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30 Cards in this Set

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Pronator Teres

O: Medial Epicondyle (common flexor tendon) & Coronoid Process




Insertion: Lateral part of radius




Innervation: Median n




Actions: Pronates forearm; flexes forearm



Flexor Carpi Radialis

Origin: Medial epicondyle (common flexor tendon)




Insertion: base of 2nd metacarpal




Innervation: Median N




Action: abduct and flex hand

Palmaris longus

Origin: Medial Epicondyle (common flexor tendon)




Insertion: palmar aponeurosis




Innervation: Median N




Action: Flexes hand; tenses palmar aponeurosis

Flexor Carpi Ulnaris

Origin: Medial Epicondyle (common flexor tendon)




Insertion: hook of hamate @ 5th metacarpal




Innervation: Ulnar n.




Action: Adduct & flex hand



Medial Epicondylitis

Golfer's Elbow




Injury of common flexor tendon due to repeated wrist flexion

Flexor Digitorum Superficialis (intermediate layer)-- include testing

Origin: Medial epicondyle (common flexor tendon) & Coronoid process




Insertion: Shalt of phalanges 2-5 (thumb not included)




Innervation: Median n




Action: flex wrist, MP Joint and PIP joint of digits 2-5




Test: Flex one finger at PIP while holding other fingers in extended position





Flexor Digitorum Profundus (Deep layer)--include testing

Origin: Ulna & interosseous membrane




Insertion: Base of distal phalanges 2-5




Innervation: Anterior interosseous nerve (Median n) for digits 2-3 & Ulnar nerve for digits 4-5




Action: flex digits 2-5 at DIP Joints




Test: Hold PIP joint extended and flex DIP joint


Jersey Finger




Avulsion of flexor digitorum profundus tendon at insertion







Flexor Pollicis Longus (deep layer)

Origin: Anterior surface of radius & Interosseous membrane




Insertion: Digital Phalanx thumb




Innervation: Anterior interosseous n. (median n)




Actions: Flexes wrist and MCP joint & IP joint of thumb

Pronator Quadratus

Origin: Distal 1/4 of anterior ulnar




Insertion: Distal 1/4 of anterior radius




Innervation: Anterior Interosseous nerve (median n)




Actions: Pronates forearm

Which muscles are innervated by the median n (not including anterior interosseous n)

Pronator teres


Flexor carpi radialis


Palmaris longus


Flexor digitorum superficialis



Which muscles are innervated by the musculocutaenous n?

Biceps brachii


Brachialis


Coracobrachialis

What muscles are innervated by the ulnar n?

Flexor carpi ulnaris


Flexor Digitorum Profundus (in digits 4-5)

What muscles are innervated by anterior interosseous n?

Flexor digitorum profundus (digits 2-3)


Flexor pollicis longus


Pronator Quadratus

Biceps Brachii

Origin:


Short head: coracoid process


Long head: supraglenoid tubercle




Insertion: radial tuberosity & forearm fascia via bicipital aponeurosis




Innervation: Musculocutaenous n




Action: Supinates forearm, flexes arm and forearm when supinated

Brachialis

Origin: Distal anterior humerus




Insertion: Ulnar tuberosity & Coronoid process




Innervation: Musculocutaneous n




Action: Flexes forearm (primary)

Coracobrachialis

Origin: Coracoid process




Insertion: Medial surface of humerus




Innervation: Musculocutaenous n




Action: Adduction & flexion of arm; stabilizes glenohumeral joint

What cords make up median nerve?

Lateral & Medial



Landmarks of Median n in the arm

Brachial artery runs with it




Runs through cubital fossa




Deep to Bicipital aponeurosis & Median cubital vein



Pronator Syndrome

Compression of median n between the two heads of pronator teres




Reduced sense of touch (hypesthesia) to thumb- half of ring finger

Landmarks of median n in the forearm

Passes btw 2 pronator teres heads




Runs under flexor retinaculum




Gives off a superficial palmar branch

Ulnar n is off what cord?

Medial cord



Ulnar n anterior arm landmarks

Runs medial of brachial artery




Pierces medial intramuscular septum into posterior compartment




Passes posterior to the medial epicondyle into the forearm

Ulnar n. anterior forearm landmarks

Passes btw 2 heads of flexor carpi ulnaris




Superficial to flexor retinaculum to enter Guyon's tunnel




Branches to palmer cutaneous & dorsal cutaenous branches to skin in hand

Cubital tunnel syndrome

Ulnar nerve is compressed between heads of flexor carpi ulnaris




numbness and tingling in medial 1.5 digits




impaired adduction of hand and during flexion hand would move to lateral side

Ulnar claw hand injury

Injury of distal ulnar n




patient cannot make a fist due to loss of function of flexor digitorum profundus




loss of flexion of 4th and 5th digit

Musculocutenous n anterior arm/forearm land mark

Arm: Passes through coracobrachialis and between biceps brachi & brachialis




Forearm: pierces deep fascia to become the lateral cutaneous nerve of forearm



Injury to musculocutaneous n

paralysis of coracobrachialis, bicep & brachialis




loss of sensation on lateral surface of forearm (lateral cutaneous n of the forearm)




flexion and supination or arm greatly weakened


Hand of benediction




median n is severed around elbow




partial paralysis of flexor digitorum superficialis

Anterior interosseous syndrome