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190 Cards in this Set
- Front
- Back
which fibers of the pectoralis major muscle originate on the anterior medial half of the clavicle?
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clavicular
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which fibers of the pectoralis major muscle originate primarily from the anterior surface of the sternum
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sternal
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which muscle inserts on the crest of the greater tubercle of the humerus?
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pectoralis major
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this is a very thin, broad muscle on the anterior portion of the neck and superior chest whose fibers run almost vertically from the fascia overlaying the pec major, from which it originates
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platysma
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this is a superficial vein that runs between the pec major and deltoid muscles
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cephalic vein
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the terminal portions of the upper intercostal vessels and nerves pierce which muscle?
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pectoralis major
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the clavipectoral triangle is bounded by what three structures?
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(1) medial aspect of pec minor
(2) inferior aspect of the clavicle (3) anterior thoracic wall |
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this muscle originates from the 3-5th ribs near the cartilages and inserts on the coracoid process of the scapula; is enclosed in the clavipectoral fascia
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pectoralis minor
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this artery branches of the axillary artery near the medial aspect of the pec minor; some branches supply the pectoralis major
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thoracoacromial artery
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this nerve usually pierces the pectoralis minor to reach the pec major, but it may also emerge from beneath the lateral aspect of the pec minor
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medial pectoral nerve
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this nerve emerges beneath the medial aspect of the pectoralis minor to innervate the pec major
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lateral pectoral nerve
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what are the four branches of the thoracoacromial artery?
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(1) deltoid branch
(2) pectoral branch (3) acromial branch (4) clavicular branch |
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this muscle originates from the first rib and inserts on the undersurface of the clavicle; it is enclosed in the clavipectoral fascia
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subclavius
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what two muscles form the anterior wall of the axilla?
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pectoralis major and minor
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what three muscles form the posterior wall of the axilla?
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(1) subscapularis
(2) teres major (3) latissimus dorsi |
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what structures form the medial wall of the axilla?
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upper ribs and intercostal muscles, which are covered by the serratus anterior muscles
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what structures form the lateral wall of the axilla?
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superior, medial humerus, whcih is covered by the coracobrachialis muscle
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what is considered the apex of the axilla?
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cervicoaxillary canal
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the cervicoaxillary canal is bounded by what three structures?
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first rib, scapula, and clavicle
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what forms the base of the axilla?
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axillary fascia and skin
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what muscle is on the lateral aspect of the trunk and inserts on the upper portion of the humerus?
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latissimus dorsi
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what muscle originates from the coracoid process of the scapula and inserts on the middle of the shaft of the humerus?
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coracobrachialis
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what muscle originates from the supraglenoid tubercle of the scapula?
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long head of the biceps
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what muscle originates from the coracoid process of the scapula
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short head of the biceps
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where does the biceps brachii muscle insert on the arm?
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the radial tuberosity
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this muscle originates from the inferior angle and lateral border of the scapula and inserts on the crest of the lesser tubercle of the humerus
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teres major
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this muscle originates from the outer surface and superior border of the ribs 1-8, possibly 9 and inserts on the costal surface of the medial border of the scapula
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serratus anterior
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this muscle originates from the subscapular fossa of the scapula and inserts on the lesser tubercle of the humerus and shoulder joint capsule
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subscapularis
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this nerve runs along the medial border of the coracobrachialis; it is formed by the convergence of the lateral and medial heads from the lateral and medial cords of the brachial plexus
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median nerve
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this artery is deep to the medial head of the median nerve; its distal part runs medial to the median nerve, and is a continuation of the subclavian artery once it enters the axillary region at the lateral border of the first rib
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axillary artery
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what artery does the axillary artery become once it exits the axillary region at the lateral border of the teres major and enters the arm?
