Shared Flashcard Set

Details

Upper Limb
Muscles, nerves, and Clinical correlations
84
Anatomy
Post-Graduate
04/09/2011

Additional Anatomy Flashcards

 


 

Cards

Term
1. Radial nerve lesion in axilla:
Definition
Improper crutch use. Loss of elbow extension; wrist drop; loss of digital extension. Widespread sensory disturbances of posterior arm and forearm and dorsal hand (pain, paresthesia, numbness) especially in autonomous area.
Term
2. Radial groove lesion: Callus from fracture or acute fracture of humerus through radial groove;
Definition
tumor of radial groove, etc. Wrist drop and loss of digital extension with dorsal hand sensory disturbances, especially in autonomous area (and possibly posterior forearm). “Park bench palsy”: Compression of nerve in radial groove because of improper body position with sleep or anesthesia.
Term
3. Entrapment in lateral intermuscular septum:
Definition
Wrist drop and loss of digital extension with dorsal hand sensory disturbances, especially in autonomous area.
Term
4. Entrapment in radial tunnel:1) Between Brachialis and Brachioradialis:
Definition
Loss of digital extension; dorsal hand sensory disturbances? (especially in autonomous area)
Term
4. Entrapment in radial tunnel: 2) Middle of tunnel, between mobile wad fibrous bands and tunnel floor :
Definition
Loss of digital extension; dorsal hand sensory disturbances? (especially in autonomous area)
Term
4. Entrapment in radial tunnel:3) Distal end of tunnel;
Definition
Leash of Henry (radial recurrent vessels) compress posterior interosseous nerve resulting in loss of digital extension.
Term
5. Entrapment under arcade of Frohse or within supinator canal (posterior interosseous syndrome/supinator syndrome):
Definition
loss of digital extension (supinator muscle is often spared).
Term
Innervation of the radial nerves (proximal to distal)
Definition
brachioradialis, ext. carpi radialis longus, ext carpi radialis brevis, supinator, ext. digitorum communis, ext. carpi ulnaris, ext. digiti minimi, abductor pollicis longus, ext. pollicis brevis, ext. pollicis longus, ext. indicis proprius, sensory terminal to dorsal wrist and joint capsule (goes through the 4th comp. of externor retinaculum)
Term
externsor retinaculum compartments
Definition
1. abductor pollicis longus, ext. pollicis brevis
2. ext. carpi radialis longus and brevis
3. ext. pollicis longus
4. ext. digitorum communis and ext. indicis propius
5. ext. digiti minimi
6. ext. carpi ulnaris
Term
Posterior forearm superficial muscles
Definition
ext. carpi radialis longus, ext. carpi radialis brevis, ext. digitorum communis,ext. digiti minimi ext. carpi ulnaris
Term
Deep Posterior forearm muscles
Definition
Supinator, Abductor pollicis longus, ext. pollicis brevis, ext. pollicis longus, ext. indicis propius
Term
radial nerve innervation: 2 muscles
Definition
brachioradialis, and ext carpi radialis longus
Term
Deep radial nerve
Definition
Ext. carpi brevis and supinator
Term
Posterior Interosseous Nerve
Definition
Ext. digitorum communis, ext. carpi ulnaris, ext. digiti minimi, abductor pollis longus, ext. pollicis brevis, ext. pollicis longus, ext. indicis proprius, Sensory terminal to dorsal wrist joint capsule
Term
Superficial Radial Nerve innervates this on the posterior side
Definition
Autonomous area of superficial br. Dorsal web space between thumb and index finger
Term
Median nerve innervation
Definition
pronator teres, Flexor carpi radialis, palmaris longus, first two lumbricals, opponens pollicis, abductor pollicis brevis, flexor pollicis brevis
Term
Anterior Interosseous Terminal Nerve
Definition
provides sensory innervation to the volar wrist joint capsule
Term
Anterior Interosseous Nerve muscle innervation
Definition
Flexor digitorum profundus to the index and middle fingers, flexor pollicis longus, pronator quadratus
Term
Rami (spinal nerve) level of abduction of the shoulder
Definition
C5
Term
Ventral rami involved in elbow flexion
Definition
C6
Term
Ventral rami involved in Elbow extension
Definition
C7
Term
Spinal nerves for extension and flexion of the wrist
Definition
C6, C7
Term
Lateral cords gives rise to
Definition
musculocutaneous nerve and median nerve (also has contributions from the medial cord)
Term
Extension and thumb abduction is conducted by what spinal nerve
Definition
C8
Term
Supination of the wrist is done by what spinal nerve
Definition
C6
Term
Pronation of the wrist is done by what spinal nerve
Definition
C7, C8
Term
Pronator teres insertion and origin
Definition
O:1. Medial Epicondyle (humerus), Coronoid process of ulna
I: Middle later surface of the radius
Term
Flexor Carpi Radialis Origin and insertion
Definition
O: Medial epicondyle
I: Base of 2nd metacarpal
Term
Palmaris longus Origin and Insertion
Definition
O:Medial epicondyle I: Distal ½ of Flexor retinaculum and palmar aponeurosis
Term
Flexor Carpi Ulnaris Origin and insertion
Definition
O: Medial epicondyle
I: Ulna Pisiform bone, and hook of Hamate, 5th metacarpel
Term
Flexor Carpi Ulnaris Origin and insertion
Definition
O: Medial epicondyle
I: Ulna Pisiform bone, and hook of Hamate, 5th metacarpel
Flexor Digitorum Superficialis 1. Medial epicondyle
2. Coronoid process of ulna
