Anatomy of the Upper Limb Quiz

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Questions and Answers

Which of the following correctly classifies the scapula?

  • Long bone
  • Modified long bone
  • Short bone
  • Flat bone (correct)

Which of these nerves is NOT a branch of the brachial plexus?

  • Median nerve
  • Axillary nerve
  • Musculocutaneous nerve
  • Femoral nerve (correct)

Which muscle group is primarily involved in shoulder abduction?

  • Pectoral muscles
  • Scapulohumeral muscles (correct)
  • Forearm flexors
  • Brachial extensors

What is the main function of the radial nerve?

<p>Facilitates wrist and finger extension (C)</p> Signup and view all the answers

Which of the following statements about the brachial plexus is correct?

<p>The cords consist of anterior and posterior divisions (B)</p> Signup and view all the answers

Which artery is responsible for supplying blood to the medial side of the forearm?

<p>Ulnar artery (A)</p> Signup and view all the answers

What is the relationship between superficial and deep veins in the upper limb?

<p>Deep veins accompany arteries, while superficial veins lie closer to the skin. (B)</p> Signup and view all the answers

Which of the following veins is NOT considered a superficial vein of the upper limb?

<p>Brachial vein (D)</p> Signup and view all the answers

Which major vein is formed from the basilic vein and the brachial vein?

<p>Axillary vein (C)</p> Signup and view all the answers

Which artery provides blood supply to the area known as the armpit?

<p>Axillary artery (D)</p> Signup and view all the answers

Which vein primarily drains the upper limb muscles and bones?

<p>Brachial Vein (A)</p> Signup and view all the answers

Which component of the lymphatic system primarily serves as a defense mechanism?

<p>Axillary Lymph Nodes (D)</p> Signup and view all the answers

What function do the superficial veins serve in the upper limb?

<p>Drain skin and fascia of the upper limb (A)</p> Signup and view all the answers

What is the significance of the clavicle in relation to the upper limb?

<p>Transmits weight to the axial skeleton (B)</p> Signup and view all the answers

Which of the following structures is responsible for draining interstitial fluid back to the venous system?

<p>Lymph Vessels (D)</p> Signup and view all the answers

Which of the following nerves primarily supplies the forearm muscles?

<p>Ulnar nerve (B)</p> Signup and view all the answers

Which type of joint is characterized by limited movement and is connected by fibrous tissue?

<p>Fibrous joint (C)</p> Signup and view all the answers

What component is NOT part of a synovial joint?

<p>Adipose tissue (B)</p> Signup and view all the answers

Which of the following joints allows for the greatest range of motion?

<p>Synovial joint (A)</p> Signup and view all the answers

Which joint is specifically referred to as the Glenohumeral joint?

<p>Shoulder joint (A)</p> Signup and view all the answers

Which type of joints allow for no movement?

<p>Primary cartilaginous joints (C)</p> Signup and view all the answers

What is the role of synovial fluid in a joint?

<p>To reduce friction (A)</p> Signup and view all the answers

Which of the following nerves is associated with the deltoid muscle?

<p>Axillary nerve (B)</p> Signup and view all the answers

What action does the ascending part of the spinal accessory nerve perform?

<p>Depresses the scapula (C)</p> Signup and view all the answers

Which nerve supplies the Rhomboid major muscle?

<p>Dorsal scapular nerve (A)</p> Signup and view all the answers

Which joint allows a wide range of movement as a ball-and-socket type of synovial joint?

<p>Glenohumeral joint (A)</p> Signup and view all the answers

What is the primary action of the Rhomboid minor muscle?

<p>Elevate and retract the scapula (C)</p> Signup and view all the answers

Which structure deepens the glenoid cavity of the scapula?

<p>Glenoid labrum (B)</p> Signup and view all the answers

Which part of the spinal accessory nerve elevates the scapula?

<p>Descending part (A)</p> Signup and view all the answers

What ligaments are located between the greater and lesser tubercle of the humerus?

<p>Gleno-humeral ligaments (D)</p> Signup and view all the answers

What is the action performed by the Levator scapulae muscle?

<p>Elevates the scapula (D)</p> Signup and view all the answers

Which muscle is primarily responsible for medial rotation of the shoulder?

<p>Subscapularis (C)</p> Signup and view all the answers

What commonly occurs due to the laxity of ligaments in the shoulder joint?

<p>Shoulder dislocation (A)</p> Signup and view all the answers

Which muscle assists both in flexion and adduction of the shoulder?

<p>Biceps brachii (B)</p> Signup and view all the answers

Which factors contribute to rotator cuff injuries?

<p>Avascular nature of supraspinatus tendon (D)</p> Signup and view all the answers

During which movement is the latissimus dorsi primarily involved?

<p>Extension from full flexion (A)</p> Signup and view all the answers

Which muscle primarily acts during shoulder abduction?

