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Arm and Cubital Fossa: Review Questions Part I

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Posted by lae2 on September 23, 2009 at 21:07:25:

Arm and Cubital Fossa: Learning Objectives and Review Questions

True/false

1. The pectoralis major crosses the transverse humeral ligament prior to inserting on the lateral lip of the intertubercular sulcus (bicipital groove).
2. The brachialis acts only at the elbow. It is a monoarticular muscle.
3. The radial collateral artery, within the cubital fossa, is between the ulnar head of pronator teres and the medial border of the brachialis.
4. The radial collateral artery travels through the medial head of the triceps and forms an anastomosis with the interosseus recurrent artery.
5. The posterior ulnar recurrent artery passes between the heads of origin of the flexor carpi ulnaris.
6. The brachial artery crosses the median nerve on the anterior side of the median nerve. (hint: what is the relation of the medial cord to the axillary artery)
7. Within the cubital fossa the median nerve lies medial to the brachial artery.
8. The median cubital vein crosses the posterior (deep) surface of the bicipital aponeurosis.
9. Generally, it is within the cubital fossa that the radial artery terminates into superficial and deep branches.
10. The radial recurrent artery is, in part, within the cubital fossa.
11. The ulnar head of the pronator teres takes origin from the coronoid process.
12. The biceps tendon inserts on the tuberosity of the ulna.
13. The brachialis inserts on the radial tuberosity.
14. Fexion and supination at the elbow are syngergistic actions of the biceps.
15. The superior ulnar collateral artery passes posterior the medial epicondyle of the humerus.
16. The musculocutaneous nerve pierces the short head of the biceps upon entering the arm.
17. The lateral antebrachial cutaneous nerve can be found in the cubital fossa.
18. The radial nerve passes posterior to the superior free edge of the teres major to enter into the triangular interval.
19. The inferior ulnar collateral artery converges with the unlar nerve at the anterior region of the lateral humeral epicondyle.
20. The coracobrachialis and the short head of the biceps are both biarticulate and have a common site of origin.

Essay

1. Discuss the posterior compartment of the arm. Include contents, compartments, relationships, boundaries, fascial specializations, vascularization, innervation, lymphatics, muscles and movements, and compensation in the case of nerve injury.
2. Discuss the anterior compartment of the arm. Include contents, compartments, relationships, boundaries, fascial specializations, vascularization, innervation, lymphatics, muscles and movements, and compensation in the case of nerve injury.
3. Discuss the short head of biceps muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
4. Discuss the long head of the biceps muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
5. Discuss the long head of the triceps muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
6. Discuss the lateral head of the triceps muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
7. Discuss the medial head of the triceps muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
8. Discuss the brachialis muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
9. Discuss the anconeus muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
10. Discuss the brachioradialis muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
11. Discuss the pronator teres muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
12. Discuss the supinator muscle. Include fascial specializations, relationships, vascularization, innervation, lymphatics, movements, and compensation in the case of nerve injury.
13. Discuss the brachial artery and its branches. Include relationships, fascial specializations, and collateral circulation.
14. Discuss the profunda brachii artery and its branches. Include relationships, fascial specializations, and collateral circulation.
15. Discuss the musculocutaneous nerve in the arm. Include relationships, fascial specializations, movements, and compensation for nerve injury.
16. Discuss the radial nerve in the arm. Include relationships, fascial specializations, movements, and compensation for nerve injury.
17. Discuss the ulnar nerve in the arm. Include relationships, fascial specializations, movements, and compensation for nerve injury.
18. Discuss the median nerve in the arm. Include relationships, fascial specializations, movements, and compensation for nerve injury.
19. Discuss the boundaries and contents of the cubital fossa. Include fascial specializations, relationships, vascularization, innervation, and lymphatics.
20. Discuss the vascular and nervous injuries possible by a fracture at the surgical neck of the humerus.

Short Answer and Definitions

1. Coracoid Process
2. Quadrangular Space
3. Triangular Space
4. Bicipital Groove/Intertubercular Sulcus
5. Transverse humeral ligament
6. Anterior and posterior humeral circumflex arteries
7. Shoulder anastomosis (Thoracoacromial trunk + deltoid and acromial branches + ant/post humeral circumflex aa + ascending branch profunda brachii artery)
8. Greater tubercle of humerus
9. Lesser tubercle of humerus
10. Ulnar groove of humerus
11. medial humeral epicondyle
12. lateral humeral condyle
13. olecranon fossa
14. spiral (radial) groove
15. lateral intermuscular septum
16. medial intermuscular septum
17. radial tuberosity
18. coronoid process




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