Functional Anatomy Exam 2 Material
Give an example of a polyarticular muscle.
Biceps brachii
What muscle is the longest of all the elbow flexors?
Brachioradialis
Greatest elbow extensor torque is produced at about _________ degrees of elbow flexion. A. 50-40 B. 60-70 C. 80-90 D. 100-110
C. 80-90
Most wrist flexors and forearm pronators attach to the ______ side of the distal humerus. Most wrist extensors and forearm supinators attach to the _______ side of the distal humerus. A. medial, lateral B. lateral, medial
A medial, lateral
What is referred to as a complete separation of the GH articular surfaces, without spontaneous alignment? A. dislocation B. subluxation
A. dislocation
What motion of the shoulder do you have the weakest torque? A. external rotation B. flexion C. abduction D. internal rotation
A. external rotation
Wrist extension naturally occurs with ______ deviation. A. radial B. ulnar
A. radial
80% of the compression force that crosses the wrist is directed to the ______ , and 20% of the force crosses the other side of the wrist known as the ________. A. radiocarpal joint, ulnocarpal space B. ulnocarpal space, radiocarpal joint
A. radiocarpal joint, ulnocarpal space
Stability of the shoulder joint is accompanied actively by what muscles? A. rotator cuff muscles B. deltoid C. biceps D. triceps
A. rotator cuff muscles
What joint acts as a strut to hold the scapula at about the same distance from the trunk? A. sternoclavicular (SC) B. acromioclavicular (AC) C. scapulothoracic (ST) D. glenohumeral (GH)
A. sternoclavicular
Wrist flexion naturally occurs with ______ deviation. A. radial B. ulnar
B. ulnar
Elevation and depression of the scapula occurs in what plane? Protraction and retraction of the scapula occurs in what plane?
Elevation/depression: frontal Protraction/retraction: horizontal
What are the three primary wrist extensor muscles which act on the wrist only?
Extensor carpi radialis (longus and brevis) Extensor carpi ulnaris
Lister's tubercle separates the tendons of what two muscles?
Extensor carpi radialis brevis and extensor pollicis longus
What two muscles have the greatest ability to produce radial deviation due to them having the greatest cross sectional area and moment arms?
Extensor carpi radialis longus and abductor pollicis longus
True or False. The elbow is classified as a pure hinge joint.
False, it is a modified hinge joint due to the slight side to side motion it can have
True or False. The wrist extensors produce about 70% greater isometric torque than the wrist flexors.
False, the wrist flexors produce greater isometric torque than wrist extensors due to the increased total cross sectional area of the wrist flexors
True or False. There are ligaments that connect the lunate to the capitate.
False, there are no ligaments connecting them
True or False. The anterior and middle deltoid and supraspinatus are all activated at the end of the abduction motion.
False, they are initiated at the onset of abduction
True or False. You do not have to be able to externally rotate the humerus in order to have full abduction.
False, you do have to be able to externally rotate
True or False. You have more torque when the wrist is flexed than when the wrist is in neutral position.
False, you have more torque when the wrist is in neutral than when flexed
What are the three primary wrist flexor muscles which act on the wrist only?
Flexor carpi radialis, palmaris longus, flexor carpi ulnaris
What wrist flexor muscle can produce the greatest wrist flexion torque of the three primary wrist flexors based upon moment arm length and cross sectional area?
Flexor carpi ulnaris
What are the five secondary wrist flexor muscles which act on the wrist and hand?
Flexor digitorum superficialis, flexor digitorum profundus, extensor pollicis brevis, flexor pollicis longus, abductor pollicis longus
Does the head of the radius and the capitulum in the humeroradial joint roll and slide around each other, or does the concave fovea of the head of the radius spin on the convex capitulum?
Fovea of the head of the radius spins on the capitulum
Which carpal bone is moon shaped and is the second most commonly fractured carpal bone?
Lunate
Which epicondyle is more prominent? Medial or lateral
Medial
What nerve is often involved in carpal tunnel injuries?
