Upper Limb Clinical Anatomy Flashcards

1
Q

What is the dermatome of C5?

A

Shoulder tip
Lateral part of upper arm

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2
Q

What is the dermatome of C6?

A

Lateral aspect of forearm and thumb

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3
Q

What is the dermatome of C7?

A

Middle finger

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4
Q

What is the dermatome of C8?

A

Little finger

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5
Q

What is the dermatome of T1?

A

Medial aspect of upper arm and elbow

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6
Q

What does the radial nerve supply?

A

Brachioradialis
Extensors of hand
Triceps brachii

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7
Q

What is the characteristic deformity of the radial nerve?

A

Wrist drop

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8
Q

If wrist drop isn’t obvious, how would you demonstrate this?

A

Flex elbow
Pronate forearm
Extend wrist and fingers

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9
Q

When is the triceps brachii muscle affected by a radial nerve injury?

A

If a lesion occurs in the upper third of the arm

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10
Q

How would one test sensation of the radial nerve?

A

Area over anatomical snuff box

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11
Q

Which muscles of the hand does the median nerve supply?

A

Lateral 2 lumbrical
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis (in many people)

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12
Q

How would you assess for weakness of abductor pollicis brevis?

A

Pen-touching test
Hand flat, palm supinated, abduct thumb vertically to touch pen.

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13
Q

What is the Ochsner’s clasping test?

A

Tests loss of FDS
Clasp hands firmly together
The index finger on the affected side fails to flex with a lesion of the median nerve in the cubital fossa or higher

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14
Q

What is the sensory distribution of the median nerve?

A

Palmar aspect of thumb, index finger, middle finger, lateral half of the ring finger
The palm is spared in median nerve lesions in the carpal tunnel

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15
Q

What is the defining hand deformity of the median nerve?

A

Hand of Benediction

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16
Q

What is the defining hand deformity of the ulnar nerve?

A

Claw hand deformity - hyperextension of MCP joints and flexion of IP joints

17
Q

When is an ulnar claw deformity more pronounced?

A

Lesion of nerve at wrist than a lesion at or above the elbow
More distal lesions cause greater deformity

18
Q

What is Froment’s sign?

A

Grasp paper between thumb and lateral index finger with each hand
Affected thumb will flex because of loss to adductor pollicis

19
Q

What is the sensory distribution of the ulnar nerve?

A

Palmar and dorsal aspects of little finger and medial ring finger

20
Q

How does a patient with a dislocated shoulder present?

A

Head of humerus protrudes
Grasps injured arm to support it
Deformed shoulder
Bruising

21
Q

What is possible due to a fracture of the surgical neck of humerus?

A

Axillary nerve damage

22
Q

What is fracture of the distal part of the humerus called?

A

Supracondylar fracture

23
Q

What may a supracondylar fracture of the humerus cause?

A

Damage brachial artery
May lead to Volkmann’s Ischaemic Contracture

24
Q

What is Volkmann’s Ischaemic Contracture?

A

Deep flexors are partially involved
One or more fingers extended with wrist flexion
Resistant pronation contracture

25
Q

What may tenderness in the anatomical snuff box mean?

A

Broken scaphoid bone

26
Q

Why is a scaphoid fracture so serious?

A

Avascular necrosis
Blood supply is broken in a fracture putting the proximal part of the scaphoid at risk of necrosis after a fracture

27
Q

What is the medical term for compression of the median nerve as it enter the hand?

A

Carpal tunnel syndorme

28
Q

What would you see in a patient with long-standing Carpal Tunnel Syndorme?

A

Wasting of thenar eminence

29
Q

What nerve is damaged when there is an injury involving the medial epicondyle of the humerus?

A

Ulnar nerve

30
Q

What would you see on inspection of a patient with a suspected ulnar nerve palsy?

A

Wasting of hypothenar eminence

31
Q

What nerve is injured in Saturday Night Palsy?

A

Radial nerve

32
Q

When may the radial nerve be injured?

A

As it moves through the spiral groove of the humerus, midshaft fracture of the humerus