries
subscapular artery
which nodes in the axilla drain lymph from the upper limb
humeral nodes
which nodes in the axilla drain lymph from the thorax and breast tissue
pectoral
where are the humeral nodes
posterior to axillary vein
where are the pectoral nodes
inferior margin of pec minor
subscapular nodes drain which structures
back, shoulder, neck
where are the subscapular nodes
posterior axillary wall
where are the apical nodes
superior margin of pec minor
which nerve roots make up the brachial plexus
anterior rami of C5-T1
sympathetic contribution to brachial plexus
grey rami communicantes (post-ganglionic sympathetic fibres)
between which muscles do the roots of the brachial plexus pass
between anterior and mid scalene muscles
trunks of brachial plexus
superior trunk = C5,6
middle trunk = C7
inferior trunk = C8,T1
which nerves are branches of the roots of the brachial plexus
contribution to phrenic nerve (C5)
C5-7 long thoracic nerve
what muscle does the long thoracic nerve innervate
serratus anterior
which is the trunk to have branches off it
superior trunk
what are the branches of the superior trunk
suprascapular nerve
nerve to subclavius
what does the supra scapular nerve innervate
infraspinatus and supraspinatus
what does nerve to subclavius innervate
subclavius
what are the division of the brachial plexus
each trunk splits into an anterior and posterior division
how do the divisions combine
all the posterior division combine to form the posterior cord
the anterior divisions of the middle and superior trunks combine to form the lateral cord
the anterior division of the inferior trunk continues alone to form the medial cord
the anterior divisions are associated with which compartments of the upper limb
anterior compartments of arm and forearm
flexors
the posterior divisions are associated with which compartments of the upper limb
posterior compartments of arm and forearm
extensors
which structures are cords named in relation to
axillary artery
eg medial, lateral or posterior to axillary artery
which fibres are present in the lateral cord
C5-7
which nerve arises from the lateral cord
lateral pectoral nerve
the posterior cord contains which nerve roots
C5-T1
which peripheral nerves arise from the posterior cord
subscapular and thoracodorsal nerves
which roots are present in the medial cord
C8-T1
which peripheral nerves arise from the medial cord
medial pectoral nerve
medial cutaneous nerves
which branches arise from the lateral cord
musculocutaneous
lateral root of median
which branches arise from posterior cord
axillary and martial