upper limb 2 - forearm, elbow, hand, wrist

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Questions and Answers

What primary action does the long head of the triceps perform at the shoulder joint?

  • Rotate the arm medially
  • Flex the arm
  • Extend and adduct the arm (correct)
  • Abduct the arm

Which nerve is NOT a primary supplier to the muscles in the back of the arm and forearm?

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

What is the anatomical landmark where the axillary artery becomes the brachial artery?

  • Midpoint of the humerus
  • Outer border of the first rib
  • Superior border of the radius
  • Lower border of teres major (correct)

Which of the following arteries is NOT part of the arterial supply to the elbow joint?

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

Which of the following correctly describes the boundaries of the cubital fossa?

<p>Medially by pronator teres and the mass of flexor muscles of the forearm, and superiorly by an imaginary line between epicondyles (A)</p> Signup and view all the answers

Which muscle of the anterior compartment of the forearm is innervated by the ulnar nerve?

<p>Flexor digitorum profundus (C)</p> Signup and view all the answers

Which muscle is located in the deep layer of the anterior compartment of the forearm?

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

Identify the muscle that is primarily responsible for pronation of the forearm.

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

Which of the following muscles originates from the medial epicondyle?

<p>Flexor carpi radialis (B)</p> Signup and view all the answers

What is the primary nerve that innervates the majority of superficial forearm muscles?

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

Which muscle is primarily responsible for the flexion of the forearm at the elbow joint?

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

What is the nerve supply for both the biceps brachii and brachialis muscles?

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

Which of the following actions is NOT performed by the biceps brachii?

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

From where does the long head of the triceps brachii originate?

<p>Infraglenoid tubercle of scapula (C)</p> Signup and view all the answers

Which structure does the musculocutaneous nerve pierce?

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

Which muscle acts as an accessory flexor of the arm at the shoulder joint?

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

What is the insertion point of the brachialis muscle?

<p>Tuberosity of the ulna (D)</p> Signup and view all the answers

Which of the following muscles does NOT belong to the posterior compartment of the arm?

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

Which nerve innervates the muscles in the posterior extensor compartment of the forearm?

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

What is the primary function of the flexor retinaculum in the forearm?

<p>Prevent the bowing of tendons (C)</p> Signup and view all the answers

Which of the following structures is located medial to the tendon of biceps brachii in the cubital fossa?

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

What is the common origin point for most flexors of the forearm?

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

Which bone features the radial tuberosity?

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

Which two pronator muscles are found in the anterior flexor compartment of the forearm?

<p>Pronator teres and pronator quadratus (D)</p> Signup and view all the answers

In which region of the ulna is the ulnar notch located?

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

What type of joint is the proximal radio-ulnar joint?

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

Which muscle is responsible for the flexion and abduction of the wrist?

<p>Flexor carpi radialis (C)</p> Signup and view all the answers

What is the nerve supply for the Flexor carpi ulnaris?

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

Which muscle primarily flexes the interphalangeal and metacarpophalangeal joints of the thumb?

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

Which muscle originates from the lateral epicondyle of the humerus and helps in wrist extension?

<p>Extensor carpi ulnaris (C)</p> Signup and view all the answers

What is the primary action of the Brachioradialis?

<p>Flexion of elbow (A)</p> Signup and view all the answers

Which muscles provide the main action of adduction in the hand?

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

Which of the following is correct regarding the innervation of the lumbricals?

<p>Median and ulnar nerves (A)</p> Signup and view all the answers

The action of the Extensor indicis is to:

<p>Extend the index finger (A)</p> Signup and view all the answers

Which muscle's action includes the medial rotation of the thumb?

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

What joint do the Flexor digitorum profundus and superficialis primarily act on?

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

What is the primary action of the Supinator muscle?

<p>Supination of the forearm (A)</p> Signup and view all the answers

Which muscle is NOT a part of the posterior compartment of the forearm?

