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175 Cards in this Set
- Front
- Back
What are the margins of the AXILLARY INLET?
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Posterior: scapula
Medial: rib I Anterior: clavicle |
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What structures enter the AXILLARY SHEATH?
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Brachial Plexus and Axillary Artery
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What major vessels and nerves pass between the neck and axilla by crossing over RIB I and through axillary inlet?
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Subclavian artery-->AXILLARY ARTERY
Subclavian vein <-- AXILLARY VEIN Trunks of Brachial Plexus--> DIVISIONS --> CORDS OF PLEXUS |
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T or F
The subclavian vein is outside the axillary sheath. |
TRUE
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What structure divides the subclavian vein and subclavian artery?
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Anterior Scalene Muscle
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T or F
The axilla contains various groups of lymph nodes. |
TRUE. -drain upper limb and chest wall
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Which part of the BRACHIAL PLEXUS is located in the axilla?
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Cords (superior, middle, inferior)
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What part of the brachial plexus does the LATERAL PECTORAL NERVE arise from?
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lateral (C5-7) CORD
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What part of the brachial plexus does the MEDIAL PECTORAL NERVE arise from?
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Medial (C8-T1) CORD
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What innervates the PECTORALIS MAJOR MUSCLE?
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BOTH: Lateral AND medial pectoral nerves
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Nerve that innervates PECTORALIS MINOR MUSCLE
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Medial Pectoral Nerve
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Result of damage to LATERAL and MEDIAL PECTORAL NERVES
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weakened adduction
weakened medial rotation of arm |
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Name the muscles of the ANTERIOR WALL of AXILLA
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Subclavius muscle
Pectoralis Major m. Pectoralis Minor m. |
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Name the muscles of the POSTERIOR WALL of AXILLA
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Subscapularis m.
Suprascapularis m. Infrascapularis m. Teres Major m. Latissimus Dorsi m. |
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Nerve that travels through SUPRASCAPULAR FORAMEN
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Suprascapular n.
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Muscles innervated by SUPRASCAPULAR NERVE
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Supraspinatus m.
Infraspinatus m. |
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Nerve that innervates SUPRASPINATUS MUSCLE and INFRASPINATUS MUSCLE
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Suprascapular n.
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What part of the brachial plexus does the SUPRASCAPULAR NERVE arise from?
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Superior Trunk
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Nerve that innervates the SUBCLAVIUS MUSCLE
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Nerve to Subclavius m.
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What part of the brachial plexus does the NERVE TO SUBCLAVIUS MUSCLE arise from?
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Superior Trunk
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Suprascapular notch and ligament forms this structure
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SUPRASCAPULAR FORAMEN
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Results of entrapped suprascapular nerve in suprascapular foramen
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**Difficulty initiating abduction by Supraspinatus m.
Weak external rotation of arm by infraspinatus m. |
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Nerve that innervates SUBSCAPULARIS MUSCLE
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BOTH: Upper and Lower Subscapular Nerves
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Nerve that innervates TERES MAJOR MUSCLE
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Lower Subscapular n.
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What part of the brachial plexus do the UPPER and LOWER SUBSCAPULAR NERVES branch from?
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POSTERIOR CORD (C5-6)
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Result of injury by surgery or tumor to UPPER and LOWER SUBSCAPULAR NERVES
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weakened Medial rotation
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Nerve that innervates LATISSIMUS DORSI MUSCLE
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Thoracodorsal n.
aka Middle Subscapular n. |
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What part of the brachial plexus does the THORACODORSAL NERVE branch from?
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POSTERIOR CORD (C6-8)
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Damage to this nerve results in difficulty doing chin-ups and walking with crutches
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Thoracodorsal n.
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Name 2 nerves at risk during RADICAL MASTECTOMY
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Thoracodorsal n.(latissimus dorsi m)
Long Thoracic n. (serratus anterior m) |
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Results of damage to THORACODORSAL NERVE
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weakened adduction
weakened medial rotation weakened extension of arm |
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Nerve that innervates DELTOID MUSCLE AND TERES MINOR MUSCLE
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Axillary nerve
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AXILLARY NERVE innervates these muscles of the arm
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deltoid m.
teres minor m. |
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What part of the brachial plexus does the AXILLARY NERVE arise from?
