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48 Cards in this Set

  • Front
  • Back

# of axial and appendicular bones

80 axial, 126 appendicular

Clavicle - Axial or Appendicular

Appendicular (limbs, pectoral and pelvic girdles)

Examples of short bones

Carpals and tarsals


(A long bone has shaft with heads at both ends e.g. femur)

Examples of elastic cartilage

Ear auricle, eustachian tube, epiglottis

Direct vs Indirect bone development

Direct = Intramembranous


Indirect = Intrachondral or Endochondral

Germ layer origin of humerus

Mesoderm


Lateral/Somatic = Limbs/Appendicular


ParAXIAL = Axial structures


Splanchnic/Visceral = Muscles



What are synarthroses?

Synarthroses - Immovable joints (fibrous)


Diarthroses - Movable joints (synovial)


Amphiarthroses - slightly movable joints (cartilaginous)

Syndesmoses vs Gomphoses

BOTH are Fibrous joints


a) Syndesmoses - connects tibia and fibula, radius and ulna


b) Gomphoses - alveolar sockets


c) Sutures



Ginglymus vs Trochoid vs Enarthroses

Ginglymus = HinGe (elbow, knees, ankles)


Trochoid = PivoT (atlantoaxial, radiioulnar)


Enarthroses = Ball and socket (shoulder, hip)




Plane = Sternoclavicular and AC joint


Condyloid = MCP joint (knuCkles)


Ellipsoidal = wrist


Saddle = carpometacarpal of thumb

Landmark for verification of brachial nerve plexus block

Pulsations of the third part of the axillary artery

Rotator Cuff muscles

SITS


Supraspinatus (suprascapular n.)


Infraspinatus (suprascapular n.)


Teres minor (axillary n.) = lateral rotator


Subscapularis (upper subscapular n.) = lateral rotator




Teres major inn. by lower subscapular n. (medial rotator)

Most common location of shoulder dislocation

AnteroInferior = weakest part is Inferior (WOF for axillary n. injury)

Most commonly inflamed rotator cuff

Supraspinatus m.

Dorsal scapular spaces and contents

Quadrangular spaces - axillary n. (circumplex n.), posterior circumflex




Triangular space = circumflex scapular vessels




Triangular interval = radial n., profunda brachii artery



Main flexor of the arm


Main supinator of the arm


Main extensor of the arm

Main flexor of the arm = Brachialis


Main supinator of the arm = Biceps brachii


Main extensor of the arm = Triceps brachii

Inability to supinate the arm is due to what nerve injury?

Radial n. = Supinator


Musculocutaneous n. = Biceps Brachii

Flexors of the forearm are innervated by the median nerve except

Flexor carpi ulnaris


Ulnar half of Flexor Digitorum Profundus

Only flexor muscle innervated by radial nerve

Brachioradialis

Injury caused by repetitive flexion and pronation of the arm

Medial Epicondylitis/Golfer's elbow




Lateral Epicondylitis/Tennis elbow from forced extension and flexion of the forearm

Bone articulations of elbow joint

CR-TU




Capitulum = Radial head


Trochlea = Ulna

Muscle flexion for MCP, PIP, and DIP

MCP = Lumbricals (ulnar and median n.)


PIP = Flexor digitorum superficialis (median n.)


DIP = Flexor digitorum profundus (ulnar and median n.)

Identify the 3 thenar muscles

AbFO (median n.)




Abductor Pollicis Brevis


Flexor Pollicis Brevis


Opponens Pollicis

Intrinsic muscles of the hand and innervations

LIE




Lumbricals (ulnar and median n.)


Interossei (PAD-DAB) (Ulnar n.)


Extensor digitorum (radial n.)

Hypothenar muscles

AbFO (ulnar n.)




Abductor digiti minimi


Flexor digiti minimi


Opponens digiti minimi

Trace brachial plexus

RTDC




5 roots


3 trunks


6 divisions


3 cords

Branches of Lateral Cord

LML (C5-C7)




Lateral root of Median n.


