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Index
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Upper limb: CLINICAL
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Chapter 1
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Level 1
level: Level 1
Questions and Answers List
level questions: Level 1
Question
Answer
It will execute pressure on suprascapular n. that run inferior to it in the suprascapular notch. Result: no innervation in supraspinatus m. and infraspinatus m. no abduction and lateral rotation
Ossification in superior transverse scapular lig.
Happens when serratus anterior m. is paralyzed due to damage of long thoracic n. Result: medial border and inferior angle of scapula is pulled away from thoracic wall. elevation of upper limb is not possible above horizontal line
Winged scapula
Injury to superior parts of brachial plexus (C5/C6) which results in paralysis of deltoid, biceps, brachialis. Result: waiters tip position abduction of upper limb not possible
Erb-Duchenne palsy
Lesion that reduces size of the tunnel, or enlarges the structures inside. Median n. most sensitive (supplies skin of thenar mm. and 1,2 lumbricals) Result: no opposition of thumb no sensation in thumb, 2, 3 and half of 4th digits
Carpal tunnel syndrome
Injury in lower parts of brachial plexs (C8/T1), which result in paralysis of muscles of forearm especially flexors of wrist/fingers and intrinsic muscles of hand.
Klumpke's palsy
Due to paralysis of posterior groups of arm and forearm muscles, due to RADIAL N.
Wrist drop
Injury to musculocutaneous n.
Diminished flexion of forearm
Injury to ULNAR N.
Claw hand
Injury to MEDIAN N.
Hand of benediction
Injury to MEDIAN N. Thenar atrophy No opposition of thumb
Ape hand
Disslocation of head of radius from anular lig.
Nursemaids elbow (pulled elbow)
tubercle of scaphoid triquetrum/pisiform
Name bones of proximal row of carpal bones that flexor retinaculum attach to
hook of hamate trapezium
Name bones of distal row of carpal row bones that flexor retinaculum attach to
(9 tendons + 1 nerve) 4x tendons of flexor digitorum profundus 4x tendons of flexor digitorum superficialis median n. flexor pollicis longus tendon
Name content of carpal tunnel
medial border: pronator teres m. lateral border: brachioradialis m.
What makes medial border and lateral border of cubital fossa?
roof: skin, bicipital aponeurosis (do not cover radial n.), fascia floor: supinator m., brachialis m.
What makes roof and floor of cubital fossa?
median n. brachial a. (splits to ulnar and radial a.) tendon of biceps brachii m. radial n.
Name content of cubital fossa from medial-lateral side