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45 Cards in this Set

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A Surgical Neck Fracture of the Humerus risks:
-Can injure axillary nerve
-common in elderly people with osteoporosis
A Spiral Fracture of the Humeral Shaft risks:
injury to the radial nerve
A Supracondylar Fracture of the Humerus risks:
injury to the median nrve
What are the Fascial Compartments of the Arm?
Posterior Compartment-Extensors
Anterior Compartment- Flexors
Anterior Arm Compartment Muscles
Biceps brachii m.
Coracobrachialis m.
Brachialis m
Posterior Arm Compartment Muscles
Triceps brachii m.
Anconeus m
Biceps Brachii Innervation
Musculocutaneous Nerve
Biceps Brachii Actions
Short head: Weak flexor of the humerus at the shoulder

Long and short heads: Strong flexor of the elbow and supinator of the foreram.
Describe the Attachment of the Biceps Brachii to the Forearm
Bicipital Aponeurosis blends in to the antebrachial fasca
Coracobrachialis Innervation and Actions
Nerve: Musculocutaneous n.
Actions: Flexes and adducts the humerus at the shoulder
(almost no tendon, mostly fiber)
Brachialis Innervation and Actions
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)
Triceps Brachii Innervation and Actions
(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.
Anconeus Innervation and Actions
Nerve: Radial Nerve
Actions: Helps extend and stabilize the elbow.
Name two Upper Limb Reflexes
Biceps brachii tendon reflex (C5, C6)
Triceps brachii tendon reflex (C7, C8)
Describe the Biceps Brachii Tendon Reflex
(C5, C6)
Tapping the biceps tendon elicits flexion of the elbow.
Describe the Triceps Brachii Tendon Reflex
(C7, C8)
Tapping the triceps tendon elicits extension of the elbow.
Describe the Axillary Nerve in the Arm
(C5,6)
From posterior cord, thru quadrangular space, to deltoid and teres minor mm.; upper lateral cutaneous n.
Describe the Musculocutaneous Nerve in the Arm
(C5-7)
From lateral cord, to coracobrachialis, biceps brachii, and brachialis mm.; becomes lateral antebrachial cutaneous n.
Describe the Median Nerve in the Arm
(C6-T1)
From lateral and medial cords, to anterior forearm and hand.
Describe the Ulnar Nerve in the Arm
(C8,T1)
From medial cord, to anterior forearm and hand.
Describe the Radial Nerve in the Arm
(C5-8,T1)
From posterior cord, to posterior arm and forearm; lower lateral, posterior brachial, and posterior antebrachial cutaneous nn.
Describe the Brachial Artery Branches in the Arm
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
Describe the Superficial Veins of the Arm
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
Describe the Deep Veins of the Arm
Brachial veins (venae comitantes)
Merge with basilic vein to form axillary vein
List the Superficial Structures of the Cubital Region
Bicipital aponeurosis

Superficial veins

Cutaneous nerves
Describe the Bicipital Aponeurosis in the Cubital Region
blends with antebrachial fascia medially
List the Superficial Veins in the Cubital Region
Cephalic v.
Basilic v.
Median cubital v.
List the Cutaneous nerves in the Cubital Region
Lateral antebrachial cutaneous n.
Medial antebrachial cutaneous n.
Describe Two Variations of Cubital Veins
Median Cubital Vein
OR

Median cephalic vein
Median basilic vein
Median vein of the forearm
Name the borders of the Cubital Fossa
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.
Name the contents of the Cubital Fossa, medial to lateral
1. Median nerve
2. Brachial artery (Ulnar artery, Radial artery)
3. Biceps tendon
4. Radial nerve (Deep branch, Superficial branch)
Elbow Joint Type:
Hinge synovial joint
Elbow Joint Articulations
Capitulum of humerus with head of the radius

Trochlea of humerus with trochlear notch of the ulna
Describe the Elbow Joint
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.
Describe Triceps Bursa
(deep olecranon bursa): Between triceps brachii tendon and olecranon.
Describe Olecranon Bursa
(superficial olecranon bursa): Between skin and olecranon.
Describe Elbow (Olecranon) Bursitis
"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.
Describe Ligaments in the Elbow joint
Radial (Lateral) Collateral Ligament: Blends with anular ligament

Ulnar (Medial) Collateral Ligament:
Anterior cord-like band
Posterior fan-like band
Oblique (transverse) band
Two Types of Elbow Anastmoses:
Medial and Lateral
Name the Medial Elbow Anastmoses:
1. Superior ulnar collateral artery with the posterior ulnar recurrent artery

2. Inferior ulnar collateral artery with the anterior ulnar recurrent artery
Name the Lateral Elbow Anastmoses
1. Middle collateral Artery with the Interosseous recurrent Artery posteriorly

2. Radial collateral artery with the radial recurrent artery anteriorly
Flexion Movements at the Elbow Joint:
1. Brachialis
2. Biceps brachii
3. Brachioradialis (a lateral forearm muscle)
4. Pronator teres (an anterior forearm muscle)
Extension Movements at the Elbow Joint:
1. Triceps brachii
2. Anconeus
Describe Lateral Epicondylitis
Tennis Elbow
Area of pain in extensors
Describe Medial Epicondylitis
Golfers Elbow
Area of pain in flexors