Tennis Elbow
Golfers elbob
Cubital tunnel
Carpal tunnel
Winged scapula
Klumke’s injury
Lower Trunk injury
Thoracic oulet syndrome
Waiter Tip Hand
Erb duchenne paralysis
Upper Trunk injury
Wrist drop
Claw hand
Fracture to medial epencondyle
Ape Hand
Fracture of supracondyle
Fracture surcical neck humerus
Fracture of radial neck
Dislocation of radial head
Colles fracture of wrist
Reverse colle’ fracture
Smiths fracture
Humerus – inferior dislocation
Flair chest
Lateral ependcondayle
Extensor problems due to inflammation
Medial epencoad out of annulr ligamentndyle
Flexor problems due to inflammation
Forced supination pops back into place
Ulnar n. compressed
Pain and tingling
Medina n. compressed
Flattening of thenar eminence
Flexor digitorum superficialis passes thru
Long thoracic injured
Loss of serratus anterior
Lower trunk injury due to scalene muscle or cervical rib compression
Lower trunk and subclavian compression
Pain , numbness, tingling weaknessand fatigue in upper limb
Upper trunk injury
Arm lies in the medial plane
Radial n or posterior cord damage
Ulnar n. injured
No abductionof aduction in fingers
Median n. injured
Suprocondylar fracture of humerus
Cracking off end of humerus
Axillary n damage
Supraspinatus can only abduct to horz level due to deltoid and tere major being innervated by axillary
Nothing you can do
Presents w/ shoulder pain
Fracture of lower end of radius in wh the distal fragment is displaced post, producing a characteristic
bumb described as dinner fork deformity
Avascular necrosis of scaphoid is the result ob this and below. Pian after lon periord of time, pain in
snuff box
Same as above but distal fragment is displaced anteriorly
Inferior aspect of shoulder join not supported by muscle tendosn or the rotator cur.
May damage axillary n. and posteriou humeral circumflex vess.
Lostt of stability of thoracic cage that occurs when a segment of anterior or lateral thoracic wall moves
Bennet’s fracture
Boxer’s fracture
Rib fractures
Pleurisy
Pneumothorax
Spontaneous pneumothorax
Tramatic pneumothorax
PDA
Hemothorax
reel b/c of fractured ribs.
Loose segment moves inward on inspiration and outward on expiration.
Painful injury and impairs ventilation-respiratory failure
Opponens policies is injured, fracture of the base of the metacarpal of the THUMB
Fracture to the neck of the second and third metacarpal-seen in professional boxers, and typically the
fifth metacarpal in unskilled boxers.
1st rib – brachial plex and subclavian
Middle rib – most common – direct blows or crushing injuries.
Broken end caused pneumothorax and lung or spleen injury
Lower rib fract may tear diaphragm – diaphragmatic hernia
Inflammation of pleura with exudation (escape of fluid from blood vessels) into its cavity-causes plural
surfaces to be roughend
This roughening causes priction – pleural rub
Accumulation of air in pleural cavity and thus the lung has collapsed b/c of eliminateion of neg
pressure
Symptoms – chest pain and dyspnea
Treated by draining the pleural air collection by simple aspiration using an intravenous catheter or
chest tube thoracostomy
Secondary to pulmonary dis such as TB, abscess, fibrosis, and emphyusema
Life-threateining pneumothorax in wh air enters during inspiration and is trapped during expiration
Resultant increased press displaces mediastinum to opp side = cardiopulmonalry impairment
Patenet ductus arterioriss
Ductus failed to close in adult
Accumulation of blood in the pleural space and can be treated by the thoractomy tube drainage
Upper roots c5-c6
Dorsal scapular
1. Levator scapula
2. Rhomboid
Scalene
Phrenic
SuperiorUpper Trunk
Suprascapular
1. supraspinatus
2. Infraspinatus
Subclavius
1. subclavias m (acc
phrenic)
C7
C8-T1
Long thoracic
Comes off all except T1
Lateral Cord
Posterior Cord
Medial
STAR:
Subscapular [upper and
lower]
Thoracodorsal
Axillary
Radial
Lateral pectoral
1. pectoralis major
2. pectoralis minor
Upper subscapular
Thoracodorsal
1. latissamus dorsi
Lower subscapular
1. subscapular
2. teres major
Medial pectoral
1. pectoralis major
2. pectoralis minor
Medial cutaneous of arm
Medial cutaneous of
forearm
Terminal branch
Musculocutaneous
1. all the flexor arm
muscles
2. pierces coracobrach
Lateral antibrachial
cutanoues
Terminal branch
Terminal Branch
Axilary
Ulnar
1. deltorid
1. flexor carpi ulnaris
2. teres minor
2. ½ flexor digitorum
3. runs thr
profundsa
quadrangular space
3. superficial hand on
with post circumflex
ulnar side
humeral a
4. one thumb m –
Radial
adductor pollicis
Median
Median
1. all of the fexor
forarm except flexor
carpi ulnaris
2. muscles of the
thumb except
adductor pollicis
(ulnar)
1. innervates all the
extensor – forearm
and arm
5. interossi
6. lumbricles (two
medial)
posterior interosseous
1. deep muscles of
forearm extensors
Superficial branch
1. dorusm of hand –
1/1/2 digits over
proximal phalanx
2.