<p>Flexor carpi ulnaris (C)</p> Signup and view all the answers

Which muscle is responsible for extending and abducting the wrist?

<p>Extensor carpi radialis longus (D)</p> Signup and view all the answers

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Study Notes

Muscles of the Arm

  • Anterior compartment:
    • Biceps brachii: Flexes the forearm at the elbow, supinates the forearm, and flexes the arm at the shoulder.
    • Brachialis: Flexes the forearm at the elbow.
    • Coracobrachialis: Flexes the arm at the shoulder.
  • Posterior compartment:
    • Triceps brachii: Extends the forearm at the elbow and also extends and adducts the arm at the shoulder (long head).
    • Anconeus: Assists in extending the forearm at the elbow.
  • Nerve supply:
    • Musculocutaneous nerve: Supplies biceps brachii, brachialis, and coracobrachialis.
    • Radial nerve: Supplies triceps brachii and anconeus.
  • Arteries:
    • Axillary artery: Begins at the outer border of the first rib, continues as the brachial artery.
    • Brachial artery: Divides into radial and ulnar arteries below the elbow joint.

Elbow Joint

  • Hinge joint: Allows flexion and extension at the elbow.
  • Articular surfaces: Between the humerus, ulna, and radius.
  • Capsule & ligaments: Stabilize the joint.
  • Arterial supply: Brachial, profunda brachii, radial, and ulnar arteries.
  • Nerve supply: Musculocutaneous, radial, and ulnar nerves.

Cubital Fossa

  • Location: Anterior aspect of the elbow.
  • Boundaries:
    • Superiorly: Line connecting the medial and lateral epicondyles.
    • Medially: Pronator teres and flexor muscles of the forearm.
    • Laterally: Brachioradialis and extensor muscles.
  • Contents:
    • Tendon of biceps brachii
    • Brachial artery
    • Median nerve

Muscles of the Forearm

  • Anterior compartment (Flexors)
    • Superficial layer: Pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris, and flexor digitorum superficialis.
    • Deep layer: Pronator quadratus, flexor pollicis longus , and flexor digitorum profundus.
  • Posterior compartment (Extensors)
    • Superficial layer: Brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor carpi ulnaris, extensor digiti minimi, and anconeus.
    • Deep layer: Supinator, extensor pollicis longus, extensor pollicis brevis, and extensor indicis.
  • Nerve supply:
    • Median nerve: Supplies most of the anterior compartment muscles.
    • Ulnar nerve: Supplies flexor carpi ulnaris and the medial half of flexor digitorum profundus.
    • Radial nerve: Supplies all posterior compartment muscles.

Muscles of the Hand

  • Intrinsic muscles: Located within the hand, responsible for fine motor movements.
    • Thenar muscles (thumb): Opponens pollicis, abductor pollicis brevis, flexor pollicis brevis, and adductor pollicis.
    • Hypothenar muscles (little finger): Opponens digiti minimi, abductor digiti minimi, and flexor digiti minimi brevis.
    • Other intrinsics: Lumbricals and interossei (palmar and dorsal).

Wrist Joint

  • Synovial joint: Allows flexion, extension, abduction, and adduction.
  • Articular surfaces: Distal end of radius and scaphoid, lunate, and triquetrum.
  • Ligaments: Fibrous capsule, dorsal and palmar radio-carpal ligaments, radial and ulnar collateral ligaments.

Radio-ulnar Joints

  • Proximal radio-ulnar joint: Between the radius and ulna.
  • Distal radio-ulnar joint: Between the radius and ulna.
  • Interosseous membrane: Connects the radius and ulna along their shafts.

Applied Anatomy - Subluxation or Pulled Elbow

  • Also known as nursemaid's elbow, or pulled elbow
  • Occurs when the radial head is pulled out of the annular ligament, usually in young children.
  • Commonly happens when a child is abruptly pulled by the hand.

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MSK - Upper Limb 2 PDF

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