L7 Anatomy

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Questions and Answers

Which muscle does NOT receive innervation from the radial nerve?

  • Brachioradialis
  • Biceps brachii (correct)
  • Triceps
  • Anconeus

What is the primary role of the superficial branch of the radial nerve?

  • Provide motor function to the anconeus muscle
  • Supply sensation to the lateral 2/3 of the dorsal surface of the hand (correct)
  • Supply cutaneous sensation to the back of the arm
  • Innervate extensor muscles of the forearm

Which muscle is NOT innervated by the axillary nerve?

  • Brachialis
  • Biceps Brachii (correct)
  • Deltoid
  • Teres Minor

Which condition is primarily associated with injuries to the radial nerve?

<p>Wrist drop (B)</p> Signup and view all the answers

What movement is primarily facilitated by the actions of the interossei muscles?

<p>Abduction and adduction of the fingers (C)</p> Signup and view all the answers

Where does the radial nerve typically emerge in the forearm?

<p>Between the two heads of the supinator muscle (C)</p> Signup and view all the answers

Which anatomical structure is primarily associated with the anterior interosseous nerve?

<p>Flexor pollicis longus (C)</p> Signup and view all the answers

Which of the following arteries is most likely to be compromised if there is an injury to the axillary nerve?

<p>Posterior circumflex humeral artery (B)</p> Signup and view all the answers

Which of the following nerves supplies the skin of the dorsal surface of the lateral 3½ fingers?

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

Which of the following statements about the ulnar nerve is correct?

<p>It supplies the hypothenar eminence. (A)</p> Signup and view all the answers

Which nerve supplies the first two lumbricals of the hand?

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

The lower lateral cutaneous nerve of the arm is responsible for supplying sensation to which area?

<p>Anterior lateral aspect of the lower arm (C)</p> Signup and view all the answers

What is the anatomical course of the radial nerve in the arm?

<p>Lateral compartment running alongside the profunda brachii artery (C)</p> Signup and view all the answers

If a patient exhibits a winging scapula, which nerve is most likely affected?

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

Damage to which nerve could result in claw hand deformation?

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

What is the primary action associated with the palmaris brevis muscle?

<p>Gripping by making the hypothenar eminence prominent (D)</p> Signup and view all the answers

The median nerve primarily innervates which hand muscles?

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

What function does the posterior cutaneous nerve of the forearm serve?

<p>Sensation to the back of the forearm (B)</p> Signup and view all the answers

Which anatomical structure does the musculocutaneous nerve penetrate?

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

What is the primary function of the dorsal interossei muscles?

<p>Abduction of the fingers (A)</p> Signup and view all the answers

What muscle does the axillary nerve primarily provide sensation to?

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

Where does the median nerve enter the palm of the hand?

<p>Through the carpal tunnel (C)</p> Signup and view all the answers

Which of the following branches is NOT associated with the ulnar nerve?

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

What is the pathway of the ulnar nerve in the forearm?

<p>Passes between the two heads of the flexor carpi ulnaris (C)</p> Signup and view all the answers

Which condition is least likely to affect the palmar cutaneous branch of the median nerve?

<p>Carpal tunnel syndrome (D)</p> Signup and view all the answers

Which of the following statements about the radial nerve is correct?

<p>It branches off in the upper arm region (B)</p> Signup and view all the answers

What is a major consequence of injury to the median nerve at the elbow?

<p>Loss of wrist flexion (C)</p> Signup and view all the answers

What structure does the median nerve NOT innervate in the hand?

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

Which of the following options lists a function of the ulnar nerve?

<p>Innervates the interossei muscles (C)</p> Signup and view all the answers

What function does the palmar cutaneous branch serve?

<p>Supplies skin on the lateral 2/3 of the palm (B)</p> Signup and view all the answers

Flashcards

Thenar eminence

The fleshy part of the palm at the base of the thumb.

Hypothenar eminence

The fleshy part of the palm at the base of the little finger.

Lumbricals

Small muscles that flex at the MCP joint & extend at the interphalangeal joints of the fingers.

Interossei

Small muscles between the metacarpal bones that abduct or adduct the fingers.

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Abductor pollicis brevis

Muscle that abducts the thumb.

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Flexor pollicis brevis

Muscle that flexes the thumb.

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Opponens pollicis

Muscle that moves the thumb toward the other fingers.

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Median nerve

Nerve supplying the 1st and 2nd lumbrical muscles.

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Ulnar nerve

Nerve supplying the 3rd and 4th lumbrical muscles and interossei.

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Palmaris brevis

Superficial muscle that helps grip the hand making hypothenar prominent

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Radial Nerve

A major nerve in the upper limb, supplying the posterior compartment of the arm and forearm, and parts of the hand.

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Radial Nerve Branches (Arm)

Provides muscular and cutaneous branches in the arm, supplying triceps, anconeus, and skin over the arm's lateral aspects.

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Radial Nerve Branches (Forearm)

A continuation from the arm that includes a deep branch, piercing the supinator, and superficial branch that supplies most of the back of the hand and lateral fingers.

