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Upper Limb
Anatomy Lecture Final
60
Anatomy
Graduate
07/18/2009

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Cards

Term
What are the 4 parts of the upper limb?
Definition
Shoulder, arm, forearm, and hand
Term
What is the axilla?
Definition
Pyramidal shaped area formed by m. and bones of the shoulder and the lateral surface of the thoracic wall
Term
What is the cubital fossa?
Definition
Triangular shaped depression formed by m. anterior to the elbow joint
Term
What is the carpal tunnel?
Definition
Gateway to the palm of the hand, an arch made up of carpal bones in the proximal hand
Term
What is the pectoral girdle?
Definition
The shoulder formed by the clavicle and scapula.  The region of upper limb attachment to the trunk
Term
What is the only bony attachment of the upper limb to the trunk and what type of movement does it allow?
Definition

Sternoclavicular joint - occurs between the proximal end of the clavicle and the clavicular notch of the manubrium.  Allows movement of the clavicle in the anteroposterior and vertical planes with some rotation.

 

Term
What is the acromioclavicular joint and what movement does it allow?
Definition
A small synovial joint between an oval facet on the medial surface of the acromion and a similar facet on the acromial end of the clavicle.  Allows for movement in the anteroposterior and vertical planes together with some axial rotation
Term
What is the glenohumeral joint and what movements does it allow?
Definition
Synovial ball and socket articulation between the head of the humerus and the glenoid cavity of the scapula.  Flexion, extension, abduction, adduction, medial rotation, lateral rotation, and circumduction.
Term
Name the m. of the shoulder and their general function.
Definition
Trapezius, deltoid, levator scapulae, and rhomboid major and minor.  They connect the scapula and clavicle to the trunk.
Term
What is the innervation of the trapezius?
Definition
Motor part of the accesory nerve (XI)
Term
What is the function and innervation of the deltoid?
Definition
Attaches the scapula and clavicle to the humerus and is a major abductor of the arm.  Innervated by the axillary n.
Term
What is the function of the levator scapulae?
Definition
Elevates the scapula
Term
What is the function of the rhomboids and what is their innervation?
Definition
Elevates and retracts the scapula.  Innervated by dorsal scapular n.
Term
What are the m. of the posterior scapular region and what is their general function?
Definition

Supraspinatus, infraspinatus, teres major and minor, and long head of the triceps brachii.

Attach the scapula, clavicle, and body wall to the proximal end of the humerus.

Term
What is the function and innervation of the supraspinatus m.?
Definition
Initiates abduction of the arm and innervated by the suprascapular n.
Term
What is the function and innervation of the infraspinatus m.?
Definition
Laterally rotates the humerus and is innervated by the suprascapular n.
Term
What is the function and innervation of the infraspinatus m.?
Definition
Laterally rotates the humerus and innervated by the subscapular n.
Term
What is the function and innervation of the teres major m.?
Definition
Medially rotates and extends the humerus and innervated by the inferior subscapular n.
Term
What is the function and innervation of the teres minor?
Definition
Laterally rotates the humerus and innervated by the axillary n.
Term
What is the function and innervation of the triceps brachii m.?
Definition
Extends the forearm at the elbow and innervated by the radial n.
Term
What are the m. of the anterior wall of the axilla?
Definition
Pectoralis major, subclavius, and pectoralis minor
Term
What is the function and innervation of the m. of the anterior wall of the axilla?
Definition
Flexion, adduction, and medial rotation of the arm.  Innervated by the lateral and medial pectoral n.
Term
What is the function and innervation of the subclavius m.?
Definition
Pulls the tip of the shoulder down and pulls the clavicle medially. Innervated by the n. to the subclavius.
Term
What is the function and innervation of the pectoralis minor m.?
Definition
Pulls the tip of the shoulder down and protracts the scapula.  Innervated by the medial pectoral n.
Term
What is the m/ of the medial wall of the axilla?  What is its function and innervation?
Definition
Serratus anterior - pulls the scapula forward over the thoracic wall and facillitates scapular rotation.  Innervated by the long thoracic n.
Term
What are the m. of the lateral wall of the axilla?
Definition
Subscapularis, teres major, latissiumus dorsi, and long head of the triceps brachii m.
Term
What is the function and innervation of the subscapularis m.?
Definition
Helps stabilize the glenohumeral joint.  Innervated by upper and lower subscapular n.
Term
What is the function and innervation of the latissimus dorsi?
Definition
Adduction, medial rotation, and extension at the glenohumeral joint.  Innervated by the thoracodorsal n.
Term
What m. make up the contents of the axilla?
Definition
Biceps brachii and coracobrachialis
Term
What is the function and innervation of the biceps brachii m.?
Definition
flexor of the forearm at the elbow joint and a supinator in the forearm.  Innervated by the musculocutaneous n.
Term
What is the function and innervation of the corachobrachialis m.?
Definition
Flexes the arm at the glenohumeral joint.  innervated by the musculocutaneous n.
Term
What m. make up the rotator cuff and what is its function?
Definition
Supraspinatus, infraspinatus, subscapularis, and teres minor.  It connects the scapula to the humerus and provides support for the glenohumeral joint.
Term
What are the surfaces and borders of the scapula?
Definition

