Podcast
Questions and Answers
What primary function does the upper limb serve in daily activities?
What primary function does the upper limb serve in daily activities?
- Regulating body temperature.
- Maintaining balance while standing.
- Enabling precise movements for tasks like writing and eating. (correct)
- Facilitating locomotion and weight-bearing.
- Providing structural support for the body.
Which of the following is enabled by the shoulder joint and associated muscles?
Which of the following is enabled by the shoulder joint and associated muscles?
- Precise sensory perception.
- A wide range of motion for reaching and lifting. (correct)
- Stabilizing the body against external forces.
- Maintaining balance during weight-bearing activities.
- Fine motor movements of the hand.
What is the function of the elbow joint and its muscles?
What is the function of the elbow joint and its muscles?
- To allow for shortening or elongation of the upper limb. (correct)
- To provide sensory feedback from the hand.
- To provide stability during weight-bearing activities.
- To facilitate shoulder rotation.
- To enable precise finger movements.
What type of movements are enabled by the hands and fingers?
What type of movements are enabled by the hands and fingers?
What type of perception is critical for safe interactions by the upper limb?
What type of perception is critical for safe interactions by the upper limb?
Where are the roots of the brachial plexus located?
Where are the roots of the brachial plexus located?
What structures form the trunks of the brachial plexus?
What structures form the trunks of the brachial plexus?
Which nerve arises directly from the roots of the brachial plexus?
Which nerve arises directly from the roots of the brachial plexus?
A patient presents with an inability to abduct their arm. Which nerve is MOST likely affected?
A patient presents with an inability to abduct their arm. Which nerve is MOST likely affected?
Which nerve is likely affected by a lesion proximal to the dorsal scapular nerve root level, impacting the rhomboids?
Which nerve is likely affected by a lesion proximal to the dorsal scapular nerve root level, impacting the rhomboids?
What condition can occur due to compression by the scalene muscles, affecting the brachial plexus?
What condition can occur due to compression by the scalene muscles, affecting the brachial plexus?
What is the MOST likely consequence of compressed foraminal stenosis affecting the brachial plexus roots?
What is the MOST likely consequence of compressed foraminal stenosis affecting the brachial plexus roots?
Which structure does the C8/T1 nerve root pass over, which may be affected by thoracic inlet pathologies?
Which structure does the C8/T1 nerve root pass over, which may be affected by thoracic inlet pathologies?
How does a Pancoast tumor typically affect the brachial plexus?
How does a Pancoast tumor typically affect the brachial plexus?
What is the primary function of the trapezius muscle's superior fibers?
What is the primary function of the trapezius muscle's superior fibers?
Which nerve innervates the trapezius muscle?
Which nerve innervates the trapezius muscle?
What action does the serratus anterior muscle perform to the scapula during shoulder movements?
What action does the serratus anterior muscle perform to the scapula during shoulder movements?
What nerve innervates the serratus anterior muscle?
What nerve innervates the serratus anterior muscle?
What happens when the long thoracic nerve is damaged, leading to paralysis of the sarratus anterior?
What happens when the long thoracic nerve is damaged, leading to paralysis of the sarratus anterior?
What are the attachments of the latissimus dorsi muscle?
What are the attachments of the latissimus dorsi muscle?
Which nerve innervates the latissimus dorsi muscle?
Which nerve innervates the latissimus dorsi muscle?
What is NOT a function of the latissimus dorsi muscle at the glenohumeral (GH) joint?
What is NOT a function of the latissimus dorsi muscle at the glenohumeral (GH) joint?
What is the location of the teres major muscle in relation to the latissimus dorsi?
What is the location of the teres major muscle in relation to the latissimus dorsi?
Which nerve innervates the teres major muscle?
Which nerve innervates the teres major muscle?
What action does the teres major muscle perform at the GH joint?
What action does the teres major muscle perform at the GH joint?
What is the primary action of the clavicular fibers of the pectoralis major muscle?
What is the primary action of the clavicular fibers of the pectoralis major muscle?
Which nerves innervate the pectoralis major muscle?
Which nerves innervate the pectoralis major muscle?