<p>Supraspinatus (D)</p> Signup and view all the answers

What condition is characterized by adhesive fibrosis of the shoulder joint capsule?

<p>Adhesive capsulitis (A)</p> Signup and view all the answers

Which of these muscles does NOT contribute to shoulder adduction?

<p>Biceps brachii (D)</p> Signup and view all the answers

Flashcards

Upper limb segments

The upper limb consists of four segments: the shoulder, arm, forearm, and hand.

Types of bones in the upper limb

Most bones in the upper limb are long bones, except for the scapula and carpal bones. The scapula is a flat bone, carpals are short bones, and the clavicle is a modified long bone.

Brachial plexus

The brachial plexus is a network of nerves that supply the upper limb. It is formed by roots, trunks, divisions, cords, and terminal branches.

Main nerves of upper limb

Five major nerves supply the upper limb: axillary, radial, musculocutaneous, ulnar, and median. These nerves are branches of the brachial plexus.

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Synovial joint structures

Synovial joints are characterized by a joint capsule, synovial membrane, and articular cartilage. They allow for movement between bones.

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Brachial artery

The artery supplying blood to the arm from the armpit to the elbow.

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Radial artery

Artery in the forearm that runs along the lateral (thumb) side of the forearm.

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Ulnar artery

Artery in the forearm that runs along the medial (little finger) side of the forearm.

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Palmar arches

A network of blood vessels in the palm of the hand.

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Superficial veins

Blood vessels that carry blood from the hand and forearm back to the heart, located closer to the surface of the skin.

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Joints

The junction between two or more bones, allowing for movement and stability.

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Synovial joint

A type of joint that allows for extensive movement. It has a fluid-filled cavity and a capsule.

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Ligaments

Strong bands of connective tissue that connect bones to other bones.

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Articular cartilage

The smooth layer of cartilage that covers the ends of bones within a joint. Reduces friction and allows smooth movement.

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Synovial fluid

The fluid found inside the synovial cavity. It lubricates the joint, reduces friction, and provides nutrients.

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Capsule

The outermost layer of a synovial joint. It encloses the joint and holds the synovial fluid.

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Elbow joint

The elbow joint is a hinge joint with two articulations: between the humerus and ulna (humero-ulnar) and between the humerus and radius (humeroradial).

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Wrist joint

The wrist joint consists of the radius, scaphoid, lunate, and triquetrum bones. It allows for movement in many directions.

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What is the superficial palmar venous arch?

The superficial palmar venous arch is a network of veins located in the palm of the hand. It drains the skin and fascia of the upper limb.

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What is the deep palmar venous arch?

The deep palmar venous arch is a network of veins located deep within the palm of the hand. It drains the muscles and bones of the hand.

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What is the lymphatic system?

The lymphatic system is a network of vessels that collect and filter interstitial fluid, it's not directly connected to the veins.

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Where are the axillary lymph nodes?

Axillary lymph nodes are located in your armpit. They drain lymph from the arm, chest, and upper back.

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What is the function of the clavicle?

The clavicle, or collarbone, transmits part of the weight of the upper limb to the axial skeleton.

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What is the Spinal Accessory Nerve (CN XI) and what does it control?

The spinal accessory nerve (CN XI) is a cranial nerve that controls the movement of the neck and shoulders. It has two parts: the descending part, controlling the trapezius muscle, and the ascending part, controlling the sternocleidomastoid muscle.

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What does the Levator Scapulae muscle do?

The Levator Scapulae muscle helps to elevate the scapula (shoulder blade). It originates from the transverse processes of the first four cervical vertebrae (C1-C4) and inserts on the medial border of the scapula.

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What does the Rhomboid Minor muscle do?

The Rhomboid Minor muscle helps to elevate and retract the scapula (shoulder blade). It originates from the lower end of the ligamentum nuchae and the spinous processes of C7 and T1 vertebrae and inserts on the medial border of the scapula.

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What does the Rhomboid Major muscle do?

The Rhomboid Major muscle helps to retract the scapula and rotate it inferiorly. It originates from the spinous processes of T2-T5 vertebrae and inserts on the medial border of the scapula.

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What is the Sternoclavicular joint and what does it connect?

The Sternoclavicular joint connects the sternum (breastbone) to the clavicle (collarbone). It's a synovial joint, allowing for movement between these bones.

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What is the Acromioclavicular joint and what does it connect?

The Acromioclavicular joint connects the acromion process of the scapula (shoulder blade) to the clavicle (collarbone). It's a synovial joint, allowing for movement between these bones.

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What is the Glenohumeral joint and what does it connect?

The Glenohumeral joint, also known as the shoulder joint, is a ball and socket joint, allowing for a wide range of movement. It connects the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade).

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What is the Glenoid labrum and what is its function?

