Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
120 Cards in this Set
- Front
- Back
axilla
|
between neck and arm
|
|
carpel tunnel
|
gateway to palm
|
|
Movement of scapula
|
abduction/adduction
protraction & retraction rotation |
|
Shoulder joint movement
|
Flexion/extension
abduction/adduction internal/external rotation circumduction |
|
Elbow joint Movements
|
flexion/extension
pronation/supination |
|
Wrist joint Movements
|
Abduction/adduction
flexion/extension circumduction |
|
Hand Movements
|
abduction/adduction
flexion/extension |
|
Movements of thumb
|
Opposition
Abduction/adduction flexion/extension |
|
Upper appendage
|
Articulates with axis at sternoclavicular joint
between sternum and clavicle one part with the bone articulates with axis |
|
Bones of shoulder
|
Clavicle
Scapula Proximal end of humerus |
|
Greater tubercle
|
lateral
attachment fir supraspinatus, infraspinatus and trees minor muscle |
|
Lesser tubercle
|
anterior
attachment for subscapularis muscle |
|
Sternoclavicular joint stabilized by...
|
Anterior sternoclavicular ligament
Posterior sternoclavicular ligament interclavicular ligament costoclavicular ligament |
|
Acromioclavicular joint stabilized by...
|
acromioclavicular ligament
coracoclavicular ligament=trapezoid ligament and coronoid ligament |
|
Glenohumeral joint stabilized by rotator cuff muscle tendons
|
join with joint capsule and form musculotendinous collar surrounding A, P and S aspects of the joint
|
|
Skeletal arch superiorly formed by
|
coracoid process and acromion and coraco-acromial ligament
|
|
Rotator Cuff muscles
|
Supraspinatus muscle
Infraspinatus muscle Teres minor muscle Subscapularis muscle |
|
Deltoid origin
|
spine of scapula, acromion, and lateral 1/3 of clavicle
|
|
Deltoid insertion
|
deltoid tuberosity of humerus
|
|
Deltoid innervation
|
axillary nerve
|
|
Deltoid function
|
abduct arm beyond initial 15 degrees
|
|
Posterior Scapular region
|
located deep to trapezium and deltoid muscles
4 muscles: supraspinatus infraspinatus teres minor teres major |
|
Supraspinatus origin
|
medial 2/3 of supraspinous fossa
|
|
Supraspinatus insertion
|
greater tubercle of humerus
|
|
Supraspinatus innervation
|
suprascapular nerve
|
|
Supraspinatus function
|
initiation of abduction of the arm to 15 degrees
|
|
Infraspinatus origin
|
medial 2/3 of infraspinous fossa of scapula
|
|
Infraspinatus insertion
|
greater tubercle of humerus
|
|
Infraspinatus innervation
|
suprascapular nerve
|
|
Infraspinatus function
|
lateral rotation of the arm
|
|
Teres minor origin
|
posterior surface of scapula adjacent to lateral border
|
|
Teres minor insertion
|
greater tubercle of humerus
|
|
Teres minor innervation
|
axillary nerve
|
|
Teres minor function
|
lateral rotation of arm
|
|
Teres major origin
|
inferior angle of scapula
|
|
Teres major insertion
|
intertubercular sulcus of humerus
|
|
Teres major innervation
|
inferior subscapular nerve
|
|
Teres major function
|
medial rotation and extension of arm
|
|
Suprascapular foramen
|
formed by supra scapular notch of scapular and superior transverse scapular ligament
passageway for suprascapular nerve |
|
Triangular interval formed by
|
lateral margin of long head of triceps brachia
shaft of humerus inferior margin of teres minor |
|
Triangular interval passageway
|
for radial nerve and profunda brachii a.
