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56 Cards in this Set

  • Front
  • Back

clavicle

"collar bone"


connects arm to trunk


most commonly broken bone because it is the 1st bone to completely ossify

Broken clavicle

lost of support of upper limb


arm drops medially across chest

acromioclavicular ligament (AC)

scapula + clavicle

coracoclavicular ligament (CC)

holds weight of scapula


trapezoid + conoid ligaments



separated shoulder

cause: torn/stretched CC ligament


shoulder drops medially across chest

glenoid fossa

shoulder joint

dislocated shoulder

cause: blow to head of humerus pushes head sown and out of glenoid fossa (antero-inferiorly)

Acromion

"tip of shoulder"

trapezius

laterally rotates scapula


elevates shoulder


innervated by spinal accessory nerve

Deltoid

flexion and extension of humerus


primary abductor of humerus


innervated by axillary nerve

Rotator cuff

Supraspinatus - abduction (suprascapular n.)


Infraspinatus - lat. rotation (suprascapular n.)


Teres minor - lat. rotation (axillary n.)


Subscapularis - medially rotation (upper and lower subscapular n.)





serratus anterior

holds scapula to rib cage


long thoracic nerve

latissimus dorsi

extensor of humerus


thoracodorsal nerve

Roots of Brachial plexus

Anterior Rami


C5


C6


C7


C8


T1

Upper trunk (C5-C6)

Suprascapular nerve


subclavian nerve


Posterior cord


Lateral cord

Posterior cord

axillary nerve


radial nerve


thoracodorsal nerve


upper and lower subscapular



Axillary nerve

deltoid


teres minor

radial nerve

triceps


posterior forearm


muscles of thumb

lateral cord

musculocutaneous nerve


lateral root of median nerve

musculocutaneous nerve

muscles of anterior arm

Lower trunk (C8-T1)

medial cord


ulnar nerve


median nerve

Median nerve

anterior forearm


thenar eminence


lumbricals 1 and 2


index and middle fingers

ulnar nerve

palmar and dorsal interossei


lumbricals 3 and 4


little and ring finger


adduction of thumb



blood supply of axilla

subclavian a. --> axillary a. --> brachial a.

Axillary artery

2nd division: lateral thoracic -- supply breast


3rd division: subscapular a.

subscapular artery

thoracodorsal -- scapula


anterior circumflex -- head of humerus


posterior circumflex -- scapula

Anterior arm muscles

flex and supinate arm


innervated by musculocutaneous nerve

biceps brachii

chief supinator


major flexor of forearm

Biceps tendon reflex test

tests C5-C6

Posterior arm muscles

extension of forearm


triceps brachii


innervated by radial nerve

triceps tendon reflex test

tests C7-C8

Cubital fossa

median nerve


medial cubital vein


radial nerve


brachial artery becomes radial and ulnar arteries

Anterior forearm muscles

flex, abduct, adduct hand


flexors of digits


pronate forearm




innervated by median nerve

Posterior forearm muscles

supinates forearm


extend, adduct, abduct hand


extends digits


adducts thumb




innervated by radial nerve

Anatomical snuffbox

bones and tendons (scaphoid)


radial nerve


radial artery



FOOSH


fall on out stretched hand

impacts absorbed by middle finger may break scaphoid and even radius


diagnosed by applying pressure to snuffbox

Carpals

8 carpal bones


scaphoid and lunate -- move against radius

movements of wrist joint

flexion, extension, abduction and adduction of hand

metacarpophalangeal (MP) joints

metacarpal and phalanges


FEAA of proximal phalanx

interphalangeal (IP) joints

between phalanges


flexion and extension of most distal phalanx

Erb's palsy (waiter's tip shoulder)

cause: excessive traction that separates head an shoulder


injury to muscles innervated by C5-C6 -- rotator cuff, deltoid, biceps


symptoms: can't flex elbow, hand pronated, atrophy of deltoid, contraction of pec major



Klumpke's palsy

cause: strong pull upward on arm


injury to lower trunk (C8-T1) and ulnar nerve


cause claw hand

Carpal tunnel

9 tendons


median nerve


(ulnar nerve and artery pass outside)

carpal tunnel syndrome

cause: entrapment/compression of median n.


pain and sensory deficits -> motor deficits with dysfunction of thenar eminence

thenar eminence

muscles of thumb


innervated by motor branch of median nerve

opponens pollicis

rotates thumb to touch other digits


unique to humans

interossei muscles

DAB -- Dorsal interossei ABducts finger


PAD -- Palmar interossei ADducts finger

lumbrical muscles

originates from tendons of hand


flex MP joints


extends IP joints

extensor hood

joint tendons on top of the hand


fine movements of hand

superficial palmar arch

continuation of ulnar artery

deep palmar arch

continuation of radial artery

allen test

to determine appropriate circulation of radial and ulnar arteries in hand

wrist drop

radial nerve injury

palsy benedictian

medial nerve injury


cant flex index and middle fingers

ape hand

median nerve injury


cannot rotate thumb

claw hand

ulnar nerve injury


extended thumb (cant adduct)


lumbrical and interossei not working