Median nerve
What are the two proximal and two distal components of the radiocarpal joint?
Proximal: concave radius and articular disc Distal: convex surfaces of the proximal scaphoid and lunate
What three joints make up the wrist/carpus?
Radiocarpal joints and midcarpal joints and all of the intercarpal joints
Do the hand and wrist connect firmly to the radius or ulna?
Radius
Is elbow flexion torque stronger when pronated or supinated?
Supinated
True or False. GH flexion and extension consists mainly of a spinning motion rather than a roll and slide.
True
Which rotator cuff muscle is the thickest?
subscapularis
List the following elbow extensors in order of recruitment (low levels of elbow extension to high levels of elbow extension): lateral head of triceps, medial head of triceps, long head of triceps, and anconeus
1st: anconeus 2nd: medial head 3rd: lateral head 4th: long head
The pisiform is a sesamoid bone embedded in the tendon of what muscle? A. Flexor carpi ulnaris B. Extensor carpi ulnaris C. Abductor digiti minmi
A. Flexor carpi ulnaris
Which part of the interosseous membrane firmly binds the radius to the ulna, serves as an attachment site for extrinsic hand muscles, and transmits force proximally through the upper limb? A. central band B. oblique cord C. distal oblique fibers
A. central band
Which part of the interosseous membrane is 2 times as thick as other regions? A. central band B. oblique cord C. distal oblique fibers
A. central band
The distal radius is _______ both anterior/posterior and medial/lateral. A. concave B. convex
A. concave
Protraction and retraction at the SC joint is _______. A. concave on convex B. convex on concave
A. concave on convex (roll with same slide)
On the metacarpals and phalanges, the proximal bases are _______ and the distal heads are _______. A. concave, convex B. convex, concave
A. concave, convex
Abduction and adduction of the shoulder is considered to be ________. A. convex on concave B. concave on convex
A. convex on concave (roll with opposite slide)
The arthrokinematics of thumb abduction and adduction focuses on the relationship between the trapezium and 1st metacarpal, which is _________. A. convex on concave B. concave on convex
A. convex on concave (roll with opposite slide)
The arthrokinematics of wrist flexion and extension focuses on the relationship between the capitate and lunate, which is _________. A. convex on concave B. concave on convex
A. convex on concave (roll with opposite slide)
The arthrokinematics of wrist ulnar and radial deviation focuses on the relationship between the proximal row of carpals and the distal end of the radius, which is ________. A. convex on concave B. concave on convex
A. convex on concave (roll with opposite slide)
The transverse diameter of the trapezium is _______, and the longitudinal diameter of the trapezium is ________. A. convex, concave B. concave, convex
A. convex, concave
What is formed by the coracoacromial ligament and its bony attachments, and forms the functional roof of the shoulder joint? A. coracoacromial arch B. subacromial space
A. coracoacromial arch
What muscles originate on the scapula and/or clavicle and insert on the humerus or forearm? A. distal stabilizers B. proximal stabilizers
A. distal stabilizers
Muscles that cross the elbow and attach to the radius, flex or extend the elbow/forearm, and ________ the potential to pronate or supinate the forearm. A. do have B. do not have
A. do have
What extrinsic wrist ligament helps stabilize the lunate and guide the natural arthrokinematics especially in the proximal row of carpals? A. dorsal radiocarpal B. radial collateral C. palmar radiocarpal D. ulnar collateral
A. dorsal radiocarpal
When there is simultaneous contraction of the extensor digitorum, FDS and FDP simultaneously cause hyperextension of the MCP joints and flexion of the PIP and DIP joints, this is referred to as the _______ position. A. extrinsic-plus B. intrinsic-plus
A. extrinsic-plus
What is anchored to the palmar surface of the palmar plates and forms pulleys for the extrinsic flexor muscles (FDP)? A. Fibrous digital sheaths B. Volar or palmar plates
A. fibrous digital sheaths
Which joint consists of an articulation between the trochlea and trochlear notch? A. humero-ulnar B. humeroradial C. proximal radioulnar
A. humero-ulnar
What motion at the GH joint consists of the humeral head rolling anteriorly and sliding posteriorly on the glenoid fossa? A. internal rotation B. external rotation C. flexion D. extension