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Wrist Drop

A condition causing the wrist to droop or drop, due to damage of the radial nerve.

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Ape Thumb Deformity

A hand deformity where the thumb deviates inward toward the palm.

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Lower Lateral Cutaneous Nerve

Sensory nerve providing sensation to the lower anterior lateral aspects of the forearm.

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Posterior Cutaneous Nerve of the Arm

Sensory nerve supplying the skin of the posterior aspect of the upper arm.

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Posterior Interosseous Nerve

Branch of the radial nerve, responsible for motor function to extensor muscles of the forearm.

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Carpal Tunnel Syndrome

A condition causing numbness and pain in the hand due to compression of the median nerve in the wrist.

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Claw Hand

A hand deformity resulting in the fingers being curled downward, resembling a claw.

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Median Nerve Origin

Originates in the arm, lateral to the axillary artery, and anterior to the elbow joint.

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Median Nerve Forearm Pathway

Passes between pronator teres, deep to flexor digitorum superficialis, and into the carpal tunnel.

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Median Nerve Hand Branches

Supplies 1st and 2nd lumbricals, thenar eminence, and part of the palm.

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Ulnar Nerve Origin

Originates in the arm, medial to the axillary artery, and passes posterior to the medial epicondyle.

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Ulnar Nerve Forearm Course

Passes between flexor carpi ulnaris and flexor digitorum profundus in the forearm.

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Ulnar Nerve Wrist Position

Located lateral to flexor carpi ulnaris tendon, but superficial to flexor retinaculum.

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Ulnar Nerve Hand Branches

Supplies palmaris brevis, medial palm, and medial fingers in both dorsal and palmar surfaces.

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Radial Nerve Origin

Originates in the arm, its exact position in this section is not mentioned.

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Median Nerve (Arm) Branches

No branches present in the arm.

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Ulnar Nerve (Arm) Branches

No branches present in the arm.

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Study Notes

Hand Anatomy Overview

  • The hand is a complex structure, with many muscles and nerves.
  • Key objectives for studying the hand include: identifying the thenar and hypothenar eminences, describing the movements, and understanding the nerve supply of the hand's muscles.

Muscles of the Hand

  • Thenar eminence: Includes muscles of the thumb (abductor pollicis brevis, flexor pollicis brevis, opponens pollicis, and adductor pollicis).
  • Hypothenar eminence: Includes muscles of the little finger (abductor digiti minimi, flexor digiti minimi, and opponens digiti minimi).
  • Lumbricals: Four small muscles originating from the tendon of the flexor digitorum profundus; flex MCP joint and extend interphalangeal joints.
  • Interossei: Dorsal and palmar; small muscles between metacarpal bones. Palmar interossei have an action of PAD, while Dorsal interrossei have an action of DAB.

Thenar Eminence Details

  • Abductor pollicis brevis: Abducts the thumb.
  • Flexor pollicis brevis: Flexes the thumb.
  • Opponens pollicis: Opposes the thumb.
  • Adductor pollicis: Adducts the thumb.

Hypothenar Eminence Details

  • Abductor digiti minimi: Abducts the little finger.
  • Flexor digiti minimi: Flexes the little finger.
  • Opponens digiti minimi: Opposes the little finger.

Thumb Movements

  • Abduction and adduction occur perpendicular to other fingers.
  • Extension and flexion occur parallel to other fingers.

Palmaris Brevis

  • A superficial muscle under the skin.
  • Innervated by the ulnar nerve.
  • Action: Helps grip, making the hypothenar eminence prominent.

Nerve Supply

  • The ulnar nerve is responsible for the muscles of the hypothenar eminence, lumbricals, and interossei (of the palm), as well as the intrinsic muscles of the hand
  • A lot of muscle innervation information was also provided for the other major nerves such as median, radial and axillary nerves in the slides

Nerve Injuries - Upper Limb

  • Brachial Plexus injuries: Erb palsy (C5-C6 roots), Klumpke palsy (C8-T1 roots).
  • Causes: Traction, or tear of upper (Erb) and lower (Klumpke) trunk of the nerves.
  • Injuries can affect different muscles.
  • Details, such as symptoms, presentation, and potential medical interventions, were provided.

Specific Nerves

  • Musculocutaneous nerve: Originates from lateral cord (C5,6,7); supplies the coracobrachialis, biceps, and brachialis muscles; innervates skin of lateral forearm.
  • Axillary nerve: From the posterior cord; innervates deltoid and teres minor muscles; supplies sensation to the deltoid musculature
  • Median nerve: Originates laterally to the axillary artery, and in the forearm, it passes between the two heads of the pronator teres muscle. It also supplies a branch to the thenar muscles.
  • Ulnar nerve: It arises medially to the axillary artery and in the forearm it passes between the two heads of the flexor carpi ulnaris muscle.
  • Specific details, origins, courses, and the muscles innervated by each nerve were also included (radial nerve and its branches)

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