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brachial artery
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this vein is located medial and anterior to the axillary artery
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axillary vein
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this nerve runs medial tot he axillary artery and is most likely deep to the axillary vein
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ulnar nerve
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these nerves both run medial tot he axillary artery, in close proximity to the axillary vein, in the skin of the forearm and upper arm, respectively; both of these nerves are direct branches from the medial cord of the brachial plexus
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medial antebrachial cutaneous and medial brachial cutaneous nerves
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this nerve runs from the second intercostal space and medial aspect of the arm, and is the lateral cutaneous branch of the second intercostal nerve
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intercostobrachial nerve
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this nerve lies lateral to the median nerve; it enteres the muscle belly of the coracobrachialis, and after innervating this and the biceps, continues as the lateral antebrachial cutaneous nerve
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musculocutaneous nerve
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this nerve is the other terminal branch of the posterior cord of the brachial plexus that travels with the posterior humeral circumflex artery
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axillary nerve
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this nerve supplies the subscapularis muscle
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upper subscapular
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this nerve supplies the subscapularis and teres major muscles
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lower subscapular nerve
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this nerve supplies the latissimus dorsi
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thoracodorsal nerve
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this nerve runs from the axilla to the serratus anterior; originates from the ventral rami of spinal nerves C5-C7
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long thoracic nerve
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this part of the axillary artery lies medial to the pectoralis minor
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1st
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this part of the axillary artery lies posterior or deep to the pectoralis minor
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2nd
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this part of the axillary artery lies lateral to the pectoralis minor
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3rd
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this branch of the first part of the axillary artery goes to the upper thoracic wall
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supreme thoracic artery
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this branch of the second part of the axillary artery almost immediatley branches into its four branches
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thoracoacromial artery
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this branch of the second part of the axillary artery runs deep to the pectoralis minor, goes to the lateral thoracic wall, pectoral musces, and breast; runs near the long thoracic nere
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lateral thoracic artery
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this branch of the third part of the axillary artery runs near the posterior wall of the axilla and very quickly branches into the thoracodorsal and scapular circumflex arteries
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subscapular artery
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this branch of the subscapular artery (which is a branch of the 3rd part of the axillary artery) travels with the thoracodorsal nerve to the latissimus dorsi muscle
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thoracodorsal artery
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this branch of the subscapular artery (which is a branch of the 3rd part of the axillary artery) passes posteriorly into the triangular space between subscapularis and teres major to contribute to the scapular anastomosis
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scapular circumflex artery
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this branch of the 3rd part of the axillary artery is a small branch that travels across the front of the arm behind the coracobrachialis; it may arise from the common trunk with the posterior humeral circumflex artery or as a separate branch off the axillary artery
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anterior humeral circumflex
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this branch off the 3rd part of the axillary artery is a larger branch which ravels through the quadrangular space between the subscapularis and teres major muscles and exits posteriorly; travels with the axillary nerve
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posterior humeral circumflex
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this vein arises from the lateral aspect of the venous arch on the dorsum of the hand and ravel sup the lateral wrist, anterolateral forearm and elbow, and lateral arm; it goes between the pec major and deltoid where it then pierces the clavipectoral fascia and enters the axillary vein
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cephalic vein
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which vein does the cephalic vein empty into?
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axillary vein
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this vein arises from the medial aspect of the venous arch on the dorsum of the hand and travels up the medial wrist, forearm, elbow, and arm; at the middle of the arm, it pierces the deep fascia where it joins with the deep veins that run with the brachial artery
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basilic vein
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this vein crosses in front of the elbow connecting the cephalic and basilic veins; lies immediately anterior to the bicipital aponeurosis
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median cubital vein
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this nerve of the arm pierces the deep fascia medial to the basilic vein in the medial aspect of the arm; it descends medially down the arm; proximal to the elbow, it wraps posteriorly and innervates the skin over the olecranon process
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medial cutaneous nerve of the arm
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this nerve pierces the deep fascia lateral to the basilic vein and more distally than the medial cutaneous nerve of the arm; it splits into two branches that supply the skin over the medial aspect of the forearm, anteriorly and posteriorly
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medial cutaneous nerve of the forearm
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this nerve pierces the deep fascia on the lateral aspect of the arm near the cephalic vein, just proximal to the elbow; it supplies the skin on the lateral side of the forearm and is a continuation of the musculocutaneous nerve
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lateral cutaneous nerve of the forearm
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the lateral cutaneous nerve of the forearm is a continuation of what larger nerve?
