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45 Cards in this Set
- Front
- Back
A Surgical Neck Fracture of the Humerus risks:
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-Can injure axillary nerve
-common in elderly people with osteoporosis |
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A Spiral Fracture of the Humeral Shaft risks:
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injury to the radial nerve
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A Supracondylar Fracture of the Humerus risks:
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injury to the median nrve
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What are the Fascial Compartments of the Arm?
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Posterior Compartment-Extensors
Anterior Compartment- Flexors |
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Anterior Arm Compartment Muscles
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Biceps brachii m.
Coracobrachialis m. Brachialis m |
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Posterior Arm Compartment Muscles
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Triceps brachii m.
Anconeus m |
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Biceps Brachii Innervation
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Musculocutaneous Nerve
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Biceps Brachii Actions
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Short head: Weak flexor of the humerus at the shoulder
Long and short heads: Strong flexor of the elbow and supinator of the foreram. |
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Describe the Attachment of the Biceps Brachii to the Forearm
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Bicipital Aponeurosis blends in to the antebrachial fasca
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Coracobrachialis Innervation and Actions
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Nerve: Musculocutaneous n.
Actions: Flexes and adducts the humerus at the shoulder (almost no tendon, mostly fiber) |
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Brachialis Innervation and Actions
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Nerve: Musculocutaneous Nerve (with a contribution from the radial n.)
Actions: Primary flexor of the elbow (Brachialis “hugs” the humerus; dual innervation from the musculocutaneous nerve and the radial nerve) |
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Triceps Brachii Innervation and Actions
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(long, lateral, and medial heads)
Nerve: Radial Nerve Actions: Long head: Weak extensor and adductor of the shoulder Long, lateral, and medial heads: Primary extensor of the elbow. |
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Anconeus Innervation and Actions
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Nerve: Radial Nerve
Actions: Helps extend and stabilize the elbow. |
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Name two Upper Limb Reflexes
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Biceps brachii tendon reflex (C5, C6)
Triceps brachii tendon reflex (C7, C8) |
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Describe the Biceps Brachii Tendon Reflex
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(C5, C6)
Tapping the biceps tendon elicits flexion of the elbow. |
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Describe the Triceps Brachii Tendon Reflex
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(C7, C8)
Tapping the triceps tendon elicits extension of the elbow. |
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Describe the Axillary Nerve in the Arm
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(C5,6)
From posterior cord, thru quadrangular space, to deltoid and teres minor mm.; upper lateral cutaneous n. |
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Describe the Musculocutaneous Nerve in the Arm
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(C5-7)
From lateral cord, to coracobrachialis, biceps brachii, and brachialis mm.; becomes lateral antebrachial cutaneous n. |
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Describe the Median Nerve in the Arm
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(C6-T1)
From lateral and medial cords, to anterior forearm and hand. |
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Describe the Ulnar Nerve in the Arm
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(C8,T1)
From medial cord, to anterior forearm and hand. |
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Describe the Radial Nerve in the Arm
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(C5-8,T1)
From posterior cord, to posterior arm and forearm; lower lateral, posterior brachial, and posterior antebrachial cutaneous nn. |
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Describe the Brachial Artery Branches in the Arm
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Profunda Brachii Artery (deep brachial artery in radial groove): To posterior arm, and anterior and posterior lateral elbow
Superior and Inferior Ulnar Collateral Arteries: To anterior and posterior medial elbow |
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Describe the Superficial Veins of the Arm
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Cephalic vein: Drains to axillary vein
Basilic vein: Merges with brachial veins to form axillary vein Median cubital vein: Connects Basilic and Cephalic in the cubital fossa |
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Describe the Deep Veins of the Arm
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Brachial veins (venae comitantes)
Merge with basilic vein to form axillary vein |
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List the Superficial Structures of the Cubital Region
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Bicipital aponeurosis
Superficial veins Cutaneous nerves |
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Describe the Bicipital Aponeurosis in the Cubital Region
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blends with antebrachial fascia medially
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List the Superficial Veins in the Cubital Region
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Cephalic v.
Basilic v. Median cubital v. |
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List the Cutaneous nerves in the Cubital Region
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Lateral antebrachial cutaneous n.
Medial antebrachial cutaneous n. |
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Describe Two Variations of Cubital Veins
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Median Cubital Vein
OR Median cephalic vein Median basilic vein Median vein of the forearm |
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Name the borders of the Cubital Fossa
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Base: Line between lateral and medial epicondyles
Medial border: Pronator teres m. Lateral border: Brachioradialis m. Roof: Antebrachial fascial and bicipital aponeurosis Floor: Brachialis and supinator mm. |
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Name the contents of the Cubital Fossa, medial to lateral
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1. Median nerve
2. Brachial artery (Ulnar artery, Radial artery) 3. Biceps tendon 4. Radial nerve (Deep branch, Superficial branch) |
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Elbow Joint Type:
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Hinge synovial joint
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Elbow Joint Articulations
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Capitulum of humerus with head of the radius
Trochlea of humerus with trochlear notch of the ulna |
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Describe the Elbow Joint
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Articular fibrous capsule lined with synovial membrane; attached to humerus superiorly, ulna and anular ligament inferiorly.
Synovial cavity containing synovial fluid. Hyaline cartilage on articulating surfaces. |
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Describe Triceps Bursa
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(deep olecranon bursa): Between triceps brachii tendon and olecranon.
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Describe Olecranon Bursa
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(superficial olecranon bursa): Between skin and olecranon.
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Describe Elbow (Olecranon) Bursitis
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"student's elbow"
affects the olecranon bursa located between the skin and olecranon process of the elbow. This results from repeated pressure on the point of the elbow, such as leaning on a hard surface, as on a table or desk, for a long time. |
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Describe Ligaments in the Elbow joint
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Radial (Lateral) Collateral Ligament: Blends with anular ligament
Ulnar (Medial) Collateral Ligament: Anterior cord-like band Posterior fan-like band Oblique (transverse) band |
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Two Types of Elbow Anastmoses:
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Medial and Lateral
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Name the Medial Elbow Anastmoses:
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1. Superior ulnar collateral artery with the posterior ulnar recurrent artery
2. Inferior ulnar collateral artery with the anterior ulnar recurrent artery |
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Name the Lateral Elbow Anastmoses
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1. Middle collateral Artery with the Interosseous recurrent Artery posteriorly
2. Radial collateral artery with the radial recurrent artery anteriorly |
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Flexion Movements at the Elbow Joint:
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1. Brachialis
2. Biceps brachii 3. Brachioradialis (a lateral forearm muscle) 4. Pronator teres (an anterior forearm muscle) |
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Extension Movements at the Elbow Joint:
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1. Triceps brachii
2. Anconeus |
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Describe Lateral Epicondylitis
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Tennis Elbow
Area of pain in extensors |
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Describe Medial Epicondylitis
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Golfers Elbow
Area of pain in flexors |