A. Anatomy brachial plexus – Flashcards

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in the lateral protrusions, the thumbs are oriented in which direction
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superiorally (cranially)
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limb muscle masses (2)
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posterior compartment muscles and anterior compartment muscles
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brachial plexus innervation
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anterior rami C5-T1
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irritation of diaphragm shows up where?
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radially in C3,4,5 sections of skin on arm - mid forearm to lower neck
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dermatome innervation roughly corresponds to
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myotome innervation
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myotome / dermatome =
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muscle mass / area of skin innervated by a single spinal nerve
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somite =
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myotome, dermatome, and one other thing
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what does the dorsal ramus innervate
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epaxial muscles (postural muscles of back)
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glenohumeral joint
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order of brachial plexus
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RTDCB roots trunks divisions cords branches
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3 trunks
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superior, medial, inferior
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3 pair divisions
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anterior and posterior of each trunk
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3 cords
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lateral, posterior, medial
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terminal branches
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musculocutaneous, axillary, radial, median, ulnar
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m.c. innervation
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c5-c7
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axillary innervation
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c5,c6
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radial innervation
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c5-t1 (all!)
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median innervation
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c6-t1
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ulnar innervation
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c8,t1
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long thoracic nerve (location, what it innervates, and motor or sensory = LIMS)
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comes off c5-c7 roots, serratus anterior, motor only
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dorsal scapular nerve LIMS
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comes off c5 root, rhomboids, both
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nerve to subclavius LIMS
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comes off superior trunk, subclavius, both
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suprascapular nerve
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comes off superior trunk, infraspinatus and supraspinatus, motor only
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lateral pectoral nerve LIMS
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comes off lateral cord, pec. major, motor only
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medial pectoral nerve LIMS
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comes off anterior division of inferior trunk, pec. minor (and major), motor only
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medial cutaneous brachial nerve
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medial cord, lower arm sensory
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medial cutaneous antebrachial nerve
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medial cord, upper arm sensory
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upper subscapular nerve
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posterior cord, superior subscapularis, motor
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thoracodorsal nerve
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posterior cord, latissimus dorsi, motor
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lower subscapular nerve
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posterior cord, inferior subscapularis and teres major, motor
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for brachial plexus, lateral =
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more cranial, and medial = more caudal
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anterior division nerves
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m.c., median, ulnar.
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posterior division nerves
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axillary, radial
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axillary innervates
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deltoids
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anterior and posterior compartments are
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REAL, linked by development and bound by fascia
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m.c. innervates
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brachialis, coracobrachialis, biceps (flexors)
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radial nerve innervates (2)
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triceps (extensors), anconeusa
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median innervates
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thumb and corresponding forearm area
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ulnar innervates
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fingers other than thumb, opposite forearm area to radial area
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hyperextension at the neck =
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upper brachial plexus injury
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"waiter's tip"
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erb-duchenne palsy = upper brachial plexus injury. loss of brachial flexors = medially rotated arm and dropped shoulder = fully extended arm. m.c. or axillary.
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lower brachial plexus injury
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lose grip, can't flex hand = claw hand or clumpky's paralysis. ulnar or median.
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supracondylar fracture
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median nerve and brachial artery can be pinched = "ape-hand" or "ape-thumb" palsy = can't oppose thumb
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actions of upper limb
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adduction, abduction, lateral rotation, medial rotation, flexion, extension (for these two know the joint that is affected), supination, pronation
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have to know netter's SENSORY innervation map!
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