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Upper Limb I and II
Upper Limb I and II by Dr. Wineski
73
Medical
Professional
10/05/2011

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Term
what gives rise to most limb musculuture?
Definition
the hypomere
Term
the nerves of the arm are dervied from the
Definition
ventral primary ramus
Term
the ventral primary ramus gives rise to the nerves of the
Definition
posterior (postaxial) and anterior (preaxial) nerves
Term
the 2 options of the nerve organization of the ventral primary rami
Definition
simple segmentation or plexus
Term
the type of nerve organization when each ventral ramus independently wraps around the body wall
Definition
simple segmmentation
Term
a type of nerve organization where the individual primary ventral rami break up into subpart and intermix to form this structure to get to the terminal nerve. Individual spinal nerves contribute to multiple branches
Definition
plexus
Term
the spinal nerves that contribute the othe brachial plexus
Definition
spinal nerve C5-T1
Term
the organization of the brachial plexus
Definition
the spinal rami merge into trunks, the trunks divide into divisions, the division merge into 3 cords, the cords divide into terminal branches
Term
the 3 cords of the brachial plexus
Definition
the lateral , medial, and posterior
Term
each trunk has what kind of division
Definition
a dorsal and ventral division
Term
what spinal nerve contribute to the long thoracic nerve
Definition
C5, C6, C7
Term
the branch off the C5 before it merges into trunk
Definition
dorsal scapular
Term
the bone that overlies the divisions of the plexus
Definition
the clavicle
Term
the clavicle divides the brachial plexus into:
Definition
upper(superclavicular) and lower(infraclavicular) parts
Term
the pathway from the root of the neck to the upper limb (distribution point for thimgs leaving the neck and upper limb
Definition
the axilla
Term
what are the 3 structures that make up the apex of the axilla
Definition
1, first rib
2. the superior border of the scapula
3. clavicle
Term
what forms the base of the axilla (5)?
Definition
1. subscapularis
2. teres major
3. latissimus dorsi
4. serratus anterior
5. pectoralis major
Term
what are the walls of the axilla?
Definition
anterior
posterior
lateral
medial
Term
what strucure makes up the medial wall of teh axilla
Definition
serratus anterior
Term
what makes up the lateral wall of the axilla?
Definition
1. bicipital groove of the humerus
2. the long head of the biceps
3. coracobrachialis
Term
the posterior wall of the axilla is made up of the
Definition
1. subscapularis
2. latissimus dorsi
3. teres major
Term
the anterior wall of the axilla is made of the
Definition
1. pectoralis major
2. pectoralis minor
3. clavipectorial fascia
4. subclavius (not always seen in humans)
Term
What makes up the anterior axillary fold
Definition
pectoralis minor and major
Term
what is the posterior axiallry fold composed of?
Definition
the teres major and the latissumus dorsi
Term
the major contents of the axilla
Definition
brachial plexus
axillary vessels
and axillary lymph nodes
Term
the part of teh brachial plexus that is in the axilla?
Definition
the corda and terminal branches
Term
the 3 parts of the axillary artery are defined by what muscle
Definition
pectoralis minor
Term
the vessel on the first branch of the axillary artery
Definition
the superior thoracic artery
Term
the 2 branches on part 2 of the axillary artery
Definition
lateral thoracic artery and the thoracoacromial artery
Term
the 3 branches of the 3rd part of the axillary artery
Definition
the subscapular artery and the anterio and posterior circumflex humeral artery
Term
describe the variability and stability of the axiallary artery
Definition
there is proximal variabilty and distal stability
Term
the evolution of the subclavian artery
Definition
subclavian artery--> axillary artery--> brachial artery
Term
when does the axillary artery become the brachial artery
Definition
pass the teres major
Term
the 3 bones of the shoulder
Definition
clavicle, scapula, and the humerus
Term
the 3 joints of the shoulder
Definition
1. sternoclavicluar
2. glenohumeral
3. acromioclavicular
Term
the muscle that braces the shoulder by pulling the scapulae posteriorly and superiorly
Definition
trapezius
Term
injury to this muscle causes the shoulder to droop
Definition
trapezius
Term
the muscle that anchors the scapula to the thoracic wall so that the scapula can be a fixed bone for muscles that will move the humerus
Definition
serratus anterior
Term
the thick powerful muscle that forms the rounded contour of the shoulder. there are 3 parts of this muscle that can act together or separately. If together it will assist in abducting the arm.