A. internal rotation
What type of wrist ligaments have their proximal and distal attachments within the wrist? A. intrinsic B. extrinsic
A. intrinsic
In the double V system of ligaments, during ulnar deviation, there is slack in the ________ of the palmar intercarpal ligament and the palmar ______ ligament, and there is tension in the _______ of the palmar intercarpal ligament and the palmar __________ ligament. A. medial leg, radiocarpal; lateral leg, ulnocarpal B. lateral leg, ulnocarpal; medial leg, radiocarpal
A. medial leg, radiocarpal; lateral leg, ulnocarpal
At the beginning of abduction the upper trapezius and serratus anterior are ______ activated, and the lower trapezius is ______ activated. A. more, less B. less, more
A. more, less
The _______ capsular ligament helps increase compression forces which help stabilize the distal radioulnar joint during supination, and the ________ capsular ligament helps increase compression forces which help stabilize the distal radioulnar joint during pronation. A. palmar, dorsal B. dorsal, palmar
A. palmar, dorsal
High force with less regard for exactness is known as _______. High level of exactness with less force is known as ________. A. power, precision B. precision, power
A. power, precision
Contraction of the pronator teres causes a compressive force and ______ migration of the radius, especially when the elbow is near full extension. A. proximal B. distal
A. proximal
During pronation and supination, the tight constraint of the fibro-osseus ring prohibits the standard roll-and-slide arthrokinematics at the ______ radioulnar joint. A. proximal B. distal
A. proximal
Most motion comes between the bones within the ______ row of the carpus. A. proximal B. distal
A. proximal
Tears in the interosseous membrane can cause ______ migration of the radius, and can lead to degenerative changes in the humeroradial joint. A. proximal B. distal C. medial D. lateral
A. proximal
Which arch of the hand forms the carpal tunnel through the distal row of carpal bones? A. proximal transverse arch B. distal transverse arch C. longitudinal arch
A. proximal transverse arch
What ligament attaches distally from below the radial notch of the ulna to the medial surface of the neck of the radius, and stabilizes the proximal radioulnar joint? A. quadrate ligament B. annular ligament C. radial collateral ligament
A. quadrate ligament
Due to the radius being angled toward the radius, creating an ulnar tilt, this allows for greater _______ deviation than _______ deviation. A. ulnar, radial B. radial, ulnar
A. ulnar, radial
Do the dorsal interossei produce abduction of adduction?
Abduction
Do the palmar interossei produce abduction or adduction?
Adduction
Which arch of the hand passes through the MCP joints, and allows the 1st, 4th, and 5th metacarpals to fold or cup around the stable 2nd and 3rd metacarpals? A. proximal transverse arch B. distal transverse arch C. longitudinal arch
B. distal transverse arch
Muscles that cross the elbow and attach to the ulna, flex or extend the elbow/forearm, but _______ the ability to pronate or supinate the forearm. A. do have B. do not have
B. do not have
The largest moment arm for elbow extension occurs at close to full ________. A. flexion B. extension
B. extension (0 degrees)
What motion at the GH joint consists of the humeral head rolling posteriorly and sliding anteriorly on the glenoid fossa? A. internal rotation B. external rotation C. flexion D. extension
B. external rotation
What type of wrist ligaments have their proximal attachments on the radius or ulna and attach distally on the wrist? A. intrinsic B. extrinsic
B. extrinsic
Prolonged immobilization can lead to what type of contractures? A. extension B. flexion C. supination D. pronation
B. flexion
Due to the radius being angles farther in the palmar direction, creating a palmar tilt, this allows for greater _______ than _______. A. extension, flexion B. flexion, extension
B. flexion, extension
All digits are used to ______. Primarily the thumb and index finger are used to _______. A. pinch, grip B. grip, pinch
B. grip, pinch
Which joint consists of an articulation between the fovea of the radial head and capitulum? A. humero-ulnar B. humeroradial C. proximal radioulnar
B. humeroradial
Which joint of the elbow does not provide much sagittal plane stability? A. humero-ulnar B. humeroradial C. proximal radioulnar
B. humeroradial
