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G25: Brachium David A. Morton, Ph.D. ANAT 6010- Medical Gross Anatomy
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Page 1: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

G25: Brachium

David A. Morton, Ph.D.ANAT 6010- Medical Gross Anatomy

Page 2: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Brachial Plexus

Randy

Travis

Drinks

Cold

Beer

Page 3: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

What muscle(s) enable her to do the following exercise?

Page 4: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

What muscle(s) enable her to do the following exercise?

Page 5: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

What muscle(s) enable her to do the following exercise?

Page 6: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

A 77 year old male patient fell off a

ladder and sustained muscle damage.

What of the following actions would he

have the most difficulty doing if he lost

the ability of the muscle outlined in

green in this MRI?

A. B. C. D.

Page 7: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

A 77 year old male patient fell off a

ladder and sustained muscle damage.

What of the following actions would he

have the most difficulty doing if he lost

the ability of the muscle outlined in

green in this MRI?

B.

Page 8: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

If each muscle outlined in the

following MRI were effected by the

fall, identify which spinal nerves

were damaged? A) C4, C5

B) C5, C6

C) C6, C7

D) C7, C8

E) C8, T1

Page 9: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

If each muscle outlined in the

following MRI were effected by the

fall, identify which spinal nerves

were damaged? A) C4, C5

B) C5, C6

C) C6, C7

D) C7, C8

E) C8, T1

Page 10: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Jane Doe wakes up the morning after a hard work-out at the

gym. Her muscles are very sore. She goes to her medicine

cabinet and takes an aspirin in the hopes that it will relieve

some of the inflammation. Trace the route of the aspirin from

her mouth to the following muscles:

Page 11: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

• Trapezius muscle

• Latissimus dorsi muscle

• Deltoid muscle

• Triceps brachii muscle

Jane Doe wakes up the morning after a hard work-out at the

gym. Her muscles are very sore. She goes to her medicine

cabinet and takes an aspirin in the hopes that it will relieve

some of the inflammation. Trace the route of the aspirin from

her mouth to the following muscles:

Page 12: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...
Page 13: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

GAFS Fig. 7.35

Trapezius m.

Page 14: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...
Page 15: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...
Page 16: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Deltoid m.

Latissimus dorsi m.

Page 17: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Deltoid m.

Latissimus dorsi m.

Page 18: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Deltoid m.

Latissimus dorsi m.

Page 19: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Triceps brachii m.

Page 20: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

A 16 year old male injured his right shoulder in a motorbike accident.

Upon initial examination, pulses in the radial and ulnar arteries were

palpable. Two days later he began to feel weakness and numbness in

part of his right arm. Angiography showed a nearly complete occlusion of

the axillary artery and an MRI showed a 4cm x 5cm hematoma

compressing the brachial plexus. Which two muscles directly bordered

this hematoma (J Brachial Plex Peripher Nerve Inj. 2008 Mar 28;3:9.)?

A.infraspinatus and pectoralis major

B. pectoralis minor and subscapularis

C. supraspinatus and trapezius

D. teres major and teres minor

Page 21: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

A 16 year old male injured his right shoulder in a motorbike accident.

Upon initial examination, pulses in the radial and ulnar arteries were

palpable. Two days later he began to feel weakness and numbness in

part of his right arm. Angiography showed a nearly complete occlusion of

the axillary artery and an MRI showed a 4cm x 5cm hematoma

compressing the brachial plexus. Which two muscles directly bordered

this hematoma (J Brachial Plex Peripher Nerve Inj. 2008 Mar 28;3:9.)?

A.infraspinatus and pectoralis major

B. pectoralis minor and subscapularis

C. supraspinatus and trapezius

D. teres major and teres minor

Page 22: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Radiographic imaging showed the hematoma nearly occluding the

axillary artery. How was blood still reaching the arm, forearm and hand?

Page 23: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Radiographic imaging showed the hematoma nearly occluding the

axillary artery. How was blood still reaching the arm, forearm and hand?

Page 24: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Radiographic imaging showed the hematoma nearly occluding the

axillary artery. How was blood still reaching the arm, forearm and hand?

Page 25: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

The hematoma was evacuated surgically. Obviously this evacuation

would necessitate extreme caution. If the posterior cord of the brachial

plexus were damaged during surgery, identify an area of the upper limb

where motor innervation would be affected?

A. anterior compartment of the forearm

B. anterior compartment of the upper arm

C. intrinsic muscles of the hand

D. muscles of the shoulder

Page 26: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

The hematoma was evacuated surgically. Obviously this evacuation

would necessitate extreme caution. If the posterior cord of the brachial

plexus were damaged during surgery, identify an area of the upper limb

where motor innervation would be affected?

A. anterior compartment of the forearm

B. anterior compartment of the upper arm

C. intrinsic muscles of the hand

D. muscles of the shoulder

Page 27: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Glenoid cavity

Humeral head

Glenohumeral Joint

Page 28: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Humeral head

Glenoid cavity

Glenoid labrum

Glenohumeral Joint

Page 29: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Humeral head

Glenoid cavity

Glenoid labrum

Glenohumeral ligaments

Glenohumeral Joint

Page 30: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Arm

Upper Limb Compartmentalization

Forearm

Page 31: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Arm

Upper Limb Compartmentalization

Forearm

A: FlexionN: Musculocutaneous

A: ExtensionN: Radial

Page 32: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

Arm

Upper Limb Compartmentalization

Forearm

A: FlexionN: Musculocutaneous

A: ExtensionN: Radial

A: FlexionN: Median and Ulnar

A: ExtensionN: Radial

Page 33: G25 PP lecture 2008 - University of Utah · G25 PP lecture 2008.ppt Author: David Morton Created Date: 11/14/2008 8:04:45 AM ...

THANK-YOU


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