Axillary Nerve and Injuries Quiz

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Questions and Answers

What action is performed by the short head of the biceps brachii at the shoulder joint?

  • Adducts the arm
  • Flexes the shoulder joint (correct)
  • Extends the elbow joint
  • Supinates the forearm

Which statement about the brachialis muscle is correct?

  • It is a powerful flexor at the elbow joint (correct)
  • It primarily acts as a supinator of the forearm
  • It arises from the scapula
  • It has a single nerve supply

Which nerve primarily supplies the triceps brachii muscle?

  • Radial nerve (correct)
  • Musculocutaneous nerve
  • Ulnar nerve
  • Median nerve

What is the role of the long head of the biceps brachii during shoulder movements?

<p>It helps stabilize the head of the humerus (C)</p> Signup and view all the answers

Which nerve is responsible for sensory supply to the lateral surface of the forearm?

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

Which of the following actions does the triceps brachii perform?

<p>Extension of the forearm (C)</p> Signup and view all the answers

Which origins are associated with the medial head of the triceps brachii?

<p>Lower half of the posterior surface of the shaft of the humerus (C)</p> Signup and view all the answers

What is the main nerve supply for the anterior compartment of the arm?

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

What is the origin of the axillary nerve?

<p>Posterior cord of the brachial plexus (C)</p> Signup and view all the answers

Which muscle is primarily responsible for extending the elbow joint?

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

Which nerve supplies the muscles in the anterior compartment of the arm?

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

What is a potential effect of an axillary nerve injury?

<p>Flattening of the shoulder (A)</p> Signup and view all the answers

Where does the biceps brachii insert?

<p>Radial tuberosity (A)</p> Signup and view all the answers

Which artery supplies the posterior compartment of the arm?

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

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

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

What is the function of the bicipital aponeurosis?

<p>Protects the brachial artery and median nerve (B)</p> Signup and view all the answers

What is the largest branch of the brachial artery?

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

What is the primary function of the median nerve in the arm?

<p>Has no major branches in the arm (B), Provides sensory innervation to the palmar side of the hand (D)</p> Signup and view all the answers

Which muscle separates the brachial artery from the humerus in the lower part of the arm?

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

Which nerve enters the posterior compartment of the arm and is accompanied by the superior ulnar collateral artery?

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

At which anatomical position does the radial nerve pierce the lateral intermuscular septum?

<p>At the middle of the arm (B)</p> Signup and view all the answers

What is the posterior boundary of the cubital fossa?

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

What is a major characteristic of the ulnar nerve's course in the arm?

<p>It passes behind the medial epicondyle of the humerus (D)</p> Signup and view all the answers

Which nerve passes medial to the brachial artery within the cubital fossa?

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

Which muscle does the radial nerve pass obliquely between to reach the spiral groove?

<p>Lateral and medial heads of triceps brachii (B)</p> Signup and view all the answers

What forms the apex of the cubital fossa?

<p>Meeting of two borders (D)</p> Signup and view all the answers

The brachial artery is a continuation of which artery at the lower border of the teres major?

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

What is the primary anatomical role of the cubital fossa?

<p>Nerve passage from arm to forearm (B)</p> Signup and view all the answers

Which of the following arteries is a terminal branch of the brachial artery?

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

Which nerve provides innervation to the brachialis muscle?

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

What is the floor of the cubital fossa made up of?

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

What is a notable feature of the radial nerve along its path in the arm?

<p>Descends behind the brachial artery (A)</p> Signup and view all the answers

Flashcards

Biceps Brachii

A large muscle extending from the shoulder to the elbow, responsible for flexing the arm at the elbow and supinating the forearm.

Brachialis

A muscle located on the front of the upper arm, responsible for flexing the arm at the elbow.

Triceps Brachii

Muscle on the back of the upper arm, responsible for extending the arm at the elbow.

Musculocutaneous Nerve

The nerve that runs through the anterior compartment of the arm, supplying the biceps and brachialis muscles.

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Radial Nerve

The nerve that travels through the posterior compartment of the arm, providing motor function to the extensor muscles of the arm and hand.

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Ulnar Nerve

The nerve running on the medial side of the arm, primarily responsible for the muscles of the forearm and hand.

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Median Nerve

The nerve running down the arm on the medial side, supplying muscles in the forearm and hand.

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Muscle Insertion

The point where a muscle attaches to a bone, moving the bone when the muscle contracts.

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Brachial artery

This artery is the major blood supply to the arm. It starts as a continuation of the axillary artery and runs along the medial side of the arm.

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Deep radial nerve

This branch of the radial nerve provides innervation to the muscles involved in wrist extension.

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Superficial radial nerve

This branch of the radial nerve supplies sensation to the back of the hand.

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Posterior cutaneous nerve of the arm

This nerve is a branch of the radial nerve and provides sensation to the posterior aspect of the arm.

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Posterior cutaneous nerve of the forearm

This nerve is a continuation of the radial nerve and supplies sensation to the posterior aspect of the forearm.

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Axillary Nerve

A nerve that arises from the posterior cord of the brachial plexus, supplying the deltoid and teres minor muscles, and providing sensation to the upper lateral aspect of the arm.