What action do the sternocostal fibers of the pectoralis major muscle perform?
What action do the sternocostal fibers of the pectoralis major muscle perform?
Which movement is primarily facilitated by the posterior fibers of the deltoid muscle?
Which movement is primarily facilitated by the posterior fibers of the deltoid muscle?
What nerve innervates the deltoid muscle?
What nerve innervates the deltoid muscle?
Through which anatomical space does the axillary nerve pass to innervate the deltoid and teres minor muscles?
Through which anatomical space does the axillary nerve pass to innervate the deltoid and teres minor muscles?
Which of the following muscles is NOT part of the SITS muscles?
Which of the following muscles is NOT part of the SITS muscles?
Which nerve innervates both the supraspinatus and infraspinatus muscles?
Which nerve innervates both the supraspinatus and infraspinatus muscles?
What is the primary action of the supraspinatus muscle?
What is the primary action of the supraspinatus muscle?
What is the primary action of the infraspinatus and teres minor muscles?
What is the primary action of the infraspinatus and teres minor muscles?
A patient has difficulty with shoulder abduction and external rotation. Which two nerves are MOST likely affected?
A patient has difficulty with shoulder abduction and external rotation. Which two nerves are MOST likely affected?
What best describes the innervation and primary action of the subscapularis muscle?
What best describes the innervation and primary action of the subscapularis muscle?
Which of the following muscles is found in the posterior compartment of the arm?
Which of the following muscles is found in the posterior compartment of the arm?
What nerve innervates all muscles in the posterior compartment of the arm?
What nerve innervates all muscles in the posterior compartment of the arm?
Which muscle in the posterior compartment of the arm crosses both the shoulder and elbow joints?
Which muscle in the posterior compartment of the arm crosses both the shoulder and elbow joints?
What action does the biceps brachii NOT primarily perform?
What action does the biceps brachii NOT primarily perform?
What is the path of the musculocutaneous nerve in relation to the coracobrachialis muscle?
What is the path of the musculocutaneous nerve in relation to the coracobrachialis muscle?
Following its motor function in the arm, what does the musculocutaneous nerve become distally?
Following its motor function in the arm, what does the musculocutaneous nerve become distally?
What part of the human would be affected by a lesion in the C5 dermatome?
What part of the human would be affected by a lesion in the C5 dermatome?
What structures can potentially be affected by foraminal stenosis, leading to brachial plexus symptoms?
What structures can potentially be affected by foraminal stenosis, leading to brachial plexus symptoms?
Which combination of actions does the latissimus dorsi primarily facilitate at the glenohumeral (GH) joint?
Which combination of actions does the latissimus dorsi primarily facilitate at the glenohumeral (GH) joint?
A patient is diagnosed with damage to the musculocutaneous nerve. Which set of actions would be MOST difficult for them to perform?
A patient is diagnosed with damage to the musculocutaneous nerve. Which set of actions would be MOST difficult for them to perform?
A surgeon dividing the axilla during of a tumor of the breast inadvertently severs the axillary nerve. The consequence of this injury will MOST likely be a severely limited ability to perform what arm action?
A surgeon dividing the axilla during of a tumor of the breast inadvertently severs the axillary nerve. The consequence of this injury will MOST likely be a severely limited ability to perform what arm action?
What other pathology would MOST directly allow a skilled surgeon to have access to the location where the musculocutaneous nerve pierces coracobrachialis?
What other pathology would MOST directly allow a skilled surgeon to have access to the location where the musculocutaneous nerve pierces coracobrachialis?
Flashcards
Precise Movements
Precise Movements
Movements essential for daily tasks like eating, writing, and using tools.
Mobility and Reach
Mobility and Reach
Shoulder joint paired with muscles allows a wide range of motion for the upper limbs.
Upper Limb Organization
Upper Limb Organization
Skeletal, muscular, and neural elements work together in the skeletal muscles.
