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60 Cards in this Set
- Front
- Back
Name the 2 condyles and epicondyles of the distal humerus
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Condyles
Capitulum: lateral, articulating with radius Trochlea: medial, articulating with ulna Epicondyles Medial and lateral |
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Name the 3 fossae of the distal humerus
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Radial: anterior lateral
Coronoid: anterior medial Olecranon: posterior |
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Name the bones, condyles, and epicondyles of the distal articulating with one another
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Radius, capitulum, lateral condyle
Ulna, trochlea, medial condyle |
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Radius contributes to ____, ulna contributes more to ___
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Radius: wrist
Ulna: elbow |
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Describe the lengths of the ulna and radius in comparison to one another
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Ulna longer proximally
Radius longer distally |
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Name the landmarks of the radius
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Head of radius
Neck of radius Radial tuberosity Shaft of radius Styloid process Ulnar notch |
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Name the landmarks of the ulna
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Olecranon process
Trochlear notch Coronoid process Tuberosity Radial notch Shaft of ulna Head of ulna Styloid process |
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Describe the mass of the ulna and radius compared to one another
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Radius larger than ulnar head distally
Ulna larger than radius proximally |
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Name the 4 joints of the radioulnar joint capsule
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Humeroulnar
Humeroradial Proximal Radioulnar Distal Radioulnar |
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Describe the humeroulnar joint
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Hinge
Flexion/extension |
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Describe the humeroradial joint
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Modified hinge
Flexion/extension Supination/pronation |
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Describe the proximal radioulnar joint
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Pivot
Supination/pronation |
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Distal radioulnar joint
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Pivot
Supination/pronation |
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Describe the carrying angle of the elbow
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Slight valgus (away from midline)
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When is the olecranon process in close approximation to the distal humerus? When is it not?
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During extension
During flexion, olecranon process pulls away as the coronoid process and radius approach their respective fossae |
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How is supination produced?
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Radial head rotates around a fixed ulnae on the capitulum
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Describe the annular ligament
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Encircles the head of the radius
Holds the head of the radius against the ulna Protects against distal dislocation of the radius |
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Describe the lateral collateral ligament
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Located from the lateral epicondyle to the annular ligament of radius
Protects against varus (medial) deviation of forearm |
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Describe the medial collateral ligament
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Medial epicondyle of humerus to coronoid process and olecranon process
Protects against valgus (lateral) deviation of forearm |
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Name the muscles of the anterior compartment of the arm, their innervation, and action
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Biceps brachii, brachialis
Musculocutaneous nerve Flexion |
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Name the muscles of the posterior compartment of the arm, their innervation, and action
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Triceps brachii, anconeus, brachioradialis*
Radial nerve Extension (not brachioradialis) |
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Biceps Brachii
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Origins:
short head: coracoid process long head: supraglenoid tubercle Insertion: radius Action: flexes elbow, supinates forearm Innervation: musculocutaneous |
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Brachialis
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Origin: distal, anterior humerus
Insertion: coronoid process Action: flexes forearm Innervation: musculocutaneous n. |
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Triceps Brachii
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Origin:
long head: infraglenoid tubercle lateral head: posterior superior humerus medial head: posterior inferior humerus Insertion: olecranon Action: extends elbow Innervation: radial nerve |
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Anoconeus
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Origin: lateral epicondyle of humerus
Insertion: olecranon Action: extends, pronates forearm Innervation: radial nerve |
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Brachioradialis
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Origin: lateral supracondylar ridge of distal humerus
Insertion: lateral, distal radius Action: flexes elbow Innervation: radial nerve |
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Supinator
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Origin: lateral epicondyle, crest of ulna
Insertion: anterior, lateral, and posterior surface of radius Action: supinates forearm Innervation: radial nerve |
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Pronator Teres
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Origin: coronoid process, medial epicondyle
Insertion: lateral surface of radius Action: pronates, flexes forearm Innervation: median nerve |
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Pronator Quadratus
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Origin: anterior distal ulna
Insertion: anterior distal radius Action: pronates forearm Innervation: median nerve |
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What is the cubital fossa?
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Triangular hollow area on the anterior aspect of the elbow
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Describe the boundaries of the cubital fossa
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Superior: imaginary line connecting the medial and lateral epicondyles
Medial: pronator teres Lateral: brachioradialis Floor: brachialis, supinator Roof: deep fascia, subcutaneous tissue, skin |
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What are the contents of the cubital fossa?
