Clinical Anatomy: Upper Limb Bones
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Questions and Answers

What is the primary function of the scapula?

  • Support the upper limb
  • Connect the ribcage to the spine
  • Protect the thoracic organs
  • Facilitate movement of the arm (correct)
  • The upper limb is a part of the appendicular skeleton.

    True

    Name one feature of the scapula.

    It has three angles.

    The bones of the upper limb include the scapula, humerus, ______ and ______.

    <p>radius, ulna</p> Signup and view all the answers

    Match the following regions of the upper limb with their descriptions:

    <p>Shoulder = Includes pectoral, deltoid and scapular regions Arm = Also known as brachium Forearm = Also known as antebrachium Hand = Includes wrist, palm, dorsum of hand, digits</p> Signup and view all the answers

    Which angle of the scapula is covered by the trapezius muscle?

    <p>Superior angle</p> Signup and view all the answers

    The lateral angle of the scapula faces medially and includes the glenoid cavity.

    <p>False</p> Signup and view all the answers

    What covers the inferior angle of the scapula?

    <p>Latissimus dorsi</p> Signup and view all the answers

    The lateral border of the scapula is the ________ part, which is the thickest.

    <p>thickest</p> Signup and view all the answers

    Match the following parts of the scapula with their descriptions:

    <p>Coracoid process = Directed forwards and laterally, has a facet for clavicle Glenoid cavity = Broad, located at the lateral angle Superior angle = Covered by trapezius muscle Inferior angle = Covered by latissimus dorsi</p> Signup and view all the answers

    Which nerve passes posterior to the medial epicondyle?

    <p>Ulna nerve</p> Signup and view all the answers

    The axillary nerve and posterior circumflex artery are located anterior to the surgical neck of the humerus.

    <p>False</p> Signup and view all the answers

    What is the anatomical structure that is commonly fractured at the surgical neck of the humerus?

    <p>Humerus</p> Signup and view all the answers

    The _____ arises from the posterior surface of the lateral epicondyle.

    <p>Anconeus</p> Signup and view all the answers

    Match the following features of the humerus with their descriptions:

    <p>Medial epicondyle = Palpable and prominent Surgical neck = Common fracture site Intertubercular groove = Contains tendon of long head of biceps Lesser tubercle = Insertion site for rotator cuff muscles</p> Signup and view all the answers

    Which structure attaches to the medial tip of the scapula?

    <p>Coracobrachialis</p> Signup and view all the answers

    The suprascapular ligament comes from the lower end of the scapula.

    <p>False</p> Signup and view all the answers

    At what age does the ossification center for the medial epicondyle appear?

    <p>4-6 years</p> Signup and view all the answers

    The humerus is the longest bone in the ______ limb.

    <p>upper</p> Signup and view all the answers

    Match the following ossification centers with their appearance ages:

    <p>Capitulum = 1st year Lateral epicondyle = 12th year Medial epicondyle = 4-6 years Lesser tubercle = 5th year</p> Signup and view all the answers

    Which of the following structures is NOT an attachment site for the rotator cuff muscles?

    <p>Capitulum</p> Signup and view all the answers

    The upper end of the humerus has both greater and lesser tubercles.

    <p>True</p> Signup and view all the answers

    What articulates with the trochlea of the humerus?

    <p>ulna</p> Signup and view all the answers

    What is the characteristic shape of the ulna's shaft?

    <p>Triangular</p> Signup and view all the answers

    The ulna ossifies from two primary centers and one secondary center.

    <p>False</p> Signup and view all the answers

    At what age does the ossification of the inferior part of the ulna appear?

    <p>5 years</p> Signup and view all the answers

    The rounded head of the ulna is located __ to the pointed styloid process.

    <p>lateral</p> Signup and view all the answers

    Which border of the ulna is described as thick and rounded?