When there is simultaneous contraction of the interosseous and lumbrical muscles of the fingers simultaneously flex the MCP and extend the PIP and DIP joints, this is referred to as the ________ position. A. extrinsic-plus B. intrinsic-plus
B. intrinsic-plus
In the double V system of ligaments, during radial deviation, there is slack in the ________ of the palmar intercarpal ligament and the palmar ______ ligament, and there is tension in the _______ of the palmar intercarpal ligament and the palmar __________ ligament. A. medial leg, radiocarpal; lateral leg, ulnocarpal B. lateral leg, ulnocarpal; medial leg, radiocarpal
B. lateral leg, ulnocarpal; medial leg, radiocarpal
Which bundle of the LCL complex prevents excessive supination and dislocation of the radial head can cause damage to it? A. radial collateral ligament B. lateral ulnar collateral ligament
B. lateral ulnar collateral ligament
The dorsal surface of the thumb faces _______. A. anteriorly B. laterally C. medially D. posteriorly
B. laterally
Which head of the triceps brachii has the greatest volume? A. Lateral head B. Long head C. Medial head
B. long head
The proximal row of carpals is _______, and the distal row of carpals are _______. A. tightly bound, loosely bound B. loosely bound, tightly bound
B. loosely bound, tightly bound
The superior part of the labrum is ______ attached to the rim. A. tightly B. loosely
B. loosely; this is why labrum injuries are common
What muscle is referred to as the "workhorse of extensors" because it stays active for most elbow extension movements? A. anconeus B. medial head of triceps C. lateral head of triceps D. long head of triceps
B. medial head of triceps
What joint is located between the proximal and distal row of carpals? A. radiocarpal B. midcarpal C. intercarpal
B. midcarpal
A polyarticular muscle is one that crosses/affects _______ joint(s). A. one B. multiple C. no
B. multiple
Based on the location that elbow extensors have their greatest moment arm, _______ is probably more important/influential than _______ in determining peak elbow extension torque. A. moment arm, muscle length B. muscle length, moment arm
B. muscle length, moment arm
Which part of the interosseous membrane may help limit distal migration of the radius on the ulna? A. central band B. oblique cord C. distal oblique fibers
B. oblique cord
Scapular dyskinesia was found to have a greater prevalence in _______ athletes than ______ athletes. A. nonoverhead, overhead B. overhead, nonoverhead
B. overhead
The radius angles about 10 degrees in the ______ direction. A. dorsal B. palmar
B. palmar
A strenuous pull on a hand that is typically _______ can cause a slip of the radial head through the annular ligament. A. supinated B. pronated
B. pronated
The interosseous membrane is least taut in full ________ and most taut in full _______. A. supination, pronation B. pronation, supination
B. pronation, supination
What muscle is a good torque producer and stabilizer of the distal radioulnar joint, and is the most active and consistently used pronator? A. pronator teres B. pronator quadratus C. both
B. pronator quadratus
What muscles originate on the spine, ribs, and skull and insert on the scapula and/or clavicle? A. distal stabilizers B. proximal stabilizers
B. proximal stabilizers
What extrinsic wrist ligament is the thickened part of the medial capsule? A. dorsal radiocarpal B. radial collateral C. palmar radiocarpal D. ulnar collateral
B. radial collateral
Most elbow flexors and all primary supinator and pronator muscles have their distal attachments on the ______. A. ulna B. radius C. carpals
B. radius
What is the space between the coracoacromial arch and the underlying head of the humerus? A. subacromial bursa B. subacromial space C. none of the above
B. subacromial space
What is referred to as a incomplete separation of the GH articular surfaces, often followed by spontaneous alignment? A. dislocation B. subluxation
B. subluxation
50% of the fibers of the long head of the biceps brachii tendon are direct extensions of the ________, and the other 50% arise from the supraglenoid tubercle. A. inferior labrum B. superior labrum
B. superior labrum; this is why labrum injuries are common
The radius angles about 25 degrees ________ the ulna. A. away from B. towards
B. towards
What ligamentous-like structures are located palmar to each MCP, PIP, and DIP joint and limit extension? A. Fibrous digital sheaths B. Volar or palmar plates
B. volar or palmar plates
What are the three primary elbow flexors?
