Anatomy & Physiology Of Upper Limb

Front 1

l

Back 1

l

Front 2

Composition of Bones

Back 2

25-30% water,
Calcium phosphate & calcium Carbonate,
collagen (protein)

Front 3

Effusion

Back 3

Injury or irritation to the synovial layer causing over secretion of synovial fluid

Front 4

What is the nutruitonal source for cartiliage?

Back 4

Synovial fluid

Front 5

What parts of joints are innervated?

Back 5

Outer layer of joint capsule, ligaments, bursae

Front 6

What part of joints are not innervated?

Back 6

Disks, articular cartigae, synovial membrane

Front 7

Common site for Bracial Plexus Compression

Back 7

between the anterior and middle scalenes,
1st rib and clavicle,
Under pectorialis Minor

Front 8

Common compression site for Median Nerve

Back 8

LIgament of Struthers
Two head of pronator teres
Anterior interosseous branch
Carpal tunnel

Front 9

Common compression sites for Radial Nerve

Back 9

Radial tunnel (PIN)
Near Snuffbox

Front 10

Common Compression site for Ulnar nerve

Back 10

Cubital Tunnel
Guyon's Canal

Front 11

What bone transmits forces from upper limb to axial skeleton?

Back 11

Clavicle, attaches sternum to scapula

Front 12

Common site for Bracial Plexus Compression

Back 12

between the anterior and middle scalenes,
1st rib and clavicle,
Under pectorialis Minor

Front 13

Four fossas of the scapular

Back 13

Glenoid, Supraspinatus, Infraspinatus, Subscapular

Front 14

Ligaments of Sternoclaviclar joint

Back 14

Costoclaivcular, anterior & posterior SC, interclavicular

Front 15

Common compression site for Median Nerve

Back 15

LIgament of Struthers
Two head of pronator teres
Anterior interosseous branch
Carpal tunnel

Front 16

Common compression sites for Radial Nerve

Back 16

Radial tunnel (PIN)
Near Snuffbox

Front 17

Movements of SC joint

Back 17

Elevation & depression, portractiona and retraction, Rotation

Front 18

Only true articulation between axial skeleton and upper limb

Back 18

sternoclavicular joint

Front 19

Common Compression site for Ulnar nerve

Back 19

Cubital Tunnel
Guyon's Canal

Front 20

What bone transmits forces from upper limb to axial skeleton?

Back 20

Clavicle, attaches sternum to scapula

Front 21

Ligaments of Acromioclavicular joint

Back 21

Acromioclavicular, Coracoclavicular (trapezoid, conoid)

Front 22

Four fossas of the scapular

Back 22

Glenoid, Supraspinatus, Infraspinatus, Subscapular

Front 23

Ligaments of Sternoclaviclar joint

Back 23

Costoclaivcular, anterior & posterior SC, interclavicular

Front 24

Movements of SternoClavicular joint

Back 24

Elevation & depression, portraction and retraction, Rotation

Front 25

Only true articulation between axial skeleton and upper limb

Back 25

sternoclavicular joint

Front 26

Ligaments of Acromioclavicular joint

Back 26

Acromioclavicular, Coracoclavicular (trapezoid, conoid)

Front 27

What portion of the GH joint capsule is loose to allow mobility?

Back 27

Inferior portion

Front 28

What are the ligaments of the GH joint?

Back 28

Coracohumeral, Coracoacromial, Three gleno-humeral ( Superior, Inferior and MIddle)

Front 29

Bursae of the GH joint

Back 29

Subdeltoid (subacromial)
Subscapular

Front 30

Is the Scapulothoracic Joint a "true" articulation

Back 30

No, Slides between scapula and thoracic wall

Front 31

What are the contents of the Subacromial space?

Back 31

Subacromial bursa, supraspinatuous muscle and tendon, superior joint capsule, Longe head of biceps tendon

Front 32

subacromial arch formed by what structures?

Back 32

Acromion, Coracoid porcess, Coracoacromial ligament

Front 33

Whats the difference between extrinisic and intrinsic shoulder muscles?