2 surfaces - costal and superior

3 borders - superior, lateral, and medial

Term
What are the angles and processes of the scapula?
Definition

3 angles - lateral, superior, and inferior

3 processes - acromion, spine, and coracoid process

Term
Name the 3 surfaces of the shoulder.
Definition
Quadrangular space, triangular space, and triangular interval
Term
What are the borders of the quadrangular space and what passes through it?
Definition
Inferior margin of the teres minor, superior margin of the teres major and lateral margin of the long head of  the triceps brachii.  Axillary n. and posterior circumflex a. pass through it.
Term
What are the borders of the triangular space and what passes through it?
Definition
Inferior border of the teres minor, superior margin of the teres major and the medial margin of the long head of the triceps brachii m.  The circumflex scapular a. and v. pass through it.
Term
What are the borders of the triangular interval and what passes through it?
Definition
The lateral margin of the long head of the triceps brachii m., inferior margin of the teres major m., and the shaft of the humerus.  The radial n. and the profunda brachii a. and v. pass through it.
Term
What is compartment syndrome?
Definition
When something inside in one of the compartments expands, the fascia won't give and the pressure build up can cause ischemia and necrosis
Term
What are the m. of the anterior compartment of the arm and what type of movement do they produce?
Definition

Coracobrachialis, brachialis, and biceps brachii.

Flexor m. that produce flexion at the elbow

Term
What innervates the m. of the anterior compartment of the arm?
Definition
Musculocutaneous n.
Term
What provides the blood supply to the m. of the anterior compartment of the arm?
Definition
Branches from the brachial a.
Term
What are the m. of the posterior compartment of the arm? What is their function?
Definition
Triceps (3 heads) - extension of the forearm at the elbow
Term
What provides the blood supply to the posterior compartment of the arm?
Definition
Brachial a. from the axillary a. from the subclavian a.  The brachial a. gives off a branch called the profunda brachii which supplies the posterior compartment and terminates into collateral vessels
Term
What innervates the m. of the posterior compartment of the arm?
Definition
Radial n.
Term
What are the layers of the m. of the anterior compartment of the forearm and what is their main function?
Definition
Superficial, intermediate, and deep layers.  Flex the wrist and fingers and pronate the hand.
Term
What are the m. of the superficial layer of the anterior compartment of the forearm?  What innervated them?
Definition
Flexor carpi ulnaris, flexor carpi radialis, palmaris longus, and pronator teres m.  All innervated by the median n., except the flexor carpi ulnaris which is innervated by the ulnar n.
Term
What is the m. of the intermediate compartment of the forearm and what innervates it?
Definition
Flexor digitorum superficialis m., median n.
Term
What are the m. of the deep layer of the anterior compartment of the forearm?
Definition
Flexor digitorum profundus, flexor pollicis longus, and pronator quadratus.  Innervated by the median n. except the medial half of the flexor digitorum profundus which is innervated by the ulnar n.
Term
What are the layers of the posterior compartment of the forearm and what is their general function?
Definition
Superficial and deep layers.  Extend the wrist and fingers and supinate the hand.
Term
What are the m. of the superficial layer of the posterior compartment of the forearm? What are they innervated by?
Definition
Brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris, and anconeus.  Innervated by the radial n.
Term
What are the m. of the deep layer of the posterior compartment of the forearm?  What are they innervated by?
Definition
Supinator, abductor pollicis longus, extensor pollicis longus, extensor pollicus brevis, and extensor indicis.  Innervated by the radial n.
Term
What are the 3 regions that contain the intrinsic m. of the hand?
Definition
Thenar eminence, hypothenar eminence, and interthenar eminence
Term
What are the m. of the thenar eminence and the movement of what are they involved with?
Definition
Abductor pollicis brevis, flexor pollicis brevis, opponens pollicis, and adductor pollicis m.  Involved with the movement of the thumb (1st finger)
Term
What are the flexor and extensor retinacula and what is their function?
Definition
Deep fascia that surrounds the wrist, holds the tendon of the flexor and extensors close to the wrist and accounts for why the wrist either flexes or entends at the wrist joint.
Term
What is the palmar aponeurosis?
Definition
Formed from deep fascia, covers the soft tissues in the hand.  A continuation of the flexor retinacula inferiorly
Term
What are flexor sheaths?
Definition
Fibrous sheaths lined by synovial membranes.  They facillitate the movement of the flexor tendons in the hand. 
Term
What provides the blood supply to the intrinsic m. of the hand?
Definition
radial and ulnar a. which anastamose to form 2 vascular arches inside the hand (deep and superficial)
Term
What innervates the intrinsic m. of the hand?
Definition
General sensation from radial, ulnar, and median n. (RUM).  Motor supply is the ulnar n. except the 3 thenar m. and 3 lateral lumbricales which are innervated by the median n.
Term
Name the m. of the hypothenar region of the hand and their function.
Definition

Palmaris brevis, abductor digiti minimi, flexor digiti minimi (brevis), and opponens digiti minimi.

 

Involved with the movement of the little finger (5th)

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