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Upper Limb 2:Pec Region/Brachial Plexus - UNC MS1 Anatomy
Upper Limb 2: Pectoral Region and Brachial Plexus
19
Anatomy
Graduate
10/25/2011

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Term
what is the most frequently fractured bone in the body?
Definition
clavicle
Term
sternoclavicular joint
Definition
"saddle" type synovial joint between clavicle and manubrium of sternum.
only TRUE articulation between upper limb and axial skeleton
Term
SC joint is stabilized by?
Definition
anterior and posterior SC ligaments
interclavicular ligament
costoclavicular ligament - clavicle to 1st rib
Term
what acts as a shock absorber when you fall on outstreched hand (FOOSH)
Definition
intra-articular disc between clavicle and sternum
Term
what acts as a shock absorber when you fall on outstreched hand (FOOSH)
Definition
intra-articular disc between clavicle and sternum
Term
what stabilizes the AC joint?
Definition
acromioclavicular ligament, coracoclavicular ligaments (trapezoid ligament, conoid ligament)
Term
AC dislocation (shoulder separation) - what happens by degree?
Definition
1st degree - sprain - AC ligament sprains
2nd degree - AC ligament breaks
3rd degree - AC and coracoclavicular ligaments break
Term
pectoralis major
Definition
adducts and medially rotates arm
flexes arm at shoulder joint
innervated by medial and lateral pec nerves
Term
4 muscles that adduct the arm?
Definition
pectoralis major, teres major, lattissimus dorsi, subscapularis
Term
pectoralis minor
Definition
from ribs to coracoid
stabilizes the scapula against the thoracic wall
innervated by medial pec nerve
Term
what does subclavian artery turn into and where?
what does the [next] artery turn into and where?
Definition
axillary, at the lateral border of the 1st rib
brachial, at the teres major
Term
axillary artery gives off what 6 branches?
Definition
1st part --> superior thoracic artery
2nd part --> thoracoacromial trunk and lateral thoracic artery
3rd part --> subscapular, anterior humeral circumflex, posterior humeral circumflex
Term
subscapular artery gives rise to? (2)
Definition
thoracodorsal and scapular circumflex
Term
anterior divisions of the brachial plexus form nerves that innervate what kind of muscles?
Definition
flexor (anterior) muscles
posterior divisions --> extensor (posterior) muscles
Term
what are the subscapular nerves and what do they do?
Definition
upper and lower subscapular and thoracodorsal
adduct and medially rotate
Term
roots of the plexus pass through which two muscles?
Definition
anterior and middle scalene muscles, which attach to the cervical vertebrae and the first rib
Term
pre-fixed plexus?
Definition
plexus has large C4 component and lacks T1 ('up' on spinal segment)
Term
post-fixed plexus?
Definition
plexus has large T2 component and lacks C5 ('down' on spinal segment)
Term
intercostobranchial nerve
Definition
only upper limb nerve NOT coming from the brachial plexus, it is a lateral cutaneous branch of the T2 intercostal nerve --> small area of sensation on medial arm
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