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54 Cards in this Set

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  • Back
Your patient experiences radial deviation of the hand at the wrist when flexing the wrist, and altered sensation in the skin covering the hypothenar eminence. What might be the cause of these symptoms?
fracture of the medial epicondyle of the humerus
A patient develops a significant clawing of the fourth and fifth digits secondary to nerve injury. The clawing is the result of weakening of which muscles?
Lumbricals
A patient has suffered a fracture of the surgical neck of the humerus.

What muscle might be weakened?
Deltoid
A person who uses hand tools for a living begins to develop pain and paresthesia in the right hand at night. The altered sensation is most evident on the palmar aspects of the index and middle fingers. What else might you expect to see in the patient?
atrophy of the thenar eminence
The axillary artery has become progressively occluded deep to the pectoralis minor muscle. Which pair of blood vessels might provide a significant collateral circulation around the blockage?
Subscapular artery and suprascapular artery
Your patient has fallen on their outstretched hand and dislocated the lunate. The patient does not seek treatment and several weeks later begins to exhibit signs of nerve compression. What might the patient present with?
Weakness in the ability to oppose the thumb
A 13 year old gymnast who practiced 20 hours per week complained of low back pain. A physical and radiographic examination reveal a stress fracture of the L5 vertebra. What repetitive movement of the vertebral column may result in a stress fracture of the vertebral column?
repetitive hyperextension of the vertebral column
The most commonly torn part of the rotator cuff is:
the tendon of the supraspinatus muscle
The most frequently fractured bone in the wrist is the
scaphoid
Where is origin of the palmaris longus?
medial epicondyle of the humerus
What does opposition of the thumb consist of?
a rotational movement of the 1st metacarpal around the long axis of its shaft
What forms the floor of the anatomic snuffbox?
Scaphoid and trapezium bones
What forms the proximal border of the anatomic snuffbox?
the styloid process of the radius
What gives rise to the common interosseous artery?
Ulnar artery
What pass through the carpal tunnel?
Flexor digitorum profundus tendons, flexor digitorum superficialis tendons, median nerve, and flexor pollicis longus tendon
What nerves innervate the lumbricals of the hand?
Ulnar two: ulnar nerve via deep branch

Radial two: median nerve via palmar digital nerves
What muscles extend the fingers at the IP joints?
Lumbricals, interosseous muscles, and extensor digitorum
What muscles does the superior gluteal nerve innervate?
gluteus medius, gluteus minimis, and tensor fasciae latae
What muscles does the inferior gluteal nerve innervate?
Gluteus maximus
What are the actions of the sartorius muscle?
flexes, abducts and laterally rotates the thigh; flexes leg
What are the actions of the iliacus?
flexes the thigh; if the thigh is fixed it flexes the pelvis on the thigh
What are the actions of the rectus femoris?
extends the leg, flexes the thigh
Innervation of rectus femoris?
femoral nerve
Action of vastus intermedius?
extends the leg at knee
What arteries form the principal blood supply of the muscles in the posterior compartment of the thigh?
perforating branches of the profunda femoris
What muscle is innervated by both the obturator and tibial nerves?
Adductor magnus
What does the adductor canal contain?
Femoral artery and vein, and branches of femoral nerve (saphenous nerve, and the nerve to the Vastus medialis)
What nerves must be intact to keep the right side of the pelvis from sagging as weight is born by the left lower limb exclusively during stride?
left superior gluteal
What are the actions of the superior gemellus?
laterally rotates the femur
What are the actions of the obturator internus?
Laterally rotates extended thigh and abducts flexed thigh
What are the actions of the piriformis?
laterally rotates and abducts thigh
What type of fracture is most likely to result in avascular necrosis of the femoral head?
femoral neck
In what plane do the cruciate ligaments cross?
Both sagital and coronal planes
Lateral rotation of the femur on the tibia (unlocking of the knee), prior to flexion of the knee joint, is produced by which muscle?
popliteus
What are the actions of the peroneus brevis?
extends (plantar flexes) and everts the foot
Innervation of peroneus brevis?
superficial fibular (peroneal) nerve
Extensor digitorum brevis lies __________ to dorsal interossei?
Superficial
What nerve supplies the skin of the 1st interspace (between toes 1 and 2)?
Deep peroneal
branches of what nerve supply the entire plantar surface?
Tibial
What nerve supplies the medial aspect of the dorsum of the foot?
Saphenous
What bones participate in the talocural joint?
tibia, fibula, talus
the medial plantar artery is a branch of what?
the posterior tibial artery
the great saphenous vein passses anterior to ____________ as it leaves the foot
the medial malleolus
what is a direct continuation of the anterior tibial artery?
the dorsalis pedis
the small saphenous vein passes posterior to what?
the lateral malleolus
what does the lateral plantar artery derive from?
Posterior tibial artery
What happens to abduction of the thumb if the radial nerve is injured as it crosses the elbow?
Partially lost
What is the medial attachment site for the flexor retinaculum?
Pisiform bone and hamulus of the hamate bone
Five muscles that originate in the common flexor tendon:
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor digitorum superficialis
Flexor carpi ulnaris
The majority of all intrinsic muscles of the foot are innervated by the:
lateral plantar nerve
All the muscles of the flexor compartment of the forearm are supplied by the median nerve EXCEPT
flexor carpi ulnaris and medial part of flexor digitorum profundus
The tip of the conus medularis is usually found at which vertebral level?
L2
What muscles function during walking to prevent the unsupported side of the pelvis from tilting significantly inferiorly?
hip abductors on the supported side
Compression of what nerve would result in foot drop (the inability to dorsiflex the foot during the swing phase of walking)?
common peroneal nerve