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musculocutaneous nerve
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this portion of the deltoid muscle originates ont he acromion and lateral portion of the clavicle and inserts with the other portions on the deltoid tuberosity of the humerus
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anterior
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this muscle originates from the 3-5th ribs near the cartilages and inserts on the coracoid process of the scapula
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pectoralis minor
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this head of the biceps originates from the supraglenoid tubercle of the scapula
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long head
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this head of the biceps originates from the coracoid process of the scapula
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short head
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this muscle originates from the coracoid process of the scapula and inserts on the middle of the shaft of the humerus
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coracobrachialis
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this ligament travels from the lesser to greater tubercle of the humerus, over the tendon of the long head of the biceps situated in the intertubercular sulcus
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transverse ligament
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this structures crosses the anterior aspect of the elbow diagonally, traveling from the distal portion of the biceps brachii muscle belly to the deep fascia on the proximal medial forearm
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bicipital aponeurosis
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this nerve innervates the coracobrachialis; it runs between the biceps brachii and brachialis (and innervates those) in the lateral aspect of the arm, and continues into the forearm as the lateral antebrachial cutaneous nerve
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musculocutaneous nerve
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this artery is a continuation of the axillary artery at the lateral border of the teres major
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brachial artery
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this branch of the brachial artery is the first large named branch off the medial side; it dives posteriorly between the medial and long heads of the triceps and travels with the radial nerve in the posterior aspect of the arm
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profunda brachii
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this artery branches off the brachial artery near the middle of the arm and then travels with the ulnar nerve on the surface of the medial head of the triceps to the elbow; anstomoses with posterior ulnar recurrent and inferior ulnar collateral
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superior ulnar collateral
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this artery braches off the brachial artery just proximal to the elbow and travels on the brachialis muscle; anstomoses with the anterior ulnar recurrent and superior ulnar collateral
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inferior ulnar collateral
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these are the two terminal branches of the brachial artery at the elbow
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radial and ulnar arteries
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this artery travels distally and laterally over the insertion of the biceps brachii tendon and is a branch of the brachial artery
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radial artery
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this branch of the brachial artery travels distally and medially under the pronator teres
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ulnar artery
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what is the base of the cubital fossa?
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line between the medial and lateral humeral epicondyles
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what muscle forms the medial side of the cubital fossa?
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pronator teres
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what muscle forms the lateral side of the cubital fossa?
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brachioradialis
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what two muscles form the floor of the cubital fossa?
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brachialis proximally, supinator distally
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what two structures form the roof of the cubital fossa?
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skin and fascia
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this nerve enters the lateral aspect of the arm and forearm just superior to the lateral elbow between the brachialis and brachioradialis muscles
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radial nerve
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this artery is a branch of the deep artery of the arm; it runs with the radial nerve and anostomoses with the radial recurrent artery around the elbow
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radial collateral artery
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this branch of the radial nerve travels under the brachioradialis with the radial artery and becomes more superficial at the lateral aspect of the wrist traveling ot the dorsum of the hand; cutaneous in function
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superficial radial nerve
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this branch of the radial nerve disappears from view almost immediately into the supinator as it branches off
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deep radial nerve (posterior interosseous)
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this artery branches off near the origin of the radial artery and travels proximally to anastomose with the radial collateral artery at the elbow
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radial recurrent artery
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this nerve travels with the brachial artery at the distal lateral aspect of the arm; it splits into the pronator teres muscle in two heads
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median nerve
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this artery branches off the ulnar artery in the cubital fossa and anastomoses with the inferior ulnar collateral artery
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anterior ulnar recurrent artery
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this artery branches off the ulnar artery in the cubital fossa and anastomoses with the superior ulnar collateral artery
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posterior ulnar recurrent artery
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this structure is a thickening of the deep fascia of the palm
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palmar aponeurosis
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this muscle lies in the superficial fascia over the ulnar side of the hand near the pisiform attaching to the palmar aponeurosis
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palmaris brevis
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which humeral epicondyle does the ulnar nerve travel behind?
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medial
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this ligament extends from the styloid process of the radius to the styloid process of the ulna; it is a thickening of the deep antebrachial fascia and is continuous with the extensor retinaculum on the posterior aspect of the wrist
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palmar carpal ligament
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this structure runs from the scaphoid and trapezium to the pisiform and hook of the hamate
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flexor retinaculum (transverse carpal ligament)
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what is the only muscle located in the second layer of the forearm?
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flexor digitorum superficialis
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what two structures pass beneath the fibrous arch of the flexor digitorum superficialis formed between the radial and ulnar/humeral origins?
