Upper limb Flashcards
How many layers for the anterior aspect of the forearm
4
the muscles of the first layer?
- Pronator teres
- Flexor carpi radialis
- Flexor carpi ulnaris
- Palmaris lonugs
the muscles of the second layer of the anterior aspect of the forearm
1.Flexor digitorum superficialis
Third layer?
- Flexor digitorum profundus
2. Flxor pollicis longus
Fourth layer
Pronator quadratus
Which muscle is innervated by median+ulnar nerve
Flexor digitorum profundus
Which muscle is innervated only by the Ulnar nerve
Flexor carpi ulnaris
How many muscles on the lateral aspect of the forearm
4
What are the muscles of the lateral aspect of the forearm?
- Brachioradialis
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- The supinator muscle
Dorsal scapular nerve innervates and emerges
emerges from the superior trunk of ht brachial plexus
- Rhomboid minor
- Rhomboid major
- levator scapulae
The suprascapular nerve
Arises from the superior trunk
- Infraspinatus muscle
- supranspinatus muscle.
- Shoulder joint
Long thoracic nerve
C5-C6-C7
1.Serratus anterior
Upper and lower supscapular nerve
Arise from the posterior cord
innervates the subscapularis muscle
Thoracodorsal nerve
orginates from the posterior cord
- Teres major
- Latissmus dorsi
Lateral pectoral nerve
from the name you can know it.
Arises from the lateral cord
1.Pectoralis major
2.Pectoralis minor
Medial pectoral nerve
Arises from medial cord
Innervates pectoralis minor and major
Pectoral loop is an anastomosis between
Lateral pectoral nerve and medial pectoral nerve
The cords of the brachial plexus are
- Posterior cord
- Medial cord
- lateral cord
Upper trunk gives us
Dorsal scapular nerve
The suprascapular nerve
The subclavian nerve
The posterior cord gives branches to
- Axillary nerve
- Radial nerve
- Upper and lower subscapularis
- Thoracodorsal nerve
Radial nerve is coming from which cord
Posterior cord
Branches of the radial nerve
- Posterior brachial cutaneous nerve
- Posterior antebrachial cutaneous nerve
- The superficial branch of the radial nerve
- The deep branch of the radial nerve
- Muscular branches
The median nerve arises from
the anastomoses of lateral and medial cords
Ulnar nerve arises from
medial cord
Ulnar nerve branches
- Palmar branch
- Dorsal branch
- Superficial branch
- Deep branch
- muscular branch
lateral antebrachial cutaneous nerve is branch of?
and it innervates?
- branch of musculocutaneous nerve
2. Innervates the skin of the lateral aspect of the forearm
Medial antebrachial cutaneous nerve innervates?
The skin of the medial aspect of the forearm
Medial brachial cutaneous nerve innervates?
The medial aspect of the arm.
The supra-pectoral region is covered anterior by
Clavipectoral fascia and pectoralis major muscle
Lateral to the supra-pectoral region
Lateral and posterior cords
Posterior to the supra-pectoral region
Medial cord
The axillary artery is covered by
clavi-coraco-axillary fascia
First branch of the axillary artery
Supreme thoracic artery(H highest)
Branches of the supreme thoracic axillary artery
Deep branch
superficial branch
the deep branch of the supreme thoracic artery supply
serratus anterior and intercostal muscles
The superficial branch of the supreme thoracic artery supply
- Pectoralis major
- pectoralis minor
- Mammary region.
Thoracoacromial artery branches
APCD
- Acromial branch
- pectoral branch
- clavicular branch
- Deltoid branch
The clavicular branch of the thoracoacromial artery supply
Subclavius muscle and sterno-clavicular joint
Acromial branch supply
Deltoid muscle
What arteries emerge from the supra-pectoral region
- Supreme thoracic artery.
- Thoracoacromial artery
- Lateral thoracic artery
What arteries emerge from the infra-pectoral arteries
- Subscapular artery
- Anterior circumflex humeral artery
- posterior curcumflex humeral artery
How to remember the Axillary branches?
HoTeL SPA
Lateral thoracic artery supply
1.Mammary gland
2.pectoralis muscles and serratus anterior
parallel to the long thoracic artery
What muscles supplied by the subscapular artery and what branch
the branch of the subscapular artery is the circumflex scapular artery. and the muscles are: 1.lattismus dorsi 2.serratus anterior 3.intercostal muscles
The vascular-nervous bundle of the arm.
Brachial artery + Median nerve + 2 brachial veins
Brachial artery branches
- Deep brachial artery
- superior ulnar collateral artery
- Inferior ulnar collateral artery
Branches of the deep brachial artery
- The nutrient artery
- The deltoid branch
- The medial collateral artery
- Radial collateral artery
what is the name of the muscle under the trieceps
Anconeus muscle
Remember that on the forearm the recurrent and collateral make anastomoses between them
1.Anterior ulnar collateral artery+Inferior ulnar collateral artery.
2.Posterior ulnar collateral artery+supereior ulnar collateral artery
3.Radial recurrent artery+Radial collateral artery
Collateral arteries are branches of the brachial artery
Recurrent arteries are branches of the radial and ulnar arteries
Superficial palmar arch
1.Superficial palmar arch»»»Palmar digital arteries»»>Proper palmar digital arteries»fingers2-5
The medial aspect of the fifth finger supplied by the superficial palmar arch.
Anastomoses in the lateral bicipital groove
Radial collateral artery and Radial recurrent artery
Anastomoses in the medial bicipital groove
Inferior ulnar collateral artery and anterior recurrent artery
Cephalic vien is
superficial vein and lateral
Basilic vein is
superficial vein and medial
Medial bicipital groove deep elements
1.Brachial artery 2.Brachial veins 3.Median nerve 4.Anterior branch of ulnar recurrent artery 5.Inferior collateral ulnar artery
Medial bicipital groove superficial elements
1.Medial antebrachial cutaneous nerve 2.Basilic vein 3.Medio-basilic vein
Lateral bicipital groove deep elements
- Radial nerve
- Radial collateral artery
- Radial recurrent artery
Lateral bicipital groove superficial elements
- Lateral antebrachial cutaneous nerve.
- Medio-cephalic vein.
- Cephalic vein.
What pass through the carpal tunnel
- Median nerve
- Tendons of the flexor muscles
- Tendon of the flexor carpi radialis
Anatomical snuff box limits?
- medial: Tendon of the extensor pollicis longus
- lateral: 1.tendon of the extensor pollicis brevis
2. Tendon of the abductor pollicis longus
Superficial elemnts of the anatomical snuff box
1.Cephalic vein and dorsal digital branches
Also the radial artery pass through the anatomical snuff box and the superficial branch of the radial nerve.
remember only the cephalic vein and dorsal digital branches are the superficial elements