Cubital Fossa Anatomy Quiz

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Questions and Answers

What structure forms the lateral boundary of the cubital fossa?

  • Prone muscle mass
  • Biceps brachii
  • Brachioradialis (correct)
  • Pronator teres

Which of the following structures is NOT a content of the cubital fossa?

  • Median cubital vein
  • Radial artery
  • Ulnar nerve (correct)
  • Median nerve

What forms the floor of the cubital fossa?

  • Brachialis and supinator muscles (correct)
  • Flexor muscle mass
  • Biceps brachii
  • Supinator muscle

What is the superior boundary of the cubital fossa?

<p>Imaginary line between medial and lateral epicondyles (C)</p> Signup and view all the answers

Which nerve is located deep within the cubital fossa, between the muscles forming the lateral boundary and the brachialis?

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

What structures accompany the median nerve as it enters the hand through the carpal tunnel?

<p>Nine tendons of the FDS, FDP, and FPL (A)</p> Signup and view all the answers

Which muscles does the median nerve supply distal to the carpal tunnel?

<p>Two and a half thenar muscles and the 1st and 2nd lumbricals (C)</p> Signup and view all the answers

What area does the palmar cutaneous branch of the median nerve supply?

<p>The central palm (A)</p> Signup and view all the answers

Which bones form the boundaries of the carpal tunnel?

<p>Scaphoid and trapezoid on the lateral side; pisiform and hook of the hamate on the medial side (D)</p> Signup and view all the answers

What areas receive sensory fibers from the median nerve?

<p>The palmar surface and first three digits including part of the fourth digit (D)</p> Signup and view all the answers

Flashcards

Cubital fossa location

A triangular depression in the elbow, anterior to the elbow joint

Cubital fossa boundaries

Defined by the epicondyles and muscle groups (flexors/extensors) surrounding the elbow

Cubital fossa floor

Formed by underlying muscle layers (brachialis & supinator)

Brachial artery location

Located within the cubital fossa, between the median nerve and biceps tendon

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Cubital fossa contents

Includes the brachial artery, veins, nerves (median, radial), and tendons (biceps), located in the fossa

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Median nerve pathway in hand

The median nerve enters the hand through the carpal tunnel, a passageway under the flexor retinaculum, along with tendons from flexor muscles.

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Carpal tunnel boundaries

The carpal tunnel is formed by the flexor retinaculum on the palmar side and the bones of the carpus, specifically scaphoid, trapezoid, pisiform, and hamate.

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Median nerve supply in hand

The median nerve innervates two and a half thenar muscles, the first and second lumbricals, and provides sensory input to the palmar surface and dorsal aspects of the thumb, index, middle, and half of the ring finger.

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Palmar cutaneous branch of median nerve

This branch of the median nerve supplies the central palm and unlike the main nerve, it goes superficial to the flexor retinaculum, not through the carpal tunnel.

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Carpal tunnel syndrome

A condition where the median nerve is compressed within the carpal tunnel, leading to pain, numbness, and tingling in the hand.

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Study Notes

Cubital Fossa Anatomy

  • The cubital fossa is a depression on the anterior elbow, appearing as a superficial triangular space.

  • The fossa's deep structure contains varied amounts of fat anterior to the humerus and elbow joint.

  • The fossa's boundaries are defined by three distinct structures:

    • Superiorly: A line connecting the medial and lateral epicondyles.
    • Medially: The mass of flexor forearm muscles arising from the medial epicondyle (e.g., pronator teres).
    • Laterally: The mass of extensor forearm muscles originating from the lateral epicondyle and supra-epicondylar ridge (e.g., brachioradialis).
  • The fossa's floor is composed of the brachialis muscle (arm) and supinator muscle (forearm).

  • The roof comprises interconnected brachial and antebrachial fascia reinforced by the bicipital aponeurosis, along with subcutaneous tissue and skin.

Cubital Fossa Contents

  • The brachial artery, the terminal portion, is centrally located and divides into the radial and ulnar arteries.
  • The brachial artery lies between the biceps tendon and median nerve.
  • Accompanying veins exist, running alongside the arteries.
  • The biceps brachii tendon is present.
  • The median nerve is contained within the fossa.
  • The radial nerve, positioned deeply between the lateral boundary muscles (brachioradialis) and the brachialis, further divides into superficial and deep branches.
  • The median cubital vein is found superficially, anterior to the brachial artery.
  • The medial and lateral cutaneous nerves are in the subcutaneous tissue, relating to the basilic and cephalic veins.

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