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Dr. Samsam Chapter 6
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98
Anatomy
Undergraduate 3
09/27/2012

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Term
Carpal Tunnel Sydrome
Definition
Compression to the median nerve in the anterior wrist due to hypothyroidism, rheumatoid arthritis, pregnancy, amyloidosis etc. It is a very painful condition
Term
Scaphoid bone
Definition
The most commonly fractured carpal bone
Term
Lunate
Definition
The most commonly dislocated carpal bone
Term
Cleidocranial dyostosis
Definition
Defect/ disorder involving the abnormal development of the clavicle at medial 2/3 and lateral 1/3. This disorder can lead to fractures in clavicle.
Term
Fractures in clavicle
Definition
Due to cleidocranial dyostosis, what happens when there is increased pressure from childbirth?
Term
Fractures of the surgical neck
Definition
Injury to the axillary nerve
Term
Fractures of the middle of the shaft
Definition
May cause injury to the radial nerve causing wrist drop
Term
Fractures to the medial epicondyle
Definition
Injury to the ulnar nerve
Term
Colles' Fracture
Definition
Fracture of the distal end of the radius, posterior displacement. Falling on hand with extended arm (eg.: falling on ice). May be accompanied by avulsion of ulnar styloid process
Term
Flexor retinaculum
Definition
A double layer membrane covering carpal groove anteriorly and produces the carpal tunnel for transmission of flexor muscles and median nerve.
Term
Tubercle of scaphoid, pisiform, tubercle of trapezium and hook of Hamate.
Definition
Points of insertion of flexor retinaculum
Term
Carpal Tunnel
Definition
The two rows of the carpal bones produce the carpal groove which concaves anteriorly
Term
abduction
Definition
An ulnar(medial) collateral ligament injury in a sprain may lead to what abnormal movement in the forearm?
Term
membranous osssification
Definition
Type of ossification that takes place in the clavicle which occurs in the connective tissue
Term
Acromion
Definition
articulates with the clavicle
Term
Triquetrum
Definition
The second most commonly fractured bond in the wrist
Term
Short head of biceps brachii, coracobrachialis, and pectoralis minor
Definition
What originates from the coracoid process?
Term
abduction, adduction, flexion, extension, lateral rotation, medial rotation, and circumduction
Definition
What are the movements of the shoulder joint?
Term
Dislocation of the shoulder joint
Definition
traumatic separation of the proximal epiphysis under 18-20 years. Also, in younger children since the capsule is stronger.
Term
abduction
Definition
An ulnar (medial) collateral ligament injury in a sprain may lead to what abnormal movement of the forearm?
Term
adduction
Definition
A radial (lateral) collateral ligament injury in a sprain may lead to what abnormal movement of the forearm?
Term
Tuburcle of schaphoid, pisiform, tuburcle of trapezium, and hook of hamate
Definition
What are the points of insertion of the flexor retinaculum?
Term
Typically, local steroid injection or splinting is suggested befor surgery. Surgery may be done by complete division of flexor retinaculum. Other options are oral steroids or ultrasound.
Definition
What are the treatments of carpal tunnel sydrome?
Term
abduction
Definition
An ulnar(medial) collateral ligament injury in a sprain may lead to what abnormal movement in the forearm?
Term
membranous osssification
Definition
Type of ossification that takes place in the clavicle which occurs in the connective tissue
Term
Acromion
Definition
articulates with the clavicle
Term
Triquetrum
Definition
The second most commonly fractured bond in the wrist
Term
Short head of biceps brachii, coracobrachialis, and pectoralis minor
Definition
What originates from the coracoid process?
Term
abduction, adduction, flexion, extension, lateral rotation, medial rotation, and circumduction
Definition
What are the movements of the shoulder joint?
Term
Dislocation of the shoulder joint
Definition
traumatic separation of the proximal epiphysis under 18-20 years. Also, in younger children since the capsule is stronger.
Term
abduction
Definition
An ulnar (medial) collateral ligament injury in a sprain may lead to what abnormal movement of the forearm?
Term
adduction
Definition
A radial (lateral) collateral ligament injury in a sprain may lead to what abnormal movement of the forearm?
Term
Tuburcle of schaphoid, pisiform, tuburcle of trapezium, and hook of hamate
Definition
What are the points of insertion of the flexor retinaculum?
Term
Typically, local steroid injection or splinting is suggested befor surgery. Surgery may be done by complete division of flexor retinaculum. Other options are oral steroids or ultrasound.
