Upper Limb II: The Arm and Forearm Flashcards
which bone of the forearm is medial?
ulna
which bone of the forearm is lateral?
radius
thumb side
humeral region of upper extremity
brachium
what are the three joints of the elbow?
humeroradial
humeroulnar
proximal radial
name the nerves moving down the ANTERIOR side of the arm and forearm
supraclavicular nerve
T2 intercostobrachial nerve
medial brachial cutaneous nerve
lateral cutaneous nerve of forearm
some axillary nerve on deltoid
name the nerves moving down the POSTERIOR side of arm and forearm
T2 intercostobrachial nerve
superior lateral cutaneous nerve (via axillary)
posterior cutaneous nerve of arm
posterior cutaneous nerve of forearm
what nerves are from radial nerve
posterior ante brachial cutaneous
posterior brachial cutaneous
major veins of the arm and forearm
cephalic vein
basilic vein
medial cubital vein (cubital fossa)
these are on anterior side
fascia that surrounds the arm
brachial fascia
fascia surrounding the forearm
ante brachial fascia
arterial supply of arm
axillary artery branches to brachial
significant tributaries of brachial artery
profunda brachii (deep brachial)
superior ulnar collateral
inferior ulnar collateral
branches of the profunda brachii
posterior descending branch (middle collateral)
muscles of the flexor compartment
biceps barachii
brachiallis
coracobrachialis
what nerve innervates the flexors
musculocutaneous
what lies beneath the short head of the biceps
coracobrachialis
are the flexors anterior or posterior?
anterior
proximal attachment of long head of biceps brachii
supraglenoid tubercle of scapula
proximal attachment of short head of biceps brachia
coracoid process of scapula
distal attachment of biceps brachii
radial tuberosity and fascia of forearm
what allows the biceps to attach distally?
bicipital aponeurosis
blood supply of biceps brachii
brachial artery
innervation of biceps brachii
musculocutaneous nerve
proximal attachment of coracobrachialis
coracoid process of scapula
distal attachment of coracobrachialis
middle 1/3 of medial humeral surface
actions of coracobrachialis
flexes and adducts arm at shoulder joint
resists dislocation of shoulder joint
blood supply of coracobrachialis
brachial artery
innervation of coracobrachialis
musculocutaneous
may have radial nerve contributions
what muscles compose the extensors of the arm?
triceps brachii
anconeus
are extensors anterior or posterior?
posterior
3 parts of the triceps
long head
lateral head
medial head
what nerve innervates the extensors?
radial nerve
proximal attachment of anconeus
lateral epicondyle of humerus
distal attachment of anconeus
lateral surface of olecranon
superior part of surface of ulna
blood supply of anconeus
deep brachial artery
innervation of anconeus
radial nerve
proximal attachment of long head of triceps bracii
infraglenoid tubercle
proximal attachment of lateral head of triceps bracii
posterior surface of humerus
proximal attachment of medial head of triceps bracii
posterior surface of humerus, inferior to radial groove (spiral groove)
distal attachment of triceps bracii
proximal olecranon and fascia of forearm
actions of triceps bracii
extends forearm at elbow joint
resists dislocation of shoulder joint (long head)
blood of triceps bracii
deep brachial artery
innervation of triceps bracii
radial nerve
the activity at the elbow joint involves working (with/against) strong flexing
against
triceps are constantly acting as antagonists to forearm flexors
what is the cubital fossa?
junction between the arm and forearm
superior boundary of cubital fossa
imaginary line between medial and lateral epicondyles of humerus
lateral boundary of cubital fossa
brachioradialis
medial boundary of cubital fossa
pronator teres
roof boundary of cubital fossa
skin, superficial and deep fascia. bicipital aponeurosis
floor of cubital fossa
supinator and brachialis
name the contents of the cubital fossa
- median nerve
- bifurcation of radial and ulnar arteries
- brachial veins (venae comitantes)
- tendon of biceps brachia and bicipital aponeurosis
- radial nerve (deep and superficial)
what lies posterior to the cubital region?
elbow region
what does the elbow region consist of?
triceps and olecranon process
anconeus
ulnar nerve runs posterior to medial epicondyle of humerus
posterior ulnar recurrent artery
proximal attachment of pronator teres
coronoid process of ulna
distal attachment of pronator teres
middle of lateral surface of radius
actions of pronator teres
pronates and flexes forearm at elbow
innervation of pronator teres
median nerve
proximal attachment of flexor carpi radialis
medial epicondyle of humerus (common flexor origin)
distal attachment of flexor carpi radialis
base of second metacarpal
actions of flexor carpi radialis
flexes and abducts hand at wrist
innervation of flexor carpi radialis
median nerve
proximal attachment of palmaris longus
medial epicondyle of humerus
distal attachment of palmaris longus
flexor retinaculum
continuous with palmar aponeurosis
actions of palmaris longus
flexes hand at wrist, tenses palmar aponeurosis
innervation of palmaris longus
median nerve
proximal attachment of flexor carpi ulnaris
medial epicondyle of humerus
distal attachment of flexor carpi ulnaris
pisiform, hook of hamate, 5th metacarpal
which muscle of the forearm can be absent?