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Posterior Cord (C5-6)
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Nerve around SURGICAL NECK OF HUMERUS
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Axillary n.
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Nerve found in QUADRANGULAR SPACE
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Axillary n.
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Neurovascular structures in QUADRANGULAR SPACE
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Axillary n.
Posterior circumflex humeral artery |
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Result of injury by fracture of surgical neck of humerus or should dislocation to AXILLARY NERVE
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difficulty aBducting arm after initial 15degrees
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Nerve affected if fracture to SURGICAL NECK OF HUMERUS
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Axillary n.
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Muscle responsible for initial 15degrees aBduction
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SUPRASPINATUS m. (suprascapular n.)
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Muscle/s responsible for aBduction after initial 15degrees
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Deltoid m. and teres minor m (axillary n.)
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Structures of the INFERIOR WALL of AXILLA
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Axillary fascia
dome of skin on floor |
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CLAVIPECTORAL FASCIA surrounds these muscles
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Subclavius m.
Pectoralis minor m. |
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Continuation of CLAVIPECTORAL FASCIA to floor of axilla
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Axillary fascia
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Muscle lining MEDIAL WALL OF AXILLA
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Serratus Anterior m.
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Nerve that innervates SERRATUS ANTERIOR MUSCLE
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Long Thoracic n.
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LONG THORACIC NERVE innervates this muscle
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Serratus anterior m.
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What part of the spinal nerve formes the LONG THORACIC NERVE?
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ventral rami of C5-7
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Result of injury by carrying heavy objects on shoulder, heavy blow, or radical mastectomy to LONG THORACIC NERVE
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***winging of scapula
inability to aBduct arm above horizontal position |
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Injury to this nerve causes winging of scapula
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Long thoracic n. (serratus anterior m.)
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Why is the LONG THORACIC NERVE vulnerable to damage?
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On external surface of serratus anterior m., just deep to skin and subcutaneous fascia
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Structure of LATERAL WALL of AXILLA
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intertubercular sulcus of humerus
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continuation of SUBCLAVIAN ARTERY
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axillary artery
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continuation of AXILLARY ARTERY
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brachial artery
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After this structure "subclavian" name changes to "axillary"
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Rib I
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After this structure "axillary" name changes "brachial"
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inferior margin of Teres Major m.
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Artery that supplies POSTERIOR COMPARTMENT of ARM
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Profunda brachii artery
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Neurovascular structures in RADIAL GROOVE
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Profunda brachii artery
Radial n. |
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Structure that separates the AXILLARY ARTERY into 3 parts
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pectoralis minor m.
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muscle of MEDIAL WALL OF AXILLA
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Serratus anterior m. (long thoracic n.)
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Muscle in the LATERAL LIP OF INTERTUBERCULAR SULCUS OF HUMERUS
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Pectoralis major m.
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Muscle/s in the MIDDLE AND FLOOR LIP OF INTERTUBERCULAR SULCUS OF HUMERUS
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Latissimus dorsi m.
teres major m. |
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Name the 2 heads of the BICEPS BRACHII MUSCLE
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long head
short head |
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Origin of the SHORT HEAD OF BICEPS BRACHII MUSCLE
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tip of CORACOID PROCESS of scapula
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Origin of the LONG HEAD OF BICEPS BRACHII MUSCLE
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supraglenoid tubercle of scapula
(Through shoulder joint) |
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Insertion of BOTH HEADS OF BICEPS BRACHII MUSCLE
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tuberosity of RADIUS
Antebrachial fascia via BICIPITAL APONEUROSIS |
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How does the BICPES BRACHII MUSCLE insert the antebrachial fascia?