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Quadrangular Space

A space located behind the surgical neck of the humerus, through which the axillary nerve and posterior circumflex humeral vessels pass.

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Coracobrachialis

The muscle that helps with shoulder flexion and adduction, located in the anterior compartment of the arm.

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Bicipital Aponeurosis

A strong tendon connecting the biceps muscle to the radial tuberosity, providing stability and assisting in forearm movements.

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Anterior Compartment of the Arm

The compartment on the front of the arm, containing muscles that flex the elbow joint, and innervated by the musculocutaneous nerve.

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Cubital Fossa

Triangular space in front of elbow, between arm and forearm.

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Brachial Artery Termination

Brachial artery divides into radial and ulnar arteries.

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Profunda Brachii Artery

Largest branch of brachial artery, arises near the lower border of the teres major muscle.

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Superior Ulnar Collateral Artery

Passes medially with ulnar nerve, pierces medial intermuscular septum.

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Inferior Ulnar Collateral Artery

Divides into anterior and posterior branches, descends near the medial epicondyle.

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Pronator Teres Muscle

The medial border of the cubital fossa.

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Brachioradialis Muscle

Lateral border of the cubital fossa.

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Tendon of Biceps

One of the contents of the cubital fossa.

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Study Notes

Axillary Nerve (Circumflex Nerve)

  • Originates from the posterior cord of the brachial plexus.
  • Root values: C5, 6 nerves.
  • Course: Runs with posterior circumflex humeral vessels through the quadrangular space, turning behind the surgical neck of the humerus.
  • Branches:
    • Articular: Supplies the shoulder joint.
    • Muscular: Innervates the deltoid muscle and teres minor.
    • Cutaneous: Provides sensory innervation to the upper lateral portion of the arm (lower half of the deltoid).

Axillary Nerve Injury

  • Causes: Fracture of the surgical neck of the humerus or shoulder dislocation.
  • Effects:
    • Paralysis of the deltoid muscle, resulting in loss of abduction (movement away from the body) from 15 to 90 degrees and shoulder flattening.
    • Weakening of lateral rotation of the shoulder, due to teres minor involvement.
    • Loss of sensation in the upper portion of the lateral side of the arm (lower half of the deltoid).

Compartments of the Arm

  • Two major compartments: anterior and posterior, divided by intermuscular septa (medial and lateral).

Anterior Compartment

  • Muscles: Coracobrachialis, biceps brachii, and brachialis.
  • Nerve supply: Musculocutaneous nerve.
  • Action: Flexion of the elbow joint.

Posterior Compartment

  • Muscle: Triceps brachii.
  • Nerve supply: Radial nerve.
  • Action: Extension of the elbow joint.

Coracobrachialis Muscle

  • Origin: Tip of the coracoid process of the scapula, along with the short head of the biceps.
  • Insertion: Middle of the medial border of the humerus.
  • Nerve supply: Musculocutaneous nerve.
  • Action: Flexion and adduction of the shoulder joint.

Muscles of the Arm (Biceps Brachii)

  • Origins:
    • Short head: Tip of the coracoid process.
    • Long head: Supraglenoid tubercle.
  • Insertion: Radial tuberosity, bicipital aponeurosis to the deep fascia of the forearm.
  • Nerve supply: Musculocutaneous nerve.
  • Action: Flexion and supination of the forearm, flexion of the shoulder.

Muscles of the Arm (Action)

  • Short head: Flexes the shoulder.
  • Long head: Stabilizes the head of the humerus during shoulder movements; flexes the elbow.
  • Powerful forearm flexor.
  • Powerful forearm supinator (when elbow is flexed).

Brachialis Muscle

  • Origin: Lower half of the anterior surface of the humerus.
  • Insertion: Ulnar tuberosity.
  • Nerve supply: Primarily musculocutaneous, with radial nerve supplying the lateral portion (double nerve supply).
  • Action: Principle flexor of the elbow joint.

Triceps Brachii Muscle

  • Three heads:
    • Long head: Infraglenoid tubercle of the scapula.
    • Lateral head: Above the radial groove.
    • Medial head: Below the radial groove.
  • Insertion: Olecranon process of the ulna.

  • Nerve supply: Radial nerve.
  • Action: Extension of the forearm at the elbow joint

Nerves of the Arm

  • Musculocutaneous: Anterior compartment of the arm.
  • Radial: Posterior compartment of the arm (no branches in the arm).
  • Ulnar: (No branches in the arm).
  • Median: (No branches in the arm).

Cubital Fossa

  • Triangular-shaped space in front of the elbow.
  • Boundaries:
    • Lateral: Brachioradialis.
    • Medial: Pronator teres.
    • Apex: Directed downwards.
    • Base: Line connecting the medial and lateral epicondyles of the humerus.
  • Floor: Brachialis (medially), Supinator (laterally).
  • Roof: Skin, superficial fascia containing cephalic, basilic, and median cubital veins, medial and lateral cutaneous nerves of the forearm, bicipital aponeurosis.

Contents of Cubital Fossa

  • Median Nerve.
  • Brachial Artery (divides into radial and ulnar arteries).
  • Biceps brachii tendon.
  • Deep branch of radial nerve.

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