Anatomy Extravaganza

Front 1

A flexion contracture of the involved digits and decreased amount of flexion force in the adjacent digits

Back 1

Quadrigia Phenomemon
Can occur if FDP is advanced more than 1 cm during repair

Front 2

What's in the Guyon's Canal?

Back 2

Ulnar artery
Ulnar Nerve

Front 3

What are the borders of Guyon's canal?

Back 3

Hook of hamate, pisiform

Front 4

What sturcutres form the "snuffbox"?

Back 4

scaphoid at the base
APL & EPB define radial border
EPL ulnar border

Front 5

What structures are in the carpal tunnel?

Back 5

Ten structures: 4 FDP, 4 FDS, Median nerve, FPL

Front 6

What are the borders of the carpal tunnel?

Back 6

Pisiform, Scaphoid tubercle, hook of Hamate, Trapezium

Front 7

Is palmaris longus in the carpal tunnel?

Back 7

NO, lies superficial

Front 8

What is Linburg's sign?

Back 8

Anatomic interconnection of FPL and FDP of index finger. Present in 31% of populuation

Front 9

What are signs of Linburg's syndrome?

Back 9

Interconnection leads to pain. Discomfort located over radialpalmer aspect of distal forearm and thumb

Front 10

Linberg's syndrome is often present with what condition?

Back 10

Carpal Tunnel syndrome

Front 11

Check Rein ligaments cause what?

Back 11

PIP Joint contractures

Front 12

How do you assess for Linberg's sign?

Back 12

Have patient actively flex the thumb IP joint. Look for involuntar motion at the index finger DIP

Front 13

Swallowtails that become hypertrophied and shortened

Back 13

Check rein ligaments. Swallowtails are extensions of the volar plate

Front 14

1st DC

Back 14

APL
EPB

Front 15

2nd DC

Back 15

ECRB
ECRL

Front 16

What is the strongest wrist extensor?

Back 16

ECRB: strongest and most efficient

Front 17

Wrist extensor that is best for endurance?

Back 17

ECRL:

Front 18

Which wrist extensor is more efficient with arm supinated?

Back 18

ECU

Front 19

Lateral epi usually involves withs muscle?

Back 19

ECRB

Front 20

Which pulley is most affected in trigger finger?

Back 20

A1 pulley

Front 21

Transvers carpal ligament attaches to ......?

Back 21

Scaphoid, Trapezium, pisiform, Hook of hamate

Front 22

Pain, parasthesia, paralysis, pulselessness are symptoms of ?

Back 22

Acute Compartment syndrome

Front 23

Martin-Gruber anastomosis is present in .......% population?

Back 23

15-20%

Front 24

Anastomosis between median and ulnar nerve at forearm?

Back 24

Martin-Gruber

Front 25

Main stabilizer of the elbow

Back 25

Medial (ulnar) collateral ligament (UCL)

Front 26

Does damage to the elbow UCL require surgery?

Back 26

Yes, usually does

Front 27

Most important pulleys of the flexor tendons?

Back 27

A2 & A4

Front 28

Odd numbers of pulleys correlate with?

Back 28

Finger joints:
MP=A1
PIP=A3
DIP=A5

Front 29

Psychological condition that results in self infliction of harm to prolong illness

Back 29

Secretan's Syndrome (Wallbangers's Disease)

Front 30

Major arterial supply to the forearm and hand

Back 30

Brachial Artery: It dives below the lacterus fibrosis and splits into radial and ulnar artery

Front 31

Graysons ligaments runs ...... to the flexor sheath

Back 31

volar

Front 32

Cleland's ligament run ..... to the neurovascular bundle

Back 32

Dorsal

Front 33

Prevents rotary movement of skin around the fingers

Back 33

Grayson's and Cleland's ligaments

Front 34

Main artery to the supply the hand

Back 34

Ulnar
Supplies 60%

Front 35

Artery that supplies superfical palmer arch

Back 35

Ulnar

Front 36

Artery that supplies deep Palmer arch to hand

Back 36

Radial Artery

Front 37

Innervation of Adductor pollicis

Back 37

Deep branch of ulnar nerve

Front 38

Innervation of Brachioradialis

Back 38

Radial Nerve

Front 39

Innervation of EIP

Back 39

Posterior Interosseous Nerve

Front 40

Innervation of Palmaris Brevis

Back 40

Superfical branch of Ulnar nerve

Front 41

Innervation of of Abductor Pollicis Brevis

Back 41

Median Nerve

Front 42

Innervation of Pronator Quadratus

Back 42

Anterior Interosseous nerve

Front 43

Fingernails grow are rate per month?

Back 43

2-3 mm per month

Front 44

During normal flexing into a fist, the digits converge and point to what structure?

Back 44

Scaphoid

Front 45

What structures gives the glenoid a deeper cavity?

Back 45

Labrum: fibrocartilaginous rim that is attached around the margin of the glenoid process

Front 46

Which pole of the scaphoid has a good blood supply?

Back 46

Distal pole has a rich blood supply and heal quickly.
Proximal pole has poor vascularity and can result is avascular necrosis or non union

Front 47

What artery supplies the scaphoid through ligamentous attachements?

Back 47

Radial Artery

Front 48

Which muscles line the medial and lateral borders of the cubital fossa?

