Upper Limb Anatomy

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Questions and Answers

Which anatomical structure is NOT part of the shoulder joint complex?

  • Radiocarpal joint (correct)
  • Acromioclavicular joint
  • Scapulothoracic articulation
  • Sternoclavicular joint
  • Glenohumeral joint

What is the primary purpose of the upper limb?

  • To assist in respiratory function
  • To regulate body temperature
  • To facilitate movement of the hand around the body (correct)
  • To protect vital organs in the thoracic region
  • To provide structural support for the body

Which of the following structures is NOT located on the scapula?

  • Coracoid process
  • Deltoid tuberosity (correct)
  • Spine of scapula
  • Glenoid fossa
  • Acromion process

Damage to the long thoracic nerve would most likely result in:

<p>Winging of the scapula (B)</p> Signup and view all the answers

The axillary nerve innervates which of the following muscles?

<p>Deltoid and teres minor (D)</p> Signup and view all the answers

Which nerve is most likely to be injured in a midshaft fracture of the humerus?

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

Which of the following muscles is NOT innervated by the musculocutaneous nerve?

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

Which of the following muscles is primarily responsible for abduction of the arm from 0 to 15 degrees?

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

What is the most common type of shoulder dislocation?

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

Which artery transitions into the brachial artery at the lower border of teres major?

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

Which of the rotator cuff muscles is responsible for external rotation of the humerus?

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

Which nerve is NOT a direct branch of the brachial plexus cords?

<p>Suprascapular nerve (E)</p> Signup and view all the answers

What is the anatomical explanation for a flattened deltoid muscle and sensory loss over the lateral shoulder following an anterior shoulder dislocation?

<p>Damage to the axillary nerve (B)</p> Signup and view all the answers

Which of the following structures is most likely to be involved in shoulder impingement syndrome?

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

During an examination, a patient is unable to abduct their arm. However, when the examiner passively abducts the arm to 15 degrees, the patient can then actively continue the abduction. Which muscle is MOST likely affected?

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

Which of the following best describes 'Volkmann's ischemic contracture'?

<p>Uncontrolled flexion of the hand (E)</p> Signup and view all the answers

A patient presents with weakness in elbow flexion and supination. Which single nerve injury would most likely cause these deficits?

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

Which of the following anatomical structures passes through the quadrangular space?

<p>Axillary nerve and posterior circumflex humeral artery (D)</p> Signup and view all the answers

Following a fracture of the surgical neck of the humerus, a patient exhibits weakness in shoulder abduction and difficulty with external rotation. Sensory examination reveals diminished sensation over the lateral aspect of the proximal arm. Which combination of structures is MOST likely injured?

<p>Axillary nerve and posterior humeral circumflex artery. (B)</p> Signup and view all the answers

A surgeon is performing an anterior approach to the shoulder joint. To minimize the risk of iatrogenic injury, which structure should the surgeon MOST carefully identify and protect during the procedure?

<p>The axillary nerve and the posterior circumflex humeral artery as they exit the quadrangular space (C)</p> Signup and view all the answers

Flashcards

Acromioclavicular and Sternoclavicular joints

Joint connecting the upper limb to the axial skeleton

Scapular muscles - to move the scapula

The range of movements of the upper limb

Scapulohumeral muscles

Move the humerus and includes rotator cuff muscles

Brachial Plexus

The network of anterior rami of spinal nerves from C5 to T1 supplying the upper limb

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Axillary nerve

Fracture of the surgical neck of the humerus can damage this nerve

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Axillary nerve damage

This nerve results in loss of sensation over the lower deltoid

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Arteries of the Upper Limb

Passes anterior to the elbow joint and divides into radial and ulnar branches

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Brachial Plexus

Network of anterior rami of spinal nerves from C5 to T1

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Axillary Nerve Damage

Damage to this nerve causes loss of sensation over the lower deltoid

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Acromioclavicular & Sternoclavicular Joints

Connects upper limb to axial skeleton, transferring forces

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Shoulder Impingement Syndrome

Involves rotator cuff tendons and bursa being impinged

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Study Notes

Basic Upper Limb Anatomy

  • The upper limb's main function is to position the hand.
  • The shoulder girdle provides a wide range of motion.
  • The elbow joint assists in shortening or lengthening the upper limb.
  • The wrist stabilizes the hand.

Shoulder Joint Anatomy

  • Review the anatomy of the shoulder joint.
  • Learn the muscles acting on the shoulder and their movements.
  • Study the brachial plexus and innervation of shoulder muscles.
  • The main nerves of the shoulder and upper arm have important clinical relationships.
  • Know the myotomes and dermatomes of the upper limb.

Interpreting Radiological Images of the Shoulder & Arm

  • Bones, bony features, and joints must be identifiable on shoulder and arm radiographs.
  • Recognize fractures and dislocations on radiographs.

Physical Examination of the Upper Limb

  • Locate and identify bones and bony features of the shoulder and elbow joints.
  • Locate superficial muscles, tendons, major vessels, and nerves.
  • Learn how to test the shoulder's muscles.

Upper Limb Injuries and Clinical Reasoning

  • Describe physical signs and complications from common injuries to the shoulder and upper arm.

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