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via BICIPITAL APONEUROSIS
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Nerve that innervates BICEPS BRACHII MUSCLE
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Musculocutaneous nerve (c5, C6)
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Musculocutaneous nerve innervates this muscle of the arm
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Biceps Brachii m.
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Primary actions of the BICEPS BRACHII MUSCLE
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SUPINATES FOREARM
flexes elbow weakly flexes shoulder |
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Origin of CORACOBRACHIA MUSCLE
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tip of CORACOID PROCESS of scapula
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Insertion of CORACOBRACHIA MUSCLE
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middle 1/3 of medial surface of HUMERUS
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Action of CORACOBRACHIA MUSCLE
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FLEXION of arm
Adduction of arm |
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Nerve that innervates CORACOBRACHIALIS MUSCLE
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Musculocutaneous n. (c5, C6, c7)
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Nerve that pierces the CORACOBRACHIALIS MUSCLE
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Musculocutaneous n.
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Why is the MUSCULOCUTANEOUS NERVE @ coracobrachialis muscle level at risk of nerve compression?
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B/C it pierces coracobrachialis m.
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Origin of BRACHIALIS MUSCLE
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distal 1/2 of anterior surface of HUMERUS
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Insertion of BRACHIALIS MUSCLE
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tuberosity of ULNA
coronoid process of ULNA |
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Nerve that innervates the BRACHIALIS MUSCLE
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Musculocutaneous n. (c5, C6)
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What muscle is considered the "one action, one joint muscle?"
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Brachialis muscle: action-FLEXION, joint-elbow joint
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Flexor muscle of forearm
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brachialis m.
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Is the MUSCULOCUTANEOUS NERVE a motor, sensory, or mixed nerve?
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mixed motor and sensory nerve
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Continuation of LATERAL CORD (C5-7)
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Musculocutaenous nerve
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What part of the brachial plexus does the MUSCULOCUTANEOUS NERVE arise from?
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directly from LATERAL CORD
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What 3 muscles does the MUSCULOCUTANEOUS NERVE innervate?
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pierces CORACOBRACHIALIS M. to descend bt BICEPS BRACHII MUSCLES and BRACHIALIS MUSCLE
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Continuation of MUSCULOCUTANEOUS NERVE
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LATERAL ANTEBRACHIAL CUTANEOUS NERVE
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What part of the brachial plexus does the LATERAL ANTEBRACHIAL CUTANEOUS NERVE arise from?
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Musculocutaneous nerve
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Is the MEDIAN NERVE a motor, sensory, or mixed nerve?
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Mixed motor and sensory nerve
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What part of the brachial plexus does the MEDIAN NERVE arise from?
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LATERAL HEAD TO THE MEDIAN NERVE from the LATERAL CORD
MEDIAL HEAD TO THE MEDIAN NERVE from the MEDIAL CORD |
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Nerve in the MEDIAL BICIPITAL GROOVE
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MEDIAN NERVE
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Position of MEDIAN NERVE to brachial artery in elbow
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median n. MEDIAL to brachial a
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What part of the brachial plexus does the ULNAR NERVE arise from?
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MEDIAL CORD (C8-T1)
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Nerve that runs in the POSTERIOR COMPARTMENT of the arm towards its GROOVE on the posterior aspect of the MEDIAL EPICONDYLE?
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ULNAR NERVE
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Where can be ULNAR NERVE be located?
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Posterior compartment of arm
Groove on the posterior aspect of Medial Epicondyle |
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Name the 3 heads of the TRICEPS BRACHII MUSCLE.
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Long head
Lateral head Medial head |
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Origin of the LATERAL HEAD OF TRICEPS BRACHII MUSCLE
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posterior surface of HUMERUS superior to spiral groove
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Origin of the MEDIAL HEAD OF TRICEPS BRACHII MUSCLE
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posterior surface of HUMERUS inferior to spiral groove
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Origin of the LONG HEAD OF TRICEPS BRACHII MUSCLE
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infraglenoid tubercle of scapula
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Insertion of TRICEPS BRACHII MUSCLE
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proximal end of OLECRANON
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Nerve that innervates the TRICEPS BRACHII MUSCLE
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Radial n. (c6, C7,C8)
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Primary action of the TRICEPS BRACHII MUSCLE
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EXTENSOR of shoulder and elbow
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4th head of the TRICEPS BRACHII MUSCLE
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Anconeus muscle
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Origin of Anconeus muscle
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Lateral epicondyle of humerus
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Insertion of Aconeus muscle
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lateral surface of olecranon
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action of Aconeus muscle
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assist triceps in extension of elbow
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nerve that innervates ACONEUS MUSCLE
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Radial n.