3. Superior ½ of Anterior border of the radius Bodies of the middle phalanges
Term
Flexor Digitorum Profundus Origin and insertion
Definition
O: Proximal ¾ of medial ulna, anterior surface of ulna, interosseus membrane I: Middle Phalanges of medial 4 digits
Term
Flexor Pollicis longus Origin and insertion
Definition
O: Anterior surface of radius and interosseous membrance
I:Base of distal phalanx of thumb
Term
Pronator Quadratus Origin and insertion
Definition
O: Distal ¼ of anterior surface of ulna
I: Distal ¼ of anterior surface of radius
Term
Intrinsic muscles of the thumb
Definition
Opponens Pollicis, flexor pollicis brevis, abductor pollicis brevis, abductor digiti minimi, flexor digiti minimi brevis, oppponens digiti minimi, lumbricals
Term
Extrinsic Thumb muscles
Definition
Flexor pollicis longus, abductor pollicis longus, extensor pollicis brevis and longus
Term
Radial nerve cord
Definition
Posterior cord C5-C8
Term
Axiallary nerve cord and spinal nerves
Definition
posterior cord, C5, C6
Term
Musculocutaneous nerve cord and Spinal nerve
Definition
Lateral cord, C5-C7
Term
Median Nerve cord and spinal nerves
Definition
medial and lateral cords, C6-T1
Term
Ulnar nerve cord and spinal nerves
Definition
Medial cord, C8, T1
Term
Branches of the Axillary Artery
Definition
I: Supreme thoracic Artery
II: Thoracoacromial and Lateral thoracic Arteries
III:Subscapular and Posterior humeral circumflex Arteries
Term
Branches of the brachiel artery and areas they supply
Definition
Deep brachial and collateral aa.: Arm and elbow
Term
Ulnar Artery branches
Definition
Common interosseous artery, anterior and posterior interosseous
Term
C8 dermatome
Definition
pad of little finger
Term
C5 dermatome
Definition
upper lateral arm over deltoid
Term
C6 dermatome terminal branch
Definition
pad of thumb
Term
C7- dermatome terminal branch
Definition
pad of index finger
Term
Medial antebrachial cutaneous nerve
Definition
medial cord collateral, C8, T1
Term
Long Thoracic Nerve innervates
Definition
Serratus anterior (C5,C6,C7). Keeps vertebral border of scapula fixed at the “scapulothoracic joint”; upwardly rotates glenoid fossa with abduction and elevation of upper limb (scapulohumeral rhythm).
Term
Injury of Long Thoracic Nerve
Definition
Injury with prolonged heavy backpack; axillary lymphadenectomy. Paralysis: winging of vertebral border of scapula with pushing; unable to elevate or abduct arm >90°
Term
Later Intermuscular septum separates
Definition
anterior (volar; palmar) and posterior (dorsal) for the upper limb
Term
Upper limb venous drainage
Definition
Radial and Ulnar veins drain in to he brachial vv., that then drains into the baslic vein, then to the axillary veins (which also revices deoxygenated blood form the cephalic veins, finally to drain into the subclavian veins
Term
ulnar nerve route
Definition
from C8- T1, to the medial cord, passes through the intramuscular septum, the arcade of struthers, retrocondrayl groove, cubital tunnel, through the two head of the flexor carpi ulnaris, gets to the wrist, then enters the ulnar tunnel (Guyon's tunnel) then innervates the pinky and the adjacent side of the ring finger
Term
the interosessous muscles of the digits are innervated by
Definition
deep Unlar nerve
Term
Claw hand is caused by
Definition
Ulnar nerve compression: loss of fine extension of the digits (interossesous muscles) and thumb cannot fully adduct because the adductor pollicis muscle is paralzyed
Term
Klumpke Palsy
Definition
Lower Trunk Injuries: Trauma to the upper trunk (C8, T1) by forceful hyperabduction and traction of upper limb.
Term
Horner's Syndrome and how it results from Lower trunk lesions C8-T1 (brachial plexus)
Definition
Horner's syndrome: miosis (constricted pupil), ptosis (droopy eye) and anhidrosis (loss of sweat) ipsilateral that the Lower trunk lesion exsists. this occurs because ouflow of sympathetic trunk stops at T1.
Term
radiculopathy
Definition
preplexus lesion
Term
mononeuropathy
Definition
post plexus lesion
Term
Posterior cord gives rise to
Definition
axiallary nerve and radial nerve
Term
Medial cord gives rise to
Definition
the Ulnar nerve and part of the median nerve (the other part coming from the lateral cord)
Term
Paget-Schroetter Syndrome
Definition
compression of the axillary vein; clavian axillary junction where the vein crosses over the first rib in the costoclaviculsr cannal
Term
route of musculocutaneous nerve
Definition
comes form the lateral cord (C5,6,7), It penetrates the Coracobrachialis muscle and passes obliquely (inferior, lateral angle) between the Biceps brachii and the Brachialis, to the lateral side of the arm; a little above the elbow it pierces the deep fascia lateral to the tendon of the Biceps brachii and is continued into the forearm as the lateral cutaneous nerve of the forearm.
Term
innervation of the musculocutaneous nerve
Definition
In its course through the arm it innervates the Coracobrachialis, Biceps brachii, and the greater part of the Brachialis.
Term
Ulnar bursa and potential spread of infections
Definition
In most patients, the radial and ulnar bursae do not communicate.The ulnar bursa gives rises to the synovial tendon sheaths of the pinky;