Definition
What are the treatments of carpal tunnel sydrome?
Term
Deltoid
Definition
Function: Most important abductor of the arm up to 90 degrees.
Innervation: Axillary nerve (C5-C6)
Term
Supraspinatus
Definition
Function: Adductor of the arm and belongs to the rotator cuff muscle
Innervation: Suprascapular nerve (C4-C6)
Term
Infraspinatus
Definition
Function: Lateral rotator of the arm, and belongs to the rotator cuff muscle
Innervation: Suprascapular nerve (C5-C6)
Term
Teres minor
Definition
Function: Lateral rotator of the arm, and belongs to the rotator cuff muscle
Innervaion: Axillary nerve(C5-C6)
Term
Teres major
Definition
Function: Adduction and medial rotator of the arm
Innervation: Subscapular Nerve (C6-C7)
Term
Latissimus Dorsi
Definition
Function: Involved in medial rotation, extension, adduction of the arm, a muscle of respiration
Innervation: thoracodorsal nerve(C6, C7, C8)
Term
Supraspinatus, infraspinatus, Teres minor, and subscapularis
Definition
Which muscles belong to the rotator cuff muscles?
Term
Tendinopathy of the supraspinatus, calcification, pain, tendon rupture, and avulsion of the greater tuburcle
Definition
What injuries can be found in the rotator cuff?
Term
Pectoralis major
Definition
Fuction: Adduction and medial rotation of humerus
Innervation: lateral and medial pectoral nerve (C5-T1)
Term
Pectoralis minor
Definition
Function: Pulls the scapula forward and downward, involved in rotation of scapula
Innervation: Medial pectoral nerve (C8-T1)
Term
Rotator Cuff
Definition
Helps to maintain the stability of the shoulder joint
Term
Coracobrachialis
Definition
Function: Aids in flexion and adduction of the arm
Innervation: Musculotcutaneous nerve (C5, C6, C7)
Term
Serratus anterior
Definition
Function: Elevation of the arm over 90 degrees, protracts scapula, and muscle used in respiration
Innervation: Long thoracic nerve (C5, C6, C7)
Term
Winged scapula
Definition
Lifting arm beyond 90 degrees is not possible
Differential diagnosis: Rhomboid M injury; arm elevation is normal
Term
Serratus anterior
Definition
What muscle is involved in a winged scapula?
Term
Subscapularis
Definition
Funtion: Arm adduction and medial rotation
Innervation: Upper & Lower Subscapular nerve (C5, C6, C7)
Term
Biceps Brachii, coracobrachiallis, brachialis
Definition
The muscles innervated by musculocutaneous nerve?
Term
Biceps Brachii
Definition
Fuction: both heads aid in flexion of the shoulder joint, flexor and strong supinator of the forearm
Innervation: musculocutaneous nerve (C5-C6)
Term
Biceps jerk
Definition
Tapping the tendon C5-C6
Term
Brachialis
Definition
Function: Powerful flexor of the elbow joint
Innervation: Musculocutaneous nerve (C5-C6)
Term
Triceps Muscles
Definition
Function: Chief etensor of elbow joint
Innervation: Radial nerve (C6, C7, C8)
Term
Triceps jerk
Definition
Tapping the tendon C7-C8
Term
Triceps Brachi
Definition
Function: Chief extensor of elbow joint
Innervation: Radial nerve(C6, C7, C8)
Term
Radial nerve
Definition
Innervates the posterior aspect of the arm
Term
Erb-Duchenne paralysis
Definition
Falling on the shoulder damaging the upper brachial plexus (C5-C6).