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direct continuation of POSTERIOR CORD (C5-T1)
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Radial n.
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Nerve along RADIAL GROOVE OF HUMERUS
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Radial n. (after giving off branches to the medial and long heads triceps brachii m.
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Injury or compression to midshaft of posterior humerus affects this nerve
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Radial n.
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Nerve in MEDIAL BICIPITAL GROOVE of HUMERUS
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median n.
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Nerve in Groove of medial epicondyle of posterior humerus
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Ulnar n.
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nerve in RADIAL GROOVE of HUMERUS
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Radial n.
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Structures of the CUBITAL FOSSA
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(TAN) lateral to medial
Tendon of Biceps Brachii m. Brachial Artery Median Nerve |
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Name 3 main superficial veins of the cubital fossa
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cephalic v (lateral)
basilic v (medial) median cubital v. (connects cephalic and basilic vv) |
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Structure that separates the median cubital vein from the brachial artery & median nerve
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Bicipital aponeurosis
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Name the 2 cutaneous nerves of the roof of Cubital fossa
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Lateral Antebrachial Cutaneous n.
Medial Antebrachial Cutaneous n. |
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What part of the brachial plexus does the LATERAL ANTEBRACHIAL CUTANEOUS NERVE arise from?
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terminal branch of musculocutaneous nerve
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What part of the brachial plexus does the MEDIAL ANTEBRACHIAL CUTANEOUS NERVE arise from?
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branch of MEDIAL CORD
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Position of radial nerve to cubital fossa
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radial n. LATERAL to cubital fossa
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Bifurcations of the Brachial Artery
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Radial artery
Ulnar artery |
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Do muscles of the flexor compartment of the forearm pronate of supinate hand?
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pronate
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Pronation of hand involves rotation of the radius or ulna?
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radius
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What term describes the rotation of the radius medially over the ulna?
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pronation
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What layer of muscles is associated with movements of wrist joint, flexion of fingers + thumb, and pronation?
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Superficial layer in the anterior compartment of forearm
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Origin of Superficial layer of muscles in anterior compartment of foreamr
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Medial epicondyle except pronator terer ulnar head.
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nerve that innervates the FLEXOR CARPI ULNARIS MUSCLE
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ulnar n.
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name the 2 heads of the pronator teres muscle
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Humeral head
Ulnar head |
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Origin of Humeral head of pronator teres muscle
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medial epicondyle of humerus
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Origin of Ulnar head of Pronator teres muscle
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CORONOID PROCESS OF ULNA
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Insertion of Pronator teres m.
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middle of lateral surface of RADIUS
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Actions of Pronator Teres m.
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pronation of forearm and flexion of elbow
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Nerve that innervates Pronator Teres muscle
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Median n. (c6, C7)
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Nerve that enters forearm bt the 2 heads of the pronator tere m.
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median n.
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Median nerve enters forearm bt heads of this muscle
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pronator teres m.
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Median nerve innervates all flexor muscles of the forearm except his muscle
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Flexor Carpi ulnaris m. (ulnar n.)
