Upper Limb Arm & Forearm Flashcards

1
Q

Is associated with the lateral aspect of the lower portion of the neck and with the thoracic wall

A

Upper limb

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2
Q

What suspends the upper limbs from the trunk

A

Muscles & Sternoclavicular joint

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3
Q

What is the upper limb divided into?

A

Shoulder, arm, forearm and hand

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4
Q

Where is the scapula attached at

A

Acromioclavicular joint

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5
Q

Allows the arm to move around three axes with a wide ROM.

A

Glenohumeral joint

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6
Q

flexion, extension, abduction, adduction, medial rotation (internal rotation), lateral rotation (external rotation) and circumduction

A

Movement of the glenohumeral joint

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7
Q

major movements a the elbow = flexion & extension of the forearm

A

Elbow joint

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8
Q

flipping the lateral bone over the medial bone

A

Pronation

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9
Q

hand can be abducted, adducted, flexed, extended, circumducted.

A

Wrist joint

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10
Q

These movements combined with those of the shoulder, arm and forearm enable the hand to be placed in a very wide range of positions relative to the body.

A

Wrist joint

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11
Q

irregularly shaped pyramidal area formed by muscles and bones of the shoulder and the lateral surface of the thoracic wall.

A

Axilla

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12
Q

triangularly shaped depression formed by muscles anterior to the elbow joint the major artery: the brachial artery, passing from the arm to the forearm passes through the fossa as does the median n.

A

Cubital fossa

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13
Q

What passes through the cubital fossa

A

Brachial artery and median nerve

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14
Q

Gateway to the palm of the hand

A

Carpal tunnel

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15
Q

Its posterior, lateral, and medial walls form an arch, which is made up of small carpal bones in the proximal region of the hand.

A

Carpal tunnel

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16
Q

Where are cutaneous nerves located?

A

Superficial fascia

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17
Q
  • not visible thru skin

- branches of brachial plexus deep to deep fascia

A

Cutaneous nerves

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18
Q

Where are superficial veins located?

A

Superficial fascia

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19
Q
  • generally visible thru skin

- tributaries to deep vv. beneath deep fascia

A

Superficial veins

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20
Q

What innervated the upper limbs?

A

Brachial plexus

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21
Q

Formed by the anterior rami of the cervical spinal nn C5-C8 & T1

A

Brachial plexus

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22
Q

Innervated the arm, forearm and hand

A

Brachial plexus

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23
Q

Spinal chord levels associated with brachial plexus

A

C5-C8 & T1

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24
Q

Innervates the superior shoulder and anterior superior shoulder

A

C3-C4

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25
Q

Used for testing sensation based on the innervation pattern

A

Dermatomes of UL

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26
Q

How are the dermatomes of the upper limb

A

Fairly specific and reliable /reproducible

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27
Q

Upper later arm

A

C5

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28
Q

Palmar pad of thumb

A

C6

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29
Q

Pad of index

A

C7

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30
Q

Pad of little finger

A

C8

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31
Q

Skin of medial elbow

A

T1

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32
Q

Superficiacl veins of the UL

A
  • Cephalic
  • Basilic
  • Median cubital
  • Dorsal venous arch
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33
Q

Path of venous return

A

Distal to proximal

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34
Q

What does the cephalic vein drain?

A

Posterior/lateral aspect of UL

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35
Q

Runs in deltopectoral groove & pierces deep fascia

A

Cephalic vein

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36
Q

The cephalic vein is tributary to

A

Axillary vein

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37
Q

What does the basilic vein drain

A

Anterior/medial aspect of UL

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38
Q

What does the basilic vein pierce?

A

Fascia of arm

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39
Q

The basilic vein is tributary to

A

Axillary vein

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40
Q

What does the median cubital vein connect?

A

Cephalic & Basilic

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41
Q

Where is the median cubital vein located?

A

In the cubital fossa

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42
Q

“I.V. vein” for venipuncture

  • -intravenous fluid injection
  • -drawing blood
A

Median cubital vein

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43
Q

What does the dorsal venous arch of the hand drain

A

Superficial dorsal vein of hand

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44
Q

Where is the dorsal venous arch of hand located?

A

It arches across dorsal surface of hand

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45
Q

The dorsal venous arch of hand is tributary to

A

Cephalic and basilic vv.

