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WEEK 23:
Anterior arm, forearm, wrist and hand:
| Question | Answer |
|---|---|
| shoulder movement | Flexion and extension, Medial and lateral rotation, and Abduction and adduction |
| elbow movement | Flexion and extension and Pronation and supination (radio-ulnar joints) |
| wrist movement | Flexion and extension, and Abduction and Adduction |
| arm essential structures | 1. The two heads of biceps brachii muscle and its attachment 2. The brachialis and coracobrachialis muscles 3. Motor and sensory parts of the musculocutaneous nerve 4. The brachial artery and its bifurcation |
| forearm essential structures | 5cubital fossa boundaries + contents 6main parts median + ulnar nerve to wrist 7wrist flexor muscles + long flexor muscles of fingers 8 pronator muscles of forearm 9 radial + ulnar arteries to wrist + radial pulse site lateral to flexor carpi radialis |
| humerus structures (9) | has anatomic and surgical neck, greater and lesser tubercles, intertubercular sulcus (bicipital groove), deltoid tuberosity, radial (spiral) groove, medial and lateral epicondyles, capitulum, trochlea, and olecranon fossa |
| radius structures (5) | head, neck, tuberosity, styloid process, and interosseous border |
| ulnar structures (4) | head, olecranon, interosseous border, and styloid process |
| AP projection of radiology of elbow joint (2) | lateral humeral epicondyle and medial humeral epicondyle |
| projection of both on elbow joint radiology (8) | olecranon, olecranon fossa, head of radius, neck of radius, radial (bicipital) tuberosity, coracoid process, trochlea of humerus and capitulum of humerus |
| muscles of the anterior arm | biceps brachii, coracobrachialis, and brachialis |
| nerve in anterior arm muscles | musculocutaneous nerve |
| blood vessels in anterior arm muscles | brachial artery and vein |
| branches of brachial artery (3) | profunda brachii which terminates by bifurcating into radial and ulnar arteries, common interosseous artery off ulna artery, and ulnar and radial arteries anastomose into palmar arches |
| cubital fossa borders (5)** | medial border (), lateral border (), floor made of proximal brachialis and distal made of supinator, roof made of skin and fascia |
| cubital fossa contents (medial lateral) | median nerve, brachial artery, biceps tendon, and radial nerve |
| anterior forearm - intermediate muscles | flexor digitorium superficialis, and median nerve (C7, C8, T1) |
| brachioradialis - difference between rest | |
| anterior forearm - superficial muscles | innervated by median nerve |
| anterior forearm - deep muscles | Flexor digitorum profundus Lateral: median nerve (C8, T1) Medial: ulnar nerve (C8, T1) Flexor policis longus Anterior interosseous nerve [AIN] (C8, T1) Pronator quadratus AIN (C8, T1) |
| IN | anterior interosseous nerve (specific branch of median nerve) |
| hand- anterior and superficial | Palmar aponeurosis Thenar muscles Hypothenar muscles Intrinsic muscles |
| hand muscles - thenar | supplied by median nerve, opponens pollicis, abductor pollicis brevis, and flexor pollicis brevis |
| hand muscles - hypothenar | opponens digiti minimi, abductor digiti minimi, and flexor digiti minimi brevis- is innverated by ulnar nerve |
| lumbricals** | lateral/ radial - median nerve medial/ ulnar - ulnar nerve |
| interossei | dorsal (finger abduction innvervated by ulnar nerve), and palmar (finger abduction innverated by ulnar nerve) |
| carpal tunnel boundaries | Carpal arch: Lateral: Scaphoid and trapezium tubercles Medial: Hook of hamate and pisiform Roof: Flexor retinaculum |
| contents of carpal tunnel | 1 nerve: Medial nerve 9 tendons: flexor digitorum superficialis (4 tendons) flexor digitorum profundus (4 tendons) flexor pollicis longus (1 tendon) |
| fascia of the hand | Thenar muscles Hypothenar muscles Flexor tendons, sheaths and lumbricals Adductor pollicis Interossei Spaces: Midpalmar and thenar |
| movements of the upper limb (hand - FINGERS) | Fingers: Digital flexion and extension Abduction and adduction |
| movements of the upper limb (hand - THUMBS) | abduction, adduction, extension, flexion, opposition, and reposition |
| distribution and test for integrity of nerves** | |
| territories of cutaneous sensation in anterior upper limb | |
| hand radiology |