Tutorial on Upper Limb

These statements and questions are provided as a study aid to help you gauge your level of understanding of the region. A link to the Forum is provided if you are unsure of specific statements and questions and wish to discuss them.

1. The roots of the brachial plexus emerge through the gap between the anterior and middle scaleni muscles, where does the cervical plexus emerge?
2. All parts of the brachial plexus, excluding its terminal branches, are in the posterior triangle of the neck.
3. Erb's paralysis is caused by a lesion of the middle root of the brachial plexus.
4. The muscles of the flexor compartment of the forearm flex which joints?
5. The muscles of the flexor compartment of the antibrachium are innervated by one nerve only.
6. There are no muscles in the upper limb that have a dual innervation.
7. Which parts of the upper limb skeleton can be easily palpated?
8. The axillary lymph nodes receive lymph from which regions of the body?
9. The elbow joint allows supination and pronation.
10. Which major nerve is not accompanied by an artery?
11. At which sites can you palpate the pulse?
12. Which muscles of the forearm do not cross the wrist joint?
13. Which fractures could injure a nerve?
14. Can you explain the deficits of a radial nerve lesion in terms of the muscles involved? - lesion of the ulnar? - median?
15. Which muscle(s) can provide(s) some flexion of the forearm in a lesion of the musculocutaneous?
16. The musculocutaneous nerve contains fibers from spinal segments C8, T1.
17. Can you visualize the blood vessels participating in a collateral circulation around the shoulder joint? - around the elbow joint?
18. Which nerve gives sensory supply to the little finger?
19. What is a ginglymus? Which movements are allowed in such a joint?
20. An arm is severed accidentally through its middle. Which muscles, major blood vessels, and nerves would have to be joined in the surgical reattachment of the limb?
21. All joints of the upper extremity have collateral ligaments.
22. All large terminal branches of the brachial plexus receive contributions from the posterior divisions of the trunks.
23. What are the compartments of the hand?
24. Which nerves of the extremities are closely related to bone for parts of their courses?
25. Which nerves of the extremities are accompanied by blood vessels?
26. Where would you expect loss of sensation in a lesion of the ulnar nerve?
27. No artery which contributes to the anastomoses around the elbow joint originates in the upper half of the arm.
28. The tendon of the palmaris longus can easily be made visible in the living.
29. The annular ligament of the elbow joint is attached to the ulna and the radial collateral ligament.
30. Do you know the actions of the palmar and dorsal interossei?
31. Name the muscles that form the "rotator cuff" of the shoulder joint.
32. Pronation of the forearm and opposition of the thumb are actions of muscles supplied by the median nerve.
33. What bone connects the limb and trunk? What muscles connect the limb and trunk?
34. What structures form the walls of the axilla?
35. Name the branches of the axillary artery.
36. How are the roots, trunks, divisions and cords of the brachial plexus related? What nerves arise from the roots, trunks and cords?
37. What is the principal lymphatic drainage of the mammary gland?
38. What ligament stabilizes the acromio-clavicular joint?
39. Which cervical levels of nerves innervate the shoulder muscles?
40. What muscles are anterior in the arm?
41. What are the branches of the brachial artery?
42. Where do the cephalic and basilic veins end?
43. What bones articulate at the elbow and what ligaments hold them together?
44. Name the superficial volar muscles of the forearm and give the innervation.
45. Name the bones of the wrist. Which is the most frequently fractured? Which is most frequently dislocated?
46. How is the carpal tunnel formed? What occupies the tunnel?
47. Name the thenar and hypothenar muscles.
48. What forms the deep palmar arch?
49. What muscles are innervated by the deep ulnar nerve?
50. How does the radial nerve get to the anterior aspect of the elbow?
51. How does the deep radial get to the back of the forearm?
52. What forms the anatomical snuff-box?

John A. McNulty, Ph.D.
Last Updated: Oct 21, 2005
Created: 1 March 1996