Biceps brachii, brachialis, brachioradialis
What 3 bones and what 4 joints make up the elbow and forearm complex?
Bones: humerus, radius, ulna Joints: humero-ulnar, humeroradial, proximal radioulnar, distal radioulnar
The extensor retinaculum prevents what?
Bowstringing of underlying tendons
What muscle has the largest cross sectional area of any muscle crossing the elbow and is expected to generate the most force of any muscle crossing the elbow?
Brachialis
What muscle has a moment arm greater than all the other elbow flexors and causes a bowstringing effect during max-effort isometric action?
Brachioradialis
What is the average carrying angle in adults? (normal cubitus valgus) A. 5 degrees B. 10 degrees C. 13 degrees D. 16 degrees
C. 13 degrees
Max grip strength occurs at about _____ degrees of wrist extension. A. 10 B. 20 C. 30 D. 50
C. 30
Peak wrist flexion torque occurs at about ________ degrees of flexion. A. 20 B. 30 C. 40 D. 50
C. 40
Greatest elbow flexor torque is produced at about _________ degrees of elbow flexion. A. 50-60 B. 65-75 C. 85-95 D. 100-110
C. 85-95 degrees
Which joint of the elbow has a concave on convex relationship (roll with same slide)? A. humero-ulnar B. humeroradial C. A and B D. none of the above
C. A and B
Shoulder _______ is clinically used to evaluate overall shoulder function. A. flexion B. extension C. abduction D. adduction
C. abduction
The anterior and posterior edges of the TFCC are continuous with _______. A. the palmar capsular ligament B. the dorsal capsular ligament C. both
C. both
What is the "keystone" for the distal transverse arch and longitudinal arch? A. 2nd MCP B. 3rd MCP C. A and B
C. both, the 2nd and 3rd MCPs
Which part of the interosseous membrane is present in only 40% of interosseous membranes? A. central band B. oblique cord C. distal oblique fibers
C. distal oblique fibers
Which part of the interosseous membrane runs distal-laterally from the distal ulna to the distal radio-ulnar joint, is located deep to the pronator quadratus, and stabilizes the distal radioulnar joint? A. central band B. oblique cord C. distal oblique fibers
C. distal oblique fibers
Which arch of the hand follows the shape of the 2nd-3rd rays? A. proximal transverse arch B. distal transverse arch C. longitudinal arch
C. longitudinal arch
What extrinsic wrist ligament is taut in full wrist extension and limits wrist extension? A. dorsal radiocarpal B. radial collateral C. palmar radiocarpal D. ulnar collateral
C. palmar radiocarpal
What position lines the natural plane of the scapula? A. abduction B. adduction C. scaption D. flexion
C. scaption
What joint is not really a true joint and movements at this joint are related to movement at the SC and AC joints? A. sternoclavicular (SC) B. acromioclavicular (AC) C. scapulothoracic (ST) D. glenohumeral (GH)
C. scapulothoracic
The MCL and LCL provide ________ stability. A. single plane B. biplanar C. triplanar D. none of the above
C. triplanar
The axis of rotation for all wrist movement passes through which carpal bone?
Capitate
de Quervain's, which causes tenosynovitis/inflammation, occurs in which compartment below the extensor retinaculum?
Compartment 1
List the muscles associated with each of the 6 compartments.
Compartment 1: Abductor pollicis longus and extensor pollicis brevis Compartment 2: Extensor carpi radialis longus and brevis Compartment 3: Extensor pollicis longus Compartment 4: Extensor digitorum and extensor indicis Compartment 5: Extensor digiti minimi Compartment 6: Extensor carpi ulnaris
Within the articulation between the capitate and lunate, which one is convex and which one is concave?