Back 33

Extrinsic: arise from axial skeleton and inser on scapula Intrinsic: arise from scapular or clavicle and insert of humerus

Front 34

Upward rotations of scapula

Back 34

Upper & lower trapezius Serratus anterior

Front 35

Downward roation of scapula

Back 35

Levator scapulae, Rhomboids major and minor, Asssist: Pect major and Lats

Front 36

Elevation of scapula

Back 36

upper Trapezius, Levator scapulae

Front 37

Depression of scapula

Back 37

Pectoralis Minor, Lower trapezius

Front 38

Protraction of scapula

Back 38

Serratus Anterior, Pectoralis MInor

Front 39

retraction of scapula

Back 39

Rhomboids major & minor, MIddle trapezius

Front 40

Flexion of humerus

Back 40

Coracobrachialis, Clavicular head of pec major, Anterior Deltoid, Short head of biceps

Front 41

Extension of humerus

Back 41

Teres Major/Latissimus, Sternalhead of pect major, Post Deltoid, Infraspinatous/Teres Minor, Long head of Triceps

Front 42

Depression of scapula

Back 42

Pectoralis Minor, Lower trapezius

Front 43

Protraction of scapula

Back 43

Serratus Anterior, Pectoralis MInor

Front 44

retraction of scapula

Back 44

Rhomboids major & minor, MIddle trapezius

Front 45

Flexion of humerus

Back 45

Coracobrachialis, Clavicular head of pec major, Anterior Deltoid, Short head of biceps

Front 46

Extension of humerus

Back 46

Teres Major/Latissimus, Sternalhead of pect major, Post Deltoid, Infraspinatous/Teres Minor, Long head of Triceps

Front 47

Abduction of Humerus

Back 47

Middle Deltoid, Supraspinatous

Front 48

Adduction of Humerus

Back 48

Sternal head of pect major, Latissimus/Teres major, Coracobrachialis

Front 49

External Rotation of Humerus

Back 49

Teres Minor, Infraspinatous, Posterior Deltoid

Front 50

Internal Rotation of Humerus

Back 50

Subscapularis, Teres Major/Latissimus, Anterior Deltoid, Pec Major

Front 51

Horizontal Adduction of humerus

Back 51

Clavicular head of pec major, Anterior deltoid

Front 52

Horizontal Abduction of humerus

Back 52

Post Deltoid

Front 53

What is initial scapul-humera rhythm for initial 30* of abduction?

Back 53

4:1 ratio

Front 54

scapul-humeral rhythem for abduction from 30 to 180*

Back 54

4:5 ratio

Front 55

Clinical picture of Adhesive Capsulitis?

Back 55

IR LImited, ER limited, Pain free when shoulder immobile, Pain increases with AROM

Front 56

What fold is adhered with Adhesive capsulitis?

Back 56

Inferior fold

Front 57

Humeroulnar joint of elbow formed by what bones?

Back 57

Trochlea of humerus & Trochlear notch of ulna

Front 58

Humeroradial joint of elbow formed by what bones?

Back 58

Capitulum of humerus & radial head of radius

Front 59

Muscles of elbow flexion

Back 59

Biceps brachii, Bracialis, Brachioradialis (assist), Pronator Teres (assist)

Front 60

Muscles of elbow extension

Back 60

Triceps, Anconeous

Front 61

Proximal radio-ulnar joint

Back 61

Radial head and glides into radial notch of ulna

Front 62

Distal radio-ulnar joint

Back 62

Ulnar nothc slides around the head of the ulna

Front 63

Ulnar head is more prominent in ____ and less prominent in full ____

Back 63

Pronation, Supination

Front 64

Muscles for supination

Back 64

Supinator, Biceps brachii

Front 65

Muscles for pronation

Back 65

Pronator teres, Pronator Quadratus

Front 66

Colles Fracture: dorsal or volar dislocation of radius?

Back 66

Dorsal

Front 67

Superfical muscles of Forearm flexors

Back 67

Pronator Teres, FCR (to base of 2&3 metacarpals), Palmaris Longus ( to aponeurosis), FDS (PIP), FCU( Pisiform, 5th metacarpal) All arise from Medial epi

Front 68

Deep muscles of forearm flexors

Back 68

FDP, FPL, Pronator Quadratus

Front 69

1st DC

Back 69

APL, EPB

Front 70

2nd DC

Back 70

ECRL, ECRB

Front 71

3rd DC

Back 71

EPL

Front 72

4th DC

Back 72

EDC, EI

Front 73

5th DC

Back 73

EDM

Front 74

6th DC

Back 74

ECU

Front 75

Distal Volar Angulations of radius

Back 75

11 degress dorsal > volar radius (rule of 11s)

Front 76

Distal Radial inclination of radius

Back 76

22 degrees radial > ulnar side (rule of 11s)

Front 77

Distal axial loading forces from gripping to radius and ulnar

Back 77

82% radial, 18% ulnar

Front 78

Proximal Carpal bones

Back 78

Scaphoid, Lunate, Triquetrum, Pisiform (mobile row)

Front 79

Distal carpal row bones

Back 79

Trapezium, trapezoid, capitate, Hamate (taut ligaments)

Front 80

Which area of TFCC is vascularized and unvascularized?