Definition
deltoid
Term
the muscle that initiates abduction
Definition
supraspinatous
Term
the 4 mmuscles of the rotator cuff
Definition
1. supraspinatous
2. intraspinatous
3. teres minor
4. subscapularis
Term
the only rotator cuff muscle that does not rotate
Definition
supraspiantus
Term
what is abduction of the arm?
Definition
moving the arms above the head
Term
what are the 3 phases of abduction?
Definition
initiation, abduct to the horizontal, abduct above the horzontal
Term
during the initiation of abduction the what does the supraspinatous due?
Definition
it will bring the arm out a few degrees putting the in a beter anatomical posistion to complete the process
Term
the muscle that abducts the arm the the horizontal
Definition
deltoid
Term
the 2 muscles that make up the force couple that abducts the arm above the horizontal
Definition
trapezius and the serratus anterior
Term
the upper and lower parts of this muscle cotract and twist the scapula during abduction
Definition
trapezius
Term
the muscle that swings the scapula forward during abduction
Definition
serratus anterior
Term
a lesion of the long thoracic nerve will lead to what 2 things
Definition
a full abduction deficit and winged scapula
Term
the axillary nerve is a branch of which cord
Definition
the posterior cord
Term
what comes out of the quadrangular space.
Definition
the axillary nerve and the posterior humeral circumflex artery
Term
what comes out of the triangular space
Definition
the circumflex scapular artery
Term
if there is an inferior shoulder dislocation waht is affected?
Definition
there will be an invasion of the quadrangular space, so the axillary nerve and the posterior humeral circumflex artery are affected
Term
if the axillary nerve is damaged due to a narrowing of the quadrangular spacewhat muscle will be affected
Definition
the deltoid
Term
atrophy of the deltoid leads to
Definition
wasting of the shoulder (muscle is replaced with fat and CT)
Term
cutaneous deficits that occur what there is damage to the axillary nerve includes
Definition
the area around the shoulder
Term
if there is an impingement of the suprascapular nerve what is affected
Definition
the suprapinatous is affects so the person will not be able to initiate abduction
Term
the cutaneous effects of the suprascapular nerve
Definition
there are no cutaneous effects
Term
describe the arrangement of the suprascapular nerve and artery with the suprascapular ligament
Definition
the suprascapular nerve goes under the ligament and the artery goes over the ligament
Term
the ventral side of the arm is responsible for
Definition
flexion and protonation
Term
the dorsal/ posterior side is responsible for
Definition
extension and supenstion
Term
the artery that runs parallel to the radial artery through the lateral intermusular septum
Definition
perfundabraial artery AKA deep brahial artery
Term
the posterior are and forearm are innervated by
Definition
the radial nerve
Term
the anterior brahial ompartment is innervated by the
Definition
musculoutanous nerve
Term
the posterior brachial and antebrachial compartments are innervated by the
Definition
radial nerve
Term
what can cause injury to the brachial plaxus?
Definition
injury can occur when there is an increase in the cerviobrachial stretch that can occur when you fall on your neck or when a baby is being pulled out during childbirth
Term
a stabbing wound to the posterior triangle of the neck will damage what?
Definition
the brachial plexus
Term
if there is injury to the brachial plexus the main nerves that will be affeted are the
Definition
suprascapular and axillary and musculocutaneous nerve
Term
when a muscle is unoppsed and as the agonist wastes away the antagonist withdraws the limb to show its action. when this ocurs the limb is said to be in
Definition
contractre AKA ultimate posture pull
Term
what will happen to the shoulder area if there is a lesion in the upper trunk
Definition
1. the shoulder will be in the abducted position
the shoulder becomes medially rotated
the elbow is in an extended position and the forearm is in the prone position
Term
the name of the position that happens when there is a lesion in the upper trunk
Definition
erb-Duchenne's palsy AKA waiter's tip
Term
the cutaneous effects when there is lesion in the upper trunk
Definition
no effect from the suprascapular nerve because it has no cutaneous innervation
Part of the shoulder will be effected becasue the axillary nerve is damaged
the skin below the elbow on the lateral side of the arm will be effected because the musculocutaneous nerve is damaged
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