Term
Klumpke's paralysis
Definition
Forced abduction of the can lead to damage of lower brachial plexus (C8-T1). Paralysis of the forearm and small muscle of hand (Claw hand)
Term
Palmaris longus
Definition
Function: Flexes the hand and tenses the palmar aponeurosis
Innervation: Median nerve (C7-C8)
Term
Pronator teres
Definition
Function: Pronation of the forearm and flexion of the elbow
Innervation: Median nerve (C6-C7)
Term
Median nerve
Definition
Innervates the anterior aspect of the forearm except the flexor carpi ulnaris and the flexor digitorum profundus (ulnar nerve)
Term
Flexor carpi radialis
Definition
Function: Palmar flexion and radial abduction of hand
Term
Flexor digitorum superficialis
Definition
F: Strong flexors of the finger and flexes the wrist, runs in the carpal tunnel
N: Median nerve(C7, C8, T1)
Term
Flexor carpi ulnaris
Definition
F: Hand flexion and adduction, carpal tunnel
N: Ulnar nerve (C7-C8)
Term
Flexor digitorum profundus
Definition
F: Flexor of the wrist joints
N: Median nerve and Ulnar nerve (hybrid)
Term
Flexor pollicis longus
Definition
F: Flexor of the terminal phalanx (thumb)
N: Median nerve
Term
Pronator quadratus
Definition
F: Pronates the forearm
N: Median nerve (C8-T1)
Term
Flexor digitorum profundus, flexor pollicis longus, flexor digitorum superficialis, median nerve
Definition
Contents of the carpal tunnel
Term
Brachioradialis
Definition
F: Brings the forearm into mid-position between pronation and supination (beer drinking muscle)
N: Radial nerve (C5-C7)
Term
Extensor carpi radialis longus
Definition
F: Extensor and abductor of hand at wrist joint
N: Radial nerve
Term
Extenson carpi radialis brevis
Definition
F: Extensor and abductor of the hand at wrist joint
N: Radial nerve
Term
Extensor Digitorum
Definition
F: Extends the four medial fingers and dorsiflexion of the hand at wrist
N: Post. interosseous branch of deep radial nerve (C7, C8)
Term
Extensor digiti minimi
Definition
F: Extension of the 5th digiti and dorsiflexion of hand
N: Post. interosseous branch of deep radial nerve (C7, C8)
Term
Extensor carpi ulnaris
Definition
F: Extends and adducts the hands
N: Post. interosseous branch of deep radial nerve (C7, C8)
Term
Supinator
Definition
F: Supinates the forearm
N: Deep branch of the radial nerve (C5-C6)
Term
Abductor pollicis longus
Definition
F: Abduction of the thumb and its extension at the carpometacarpal joint
N: Post. interosseous of deep radial nerve (C7-C8)
Term
Extensor pollicis brevis
Definition
Extension of the proximan phalans at metacarpophalangeal joint
Term
Extensor retinaculum
Definition
Covers the carpal bones dorsally and has septae which produce 6 tendons of the extensor muscles and abductor pollicis longus
Term
1: Abductor pollicis longus and extensor pollicis brevis
2: Extensor carpi radialis longus and Extensor carpi radialis brevis
3: Extensor pollicis longus
4: Extensor digitorum and extensor inicis
5: Extensor digiti minimi
6: Extensor carpi ulnaris
Definition
What runs throught the 6 compartments of the extensor retinaculum?
Term
Ape hand
Definition
The thumb flexors and thenar muscles are paralyzed except the adductor. Median nerve injury
Term
Claw hand
Definition
paralysis of the interossei muscles and the two medial lumbrical muscles. ulnar nerve injury
Term
Erb-Duchenne paralysis
Definition
Upper brachial plexus damage at C5-C6 due to falling on the shoulder
Term
Klumpke's paralysis
Definition
Lower brachial plexus damage at C8-T1. Forced abduction of the shoulder at birth that leads to paralysis of the intrinsic muscle of the hand and anesthesia
Term
Hand of papal benediction
Definition
1st and 2nd lumbricals lost function and all together inabiolity to fully flex index and middle finger
Term
sphygmometer
Definition
instrument used to measure arterial blood pressure at the region
Term
Volkmann's ischemic contracture
Definition
It occurs when the brachial artery is lacerated or completely compressed for too long. This causes fibrous scar tissue to build up and the muscles are permanently shortened resulting in loss of finger contraction and wrist flexion.
Term
Guyan's canal
Definition
It contains ulnar nerve, artery and vein. NOTE: these structures do not go through the carpal tunnel
Term
Flexor pollicis brevis
Definition
innervated by the median nerve and ulnar nerve (hybrid muscle)
Term
Snuff box
Definition
The contents are the radial artery and superficial radial artery
Term
Ulna nerve
Definition
What nerve doesn't have direct contact with the carpal bones?
Term
Deep radial nerve
Definition
What nerve runs between the two heads of the supinator muscle?
Term
tendon of the flexor digitorum superficialis
Definition
What tendons split on the fingers?
Term
tendon of the flexor digitorum profundus
Definition
What passes through this dichotomy?
Term
Axillary lymph nodes
Definition
What drains 75% of the brast and are biopsied when breast cancer is suspected?
Term
Brachial artery
Definition
What artery is used to take blood pressure?
Term
Radial artery
Definition
What artery is used to take the pulse?
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