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Insertion of Flexor Carpi Radialis Muscle
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base of 2nd METACARPAL bone (pointer finger)
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Action of Flexor carpi Radialis muscle
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Flexes and radially deviates wrist
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Nerve that innvervates Flexor Carpi Radialis muscle
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Median n. (c6, C7)
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Insertion of Palmaris longus muscle
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distal half of Retinaculum and Palmar aponeurosis
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Actions of Palmaris longus muscle
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Flexes wrist joint and tightens palmar aponeurosis
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Nerve that innervates Palmaris Longus muscle
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Median n. (c7, c8)
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muscle tendon in Flexor compartment of forearm absent in 14% of population
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Palmaris longus muscle
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Insertion of Flexor carpi Ulnaris muscle
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Pisiform bone
hook of Hamate 5th METACARPAL bone (pinky) |
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Actions of Flexor Carpi Ulnaris muscle
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Flexes and ulnarly deviates hand
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Nerve that innervates Flexor Carpi Ulnaris muscle
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Ulnar n. (C7, C8)
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Nerve that occupies the groove/sulcus on the posterior aspect of the medial epicondyle of humerus
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Ulnar n.
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Nerve that travels in CUBITAL TUNNEL in forearm
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Ulnar nerve (bt humeral and ulnar heads of the flexor carpi ulnaris m.)
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Muscle of the intermediate layer (2nd superifical layer) of the forearm anterior compartment
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Flexor digitorum superficialis muscle
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Name the 2 heads of the Flexor Digitorum Superificialis muscle
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Humeroulnar head
Radial head |
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Origin of Humeroulnar head of Flexor Digitorum superficialis m.
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medial epicondyle of humerus
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Origin of Radial head of Flexor Digitorum Superficialis muscle
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superior half of anterior border of RADIUS
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Insertion of Flexor digitorum superficialis muscle
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Bodies of PHALANGES of digits 2-5
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Actions of Flexor digitorum superficialis muscle
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Flexes Proximal interphalangeal joints and metacarpophalangeal joints
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Nerve that innervates the Flexor digitorum Superficialis muscle
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Median N. (c7, c8, t1)
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Name the 3 deep muscle of the anterior compartment of the forearm.
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Flexor digitorum Profundus m.
Flexor Pollicis Longus m. Pronator Quadratus m. |
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Origin of Flexor Pollicis Longus Muscle
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anterior surface of RADIUS and introsseous membrane
(radius-thumb-pollicis) |
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Insertion of Flexor Pollicis Longus muscle
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Base of DISTAL PHALANX of THUMB
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Meaning of greek word "Pollicis"
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thumb
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Nerve that innervates Flexor Pollicis Longus muscle
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Anterior nerve from median nerve (C8, t1)
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Origin of Flexor Digitorum Profundus muscle
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proximal 3/4 of medial and anterior surface of ULNA and interosseous membrane
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Insertion of Flexor Digitorum Profundus muscle
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bases of DISTAL PHALANGES of digits 2-5
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Action of Flexor Pollicis Longus muscle
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Flexes all joints of Thumb
(Pollicis-thumb) |
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Action of Flexor Digitorum Profundus muscle
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flexes distal interphalangeal joints
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nerve that innervates Lateral (radial) part of Flexor digitorum profundus muscle
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median n. (C8, t1)
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nerve that innervates medial (ulnar) part of Flexor digitorum profundus muscle
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ulnar n. (C8, t1)
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nerve that descends in forearm bt flexor carpi ulnaris m. and flexor digitorum profundus m
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ulnar n.
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muscle that covers the ulnar n. in forearm
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Flexor digitorum superficialis m.
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artery that joins the ulnar n. below the upper 1/3 of forearm
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ulnar artery
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Position of ulnar nerve to ulnar artery
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ulnar nerve is MEDIAL to ulnar artery
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origin of Pronator Quadratus muscle
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distal 1/4 of anterior surface of ulna
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insertion of pronator quadratus muscle
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distal 1/4 of anterior surface of RADIUS
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action of Pronator Quadratus muscle
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pronates forearm
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nerve that innervates Pronator Quadratus muscle
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median n. (C8, t1)
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Name the only 2 flexor muscles of the forearm innervated by the Ulnar nerve
|
Flexor carpi ulnaris m.
Medial part of Flexor digitorum Profundus muscle |
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the 2 nerves that innervate the flexor region of forearm
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Median n.
Ulnar n. |