5 - Upper Limb Review (Exam 2)
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Questions and Answers

Which muscle in the arm is innervated by the radial nerve?

  • Brachialis
  • Triceps brachii (correct)
  • Biceps brachii
  • Coracobrachialis

In the forearm, the radial nerve innervates muscles located in which compartments?

  • Flexor compartment only
  • Anterior compartment only
  • Superficial and deep extensor compartments (correct)
  • Lateral and flexor compartments

Which of the following movements is primarily controlled by muscles innervated by the radial nerve?

  • Wrist flexion
  • Finger adduction
  • Wrist extension (correct)
  • Elbow flexion

Besides the extensor muscles, which other muscle in the forearm is innervated by the radial nerve and is located in the lateral compartment?

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

What is the primary function of the brachioradialis muscle, which is innervated by the radial nerve?

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

The radial nerve innervates muscles responsible for extending which joints of digits 2, 3, and 4?

<p>Metacarpophalangeal (MP) joints (A)</p> Signup and view all the answers

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

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

A patient presents with an inability to extend their wrist and digits 2, 3, and 4 at the MP joints. Which nerve is MOST likely affected?

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

Following a humeral fracture, a patient exhibits weakness in elbow extension and supination. Sensation is intact. Which specific branch of the radial nerve is MOST likely injured?

<p>Muscular branches to triceps brachii (C)</p> Signup and view all the answers

A surgeon is performing a procedure near the lateral epicondyle of the humerus. Which nerve is at greatest risk of iatrogenic injury, potentially leading to weakness in wrist and finger extension, but preserving triceps function?

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

Which nerve directly innervates the coracobrachialis muscle?

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

Which of the following actions is NOT primarily associated with muscles innervated by the musculocutaneous nerve?

<p>Extension of the elbow (D)</p> Signup and view all the answers

Which muscles of the forearm are innervated by the ulnar nerve?

<p>Flexor carpi ulnaris and the ulnar half of flexor digitorum profundus (C)</p> Signup and view all the answers

Which of the following muscles is NOT innervated by the median nerve in the hand?

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

Which of the following best describes the innervation pattern of the flexor digitorum profundus?

<p>Dual innervation: radial half by the ulnar nerve, ulnar half by the median nerve. (B)</p> Signup and view all the answers

Which of the following muscles is responsible for adducting the thumb?

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

A patient presents with weakness in wrist flexion and pronation, as well as difficulty flexing digits 1-5. Sensation is intact. Which nerve is MOST likely affected?

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

Which of the following muscles is NOT located in the forearm?

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

Following a deep laceration to the anterior forearm, a patient is unable to flex their distal interphalangeal joints of the 4th and 5th digits. Which nerve has MOST likely been damaged?

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

A surgeon is performing a procedure in the cubital fossa and inadvertently severs a nerve. Post-operatively, the patient exhibits weakened elbow flexion when the forearm is supinated, but elbow flexion is relatively normal when the forearm is pronated. Which nerve was MOST likely injured?

<p>Musculocutaneous nerve branch to biceps brachii (C)</p> Signup and view all the answers

Flashcards

Musculocutaneous Nerve Muscles

Flexor compartment of the arm; flexes elbow and supinates forearm.

Ulnar Nerve Forearm Muscles

Flexor carpi ulnaris and ulnar half of flexor digitorum profundus (digits 4,5).

Ulnar Nerve Hand Muscles

All intrinsic muscles except thenar muscles and lumbricals of digits 2 & 3.

Median Nerve Forearm Muscles

Superficial and deep flexor compartment muscles (minus fl.carpi ulnaris & half of fl.digitorum profundus).

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Median Nerve Hand Muscles

Thenar muscles and lumbricals of digits 2 and 3.

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Biceps Brachii Function & Innervation

Flexes elbow and supinates forearm; innervated by musculocutaneous nerve.

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Coracobrachialis Function

Innervated by the musculocutaneous nerve; flexes the arm.

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Flexor Carpi Ulnaris Function & Innervation

Flexes wrist and adducts at wrist. Innervated by the ulnar nerve.

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Flexor Digitorum Profundus Action & Innervation

Flexes digits 4 and 5. Ulnar nerve (ulnar half)

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Thenar Muscles Function and Innervation

Flexes and opposes the thumb. Innervated by MEDIAN nerve.

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What area does the radial nerve innervate?

This nerve supplies muscles in the arm and forearm, primarily those in the extensor compartments.

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Which arm muscles are innervated by radial n.?

All muscles in the posterior compartment of the arm.

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Name a specific arm muscle innervated by the radial nerve.

Triceps brachii.

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Which forearm muscles are innervated by the radial nerve?

Muscles of the superficial and deep extensor compartments.

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What movements do radial nerve-innervated muscles facilitate?

They all innervate muscles that generally extend the wrist, thumb and 2nd-4th MP joints.

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Where is the supinator muscle located?

A muscle in the posterior compartment used to supinate the forearm.

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Besides the extensors where else does the radial n. innervate in the forearm?

The lateral compartment of the forearm.

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What is the one muscle in the lateral compartment?

Brachioradialis.

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What is the function of the brachioradialis muscle?

Stabilizing the elbow.

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Which muscle stabilizes the elbow and that is innervated by the radial nerve?

Brachioradialis.

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Study Notes

  • The following are muscles and associated innervation in the upper limb

Muscles Innervated by the Musculocutaneous Nerve

  • This nerve supplies the flexor compartment of the arm
  • The flexor compartment muscles flex the elbow and supinate the forearm
  • Muscles innervated include:
    • Coracobrachialis
    • Biceps brachii
    • Brachialis

Muscles Innervated by the Ulnar Nerve

  • This nerve innervates muscles of the forearm and hand
  • In the forearm, the muscles innervated include:
    • Flexor carpi ulnaris
    • Ulnar (medial) half of flexor digitorum profundus (digits 4 and 5)
  • In the hand, the muscles innervated include all the intrinsic muscles, except those of the thenar eminence
    • And the Lumbricals of digits 2 and 3

Muscles Innervated by the Median Nerve

  • This nerve innervates muscles of the forearm and hand
  • In the forearm, the muscles innervated include all muscles of the superficial and deep flexor compartments, except flexor carpi ulnaris and the ulnar half of flexor digitorum profundus
    • These muscles flex and pronate the wrist and flex all five digits
  • In the hand, the muscles innervated include those of the thenar eminence and the lumbricals of digits 2 and 3

Muscles Innervated by the Radial Nerve

  • This nerve supplies muscles in the arm and forearm
  • In the arm, the muscles of the extensor compartment are innervated, which includes the triceps brachii
  • In the forearm, the muscles of the superficial and deep extensor compartments are innervated
    • These muscles extend the wrist, joints of the thumb, and MP joints of digits 2, 3, and 4
    • This compartment also contains the supinator muscle
  • The radial nerve also innervates the lateral compartment, consisting of one muscle, the brachioradialis
    • This muscle stabilizes the elbow

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Description

Overview of muscles in the upper limb and their innervation. The musculocutaneous nerve innervates the flexor compartment of the arm. The ulnar nerve innervates muscles of the forearm and hand, and the median nerve innervates muscles of the forearm and hand.

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