Back 48

Brachioradialis: Lateral
Pronator Teres: Medial

Front 49

Borders of the Quadrangular space

Back 49

Teres minor superiorly
Teres Major Inferiorly
Humerus Laterally
Tricpes Medially

Front 50

Which nerve and artery pass through the Quadrangular space?

Back 50

Axillary Nerve
Postierior circumflex artery

Front 51

What artery passes over the floor of the "snuffbox"?

Back 51

Radial Artery

Front 52

Which three veins make the M shape?

Back 52

Cephalic vein: Lateral (radial)
Basilic Vein: Medial (ulnar)
to form the Median Cubital Vein at the elbow

Front 53

Adventitious sound heard on auscultation and of venous or arterial origin

Back 53

Bruit

Front 54

Abnormal tremor that accompanies a vascular or cardiac murmur felt on palpation

Back 54

Thrill

Front 55

Localized abnormal dilation of a blood vessel, usually an artery

Back 55

Aneurysm

Front 56

Benign tumor of dilated blood vessels

Back 56

Hemangioma

Front 57

Sensitive noninvasive technique for determining blood flow

Back 57

Doppler Echocardiography

Front 58

What is Space of Poirier?

Back 58

Weakness from the absence of the volar lunocapitate ligament

Front 59

Primary source of blood supply to the thumb

Back 59

Deep branch of Radial Artery

Front 60

Signs of Arterial insufficiency

Back 60

Pallor (lack of color)
Decreased Temp
Increased pain
Slow caplillary refill
Loss of pulse

Front 61

Signs of Venous insufficiency

Back 61

Cyanosis (bluish discoloration)
Abnormal Capillary refill

Front 62

What position is beneficial for venous stasis?

Back 62

Slight elevation

Front 63

What position is helpful for arterial system managment?

Back 63

Slight lowering below heart level or at heart level.
Excessive elevation above heart level can stress the arterial system

Front 64

What is lacertus fibrosus?

Back 64

Another name for bicipital aponeurosis
Fibrous band that originates from tendon of biceps brachii

Front 65

Lacertus fibrosus is tightened in what forearm position?

Back 65

Pronation

Front 66

Forearm pronation with elbow flexion may contribute to compression of what nerve?

Back 66

Median nerve at the lacertus fibrosus

Front 67

Injury to the joint with ligamentous damage

Back 67

Sprain

Front 68

Injury to the muscle or musculotendinous unit

Back 68

Strain

Front 69

A fibrous membrane that covers, supports, and separates muscles

Back 69

Fascia

Front 70

Type of tissue composed of contractile fibers

Back 70

Muscle

Front 71

Dry, pink patches of skin that are itchy and burn

Back 71

Erythematous

Front 72

Muscles that originate from common flexor origin of medial epi?

Back 72

Pronator teres, FCR, FDS, Palmaris Longus, FCU

Front 73

Does Pronator quadratus originate from the distal ulna

Back 73

Yes

Front 74

What two veins form the Axillary Vein?

Back 74

Basilic vein joins the Brachial Vein at the lower border of teres major

Front 75

What is the Axillary Vein call at the first rib?

Back 75

Subclavian Vein

Front 76

Most important thumb pulley?

Back 76

Oblique pulley
IP Joint motion will decrease if damaged

Front 77

Brachioradialis, ECRB and EDC are all innervated by what nerve?

Back 77

PIN (Posterior Interosseous nerve)

Front 78

What tendon takes a 45 degree angle Lister's Tubercle?

Back 78

EPL
It may rupture after DRF or with RA

Front 79

Lister's Tubercle is located on what bone?

Back 79

Distal Radius

Front 80

What ligament can be palpated approx 1 cm directly distal to Lister's tubercle?

Back 80

SL ligament

Front 81

What structure articulates with the radial head?

Back 81

Capitulum

Front 82

What muscles make the Wad of Henry?

Back 82

Brachioradialis, ECRB, ECRL
Can assess when forearm and wrist in neutral

Front 83

Is the supinator in the moble wad of Henry?

Back 83

No

Front 84

Another name for the coronal plane

Back 84

Frontal Plane

Front 85

Which plane divides the body into superior and inferior

Back 85

Transverse plane

Front 86

Which plane divides the body into right and left parts?

Back 86

Sagittal plane

Front 87

Which plane divides the bod into front and back portions?

Back 87

Frontal Plane

Front 88

Another term for Landsmeer's Ligament?

Back 88

Oblique retinacular ligament

Front 89

ORL is taught in DIP flex or ext?

Back 89

Flexion

Front 90

What forms fingerprints?

Back 90

Papillary ridges

Front 91

White convex at the base of the nail

Back 91

Lunula

Front 92

What is the structure under the nailbed?

Back 92

Hyponychium

Front 93

Embryonic structure from which the nail develops?

Back 93

Eponychium

Front 94

Acute or chronic infection around the nail is called what?

Back 94

Paronychia

Front 95

Allen's test is considered abnormal when latency is slower than what?

Back 95

7 seconds

Front 96

Vascular disease that is pain with exertion that is alleviated by rest

Back 96

Obstructive arterial problem

Front 97

Vascular disease that presents with mild paresthesias and marked pallor

Back 97

Vasospasm

Front 98

Vascular disease that presents with severe pain with sudden onset

Back 98

Sudden Arterial Occulusion

Front 99

Vascular disease that present with pain at rest

Back 99

Severe arterial insuffieciency

Front 100

Palmaris longus is absent in what percent of the population

Back 100

13-20%