|
|
Quadrangular space formed by
|
inferior margin of teres minor
surgical neck of humerus superior margin of teres major lateral margin of long head of triceps brachii |
|
Quadrangular space passageway for
|
axillary nerve and posterior circumflex artery & vein
|
|
Triangular space formed by
|
medial margin of long head of triceps brachia
superior margin of teres major inferior margin of teres minor |
|
Triangular space passageway for
|
circumflex scapular artery and vein
|
|
Suprascapular nerve
|
from superior trunk of brachial plexus
innervates supraspinous and infraspinous muscle |
|
Axillary nerve
|
from posterior cord of brachial plexus
innervates deltoid and teres minor muscles |
|
Suprascapular artery
|
originates in base of neck as brank of thyrocervical trunk
supplies supraspinatus and infraspinatus muscles |
|
Posterior circumflex artery
|
originates from 3rd part of axillary artery
supplies related muscles and glenohumeral joint |
|
Circumflex scapular
|
branch of sub scapular artery which originates from 3rd part of axillary artery
supplies related muscles in scapular region |
|
axillary inlet
|
medial- lateral border of 1st rib
anterior- posterior surface of clavicle posterior- superior border of scapula |
|
axillary inlet
|
major vessels and nerves pass between neck and axillae by crossing over the 1st rib through inlet
subclavian a. & v.--> axillary a. & v. when crosses lateral margin of 1st rib |
|
axillary inlet anterior wall
|
pectoralis major and minor m.
subclavius muscle clavipectoral fascia |
|
pectorals major muscle origin
|
2 heads:
clavicular- originate from medial half of clavicle sternocostal head- originates from medial part of the anterior thoracic wall |
|
p. major insertion
|
humerus
|
|
p. major fx
|
flexion, adduction and medial rotation of arm at glenohumeral joint
|
|
p. major innervation
|
lateral and medial pectoral n. (from brachial plexus)
|
|
subclavius origin
|
lies deep to pectorals major between clavicle and 1st rib
|
|
subclavius function
|
unclear
|
|
subclavius innervation
|
branch from superior trunk of brachial plexus
|
|
pectoralis minor m. origin
|
lies deep to pectorals major m.
anterior surfaces of ribs 3-5 |
|
p. minor insertion
|
coracoid process of scapula
|
|
p. minor fx
|
protracts scapula
depresses lateral angle of scapula |
|
p. minor innervation
|
medial pectoral nerve (originates from brachial plexus)
|
|
clavipectoral fascia
|
sheets of tissue covering the clavicle floor of axilla
encloses subclavius and p. minor m. |
|
medial wall of axilla
|
upper thoracic wall
serratus anterior m. |
|
serratus anterior muscle origin
|
lateral surface of ribs 1-9
|
|
serratus anterior insertion
|
medial border of scapula
|
|
serratus anterior m. fx
|
protraction and rotation of scapula
keeps medial border and inferior angle of scapula opposed to thoracic wall |
|
serratus anterior m. innervation
|
long thoracic nerve (from brachial plexus)
|
|
injury to long thoracic nerve
|
results in winged scapula
inferior angle of scapula protrudes posteriorly |
|
lateral wall of axilla
|
intertubercular sulcus of humerus
|
|
intertubercular sulcus attachment for
|
pectoralis major m.
latissimus dorsi teres minor |
|
posterior wall of axilla
|
bone- costal surface of scapula
muscles- subsapularis, distal parts of teres major and latissimus dorsi, proximal part of long head of triceps brachii |
|
subscapularis origin
|
medial 2/3 of sub scapular fossa
|
|
subscapularis insertion
|
lesser tubercle of humerus
|
|
subscapularis innervation
|
superior and inferior subscapular nerve
|
|
subscapularis fx
|
medial rotation of arm
member of rotator cuff muscles |
|
Pass through quadrangular space
|
anterior and posterior circumfelx humeral a.
|
|
Pass through triangular
|
circumflex scapular a.
|
|
pass through triangular interval
|
radial n. and profunda brachii a.
|
|
floor of axilla
|
skin of armpit
subcutaneous tissue deep fascia |
|
contents of axilla
|
major vessels, nerves and lymphatics of upper limb
proximal parts of 2 muscles (biceps brachii and coracobrachialis) axillary process of breast lymph nodes |
|
biceps brachii origin
|
short head-coracoid process
long head- supraglenoid tubercle of scapula |
|
Coracobrachialis origin
|
coracoid process
|
|
Superior thoracic a.