palmaris longus
actions of of flexor carpi ulnaris
flexes and adducts hand at wrist
innervation of flexor carpi ulnaris
ulnar nerve
superficial layer of anterior forearm is composed of these muscles
pronator teres
flexor carpi radialis
flexor carpi lunaris
palmaris longus
intermediate layer of forearm is composed of these muscles
flexor digitorum superficialis
proximal attachment of flexor digitorum superficialis
medial epicondyle of humerus
superior anterior border of radius
distal attachment of flexor digitorum superficialis
shafts of middle phalanges of medial 4 digits
actions of flexor digitorum superficialis
flexes middle phalanges at proximal interphalangeal joint
flexes proximal phalanges at metacarpophalangeal joints
innervation of flexor digitorum superficialis
median nerve
deep layer of anterior forearm is composed of these muscles
flexor digitorum profundus
flexor pollicis longus
pronator quadratus
proximal attachment of flexor digitorum profundus
proximal medial and anterior surface of ulna and interosseous membrane
distal attachment of flexor digitorum profundus
bases of distal phalanges of 2nd-5th fingers
actions of flexor digitorum profundus
flexes distal phalanges at interphalangeal joints
power grip
innervation of flexor digitorum profundus
median (anterior interosseous nerve) and ulnar nerve
proximal attachment of flexor pollicis longus
anterior surface of radius and interosseous membrane
distal attachment of flexor pollicis longus
base of distal phalanx of thumb
actions of flexor pollicis longus
flexes thumb
innervation of flexor pollicis longus
median nerve via anterior interosseous nerve
proximal attachment of pronator quadratus
distal 1/4 of anterior surface os ulna
distal attachment of pronator quadrates
distal anterior surface of radius
actions of pronator quadratus
pronates forearm, deep fibers bind radius and ulna
innervation of pronator quadratus
median =nerve via anterior interosseous nevre
innervation of poster forearm
radial nerve
superficial and deep branches of radial nerve
muscles of the superficial extensors group
brachioradialis extensor carpi radialis longus extensor carpi radialis brevis extensor digitorum extensor digiti minimi extensor carpi lunaris
proximal attachment of brachioradialis
proximal supraepicondylar ridge of humerus
distal attachment of brachioradialis
distal radius
proximal to styloid process
actions of brachioradialis
flexes forearm why it is pronated
innervation of brachioradialis
radial nerve
proximal attachment of extensor carpi radialis longus
lateral supracondular ridge of humerus
about same as brachioradialis
distal attachment of extensor carpi radialis longus
dorsal aspect of base of 2nd metacarpal
actions of extensor carpi radialis longus
extends and abducts hand at wrist
innervation of extensor carpi radialis longus
radial nerve
proximal attachment of extensor carpi radialis brevis
lateral epicondyle of humerus
distal attachment of extensor carpi radialis brevis
dorsal aspect base of 3rd metacarpal
innervation of extensor carpi radialis brevis
deep branch of radial nerve
proximal attachment of extensor digitorum
lateral epicondyle of humerus
distal attachment of extensor digitorum
extensor expansions of medial 4 fingers
actions of extensor digitorum
extends medial 4 fingers at metacarpophalangeal joints and somewhat at interphalangela joints
innervation of extensor digitorum
posterior interosseous nerve
proximal attachment of extensor digiti minimi
lateral epicondyle of humerus
distal attachment of extensor digiti minimi
extensor expansion of 5th finger
actions of extensor digiti minimi
extends 5th finger at metacarpophalangeal joint and secondarily at interphalangeal joints
innervation of extensor digiti minimi
posterior interosseous
proximal attachment of extensor carpi lunaris
lateral epicondyle and posterior border of ulna
distal attachment of extensor carpi lunaris
dorsal aspect of base for 5th metacarpal
innervation of extensor carpi lunaris
posterior interosseous nerve
actions of extensor carpi lunaris
extends and adducts hand at wrist
deep extensors
supinator extensor indicis abductor pollicis longus extensor pollicis longus extensor pollicis brevis
proximal attachment of supinator
lateral epicondyle of humerus
radial collateral and angular ligaments
ulnar crest
distal attachment of supinator
proximal radius (nearly all surfaces)
actions of supinator
supinates forearm
bringing radius back to anatomical position
innervation of of supinator
deep branch of radial nerve
proximal attachment of extensor indicis
posterior surface of distal ulna and interosseous membrane
distal attachment of extensor indicis
extensor expansion of 2nd finger
actions of extensor indicis
independent extension of 2nd finger
helps with extension of wrist
innervation of extensor indicis
posterior interosseous nerve
proximal attachment of abductor pollicis longus
posterior surface of proximal ulna and radius, interosseous membrane
distal attachment of abductor pollicis longus
base of 1st metacarpal
innervation of abductor pollicis longus
posterior interosseous nerve
actions of abductor pollicis longus
abducts thumb and extends at carpometacarpal joint
proximal attachment of extensor policies brevis
posterior surface of distal radius
interosseous membrane
distal attachment of extensor policies brevis
dorsal aspect of proximal phalanx of thumb
actions of extensor policies brevis
extends proximal phalanx of thumb at its metacarpophalangeal joint
extends carpometacarpal joint
innervation of extensor policies brevis
posterior interosseous nerve
proximal attachment of extensor policies longus
posterior surface of the middle ulna
interosseous membrane
distal attachment of extensor policies longus
dorsal aspect of base of distal phalanx of thumb
actions of extensor policies longus
extends distal phalanx of thumb
extends metacarpophalangeal and carpometacarpal joint
innervation of extensor policies longus
posterior interosseous nerve
what muscles compose the anatomical snuff box?
extensor pollicis longus
extensor pollicis brevis
abductor pollicis longus
what causes a radial nerve injury
fracture to humerus saft
causes wrist drop
wrist drop
radial nerve injury
paralysis of the extensors of the wrist and fingers resulting in inability to extend
flexors bak over and wrist assumes a partial flexed positions