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median nerve and ulnar artery
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this artery travels deep to the brachioradialis muscle belly in the proximal forearm and medial to the brachioradialis tendon in the distal forearm; just proximal to the wrist, it travels around to the dorsum of the wrist
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radial artery
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this branch of the radial artery is a small branch off of it at the wrist; travels deep to the flexor tendons and anastomoses with the palmar carpal branch of the ulnar artery
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palmar carpal branch
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as the radial artery begins to travel dorsally at the wrist, it gives off this branch, which runs over the flexor retinaculum and eventually contributes to the superficial palmar arterial arch
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superficial palmar branch
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this artery in the proximal forearm is covered by the muscles of the superficial layer of the anterior forearm and the FDS; it runs medially over the muscle belly of the FDP, where it is corssed by the median nerve, and then medial to the flexor tendons; in the distal forearm it travels with the ulnar nere over the flexor retinaculum through Guyon's canal
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ulnar artery
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this artery branches laterally off the ulnar artery just distal to the cubital fossa and divides quickly into two branches
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common interosseous artery
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this branch of the common interosseous artery travels immediately posterior between the proximal radius and ulna
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posterior interousseous artery
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this artery branches off the posterior interosseous artery and travels proximally
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recurrent interosseous artery
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this branch of the common interosseous artery travels distally beneath and between the FPL and FDP muscles along hte anterior aspect of the interosseous membrane, running with the anterior interosseous nerve; passes deep to pronator quadratus
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anterior interosseous artery
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what muscle does the anterior interosseous artery pass deep to?
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pronator quadratus
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this branch of the ulnar artery arises proximal to the flexor retinaculum and contributes to the anastomosis at the wrist
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dorsal carpal branch
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this nerve, from the cubital fossa, travels deep to the FDS; lies deep to the palmaris longus in the distal forearm and wrist, and passes deep to the flexor retinaculum
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median nerve
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this nerve branches off the anterior interosseous nerve and travels with the anterior interosseous artery along the anterior aspect of the interosseous membrane and passes deep to the pronator quadratus
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anterior interosseous nerve
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this nerve branches off the median nerve just proximal to the flexor retinaculum and then travels superficial to the retinaculum into the palm of the hand (innervates skin on the lateral half of the palm)
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palmar cutaneous branch of the median nerve
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this nerve travels deep to the flexor carpi ulnaris muscle belly in the proximal forearm and just lateral to the flexor carpi ulnaris tendon in the distal forearm; it travels superficial to the flexor retinaculum with the ulnar artery
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ulnar nerve
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this nerve branches off the ulnar nerve in the distal forearm and travels toward the skin over the dorsum of the hand on the ulnar side
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dorsal cutaneous branch
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this nerve branches off the ulnar nerve in the distal forearm, crosses in front of the ulnar artery, and goes to the skin on the medial half of the palm
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palmar cutaneous branch of the ulnar nerve
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what are the boundaries of the carpal tunnel?
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carpal bones and flexor retinaculum
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what are the contents of the carpal tunnel?
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(1) median nerve
(2) tendons of the flexor digitorum superficialis (3) tendons of the flexor digitorum profundus (4) tendon of the flexor pollicis longus |
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this branch of the ulnar nerve branches off and travels near the deep palmar branch of the ulnar artery, passing between the abductor and flexor digiti minimi
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deep branch of the ulnar nerve
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this branch of the ulnar nerve divides into three palmar digital branches to innervate the skin of the 4th and 5th digits
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superficial branch of the ulnar nerve
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these ligaments are fibrous bands that wrap horizontally across the phalanges
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annular ligaments
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these ligaments are fibrous brands that appear to make an X and cross in front of the joints
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cruciate ligaments
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these are the blood supply to the fingers that run between the tendons and phalanges
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vincula
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this head of the flexor pollicis brevis originates from the flexor retinaculum and trapezium bone
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superficial head
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this head of the flexor pollicis brevis originates fom the trapezoid and capitate bones
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deep head
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this head of the adductor pollicis originates from the capitate and bases of the 2nd and 3rd metacarpals'; inserts into the extensor expansion on the thumb
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oblique head
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this head of the adductor pollicis originates from the palmar surface of the 3rd metacarpal; inserts into the ulnar side of the base of the proximal phalanx of the thumb
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transverse head
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inferior and lateral to the external occipital protuberance, which two structures pierce the upper trapezius muscle?
