Professional Documents
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clinical -
thickening and contraction due to inflammation
of the ulnar side of the aponeurosis leads to
dupuytrens contracture
2) Radial artery (red tie)
2) Radial artery (red tie)
Posterior relations
Clinical importance
Branches
Structures present medial to it at wrist
1. Flexor carpi radialis
clinical -
non surgical heart test
heart catheterization
3) Ulnar nerve (white tie)
3) Ulnar nerve (white tie)
Muscles supplied by it in forearm
1. Flexor digitorum profundus – medial part
2. Flexor carpi ulnaris
Root value
C8-T1
Applied anatomy
Ulnar claw
causes your fingers to bend in towards your
wrist
due to ulnar nerve palsy
4) Median nerve (green tie)
4) Median nerve (green tie)
Distribution in hand/forearm
Root value
C5-T1
Relations in cubital fossa
Medial – brachial artery
Lateral – biceps tendon
Clinical importance
helps to move forearm wrist hand and fingers
damage to M.N.
leads to weak wrist flexion loss of thumb
flexion
5) Deltoid (green pin)
5) Deltoid (green pin)
Insertion – deltoid tuberosity
Nerve supply – axillary nerve
Action
Anterior fibres – flexion, medial rotation
Lateral fibres – abduction
Posterior fibres – extension, lateral rotation
6) Triceps tendon (long pink needle)
6) Triceps tendon (long pink needle)
Attachment
Nerve supply
Action
N.S. radial n. c6-c8
attachment - posterior surface of
olecranon process of ulna
action - hold the head of
humerous in glenoid cavity
7) Axillary nerve (green tie)
7) Axillary nerve (green tie)
Accompanying structure
Muscle supplied by it
Space passes through
8) Radial nerve (red tie)
8) Radial nerve (red tie)
Structure accompanying it
Root value
Muscles supplied by it in the spiral groove
Lesion caused by its injury in this area
muscles supplied -
triceps anconeus
brachiaradialis
extensor carpi ulnaris
root - c5-t1
9) Anconeus
9) Anconeus
Origin – lateral epicondyle
Insertion – olecranon process and adjoining upper ¼ of shaft of
ulna
Nerve supply – radial nerve in the spiral groove
10) 1st dorsal interosseous
10) 1st dorsal interosseous
Nerve supply – Deep branch of ulnar
Action – abduction of fingers
Pierced by – radial artery
11) Extensor retinaculum
11) Extensor retinaculum
Attachment
Structures passing through 4th compartment
attachments -lat. surface of distal radius towards the styloid process
and distally attaches to the pisiform and triquetral bone
Formation
Branches
formed by ulnar artery
• Extent
• Any 2 sup. thoracic
thoracoacromial
subscapular
branches
• Muscle
dividing it
pectoralis minor
17) Biceps brachii
17) Biceps brachii
• Attachment origin - short head - coracoid process of scapula
long head - supra glenoid tubercle
• action
flexion and supination n. s. - musculocutaneous c5c6
18) 1st lumbrical
18) 1st lumbrical
• Nerve supply
• Action
• Attachment
19) Ulnar artery
19) Ulnar artery
• Branches in cubital fossa
• Its continuation
• Medial relation at wrist
20) Cubital tunnel
• Structure passing through it
• Structure forming the probed area
• Clinical importance
21) Brachialis
21) brachialis
• Attachment
• Nerve supply
• Action
22) Anatomical snuff box (white pin)
22) Anatomical snuff box (white pin)
• Boundaries
• Content
23) Superficial branch of radial nerve
23) Superficial branch of radial nerve
• Distribution
• Medial relation in the distal part of forearm
24) Subscapularis (white pin)
24) Subscapularis (white pin)
• Attachment
• Nerve supply
• Action
25) Pronator teres
25) Pronator teres
• Attachment
• Nerve supply
• Action
• Structure
passing
between its
2 heads
26) Flexor retinaculum
26) Flexor retinaculum
• Attachment
• Structure passing superficial to it
• Structure passing deep to it
• Applied importance
27) Adductor pollicis
27) Adductor pollicis
• Action
• Attachment
• Nerve supply
• Structure piercing it
28) Cephalic vein
28) Cephalic vein
• Termination
• Formation
• Structure pierced by it in the pectoral region
29) Musculocutaneous nerve
29) Musculocutaneous nerve
• Structure
pierced by
it
• Muscles
supplied
by it
• Name the
cutaneous
branch
given by it
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HEAD & NECK SPOTTERS
Final with answers
G. PannEER SELVI
Department ofAnatomy
Spotter -1
1. A)Identify the pinned structure (Scalp)
BEHIND AURICLE:
Posterior auricular .A - Branch of External carotid artery
Facial vein Retromandibular Vein
Occipital artery
C
Spotter- 4 Cont…
C) Mention its nerve supply and action.
– NERVE SUPPLY:
– Buccal branch of facial nerve
– ACTION:
– Flattens the cheek against gums and teeth
– Prevents accumulation of food in vestibule
– Whistling muscle
D) APPLIED ANATOMY
– Unable to protrude the lips as in whistling
– Mouth deviated to normal side when
attempted to smile in infra nuclear lesion of
facial nerve
Spotter -7
7. A) Identify the tied structure
(Facial artery)
Tympanic branch
Tympanic plexus
Otic ganglion
Parotid gland
Nervous intermedius
Facial nerve
Chorda tympani
B)Mention its
attachments
B) Mention its
attachments
B)Mention its
histological structure
– Elastic cartilage
B) Mention its
boundaries.
Above: Vestibular fold
Below : Vocal fold
Spotter - 51
50. A)Identify the probed area
(Pyriform fossa)
Cartilagenous part:
Septal cartilage
Septal process of inferior nasal cartilage