The Glenoid labrum is a fibrocartilaginous ring that deepens and expands the shallow glenoid cavity of the scapula (shoulder blade). It helps to stabilize the shoulder joint.

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Transverse humeral ligament

A ligament in the shoulder joint that helps to stabilize the humerus in the glenoid fossa. It is part of the rotator cuff.

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Flexion of the shoulder

The movement that brings the arm forward towards the body. It is performed by muscles like the pectoralis major, deltoid, and bicep.

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Extension of the shoulder

The movement that brings the arm backward away from the body. It is performed by muscles like the posterior deltoid, teres major, and latissimus dorsi.

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Abduction of the shoulder

The movement that raises the arm away from the body, up towards the ceiling. It is performed by muscles like the supraspinatus and deltoid.

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Adduction of the shoulder

The movement that brings the arm towards the body from a raised position. It is performed by muscles like the pectoralis major, latissimus dorsi, and teres major.

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Medial (Internal) rotation of the shoulder

The movement that rotates the arm inwards, so the palm faces the body. It is performed by muscles like the subscapularis, pectoralis major, and latissimus dorsi.

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Lateral (External) rotation of the shoulder

The movement that rotates the arm outwards, so the palm faces away from the body.

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Rotator cuff

A group of four muscles that surround the shoulder joint and help to stabilize it. These muscles are the supraspinatus, infraspinatus, teres minor, and subscapularis.

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Study Notes

Anatomy of the Musculoskeletal System - Upper Limb

  • The upper limb comprises four segments: shoulder, arm, forearm, and hand.
  • Objectives for the lecture include identifying upper limb bones and landmarks, understanding brachial plexus formation and major nerves in the upper limb, describing major arteries and veins, classifying and discussing synovial joint structures, describing joint movements, and outlining pectoral and scapulohumeral muscles, their attachments, nerve supply, and actions.

Bones of the Upper Limb

  • Most upper limb bones are long bones except the scapula and carpal bones.
  • The scapula is a flat bone.
  • Carpals are short bones.
  • The clavicle is a modified long bone.
  • Bone marrow is found within the bone shaft.

Scapula

  • The scapula has several important features including the acromion, glenoid cavity, coracoid process, suprascapular notch, and various fossae (supraspinous, infraspinous, and subscapular).

Humerus

  • The humerus has a head, anatomical neck, surgical neck, greater and lesser tubercles, and the intertubercular groove. It also features the radial groove, deltoid tuberosity, and various fossae (coronoid, radial, olecranon).

Upper Limb Nerves

  • The brachial plexus has three trunks, each further branching into three anterior divisions and three posterior divisions. These combine to form five main terminal branches.
  • Key nerves include axillary, radial, musculocutaneous, ulnar, and median nerves.

Upper Limb Blood Vessels

  • The subclavian artery is the primary vessel supplying the upper limb. Note the axillary artery, brachial artery, radial artery, and ulnar artery.
  • These arteries have branching patterns within the upper limb, providing blood flow to muscles, skin, and other tissues. The superficial and deep palmar arches also contribute to blood supply
  • Superficial veins (cephalic, basilic, median cubital, palmar venous arch, and digital veins) drain the upper limb. Deep veins run along with arteries, draining muscles and bone.

Synovial Joints

  • Synovial joints are freely movable.
  • They consist of a capsule and synovial fluid.
  • Examples include the shoulder and knee joints.
  • Cartilaginous joints involve cartilaginous connections between bones. Ex. Intervertebral discs.
  • Fibrous joints include Sutures
  • Key features of synovial joints include articular cartilage, synovial cavity, synovial fluid, synovial membrane and capsule

Joints of the Upper Limb

  • Important joints include sternoclavicular, acromioclavicular, glenohumeral (shoulder), humeroulnar, humeroradial, radiocarpal (wrist), carpometacarpal, and interphalangeal joints.

Muscles of the Upper Limb

  • Pectoralis major, pectoralis minor, and serratus anterior are three pectoral muscles.
  • Their origin and insertion points on the upper torso and shoulder/arm, and the action of each muscle.
  • Other muscles include scapulohumeral muscles, deltoid and trapezius. Deep and superficial muscle arrangements should be recognized.

Lymphatic Drainage

  • Lymph vessels transport lymph.
  • Lymph vessels play a role in eliminating fluid that collects between cells or tissues.
  • Lymph nodes serve as collection points for lymph, assisting in maintaining fluid balance and playing a role in immune responses.

Applied Anatomy

  • Dislocations, rotator cuff injuries, and frozen shoulder (adhesive capsulitis) are discussed.
  • Recognition of the structures affected during specific injuries is critical.

Key Bones and Muscles

  • Specific structures of the clavicle, scapula, and humerus are described, emphasizing their anatomical landmarks.
  • Specific pectoral and scapulohumeral muscles and detailed anatomical descriptions are discussed.

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