|
1st part of axillary a.
supplies upper regions of medial and anterior axillary walls |
|
Thoraco-acromial artery
|
2nd part of axillary a.
supplies anterior axillary wall divides into 4 branches- pectoral, deltoid, clavicular, acromial |
|
Lateral thoracic artery
|
2nd part of axillary a.
supplies medial and anterior walls of axilla -lateral aspect of the breast -pectoral muscles -anterior serratus m. |
|
Subscapular artery
|
3rd part
supplies= posterior wall of axilla, posterior scapular region 2 terminal branches= circumflex scapular a. & thoracodorsal a. (supplies latissimus dorsi m.) |
|
anterior humeral circumflex artery
|
3rd part of axillary a.
passes anterior to surgical neck of humerus anastomoses with posterior circumflex artery |
|
posterior circumflex artery
|
3rd part of axillary a.
leaves axilla via quadrangular space curves around neck of humerus (supplies surround muscles and glenohumeral joint) |
|
Axillary vein
|
begins at lower margin of teres major m.
is continuation of basilic vein cephalic v. joins axillary v. becomes subclavian v. when lateral border crosses 1st rib |
|
somatic plexus
|
formed by anterior rami of C5 to C8 and most of T1
|
|
3 Cords of Brachial plexus
|
related to 2nd part of axillary artery
M lateral, medial, posterior |
|
Nerves associated with anterior compartments
|
arise from medial and lateral cords
|
|
Nerves associated with posterior compartments
|
arise from posterior cord
|
|
Dorsal scapular n.
|
C5 root
innervate rhomboid major and minor muscle |
|
Long thoracic n.
|
ant. rami of C5-C7
passes down neck through axillary inlet and down medial wall of axilla innervates serratus anterior m. |
|
Suprascapular n.
|
C5-C6
superior trunk innervates suprspinatus and infraspinatus mm. |
|
nerve to subclavius muscle
|
C5-C6
superior trunk passes over subclavian a. & v. innervates subclavius m. |
|
lateral pectoral n.
|
innervates pectorals major m.
|
|
musculocutaneous n.
|
terminal branch of lateral cord
innervators 3 flexor muscles in anterior compartment of arm terminates as lateral cutaneous n. of forearm |
|
lateral root of median n.
|
largest terminal branch of lateral cord
joins with median n. to form median n. |
|
medial pectoral n.
|
innervates pectorals major and minor mm.
|
|
medial cutaneous n. of ARM
|
skin on medial side of distal 1/3 of arm
|
|
medial cutaneous n. of FOREARM
|
skin on medial side of forearm
|
|
medial root of median n.
|
joins with lateral root of median n. to form median n.
|
|
Ulnar nerve
|
terminal branch of medial cord
supplies flexor carpi ulnaris m. & medial half of flexor digitorum profundus some of intrinsic m. of hand skin of medial part of hand |
|
Median n.
|
innervates most of forearm muscles in anterior compartment
Hand- 3 thenar m., 2 lateral lumbrical m. Skin- palmer surface of lateral 31/2 digits and palm |
|
Superior subscapular n.
|
innervates subscapularis m.
|
|
thoracodorsal n.
|
innervates latissimus dorsi m.
|
|
inferior subscapular n.
|
innervates subscapularis and teres major m.
|
|
axillary n.
|
innervates deltoid and teres minor m.
|
|
Radial n.
|
largest terminal branch of posterior cord
innervates muscles in P. compartments of arm and forearm skin on posterior aspect of arm and forearm & dorsal aspect of hand |
|
Axillary lymph nodes
|
drain upper limb, adjacent trunk, and mammary glad
|
|
Humeral
|
upper limb
|
|
Pectoral
|
abdominal wall, chest, mammary gland
|
|
Subscapular
|
back, shoulder, neck
|
|
Central
|
Receive tributaries from humeral, sub scapular, and pectoral nodes
|
|
Apical
|
Most superior, drains all other groups of nodes in region
|