Deep puncture wounds of the volar little finger carry a slightly greater significance of bacterial tenosynovitis and midpalmar space abscess compared to other digits because of the ulnar bursa continuation into the pinky
Term
Ulnar nerve innervation in the forearm
Definition
flecor carpi ulnaris, and half of the flexor digitorum profundus
Term
Route of Ulnar nerve through the wrist
Definition
Passes superficial to the flexor retinaculum in the ulnar canal (Guyon's canal)
Term
Guyon's canal
Definition
ulnar canal between the pisiform bone and the hook of hamate bone in the anterior wrist
Term
Ulnar nerve motor innervation in the hand
Definition
comes form the deep branch of the ulnar nerve; innervates the opponens digiti minimi, abductor digiti minimi, flexor digiti minimi, adductor pollicis muscle, VIP: DORSAL AND PALMAR INTEROSSEOUS muscles
Term
Injuries to Ulnar nerve will result in what motor deficits
Definition
lack of fine motor control for extension (like typing) because of paralysis of the interosseous muscles of the hand and the flexor digitorum profundus pull from little and middle fingers (claw hand)
Term
Hand of benediction
Definition
Failure of thumb, index and usually middle finger to flex into fist.because of a lesion in the proximal median nerve
Term
Carpal Tunnel contents
Definition
Median nerve, 4 tendons of the flexor carpi superficialis, 4 tendons of the flexor carpi profundus, and flexor pollicis longus
Term
most important wrist extensors
Definition
extensor carpi radialis longus and brevis (C6, C7...radial nerve)
Term
The single best test for a radial nerve lesion
Definition
is having the patient dorsally raise the thumb from a flat surface (extensor pollicis longus). The patient will not be able to perform this test with a severe radial nerve lesion.
Term
Posterior Interosseous nerve supplies
Definition
It supplies all the muscles on the radial side and dorsal surface of the forearm, Brachioradialis, Extensor carpi radialis longus (which is done by the radial nerve)
Term
Wartenberg’s syndrome:
Definition
Entrapment of superficial radial nerve as it emerges between the tendons of the brachioradialis and extensor carpi radialis longus
Term
de Quervain’s tenosynovitis
Definition
inflammation of the tendon sheaths in first extensor compartment of the wrist
Term
Muscles of the anterior arm
Definition
biceps crachii muscle, coracobrachialia muscle, and the brachialis muscle
Term
origins of the Biceps brachii muscle
Definition
short head: coracoid process
long head: supraglenoid tubercle of the scapula
Term
Lateral antebrachial cutaneous nerve location
Definition
cutaneous branch of the median nerve; emerges just lateral (radial) to the biceps brachii muscle and tendon in the cubital fossa
Term
triceps brachii muscle origin and insertion, innervation and action
Definition
Origin of 3 heads:
1. Long head - Lower part of the glenoid cavity of the scapula
2. Lateral head - Upper half of the posterior surface of the humerus
3. Medial head - Lower 2/3 of the posterior surface of the humerus

Insertion: Olecranon process of the ulna
innervation: radial nerve
Action: extension of the elbow
Term
The olecranon process of the ulnae
Definition
where the ticeps brachii insert; is a large, thick, curved bony eminence of the forearm that projects behind the elbow.
Term
if untreated, what muscle atrophies as a rsult of carpel tunnel syndrome
Definition
interosseous muscles
Supporting users have an ad free experience!