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Anatomy Block-4 Gems-2
AUC Arm & nerves
27
Anatomy
Graduate
03/30/2011

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Cards

Term
Erb-duchenne or Erb's palsy
Definition
Waiters tip palsy
Upper, C5&C6 brachial plexus root lesions at union of c5/6
Pec major unopposed. Medially rotates shoulder.
loss of sensation in lateral aspect of upper limb
Term
Shoulder Seperation
Definition
acromioclavicular seperation common
coracoacromial ligament
coracoclavicular
Term
Shoulder Dislocation
Definition
95% are anterior
Can damage the axillary artery
Term
Injurty to the Ulnar nerve
Definition
Weakness of medial felxion of the wrist

loss of sensation on medial side of hand and fingers

clawing of fingers
Term
Injury to median nerve
Definition
Cause of carpel tunnel
benediction of hand
ape hand
Term
Ulnar and Median nerve damage
Definition
Injury to hand and fingers become flat
innervation to all felxors is lost

only dorsal extensors of forearm and hand are still functional

claw hand involves injury to both
Term
Injury to Radial n
Definition
Loss of elbow, wrist, finger extensors.
arm held in flexion
Term
Klumpke Paralysis
Definition
Lower brachial plexus, damage to C8/T1

Paralysis of intrinsic m. of hand responsible for fine movements
Combination ulnar and median n. lesion
Long flexors of fingers are lost(c8)&
reduction of grip

If due to TOS may include Horner syndrome
Term
Injury to C5
Definition
Deltoid,rotator cuff, anterior brachium
Term
Injury to C7
Definition
loss of triceps
loss of extension of proximal MP joints

weakness of flexion of the wrist
Term
Humerous fracture
Definition
Surgical neck: Axillary nerve and PHC a

midshaft: radial n., deep (profunda) brachial a., origin of brachialis

supracondylar fracture: median nerve & brachial a.

medial condyle: ulnar nerve
Term
Cubital fossa contents
Definition
Lateral to medial

radial n
biceps brachi tendon
brachial artery
median n

Subcutaneous from lateral to medial
Cephalic v.
Median Cubital v.
Basilic v.
Term
Arm Bone articulations
Definition
Trochlea of humerous articulates with ulna

Capitulum of humerous articulates with radius
Term
Medial epicondyle
Definition
Ulnar nerve runs in a groove(funny bone)

Golfers elbow
Inflamation of common flexor origin
muscles affected:
Pronator Teres
Flexor Carpi Radialis
Palmaris longus
Flexor carpi ulnaris
Term
Lateral epicondyle
Definition
Tennis elbow -pain radiates down posterior aspect of forearm

inflammation of common extensor origin

Also cause by radial nerve entrapment
Term
Cubital fossa boundaries
Definition
lateral: brachioradialis

medial: Pronater teres

Brachial artery enters and splits into radial and ulnar

Medial nerve runs through
Term
Compartment Compression Syndrome
Definition
Inflammatory processes in antebrachium

reduces blood flow to hand and innervation

Allens Test
Term
Colles Fracture
Definition
Transverse Fracture of the radius.

Fall on extended wrists

posterior dislocation
-dinner fork deformity
Term
Smiths Fracture
Definition
Fracture of distal radius.

Radius displaced ventrally.
ulnar styloid process avulced (broken off)

fall on flexed wrists
Term
Bennetts fracture
Definition
Bennets fracture: APL(Abductor Pollices longus) tendon force fractures metacarpal thumb

Reverse Bennets: ECU tendon fractures pinky metacarpal.(extensor carpi ulnaris)
Term
Boxers fracture
Definition
fracture of the neck of any metacarpal
Term
Volkmans contracture
Definition
Fracture in elbow region, supracondylar fracture.


Brachial artery near elbow becomes obstructed. Causes muscle necrosis.

Constant flexion of fingers and wrist
Term
Dupuytrens Contracture
Definition
tightness of plamar aponeurosis

Fixed flexion of fingers, cannot grip tennis ball
Term
olecranon bursa
Definition
distal attachment of Triceps tendon is to olecran which is separated from skin by olecranon bursa

student's elbow -bursitis from repeated excessive pressure and friction
Term
Arterial Anastomoses around Scapula
Definition
Blockage of subclavian or axillary a. can be bypassed by anastomosis btwn:
Thyrocervical & Subscapular a.

branches:
transverse cervical
Suprascapular
Subscapular
Circumflex scapular
Term
Lesion of Lateral Cord
Definition
injury to musculocutaneous n.
weakens flexion of elbos and supination of forearm

Anesthesia over lateral forearm
Term
Cutaneous innervation of hand
Definition
Dorsum: 1,5 –U and 3.5 R

Palm: 1,5 –U and 3,5 M
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