    <p>Anterior border</p> Signup and view all the answers

    Match the stages of ulna ossification with their respective timelines:

    <p>Shaft and upper end = 8th intrauterine week Superior part of olecranon = 10 years Lower end = 5 years Complete fusion with shaft = 18 years</p> Signup and view all the answers

    The shaft of the ulna has three surfaces.

    <p>True</p> Signup and view all the answers

    What is the primary ossification center for the ulna?

    <p>one primary center</p> Signup and view all the answers

    Study Notes

    Overview of Upper Limb Bones

    • Upper limb bones include scapula, humerus, radius, and ulna.
    • Connected to the axial skeleton (skull, vertebral column, thoracic cage) and part of the appendicular skeleton.

    Osteology of the Upper Limb Regions

    • Shoulder: Pectoral, deltoid, and scapular areas.
    • Arm (brachium).
    • Forearm (antebrachium).
    • Hand: Comprises wrist, palm, dorsum, and digits.

    Scapula

    • Thin, triangular shape with two surfaces, three angles, three borders, and three processes.
    • Superior angle covered by trapezius; inferior angle covered by latissimus dorsi.
    • Lateral angle contains glenoid cavity for shoulder joint.

    Scapula Processes

    • Coracoid process: Directed forward and laterally, has a facet for clavicle.
    • Dorsal surface divided into two fossae.

    Scapula Side Determination

    • Lateral angle (glenoid) is large and faces laterally; thick lateral border.
    • Dorsal surface is convex with a prominent spinous process.

    Attachments of the Scapula

    • Coracobrachialis inserts from the medial tip.
    • Short head of biceps originates from the lateral tip.

    Scapula Ligament Attachments

    • Suprascapular ligament bridges the suprascapular notch, forming the suprascapular foramen for nerves and vessels.

    Humerus

    • Longest bone of the upper limb, comprising an upper end, shaft, and lower end.
    • Ossifies from one primary center and seven secondary centers.
    • Upper end features greater and lesser tubercles, critical for rotator cuff muscle attachments.

    Humerus Ossification

    • Primary ossification begins during the 8th intrauterine week.
    • Secondary ossification centers develop from the first year to the 12th year, with fusion to the shaft between ages 14 and 20.

    Humerus Ends

    • Upper end provides attachment for rotator cuff muscles.
    • Lower end features condyles: capitulum (articulates with radius) and trochlea (articulates with ulna).
    • Prominent medial epicondyle; ulnar nerve passes posteriorly to it.

    Humerus Shaft

    • Features three borders and surfaces; posterior surface not shown in key illustrations.
    • Surgical neck is clinically significant, often fractured and risks damage to the axillary nerve and surrounding vessels.

    Attachments to Humerus

    • Intertubercular groove houses tendon of long head of biceps.
    • Coracobrachialis inserts along the middle of the medial border.

    Humerus Side Determination

    • Rounded upper end with head directed medially; lower end flattened.
    • Lesser tubercle limited laterally by the intertubercular groove, sharp interosseous border on the radius.

    Ulna

    • Medial bone of the forearm, homologous to the fibula in the lower limb.
    • Consists of upper end, shaft, and narrower lower end.

    Ulna Ossification

    • Ossifies from one primary center and two secondary centers.
    • Shaft and upper end begin ossification during the 8th intrauterine week; olecranon develops by the 10th year and fuses by 16.
    • Lower end ossifies around the 5th year, fusing with the shaft by 18 years.

    Ulna Side Determination

    • Upper end has a hook-like structure with a sharp, crest-like lateral border.
    • Pointed styloid process sits medial to the rounded head of the ulna.

    Attachments to Ulna

    • Significant anatomical landmarks inform the understanding of muscular and ligamentous connections within the upper limb.

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    Description

    Explore the anatomy of the bones in the upper limbs, including the scapula, humerus, radius, and ulna. This quiz covers each bone's features, attachments, ossification, and side determination, providing a comprehensive understanding of upper limb anatomy. Perfect for students in clinical anatomy courses.

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