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Terminal part of brachial artery
Deep accompanying veins of arteries Biceps brachii tendon Median nerve |
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Where does the axillary artery begin, end, and originate?
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Aorta - brachiocephalic trunk - subclavian artery - axillary artery
Begins: lateral border of 1st rib Ends: inferior border of teres major |
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Where does the axillary artery turn into the brachial artery?
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At the inferior border of the teres major muscle
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Describe the branches of the brachial artery
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Brachial profunda (main branch): supplies posterior arm
Terminal branches: radial and ulnar arteries Ulnar artery - common interosseous - anterior and posterior interosseous arteries |
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What forms the elbow anastomosis?
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Ulnar collaterals
Radial and ulnar recurrent arteries |
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Which arteries supply the superficial and deep palmar arches?
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Superficial palmar arch: ulnar artery
Deep palmar arch: radial artery |
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Which venous networks drains the palmar arches? What 2 veins arise?
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Dorsal venous network
Lateral: cephalic vein Medial: basilic vein |
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What vein communicates between the basilic and cephalic veins in the cubital fossa?
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Median cubital vein
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Name the bones in the proximal row of carpals
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Scaphoid, lunate, triquetrum, pisiform
(So Long To Pinky....) |
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Name the bones in the distal row of carpals
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Hammate, capitate, trapezoid, trapezium
(....Here Comes The Thumb) |
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How can you tell the palmar and dorsal surfaces of the hand apart?
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Pisiform/hook of hamate bones cannot be seen on dorsal surface
Dorsal surface is smoother |
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Describe the palmar arches of the hand
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Two transverse arches: base and head of metacarpals
One longitudinal arch: through long axis of third digit |
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Name the three joints of the hand
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Radiocarpal, midcarpal, distal radioulnar joints
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Describe the radiocarpal joint
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Between distal radius and proximal carpals.
Condyloid Wrist flexion/extension, abduction/adduction |
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Describe the midcarpal joint
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Between the proximal and distal row of carpal bones
Plane synovial Gliding motions bet. carpals |
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Describe the distal radioulnar joint
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Pivot synovial
Supination/pronation Separated from joint space of radiocarpal joint by articular disc |
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Name and describe the stabilizing collateral ligaments of the hand
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Radial collateral ligament: helps ulnar styloid against excessive ulnar deviation
Ulnar collateral ligament: helps radial styloid against excessive radial deviation |
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Name and describe the stabilizing retinaculum ligaments of the hand
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Extensor retinaculum
Flexor retinaculum *prevent bowstringing of tendons of extrinsic hand |
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Name the roof and floor of the carpal tunnel
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Roof: flexor retinaculum
Base: carpal bones |
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Name the extensors of the wrist
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Extensor carpi radialis longus
Extensor carpi radialis brevis Extensor carpi ulnaris |
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Name the flexors of the wrist
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Flexor carpi radialis
Flexor carpi ulnaris Palmaris longus |
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Extensor carpi radialis longus
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Origin: lateral epicondyle of humerus
Insertion: base of 2nd metacarpal Action: wrist extension Innervation: radial nerve |
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Extensor carpi radialis brevis
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Origin: lateral epicondyle of humerus
Insertion: base of 3rd metacarpal Action: wrist extension Innervation: radial nerve |
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Extensor carpi ulnaris
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Origin: lateral epicondyle of humerus
Insertion: base of 5th metacarpal Action: wrist extension Innervation: radial nerve |
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Flexor carpi radialis
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Origin: medial epicondyle of humerus
Insertion: base of 2nd metacarpal Action: wrist flexion Innervation: median nerve |
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Flexor carpi ulnaris
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Origin: medial epicondyle of humerus
Insertion: base of 4th metacarpal Action: wrist flexion Innervation: ulnar nerve |
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Palmaris longus
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Origin: medial epicondyle of humerus
Insertion: fascia of palm Action: wrist flexion Innervation: median nerve |
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Wrist adduction occurs as a result of contraction of which muscles?
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Extensor carpi ulnaris
Flexor carpi ulnaris |
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Wrist abduction occurs as a result of contraction of which muscles?
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Extensor carpi radialis longus
Flexor carpi radialis |