Upper Limb Arm & Forearm Flashcards
Is associated with the lateral aspect of the lower portion of the neck and with the thoracic wall
Upper limb
What suspends the upper limbs from the trunk
Muscles & Sternoclavicular joint
What is the upper limb divided into?
Shoulder, arm, forearm and hand
Where is the scapula attached at
Acromioclavicular joint
Allows the arm to move around three axes with a wide ROM.
Glenohumeral joint
flexion, extension, abduction, adduction, medial rotation (internal rotation), lateral rotation (external rotation) and circumduction
Movement of the glenohumeral joint
major movements a the elbow = flexion & extension of the forearm
Elbow joint
flipping the lateral bone over the medial bone
Pronation
hand can be abducted, adducted, flexed, extended, circumducted.
Wrist joint
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.
Wrist joint
irregularly shaped pyramidal area formed by muscles and bones of the shoulder and the lateral surface of the thoracic wall.
Axilla
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.
Cubital fossa
What passes through the cubital fossa
Brachial artery and median nerve
Gateway to the palm of the hand
Carpal tunnel
Its posterior, lateral, and medial walls form an arch, which is made up of small carpal bones in the proximal region of the hand.
Carpal tunnel
Where are cutaneous nerves located?
Superficial fascia
- not visible thru skin
- branches of brachial plexus deep to deep fascia
Cutaneous nerves
Where are superficial veins located?
Superficial fascia
- generally visible thru skin
- tributaries to deep vv. beneath deep fascia
Superficial veins
What innervated the upper limbs?
Brachial plexus
Formed by the anterior rami of the cervical spinal nn C5-C8 & T1
Brachial plexus
Innervated the arm, forearm and hand
Brachial plexus
Spinal chord levels associated with brachial plexus
C5-C8 & T1
Innervates the superior shoulder and anterior superior shoulder
C3-C4
Used for testing sensation based on the innervation pattern
Dermatomes of UL
How are the dermatomes of the upper limb
Fairly specific and reliable /reproducible
Upper later arm
C5
Palmar pad of thumb
C6
Pad of index
C7
Pad of little finger
C8
Skin of medial elbow
T1
Superficiacl veins of the UL
- Cephalic
- Basilic
- Median cubital
- Dorsal venous arch
Path of venous return
Distal to proximal
What does the cephalic vein drain?
Posterior/lateral aspect of UL
Runs in deltopectoral groove & pierces deep fascia
Cephalic vein
The cephalic vein is tributary to
Axillary vein
What does the basilic vein drain
Anterior/medial aspect of UL
What does the basilic vein pierce?
Fascia of arm
The basilic vein is tributary to
Axillary vein
What does the median cubital vein connect?
Cephalic & Basilic
Where is the median cubital vein located?
In the cubital fossa
“I.V. vein” for venipuncture
- -intravenous fluid injection
- -drawing blood
Median cubital vein
What does the dorsal venous arch of the hand drain
Superficial dorsal vein of hand
Where is the dorsal venous arch of hand located?
It arches across dorsal surface of hand
The dorsal venous arch of hand is tributary to
Cephalic and basilic vv.
The dorsal venous arch of the hand is sometimes used for
Venipuncture
Deep fascia of the arm
Brachial fascia
Connected to humerus by 2 fascial septa
Deep fascia of the arm
Divides arm into anterior & posterior compartments
Deep fascia of the arm
mm., nn., & aa., compartmentalized via
deep fascia
Clinically relevant to compartmental syndromes
Deep fascia of the arm
_____ pressure in compartment can affect circulation
Increased
Directly related to the neck
UL
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.
Axillary inlet