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occipital artery and greater occipital nerve
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this artery lies lateral to the greater occipital nerve
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occipital artery
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this nerve is a fairly large nerve medial to the occipital artery; it is the dorsal ramus of C2 and runs superiorly to the back of the head
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greater occipital nerve
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these two nerves travel through the posterior triangle of the neck and innervate the trapezius muscle
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spinal accessory nerve
anterior primary rami of C3 and C4 |
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this branch of the transverse cervical artery travels with the spinal accessory nerve to supply the trapezius
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superficial (ascending) branch
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this nerve runs with the deep branch of the transverse cercical artery beneath the rhomboids, and innervates the rhomboids and levator scapulae
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dorsal scapular nerve
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this muscle originates from the ligamentum nuchae and spinous processes of C7-T3, and inserts on ribs 2-5; lies deep to the rhomboids and has a similar muscle fiber direction as the rhomboids
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serratus posterior superior
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this muscle originates from the spinous processes of T11-L3 and inserts on ribs 9-12; lies deep to the latissimus dorsi
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serratus posterior inferior
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this portion of the deltoid originates from the lateral margin and superior surface of the acromion
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middle
|
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this portion of hte deltoid originates from the inferior lip of the posterior border of the spine of the scapula
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posterior
|
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this head of the triceps brachii originates on the infraglenoid tubercle of the scapula
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long head
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this bursa lies between the acromion and the insertion of the supraspinatus on the humerus, and then extends laterally between the deltoid and the humerus/shoulder joint capsule
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subacromial/subdeltoid bursa
|
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this ligament extends from the coracoid process to the acromion
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coracoacromial ligament
|
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this ligament runs over the suprascapular notch, creating a foramen through which the suprascapular nerve travels
|
superior transverse scapular ligament
|
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this nerve travels underneath the superior transverse scapular ligament
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suprascapular nerve
|
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this artery travels above the superior transverse scapular ligament
|
suprascapular artery
|
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what are the four boundaries of the quadrangular space?
|
(1) teres minor
(2) teres major (3) long head of the triceps (4) humerus |
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what are the two contents of the quadrangular space?
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(1) axillary nerve
(2) posterior humeral circumflex artery |
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what are the three boundaries of the triangular space?
|
(1) teres minor
(2) teres major (3) long head of the triceps |
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what is the content of the triangular space?
|
scapular circumflex artery
|
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this artery comes through the triangular space to anastomose with the suprascapular artery
|
scapular circumflex artery
|
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this nerve is a branch of the axillary nerve; it pierces the fascia at the inferior border of the posterior deltoid and covers the lower half of the posterior deltoid
|
superior lateral cutaneous nerve of the arm
|
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this nerve is a branch of the radial nerve; it pierces the fascia inferior and medial to the inferior border of the posterior deltoid and supplies the skin over the posterior medial arm just inferior to the deltoid
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posterior cutaneous nerve of the arm
|
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this nerve pierces the fascia in the middle of the posterior aspect of the arm and supplies the skin over the posterior lateral arm; is a branch of the radial nerve
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inferior lateral brachial cutaneous nerve
|
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this nerve pierces the fascia on the posterior lateral aspect of the arm just above the elbow and descends down the posterior lateral forearm; is a branch of the radial nerve
|
posterior cutaneous nerve of the forearm
|
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this nerve comes off the medial cord of the brahcial plexus; wraps around the posterior aspect of the arm inferior to the posterior cutaneous nerve of the arm
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medial cutaneous nerve of the forearm
|
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this nerve pierces the deep fasica on the lateral aspect of the arm, just proximal to the elbow; it supplies the skin on the lateral aspect of the forearm and is a continuation of the musculocutaneous nerve
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lateral cutaneous nerve of the forearm
|
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this head of the triceps brachii originates from the lateral and posterior surface of the proximal humerus and the lateral intermuscular septum
|
lateral head
|
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this head of the triceps brachii originates from the medial and posterior surface of the distal humerus and the medial intermuscular septum; lies deep to the other two heads
|
medial head
|
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this muscle originates from the posterior surface of the lateral epicondyle of the humerus and inserts on the lateral side of the olecranon process and antebrachial fascia; lies just inferior and lateral to the insertion of the biceps brachii
|
anconeus
|
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this is a thick fibrous band across the posterior aspect of the wrist from the distal radius to the styloid process of the ulna, triquetrum, and pisiform
|
extensor retinaculum
|
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how many extensor compartments are there at the wrist?
|
6
|
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what two muscle tendons go through the first extensor compartment of the wrist?
|
abductor pollicis longus and extensor pollicis brevis
|
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what two muscle tendons go through the second extensor compartment of the wrist?
|
extensor carpi radialis longus and brevis
|
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what muscle tendon goes through the third extensor compartment of the wrist?
|
extensor pollicis longus
|
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what two muscle tendons go through the fourth extensor compartment of the wrist?