Brachial Plexus
Brachial Plexus
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Brachial Plexus Roots
Brachial Plexus Roots
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Foraminal Stenosis
Foraminal Stenosis
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C8/T1 Roots Location
C8/T1 Roots Location
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Cervical Rib
Cervical Rib
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Trapezius Muscle
Trapezius Muscle
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Rhomboid Muscles
Rhomboid Muscles
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Serratus Anterior
Serratus Anterior
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Scapular Winging
Scapular Winging
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Latissimus Dorsi
Latissimus Dorsi
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Teres Major
Teres Major
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Pectoralis Major
Pectoralis Major
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Deltoid Muscle
Deltoid Muscle
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Axillary Nerve Motor Supply
Axillary Nerve Motor Supply
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Rotator Cuff Muscles
Rotator Cuff Muscles
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Suprascapular Nerve
Suprascapular Nerve
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Triceps brachii Heads
Triceps brachii Heads
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Radial nerve
Radial nerve
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Biceps Brachii
Biceps Brachii
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Coraco-brachialis
Coraco-brachialis
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Brachialis Muscle
Brachialis Muscle
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Study Notes
Overall Function of Upper Limb Notes
- The upper limb facilitates precise movements for daily tasks like eating and writing.
- It provides sensory perception through tactile and stereognosis for safe interactions.
- Mobility and reach are enabled by the shoulder joint and associated muscles for activities like reaching.
- The elbow joint and its muscles position the hand through flexion/extension and orientation.
- Hands and fingers enable precise movements.
- The upper limbs contribute to stability and balance, especially during weight-bearing.
- Focus is on understanding skeletal, muscular, and neural organization and clinical conditions of the UL.
Brachial Plexus Overview
- The brachial plexus is responsible for the nerve supply to the upper limb.
- The dorsal root is sensory, while the ventral root is motor.
- Roots, trunks, divisions, cords, and branches form the structure of the brachial plexus.
- Long thoracic nerve (C5-C7) and dorsal scapular nerve (C5) are important nerves originating from it.
- The suprascapular nerve originates from the superior trunk (C5, C6), and the lateral pectoral nerve originates from the lateral cord.
- The musculocutaneous nerve supplies the brachialis and the median and ulnar nerves supply the forearm.
Brachial Plexus Relations and Injuries
- The brachial plexus passes through the intervertebral foramina and is located between the anterior and middle scalene muscles.
- It is located in the posterior triangle of the neck and below the clavicle.
- Proximally travels roots that travel through intervertebral foramina.
- Osteophytes in Cx spondylosis or IV disc prolapse can cause compressed foraminal stenosis.
- Scalene muscle hypertrophy can compress the brachial plexus.
- Thoracic outlet pathologies like cervical ribs or apical lung tumors can affect it.
- clavicle fractures may affect the divisions.
- Pass through intervertebral foramina located between anterior & middle scalene muscles from spinal cord - via intervertebral foramina
- the axillary artery is named in relationship to the artery - cross lateral, medial, posterior
Motor and Sensory Innervation
- The anterior compartment primarily involves flexors of the elbow (musculocutaneous nerve) and wrist (median nerve).
- Key muscles are the supraspinatus, infraspinatus, and teres minor and subscapularis.
- The posterior compartment includes extensors of the elbow and wrist (radial nerve).
- C5 is associated with shoulder abduction, C5/6 with elbow flexion, C7/8 with elbow extension, and T1 with finger adduction/abduction.
- C5 dermatome covers the Lateral arm and upper forearm.
- Motor innervation of supraspinatus/infraspinatus allows shoulder abduction.
- Radial nerve innervates the upper arm while the Axillary artery is located at the back.
- The cervical rib runs at C7, with the pancoast tumour at T1
Shoulder Associated Muscles
- Scapulo-thoracic muscles attach the scapula to the axial skeleton like the trapezius, rhomboids and serratus anterior.
- Scapulo-humeral muscles attach the upper limb to the shoulder girdle. - Supraspinatus, Infraspinatus, teres minor, and subscapularis are the key muscles - Thoracodorsal innervates latissimus dorsi.
- Scapulo-humeral muscles involve movement muscles and stabilisers.
- Important muscles for humerus are the infraspinatus , teres major and latissimus dorsi
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