Convex: capitate Concave: lunate
Within the articulation between the proximal row of carpals and the distal end of the radius, which one is convex and which one is concave?
Convex: proximal row of carpals Concave: distal end of radius
The largest moment arm for elbow flexion occurs at about _______ degrees. A. 70 B. 80 C. 90 D. 100
D. 100
What are the two primary bundles of the LCL complex? A. radial collateral ligament B. lateral ulnar collateral ligament C. medial ulnar collateral ligament D. A and B E. A and C
D. A and B
What are the four secondary wrist extensor muscles which act on the wrist and hand?
Extensor digitorum, extensor indicis, extensor digiti minimi, and extensor pollicis longus
True or False. The axillary pouch is slackened when the shoulder is abducted.
False, it is slackened when the shoulder is adducted
True or False. The TFCC is not the primary stabilizer of the distal radioulnar joint.
False, it is the primary stabilizer
True or False. The articular surface of the glenoid fossa completely covers the head of the humerus.
False, it only covers about 1/3 of the head of the humerus. Golf ball on a quarter analogy
True or False. The 2nd and 3rd CMC joints are much more mobile than the 1st, 4th, and 5th CMC joints.
False, the 1st, 4th, and 5th CMC joints are much more mobile
What plane does radial and ulnar deviation of the wrist occur in, and what axis coordinates with it?
Frontal plane and anterior-posterior axis
In order to achieve full elbow extension which of the following must allow it? In order to achieve full elbow flexion which of the following must allow it? A. Anterior dermis, forearm flexors, anterior capsule, anterior MCL B. Forearm extensors, posterior capsule, ulnar nerve, and posterior MCL
Full extension: A. Anterior dermis, forearm flexors, anterior capsule, anterior MCL Full flexion: B. Forearm extensors, posterior capsule, ulnar nerve, and posterior MCL
The natural upward rotation of the scapula helps increase the compressive force and provides stability or "locks" what joint in place?
Glenohumeral
What shoulder issue could the classic rounded shoulders posture predispose someone to?
Impingement syndrome
What part of the body does the radian nerve provide sensory innervation to?
Posterior arm, posterior lateral forearm, aspects of posterior/lateral hand
The ability of the fingers or thumb to grasp or seize for holding, securing, and picking up objects is known as ________.
Prehension
What muscle is a weak elbow flexor, but is not one of the primary elbow flexors?
Pronator teres
The interosseous membrane connects what two bones?
Radius and ulna
The carpal bone, metacarpal, and phalanges all in one row are referred to as a ______.
Ray
The zig-zag deformity of the thumb is caused by what condition?
Rheumatoid arthritis
What carpal bone creates the saddle joint articulation that allows for a wide range of thumb motions?
Trapezium
What attaches to the ulnar notch and fans out medially into a triangular shape and attaches to the ulnar styloid process?
Triangular fibrocartilage complex (TFCC)
What are the two primary elbow extensors?
Triceps brachii and anconeus
What is the 3rd most commonly fractured carpal bone?
Triquetrum
True or False. Holding a weight in the hand causes a distracting force almost entirely through the radius and puts the demand on the oblique cord and annular ligament.
True
True or False. Multiple muscles combine their actions during upward rotation of the scapula, creating a force couple (steering wheel analogy).
True
True or False. Scapulohumeral rhythm refers to a healthy individual abducting their arm until it's overhead and having motions at the GH and ST joint timed and kinematically working in concert to provide a smooth coordinated movement.
True
True or False. The axis of rotation for the forearm goes obliquely from the radial head through the ulnar head and connects both radioulnar joints.
True
True or False. The coronoid process resists posterior translation of the ulna on the humerus.
True
True or False. The flexor carpi ulnaris and flexor carpi radialis cancel out each others radial and ulnar deviation torques during wrist flexion.
True
True or False. The internal rotators of the shoulder are stronger than the external rotators.