Musculocutanous n.


Lateral Pectoral n.

Branches of Medial Cord

4M-U (C8-T1)




Medial branch of Median n.


Medial Pectoral n.


Medial cutanous nerve of arm and forearm


Ulnar n.

Branches of Posterior Cord

ULTRA (C5-T1)




Upper and Lower subscapular n.


Thoracodorsal n.


Radial n.


Axilary n.

Brachioradialis tendon reflex tests what nerve

C5-C7 (mainly C6)




Biceps reflex (Main C5, C6)


Triceps reflex (C6, Main C7, C8)

Erb-Duchenne vs Klumpke's

Erb-Duchenne (C5-C6) = Proximal muscles = Waiter's tip position (pronated and medially rotated arms)




Klumpke's (C8-T1) = Distal muscles = Ape and Claw hand = Horner's syndrome

Prominent medial border of scapula

Winged scapula due to long thoracic n. injury


(Serratus m. for protraction of scapula and upward rotation)

Actions of latissimus dorsi

Extends, medially rotates, and adducts the arm


Trunk rotation

Surgical neck fracture, nerve involved

Axillary nerve (difficulty in abduction and lateral rotation)

Humerus, midshaft fracture, nerve involved

Radial nerve (wrist drop) sparing muscles in the forearm

Proximal vs Distal Median n. lesions

Both have paresthesia in lateral 3 and 1/2 fingers




Proximal = Supracondylar fracture = Hand of Benediction




Distal = Ape hand, Carpal tunnel, Lunate fracture

Contents of Carpal Tunnel

9+1




4 tendons of FDS


4 tendons of FDP


Tendon of Flexor pollicis longus


Median n.

Proximal vs Distal Ulnar n. lesions

Both have paresthesia in medial 1 and 1/2 fingers




In addition, distal lesions (usually due to hamate fracture) results to CLAW hand (lumbrical defect that FLEX MCP and EXTEND IP joints)

What muscle divides the axillary artery into 3 parts?

Pectoralis minor




1st part = 1 branch = Superior thoracic a.


2nd part = 2 branches = Thoracoacromial and lateral thoracic a.


3rd part = 3 branches = Subscapular (largest), anterior and posterior circumplex humeral a.

Radial artery begins at the level of?

Radial neck (lateral to FCR, medial to brachioradialis)

Landmark for subclavian, axilary, and brachial arteries

Subclavian = root of posterior triangle fo the neck as it crosses the first rib




Axillary = third part is in front of the teres major




Brachial artery = cubital fossa, medial side

Vein of choice for central venous cathterization

Basilic vein (joins with brachial vein to form axillary vein)

First bone to begin ossification?


Last to ossify?

Clavicle (medial 2/3 convex forward, later 1/3 flattened)




Weakest point at the JUNCTION

Smith vs Colle's Fracture

Both fractures of radius




Smith = palmar displacement


Colle's/Dinner/Silver Fork Deformity = dorsal and superior displacement

Most commonly fractured carpal bone


Most commonly dislocated carpal bone

Most commonly fractured carpal bone: Scaphoid/Navicular


Most commonly disLocated carpal bone: Lunate (Carpal tunnel syndrome)

Anatomical snuffbox boundaries


Contents?

Lat - tendons of EPB and AbPL


Medial - tendon of EPL


Floor - Scaphoid, Trapezium




Contents:


Radial artery, styloid process of radius, base of 1st metacarpal bone

Flexion of the proximal IP joints, usually starting at the ring then little finger

Dupuytren's contracture

What is Bennett's fracture? Boxer's fracture?

Bennett's = Fracture of the base of the first metacarpal




Boxer's = oblique fracture of the fourth or fifth metacarpals

Lymphatic drainage of upper limbs

Level I --> II --> III --> TD/RLD




I: Anterior (Pectoral), Lateral (Humeral), Posterior (scapular)


II: Central


III: Apical