|
extensor digitorum and extensor indicis
|
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what muscle tendon goes through the fifth extensor compartment of the wrist?
|
extensor digiti minimi
|
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what muscle tendon goes through the sixth extensor compartment of the wrist?
|
extensor carpi ulnaris
|
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these connections are between the extensor digitorum tendons just proximal to the MCP joints
|
intertendinous connections
|
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this mechanism lies on the dorsal surface of digits 2-5 near the MCP joint
|
extensor hood/mechanism
|
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this part of the extensor mechanism maintains the aligment of the extensor digitorum tendon centrally over the head of the metacarpal; it also serves as a sling, which moves proximally and distally during finger flexion and extension, facilitating the mechanical advantage of the muscels that attach to it
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sagittal band
|
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this part of the extensor mechanism inserts into the base of the middle phalanx; extensor digitorum, interossei, and lumbricales contribute to this (as well as extensor indicis and extensor digiti minimi on their respective fingers)
|
central slip
|
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this aprt of the extensor mechanism is contributed to by the extensor digitorum, interossei, and lumbricales (as well as indicis and digiti minimi); normally they are dorsal to the axis of motion for the finger flexion and extension at both the PIP and DIP joints
|
lateral bands
|
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the extensor digitorum, interossei, and lumbricales (as well as indicis and digiti minimi) contribute to this part of the extensor mechanism; this is the lateral bands coming together and inserting on the base of the dorsal distal phalanx
|
terminal tendon
|
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this ligament of the AC joint helps prevent overriding of the clavicle on the acromion
|
acromioclavicular ligament
|
|
this ligament of the AC joint causes rotation of the clavicle during elevation of the arm via its attachments; it prevents medial displacement of the scapula on the clavicle and resists independent A/P motion of the clavicle or scapula. Limits scapular abduction and provides stability to the joint
|
coracoclavicular ligament
|
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this ligament of the SC joint unifies the ends of both clavicles and prevents excessive elevation of the medial end of the clavicle when the lateral end of the clavicle is depressed
|
interclavicular ligament
|
|
this ligament of the SC joint gives stability to it; it stabilizes the clavicle against the pull of the muscles (SCM, upper trap, and delts); primary limiting factor in elevation of the clavicle and is taut with the arm overhead
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costoclavicular ligament
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this ligament of the SC joint checks anterior and posterior movements of the head of the clavicle
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anterior sternoclavicular ligament
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this structure in the SC joint acts as a hinge and shock absorber; it prevents dislocation of the joint and forces transmitted medially
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articular disc
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this ligament of the GH joint limits lateral rotation below 60º of abduction and limits inferior glide of the head of the humerus
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coracohumeral
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this ligament of the GH joint converts the intertubercular sulcus into a canal and holds the long head of the biceps in this canal (bicipital groove)
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transverse ligament
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this portion of the anterior GH ligament limits shoulder lateral rotation with the arm adducted
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superior
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this portion of the anterior GH ligament limits shoulder lateral rotation from 45-90º abduction
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middle
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this portion of the anterior GH ligament limits shoulder LR above 90º abduction
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inferior
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this structure of the GH joint deepens the glenoid cavity to increase stability
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labrum
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this GH ligament helps prevent upward dislocation of the humerus
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coracoacromial
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this ligament of the elbow resists varus forces
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radial collateral
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this ligament of the elbow resists valgus forces
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ulnar collateral
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this ligament of the elbow holds the head of the radius against the ulna
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annular ligament
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is the wrist capsule thicker volarly or dorsally?
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volarly
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what are the four ligaments at the wrist?
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(1) anterior [palmar] radioulnar
(2) posterior [dorsal] radioulnar (3) radial collateral (4) ulnar collateral |
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this complex on the side of ulnar side of the wrist cushions the ulnar side, stabilizes the ulnar carpals and distal radioulnar joint, and separates the distal radioulnar joint from the radiocarpal joint
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articular disc complex
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these ligaments of the hand remain taut throughout the ROM at the PIP and DIP joints;
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radial and ulnar collateral
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in what position of the MP joints of the fingers are the radial and ulnar collateral ligaments taut?
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flexion
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in what position of the MP joints of the fingers are the radial and ulnar collateral ligaments lax?
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extension
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what movements do the radial and ulnar collateral ligaments prevent in the hand?
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radial and ulnar deviation at PIP, DIP, and MP joints
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this structure of the hand prevents hyperextension of the MP, PIP, and DIP joints
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volar plate
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