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upper limbs
UCF samsam test 2.
55
Anatomy
Undergraduate 3
09/24/2012

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Cards

Term
What causes wrist drop?
Definition
Damage to the Radial N.
Term
What is a Radial Nerve injury?
Definition
Nerve injury PROXIMAL to the origin of the triceps
Term
name signs and symptoms of Radial nerve injury
Definition
No extension of elbow (elbow is flexed)
No triceps reflex
Accompanying Wrist drop
Sensory loss
Nerve injury in the radial groove
Nerve injury in the forearm
Term
what takes place during wrist drop?
Definition
All extensor muscles and the supinator are paralyzed
The thumb is flexed and adducted.
Term
Where is wrist drop & sensory loss felt?
Definition
-dorsolateral lower brachial region*
-posterior surface of forearm
-dorsum of the hand
-radial side of proximal phalanges
Term
If the N. injury is in the FOREARM, which SPECIFIC nerve is injured
Definition
Deep radial nerve
Term
6. T/F Sensation is usually PRESERVED in a deep radial N. injury and extension of the thumb and metacarpal joints is DISTURBED.
Definition
True
Term
Median N. injury occurs
Definition
Above the elbow
Term
Muscles in the arm are not affected; forearm and hand muscles are affected. Name the N.?
Definition
Median N.
Term
In a median N. injury all flexors of the wrist are paralyzed except
Definition
- Flexor carpi ulnaris
- Ulnar (part of the digitorum profundus)
Term
In the description of “Ape Hand” what N. is damaged?
Definition
Ulnar N.
Term
Above the elbow “Ape Hand” is caused by damage to the?
Definition
Median N.
Term
12. 1st and 2nd Lumbricals lost function all together inability to fully flex index and middle finger describes:
Definition
Hand of Papal Benediction
Term
Pronation of forearm paralyzed and sensory loss over the median N. area is another cause of?
Definition
Hand of papal benediction
Term
Hand out of car’s window of a moving automobile, attempted suicide(cutting of wrist area) is an example of: M. nerve injury
Definition
Injury at wrist joint
Term
Describe a few injuries at the wrist joint
Definition
- Hand out window, suicide, etc…
- Short M. of thumb is paralyzed/ not adductor
- Flexor pollicis longus is functioning
- Thenar muscles atrophy-> “Ape Hand”
- Sensory loss over the Median N. sensory area
Term
The thumb flexors and other muscles on the Thenar side are paralyzed, but not the adductor. The thanar M. atrophys . name the condition
Definition
- Ape Hand
Term
Median N. injury flexion at metacarpophalangeal joints are possible. T/F
Definition
TRUE 358
Term
At the wrist: fingers are hyperextended at metacarpophalangeal joints and flexed at interphalangeal joints. Name the condition
Definition
Claw hand
Term
What N. is damaged if the condition is “Claw Hand”?
Definition
Ulnar nerve injury ( at the wrist).
Term
20. Tendon of flexor digitorum perfundus paralyzed, therefore flexion of the RING and LITTLE finger is not possible at distal phalangeal joints. N?
Definition
Ulnar N. injury at WRIST
Term
At wrist abduction and adduction of the fingers are impaired- piano playing,writing (paralysis of interossei MM) N.?
Definition
Ulnar nerve injury at wrist
Term
T/F - ulnar nerve injury will cause sensory loss over ulnar innervating area?
Definition
True
Term
Name the 4 symptoms of injury at the elbow. HINT* 2/4 are true in the wrist.
Definition
- Paralysis of flexor carpi ulnaris and medial portion of flexor digitorum profundus
- Ulnar deviation of the wrist is weakened, hand is abducted and extended
- Abduction & adduction of the fingers are impared (T in wrist also)
- Sensory loss over ulna innervating area (T in wrist also)
Term
What is found deep in the Infraclavicular region (delctopectoral triangle- pix
Definition
-axillary Artery & vein
-brachial plexus
-picture (page 359)
Term
name the 3 borders of the infraclavicular region
Definition
- clavicle
- deltoid -> read 361 for clarity!
-pectoralis major
Term
The deltopectoral triangle ,on deltoid region innervation?
Definition
auxillary N.
Term
skin innervations of the deltopectoral triangle include
Definition
Medial
Intermediate
Lateral supraclavicular nerves ( cervical plexus)
Term
The deltoid region is innervated by:
Definition
The Auxillary N.