True
True or False. The long head of the biceps brachii helps restrict anterior and superior translations of the humeral head.
True
True or False. There is more frequent and severe degeneration at the humeroradial joint than at the humeroulnar joint.
True
True or False. Upward and downward rotation of the scapula, anterior/posterior tilting, and internal/external rotation of the scapula all occur at the AC joint.
True
True or False. When the head of the humerus rolls upward (abducts), the infraspinatus, teres minor, and subscapularis pull the head of the humerus downward in order to keep the head of the humerus from impinging the supraspinatus.
True
True or False. Wrist flexion torque of the FDP and FDS may actually exceed the primary wrist flexors.
True
Excess internal rotation of the scapula is referred to as _______.
Winging
What two parts of the capsule does the rotator cuff fail to cover?
inferior and rotator cuff interval between the supraspinatus and subscapularis (anterior); this is why dislocations go anterior and inferior
What 5 muscles produce internal rotation of the shoulder? (think of SPLAT your stomach)
subscapularis, pectoralis major, latissimus dorsi, anterior deltoid, and teres major
What three muscle produce external rotation of the shoulder? (think of TIP the waiter)
teres minor, infraspinatus, and posterior deltoid
Which is the largest carpal bone?
Capitate
What are the 4 components of the extensor mechanism in the hand?
1. central band 2. lateral band 3. dorsal hood 4. oblique retinacular ligament
The thumb is internally rotated ______ degrees compared to the other digits.
90 degrees
The acromiohumeral distance (ADH), which is the distance between the acromion and proximal humerus, is largest at ______ degrees of abduction. A. 20 B. 85 C. 150
A. 20
Hyaline cartilage covers about ______ degrees of the trochlea and about ______ degrees of the trochlear notch. A. 300, 180 B. 180, 300 C. 180, 180 D. 300, 300
A. 300, 180
Having a carrying angle of about 5 degrees is referred to as _______. A. Cubitus varus B. Cubitus valgus C. Normal Cubitus valgus
A. Cubitus varus
What ligament provides resistance against a varus stress? A. LCL B. MCL
A. LCL
Radial deviation is also referred to as _________. Ulnar deviation is also referred to as ________. A. abduction, adduction B. adduction, abduction
A. abduction, adduction
Which part of the MCL is the strongest and stiffest? A. anterior B. posterior C. transverse
A. anterior
What is the strongest and thickest part of the inferior GH capsular ligament? A. anterior band B. posterior band C. axillary pouch
A. anterior band
Most GH dislocations occur _______ and _______. A. anteriorly and inferiorly B. posteriorly and inferiorly C. posteriorly and superiorly D. anteriorly and superiorly
A. anteriorly and inferiorly
The palmar intercarpal ligament is a long intrinsic wrist ligament that is also referred to as _______.
An "inverted V"
What muscle is a weak elbow extensor and helps stabilize the joint during extension of the elbow and pronation and supination of the forearm?
Anconeus
What three tendons make up the snuffbox?
Anterior border: abductor pollicis longus and extensor pollicis brevis Posterior border: extensor pollicis longus
What are the 5 interconnected tissues?
