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52 Cards in this Set
- Front
- Back
Osteology & Fascia
Post wrist the antebrachial fascia is thickended to form the |
extensor retinaculum
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extensor retinaculum is attached to the ____laterally & the______ medially
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radius
ulna, triquetrum & pisform |
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The purpose of extensor retinaculum; a fibrous band that hold the in _____position, prevents _____during extension
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extensor muscle tendons bowstringing
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The long extensor tendon is ___ to the metacaropophalangeal jts
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distal
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The long extensor tendon for digits 2-5 expands into an aponeruosis that covers the
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dorsal surface of the proximal phalanx
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Extensor expansions continue distally to the
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middle & distal phalanges
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Muscles of the Extensor forearm
Six muscles of the superficial grp |
Brachoradialis
Ext Carpi radialis longus Ext Carpi radialis brevis Ext digitorum Ext digiti minimi Ext carpi ulnaris |
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Muscles of the Extensor forearm
Deep grp |
supinator
abd pollicis longus Ext pollicis brevis Ext pollicis longus Exnt indicis |
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Present on the post aspect of the FA these muscles are primarily extensors of the
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wrist jt & digits
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The muscles of the deep & superficial grp are all innervated by the ___ nerve
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radial nerve (C5-T1)
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Two muscles of the superficial grp arise from the supracondylar ridge of the humerus
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brachioradials
Ext carpi radialis longus |
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Most lateral of the muscles, inserts on the distal end of the radius.
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Brachioradialis
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Brachioradialis is grp'd with the extensors but is actually a
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flexor muscle
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inserts on the base of the 3rd metacarpal, extends, abducts the hand
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ext carpi radialis longus
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The other 4 superficial have an origin through a common tendon from the lateral epicondyle of the humerus
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lateral to medial
Ext Carpi radialis brevis Ext digitorum Ext digiti minimi Ext carpi ulnaris |
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inserts on the base of the 3rd metacarpal, ext, abducts the hand
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Ext Carpi radialis brevis
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tendons of this muscle insert into the expansions of the medial four digits, ext digits at the metacarpophalangeal & interpalangeal jts, also assits in ext of hand
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ext digitorum
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inserts into the ext expansion of the 5th digit & extends this digit
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ext digiti minimi
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inserts on the base of the 5th metacarpal, ext & adducts the hand
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ext carpi ulnaris
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All deep muscles take origin from the
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ulna, radius or both
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originates from the lat epicondyle of the humerus & the ulna, wraps around radius, inserts on this bone & supinates the FA
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Supinator
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arise from the radius, ulna & interosseous membrane inserts on the base of the 1st metacarpal, abducts thumb helps to extend it
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abductor pollicis longus
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arise from the radius and interosseous memb, inserts on the prox phalanx of the thumb
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abductor pollicus brevis
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arise from the ulna & interosseous memb, inserts on the distal phalanx of the thumb
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ext pollicus longus
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arise from the ulna & interosseus memb, inserts ext expansion of the 2nd digit, extends digit, helps ext hand
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extensor indicis
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Three muscles acting on the thumb have their origins deep to the superficial exts, appear to crop out into view, they are reffered to as the
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outcropping muscles
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triangular interval bounded ant by tendons of abductor pollicis longus & ext pollicis brevis, tendons of abd pollicis longus
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anatomical snuff box
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Boundaries of the anatomical snuff box can be observed w/ abduction & ext of the
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thumb
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the ___artery crosses the floor of the snuff box formed by the scaphoid & trapezium to enter the palm
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radial artery
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Nerves of ext FA & Dorsal hand
3 nerves supply cutaneous innervation to the extensor FA |
lateral antebrachial cutaneous nerve (cont from musculocut nerve), medial antebrachial cut, post antebrachial cut nerve
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lateral antebrachial cut nerve
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skin on the radial side of the FA
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medial antebrachial cut nerve (branch of the medial cord of the brachial plexus) supplies the
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skin of the ulnar side
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post antebrachial cut nerve (branch of the radial nerve) supplies
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an area on the posterior FA bet the distributions of 2 other nerves
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Motor nerve of the ext FA is the ___nerve
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radial nerve
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After the radial nerve innervates the ext carpi radialis longus & brachioradialis it divides into
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superfical & deep brachches
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The smaller superficial nerves (cont of the main nerve, is all a ___nerve
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sensory
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Superificial branch of the radial nerve comes from under the brachioradialis, emerges into the fascia near the wrist to supply the
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skin on the dorsal wrist, lat 1/2 of the dorsum of the hand, & prox half of lateral 2,5 digits (thumb, index fing, & lat 1/2 of middle )
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After branching of the radial nerve to ext carpi radialis brevis & supinator the deep branch of the radial pierces the supinator to enter the
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extensor comp of the FA
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nerve accompanies the post interosseous branch of the ulnar art, supplies the remainig exts & abd pollicis longus. No cutaneous innv. assoc with this nerve
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post interosseus nerve
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___&____nerves have no motor fxn in ext FA but have important cutaneous distrib in the dorsal hand
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median & ulnar nerves
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The ____sends sensory fibers to the dorsum of the distal 1/2 of the lateral 3.5 digits
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median nerve
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The ____nerve gives sensory fibers to the medial half of the dorsum of the hand & medial 1.5 digits (little finger & medial half of the ring finger
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ulnar nerve
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Arteries Of Ext FA & Dorsal hand
The more anterior portion of the ext FA is supplied by branches of the radial artery (lies under brachioradialis |
radial artery
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The largest branch to the extensor muscles is the
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recurrent artery
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a branch of the ulnar artery passes posteriorly between the radius & ulna, runs down on the interosseus memb to supply adj extensor muscle
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post interosseous artery
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As the post interosseus art reaches the wrist it joins the dorsal carpal branches of the raidal & ulnar branches to form
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anastomosing arches on the dorsum of the hand, give rise to small dorsal metacarpal & digital arteries
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Tendonitis of the elbow (tennis elbow) charact. by pain over the
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lateral epicondyl of the humerus
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Tendonitis of elbow follows prolonged & forceful ____ of the FA
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pronation-supination
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Tendonditis of the elbow SS are d/t inflammation of the
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common extensor tendon
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lesions of the radial nerve in the arm or cubital fossa may paralyze all the extensor muscles of the FA producing
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wrist drop
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Lumbricals are innervated by the ___ & ____ nerves & interossi are supplied by the ulnar, can still flex metacarpophalangeal jts, ext interphalangeal jts, wrist drops d/t lack of exts in FA
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median & ulnar nerves
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FX of the scaphoid results in the localized tenderness in the ____
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anatomical snuff box
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