3. lumbricles 1 and 2
(lateral)
Aricular branch
Anterior interosseous
1. flexor digitorum
profundus
2. flexor pollicis
longus
3. pronator quadraus
Recurrent branch – thenar
muscles
Posterior cutaneous
Posterior antibrachial
cutaneous
Superior Medistinum
Posterior Medistinum
PVT Left BATTLE:
Phrenic nerve
Vagus nerve
Thoracic duct
Left recurrent laryngeal nerve (not the right)
Brachiocephalic veins
Aortic arch (and its 3 branches)
Thymus
Trachea
Lymph nodes
Esophagus
DATES:
Descending aorta
Azygos and hemiazygous veins
Thoracic duct
Esophagus
Sympathetic trunk/ganglia
There are 4 birds:
The esophaGOOSE (esophagus)
The vaGOOSE nerve
The azyGOOSE vein
The thoracic DUCK (duct)
Subclavian
Axillary
Brachial A
"Very Tired Individuals Sip Strong Coffee Served
Daily":
Vertebral artery
Thyrocervical trunk
---Inferior thyroid
---Superficial transverse
cervical
---Suprascapular
"Screw The Lawyer Save A Patient)":
Superior thoracic
Thoracoacromiol
-ABCD
Lateral thoracic
Subscapular
-circumflex scap
-Thoracodorsal
I Am Pretty Sexy"
Inferior ulnar collateral artery goes with Anterior
ulnar recurrent artery.
Posterior ulnar recurrent artery goes with Superior
ulnar collateral artery.
Costocervical
---Superior intercostal
---Deep cervical
Adduct
Latissumus Dorsi
Rhomboid maj, and min
Trapezius
Subscapular
Teres major
Anterior circumflex humeral
Posterior circumflex humeral
Abducting
Deltoid
supraspinatus
Rotate
SITS
Suprascapular
Infraspinatus(lateral arm)
Teres minor (latera arm)
Subscapularis(medial arm)
Teres major (arm medial)
Latissamus (medial)
Deltoid (medial)
Intrinsic – Deep muscles
Extrinsic – superficial muscles
Cubital fossa contents
"Really Need Booze To Be At My Nicest":
· From lateral to medial:
Radial Nerve
Biceps Tendon
Brachial Artery
Median Nerve
Elbow joint: capitulum vs. trochlea
CUTER:
Capitulum: Radial-head
Trochlea: ulnar – troclear notch and olecronon
Hand: nerve lesions
DR CUMA:
Drop=Radial nerve
Claw=Ulnar nerve
Median nerve=Ape hand (or Apostol [preacher] hand)
Show Details / Rate It
Anterior forearm muscles: superficial group
There are five, like five digits of your hand.
Place your thumb into your palm, then lay that hand palm down on your other arm, as shown in diagram.
Your 4 fingers now show distribution: spells PFPF [pass/fail, pass/fail]:
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Your thumb below your 4 fingers shows the muscle which is deep to the other four: Flexor digitorum superficialis.
Intrinsic muscles of hand (palmar surface)
"All For One And One For All":
· Thenar:
Abductor pollicis longus
Flexor pollicis brevis
Opponens pollicis
Adductor pollicis.
· Hypothenar:
Opponens digiti minimi
Flexor digiti minimi
Abductor digiti minimi
Bicipital groove: attachments of muscles near it
"The lady between two majors":
Teres major attaches to medial lip of groove.
Pectoralis major to lateral lip of groove.
Latissimus (Lady) is on floor of groove, between the 2 majors
SITS – rotator cuff
Lung lobes: one having lingula, lobe numbers
Lingula is on Left.
The lingula is like an atrophied lobe, so the left lung must have 2 "other" lobes, and therefore right lung has 3 lobes.