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46
Q

The dorsal venous arch of the hand is sometimes used for

A

Venipuncture

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47
Q

Deep fascia of the arm

A

Brachial fascia

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48
Q

Connected to humerus by 2 fascial septa

A

Deep fascia of the arm

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49
Q

Divides arm into anterior & posterior compartments

A

Deep fascia of the arm

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50
Q

mm., nn., & aa., compartmentalized via

A

deep fascia

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51
Q

Clinically relevant to compartmental syndromes

A

Deep fascia of the arm

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52
Q

_____ pressure in compartment can affect circulation

A

Increased

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53
Q

Directly related to the neck

A

UL

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54
Q

formed by the lateral margin of Rib 1, posterior surface of the clavicle and the superior margin of the scapula & the medial surface of the coracoid process of the scapula.

A

Axillary inlet

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55
Q
  • Rib 1
  • Clavical
  • Scapula
  • Coracoid process
A

Axillary inlet

56
Q

The major artery and vein of the UL pass between the thorax and the UL by passing …

A

Over Rib 1 and thru the axillary inlet

57
Q

On either side of the humerus

-medial & lateral

A

Intermuscular septa

58
Q

What is contained in the anterior compartment of the arm

A
  • Biceps brachii
  • Coracobrachialis
  • Brachialis mm
59
Q

Contains brachial vessels & 5 brachial plexus nn.

A

Anterior compartment of arm

60
Q

3 Motor nerves and 2 cutaneous nerves

A

Brachial plexus

61
Q

3 motor nerves in brachial plexus

A
  • musculocutaneous
  • median
  • ulnar nn.
62
Q

2 cutaneous nerves in brachial plexus

A
  • Medial brachial

- Medial antibrachial cutaneous

63
Q

Supply skin of medial arm & forearm

A

Cutaneous nerves in the brachial plexus

64
Q

Flexor compartment

A

Anterior compartment of arm

65
Q

Has 2 heads

A

Biceps brachii

66
Q

‘coracoid process to arm’

A

Coracobrachialis m

67
Q

‘Arm’

A

Brachialis m

68
Q

flexes & supinates forearm (slight arm flexion)

A

Biceps brachii muscle

69
Q

musculocutaneous n. & brachial vessels

A

Biceps brachii muscle

70
Q

an accessory flexor of the arm at the glenohumeral joint.

A

Biceps brachii

71
Q

Action of Coracobrachialis m.

A

Flexes arm

72
Q

What innervates the coracobrachialis m

A

Musculocutaneous n. & brachial vessels

73
Q

Action of brachialis m.

A

Flexes forearm

74
Q

What innervates the brachialis

A

radial & musculocutaneous nn. & brachial vessels

75
Q

Deep to the biceps brachii m.

A

Brachialis

76
Q

Flexes the arm and the elbow joint – powerful.

A

Brachialis m

77
Q

Extensors the elbow/forearm

A

Posterior compartment of arm

78
Q

Where are the radial nerve and deep brachial artery located?

A

Posterior compartment of the arm

79
Q

Initially located within triangular interval

A

Radial n and deep brachial a

80
Q

Contains triceps brachii muscle

A

Posterior compartment of the arm

81
Q

the lateral portion of the brachialis m. that would be receiving the contribution from

A

Radial nerve

82
Q

Extensor compartment

A

Posterior compartment of Arm

83
Q

Action of triceps brachii

A

Extends forearm

84
Q

What innervates triceps brachii

A

radial n. & deep brachial vessels

85
Q

Where are the origins of the triceps brachii

A

Deep to the deltoid muscle

86
Q

How many heads does triceps brachii have

A

3

87
Q

Profunda brachii =

A

Deep brachial artery

88
Q

The joint of the humerus and the ulna and radius.

A

Elbow

89
Q

the anterior depression of the elbow joint

A

Cubital fossa

90
Q

What happens at the cubital fossa

A

Major neurovasculature passes from the arm to the forearm

91
Q

Where does the ulna nerve pass?

A

posterior to the medial epicondyle of the humerus.

92
Q

Depressed area anterior to elbow

A

Cubital fossa

93
Q

What does the cubital fossa contain?

A
  • Biceps brachii tendon
  • Brachial a
  • Median n.
94
Q

Forearm flexors to the

A

Medial of the cubital fossa

95
Q

Forearm extensors to the

A

Lateral of the cubital fossa

96
Q

part of the UL between the elbow and the wrist joints.

A

Forearm

97
Q

complex joint involving 3 separate articulation.

A

Elbow joint

98
Q

articular surface of the head of the ulna, with the ulnar notch on the end of the radius and with a fibrous articular disc which separates the radio-ulnar joint from the wrist joint.