Term
Auxillary region is pyramidal shape in the axilla (armpit) &
Bordered by:
Definition
Pectoralis major M. – anteriorly
Latis Dorsi M. – posteriorly
Ribs &Intercostal M. – medially
Humerus & coracobrachialis M. - laterally
Term
Study auxillary region picture on samsam pg. 363 + atlas
Definition
pg. 363
Term
Brachial plexus
Definition
draw me
Term
Arterial blood pressure is taken using
Definition
sphygomometer (in the brachial region)
Term
Common site for routine intravenous injections or blood withdrawl
Definition
Anterior cubital region (anterior aspect of the elbow
Term
Veins of the shoulder and upper arm
Definition
picture
Term
Axillary region is arranged in 5 groups.. name them?
Definition
-pectoral -medial-apical-central- subscapular –samsam pg. 362
Term
lack of blood flow (ischemic) to the forearm, difformity of hand fingers and wrist. Due to compartment syndrome.
Definition
Volkmann’s ischemic contracture (claw hand)
Term
75% of breasts lymphatics drain here
Definition
axillary lymph node
Term
Mastecomy
Definition
removal of the breast
Term
Lyphangitis
Definition
- inflammation of the walls of the lymphatic vessels, painful enlargement of the near by lymph nodes (lyphatics)
Term
Identify in atlas the following (anterior brachial region ) SAMSAM 364 &366
Definition
- CEPHALIC VEIN*
-BASILIC HIATUS*
- MEDIAL ANTEBRACHIAL CUTANEOUS N.*
- brachial fascia
-basilic vein
-Lymph nodes
-medial brachial cutaneous N.
- intercostobrachial N
Term
where is the medial bicipital groove found?
Definition
between biceps and intermuscular septa
Term
name the contents of the medial bicipital groove *
Definition
-median N. – basillic V.
-brachial A. & V. - medial cutaneous antebrachial N. & ulnar N. medially
Term
deep in this region, proximally, the radial N. takes a posterior direction
Definition
anterior brachial region
Term
name the 2 auxillary spaces
Definition
quaderangular space
triangular spaces
Term
where is the radial N. found?
Definition
- deep in the posterior brachial region in radial groove of humerous accompanied by deep brachial A and V.
Term
what is in the cubital fossa?- also look at atlas and name the following.
Definition
- * median cubital Vein*
- basillic vein
- cephalic and median cubital vein
-medial cutaneous antebrachial N.
-lateral antebrachial cutaneous N. (branch of Musculocutaneous N. )
Term
(atlas) What is in the cubital fossa- deep?
Definition
- Biceps brachii M.
- bicipital aponeurosis
- brachialis M
- pronator teres - supinator M.
- brachioradialis
- radial artery and vein
- recurrent radial A
- median N.
- ulnar N.
-radial N. – deep radial N.
-superficial radial n
Term
Atlas locate- arteries of the forearm and hand
Definition
-radial artery
- ulnar artery
-deep palmar arch
- principal artery of the thumb
- superficial palmar arch
-common digital arteries
-common palmar digital arteries
-dorsal carpal branch
Term
anterior antebrachial region – atlas- locate the following
Definition
medial cutaneous antebrachial n.
-radial A. and veins
-superficial radial n.
-ulnar N.
-ulnar artery and veins
Term
locate on atlas the following of the anterior carpal region
Definition
Antebrachial fascia
Tendon of palmaris longus
Pronator quadratus
Radial A
Flexor carpi radialis
Median N.
Ulnar A. & N.
Palmar aponeurosis
Flexor carpi ulnaris
Term
atlas (locate:) on palm of hand
Definition
- superficial palmar arch
- deep palmar arch
- median N
Ulnar N.
Term
describe what is found on the dorsum of the hand
Definition
radial artery enters snuffbox and gives a dorsal branch which produces the dorsal arterial arch of the hand. Then it gives the principle artery of the thumb and then a main branch to join the deep palmar arch
Term
name the "snuffbox" borders
Definition
- tendon of extensor pollicis longus (superior)
- tendons of the ext. pollicis brevis
- abductor pollicis longus (inferiorly)
Term
what are the contents of the "snuffbox"
Definition
Radial artery
superficial radial N.
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