Articular disc, distal radioulnar joint capsule ligaments, palmar ulnocarpal ligaments (ulnotriquetral and ulnolunate), and fascial sheath that encloses the tendon of the extensor carpi ulnaris, and ulnar collateral ligament
The scapulohumeral rhythm has a 2:1 ratio that comes from ______ degrees of GH abduction and ______ degrees of ST upward rotation. A. 60, 120 B. 120, 60 C. 50, 100 D. 100, 50
B. 120, 60
The resting position of the scapula is between what two ribs? A. 1st and 5th B. 2nd and 7th C. 3rd and 5th D. 4th and 7th
B. 2nd and 7th
Many activities only need about ______ degrees of pronation or supination, and this creates a "_______ degree functional arc." A. 25, 50 B. 50, 100 C. 100, 200
B. 50, 100
Spinal cord injuries above what nerve root causes inability to flex the elbow and thus, severe functional limitation? A. C4 B. C5 C. C6 D. C7
B. C5
What is the "keystone" for the proximal transverse arch? A. Hamate B. Capitate C. Trapezoid D. Trapezium
B. Capitate
Falling on an outstretched extended arm (often supinated), with forced valgus can damage the _______. A. LCL B. MCL
B. MCL
What joint firmly attaches the scapula to the clavicle? A. sternoclavicular (SC) B. acromioclavicular (AC) C. scapulothoracic (ST) D. glenohumeral (GH)
B. acromioclavicular
What ligament holds the head of the radius against the radial notch? A. quadrate ligament B. annular ligament C. radial collateral ligament
B. annular ligament
The arthrokinematics of finger abduction and adduction at the MCP joints is considered to be _________. A. convex on concave B. concave on convex
B. concave on convex (roll with same slide)
The arthrokinematics of finger flexion and extension at the MCP and joints is considered to be _________. A. convex on concave B. concave on convex
B. concave on convex (roll with same slide)
The arthrokinematics of finger flexion and extension at the PIP and DIP joints is considered to be _________. A. convex on concave B. concave on convex
B. concave on convex (roll with same slide)
The arthrokinematics of thumb flexion and extension at the MCP and IP joints is considered to be _________. A. convex on concave B. concave on convex
B. concave on convex (roll with same slide)
The arthrokinematics of thumb flexion and extension focuses on the relationship between the trapezium and 1st metacarpal, which is _________. A. convex on concave B. concave on convex
B. concave on convex (roll with same slide)
Depression and elevation at the SC joint is ______. A. concave on convex B. convex on concave
B. convex on concave (roll with opposite slide)
Having a carrying angle of about 20-25 degrees is referred to as _______. A. Cubitus varus B. Cubitus valgus C. Normal Cubitus valgus
B. cubitus valgus
During pronation and supination, the concave ulnar notch rolls and slides in the same direction on the convex head of the ulna at the ______ radioulnar joint. A. proximal B. distal
B. distal
What part of the body does the median nerve provide sensory innervation to?
Lateral 2/3 of the palm, palmar surface of the thumb, 1st 2 fingers, and lateral half of the ring finger
What part of the body does the musculocutaneous nerve provide sensory innervation to?
Lateral forearm
What two carpals connect in the lateral leg of the inverted V, and what two carpals connect in the medial leg of the inverted V?
Lateral leg: capitate and scaphoid Medial leg: capitate and triquetrum
What are the lateral and medial attachments for the transverse carpal ligament?
Lateral: scaphoid tubercle and trapezium tubercle Medial: pisiform and hook of the hamate
Which carpal bone is most commonly dislocated?
Lunate
Which carpal is the most unstable?
Lunate
The MCP joints have how many degrees of freedom, and the PIP and DIP joints have how many degrees of freedom?
MCP: 2 (flex/ext and abd/add) PIP and DIP: 1 (flex/ext)
What part of the body does the ulnar nerve provide sensory innervation to?
Mid 1/3 of the medial hand and little finger, and medial half of ring finger
What muscle greatly facilitates thumb opposition?
Opponens pollicis
Rotation of the SC joint around it's longitudinal axis occurs in what plane?
Sagittal
What plane does flexion and extension of the wrist occur in, and what axis coordinates with it?
Sagittal plane and Left-Right axis (medial-lateral axis)
What is the most commonly fractured carpal bone?
Scaphoid
What describes any abnormal static position or movement of the scapula regardless of the cause?
Scapular dyskinesia
What muscle is a powerful upward rotator of the scapula?
Serratus anterior
When the GH joint is abducted to 90 degrees, does IR and ER still produce a roll and slide, or is it more of a spin at the glenoid fossa?
Spin
What are the 4 rotator cuff muscles?
Supraspinatus, infraspinatus, subscapularis, and teres minor
What helps transmit some of the proximally transmitted force from the radius to the ulna so that forces are more equally shared at the elbow?
The interosseous membrane
What accounts for 50% of the depth of the glenoid fossa?
The labrum