A

Distal Radio-ulnar joint

99
Q

thin fibrous sheet that connects the medial and lateral borders of the radius and ulna respectively

A

Interosseous membrane

100
Q

____ with the sheet pass predominantly inferiorly from the radius to the ulna.

A

Collagen fibers

101
Q

Just inferior to the radial tuberosity and a small circular aperture in its distal 3rd.

A

Superior free margin

102
Q

Connects the radius and ulna without restricting its movements: supination and pronation.

A

Interosseous membrane

103
Q

Anatomincal position of the hand

A

Supination

104
Q

Occur entirely in the forearm and involve rotation of the radius at the elbow and movement of the distal end of the radius over the ulna

A

Pronation and supination

105
Q

Where is the cubital fossa located

A

Anterior to the elbow joint

106
Q

Major structure that doesn’t pass through the cubital fossa

A

Ulnar nerve

107
Q

Distally structures pass between the forearm and the hand through or anterior to the carpel tunnel except

A

Radial artery

108
Q

Where does the radial artery pass

A

Dorsally around the rest and enters the hand posteriorly

109
Q

3 layers of the anterior compartment of forerarm

A
  • Superficial (4)
  • Intermediate (1)
  • Deep (3)
110
Q

wrist movements, flexion of digits & thumb, and pronation

A

Functions of the Anterior Compartment of Forearm

111
Q

The anterior forearm has no more contributions from

A

C5

112
Q

What does contribute to the anterior forearm

A

C6-C8 and T1

113
Q

Layers of the posterior compartment of the forearm

A
  • Superficial (7)

- Deep (5)

114
Q

movement of the wrist

extension of the fingers and thumb. supination

A

Functions of the posterior compartment of the forearm

115
Q

Radial nerve

A

C5-C8

116
Q

There are no contribution of ____ in the posterior forearm

A

T1

117
Q

Where does the C5 component of the radial n come in

A

Where the brachioradialis m extends superiorly across the elbow joint to the lateral arm

118
Q

Pierces coracobrachialis m. to supply it

A

Musculocuntaneous nerve

119
Q

What does the musculocuntaneous nerve supple

A

All of biceps brachii and medial part of brachialis m, coracobrachialis m

120
Q
  • Emerges between these mm. as lateral antebrachial cutaneous m.
  • Supplies skin of lateral forearm
A

Musculocuntaneous nerve

121
Q
  • Runs down medial aspect of arm lateral to brachial a.
  • Crosses over to medial side of it & enters cubital fossa
  • Runs between superficial & deep anterior forearm mm
A

Median N

122
Q

What does the median nerve supply

A

Most muscles of anterior forearm

123
Q

Continues under carpal tunnel to supply lateral hand – palmar br. (cutaneous)

A

Median nerve

124
Q

originates from the median n. in the distal forearm immediately proximal to the flexor retinaculum, passes superficially to innervate the skin over the base and central palm.

A

Small palmer branch

125
Q

Spared in carpal tunnel syndrome because it passes into the hand superficial to the flexor retinaculum of the wrist.

A

Palmar branch

126
Q
  • Travels posteriorly down medial aspect of arm
  • Runs in cubital tunnel between medial epicondyle & olecranon
  • -very superficial at this point (‘funny bone’)
  • Dives deep into medial forearm (with ulnar a.) to supply it
A

Ulnar Nerve

127
Q

Continues over carpal tunnel to supply medial hand & deepest mm. of hand

A

Ulnar nerve

128
Q
  • Runs with deep brachial a. in radial groove of humerus
  • -between lateral & medial heads of triceps m.
  • Continues between brachialis & brachioradialis mm.
A

Radial Nerve

129
Q

What does the radial nerve supply

A

all of triceps brachii & lateral part of brachialis m.

130
Q

Divides into superficial & deep branches

A

Radial Nerve

131
Q

Continues to supply skin on the back of the hand

A

Superficial branch of radial nerve

132
Q

Dives to supply muscles of posterior forearm

A

Deep branch of radial nerve

133
Q

Direct continuation of Axillary A.

A

Brachial A.

134
Q

What does the Brachial a. split into in the cubital fossa?

A

Radial a. and Ulnar a.

135
Q

Runs from inferior border of teres major m. to its bifurcation

A

Brachial A.

136
Q
  • Sends off deep brachial a. & several muscular branches

- Sends off superior & inferior ulnar collateral aa.

A

Brachial Artery

137
Q

Supplies entire UL

A

Brachial Artery