Back 80

Central: Unvascularized
Peripherial: Vascularized

Front 81

Which wrist column is force bearing? Control Column?

Back 81

Central column is force bearing
Ulnar column is control column

Front 82

Components of Central Column

Back 82

Radius, lunate, proximal 2/3 scaphoid, copaitate, trapezoid, 2nd and 3rd metacarpals

Front 83

Components of Ulnar Column

Back 83

Ulnar styloid, TFCC, triquetrum proximal hamate, 4th & 5th metacarpals

Front 84

Radio-carpal joint

Back 84

Radius, scaphoid, lunate

Front 85

Midcarpal joint

Back 85

Between proximal and distal carpals rows

Front 86

Carpal glides during Radial deviation

Back 86

Triquetrum translates radially & dorsally on hamate
Lunate and scaphoid FLEX

Front 87

Carpal glides during Ulnar deviation

Back 87

Triquetrum glides distally on hamate.
Lunate and scaphoid EXTEND

Front 88

Carpal glides during wrist extension

Back 88

Scaphoid and Lunate EXTEND

Front 89

carpal glides during wrist Flexion

Back 89

Lunate and Scaphoid FLEX
Palmer flexion occurs at midcarpals and radiocarpal joint

Front 90

Space of Poirier

Back 90

Weak area between capitate and lunate

Front 91

Grip strength max and min at what wrist position?

Back 91

Max at 20* ext
Min at 40* flexion

Front 92

Functional wrist ROM

Back 92

40/40

Front 93

Normal Scaphoid-Lunate angle

Back 93

47*

Front 94

In ulnar deviation, proximal row _____?

Back 94

Extends

Front 95

In Radial deviation, proximal row _____?

Back 95

Flexes

Front 96

Triquetral-Lunate Dissociation

Back 96

-VISI
-Scaphoid and Lunate FLEX
-Triquetrum EXTEND
Clicking with UD to RD

Front 97

Scapholunate dissociation

Back 97

DISI
-Lunate & Triquetrum EXTEND
-Scaphoid FLEX
--Clicking with UD

Front 98

Palmar midcarpal instability

Back 98

-Ulnar arm of arcuate ligament disrupted
-May be caused by abnormal tilt of s/p DRF
-Noted snap into ext

Front 99

MP collateral ligaments Taut in ____, Loose in ____

Back 99

Taut in Flexion
Loose in Extension

Front 100

MP capsule Loose packed position is_____, closed packed in _____.

Back 100

Loose packed in Extension
Closed packed in Flexion

Front 101

IP Collaterals Taut in ____, Loose in _____

Back 101

Taut in Extension
Loose in Flexion

Front 102

IP capsular Loose packed and closed packed position?

Back 102

Loose packed in Flexion
Closed packed in Ext

Front 103

Muscles of Thumb Flexion and Nerve Innervation

Back 103

FPB-Median
FPL- Median

Front 104

Muscles of Thumb Ext

Back 104

EPB- Radial
EPL- Radial

Front 105

Muscles of Thumb ABD

Back 105

APB-Median
APL-Radial

Front 106

Muscles of Thumb ADD

Back 106

Add Pollicis-Ulnar

Front 107

Muscles of Thumb Opposition

Back 107

Opponens pollicis-Median

Front 108

Flexors of MCP

Back 108

Primary: Dorsal & Palmar Interossei- (Ulnar N)
Assists: Lumbricals (Med and Ulnar N), FDS (med n), FDP (Med & ulnar N)

Front 109

IP Flexors

Back 109

FDS- (med n)
FDP (med and ulnar n)

Front 110

Muscles of Finger Extension

Back 110

Ext Digitorum (rad n)
Lateral Bands with assit from lubricals and interossei

Front 111

Muscles of Finger Abduction

Back 111

Dorsal Interossei (ulnar n)

Front 112

Muscles fo Finger ADD

Back 112

Palmer Interossei (Ulnar n)

Front 113

Lumbrical muscles originate from what side of the FDP?

Back 113

Radial side

Front 114

Palmer and Dorsal Interesseous act as abd or add?

Back 114

PAD: Palmar ADD
DAB: Dorsal ABD