Wrist Drop
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Wrist Drop
Wrist drop is a medical condition in which the wrist and the fingers cannot extend at the metacarpophalangeal joints. The wrist remains partially flexed due to an opposing action of flexor muscles of the forearm. As a result, the extensor muscles in the posterior compartment remain paralyzed. Forearm anatomy The forearm is the part of the body that extends from the elbow to the wrist and is not to be confused with the arm, which extends from the shoulder to the elbow. The extensor muscles in the forearm are the extensor carpi ulnaris, extensor digiti minimi, extensor digitorum, extensor indicis, extensor carpi radialis brevis, and extensor carpi radialis longus. These extensor muscles are supplied by the posterior interosseous nerve, a branch of the radial nerve. Other muscles in the forearm that are innervated by this nerve are the supinator, extensor pollicis brevis, extensor pollicis longus and abductor pollicis longus. All of these muscles are situated in the posterior ha ...
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Suprascapular Nerve
The suprascapular nerve is a nerve that branches from the upper trunk of the brachial plexus. It is responsible for the innervation of two of the muscles that originate from the scapula, namely the supraspinatus muscle, supraspinatus and infraspinatus muscles. Structure The suprascapular nerve arises from the upper trunk of the brachial plexus which is formed by the union of the Anterior ramus of spinal nerve, ventral rami of the fifth and sixth cervical nerves. After branching from the upper trunk, the nerve passes across the posterior triangle of the neck parallel to the inferior belly of the omohyoid muscle and deep to the trapezius muscle. It then runs along the Scapula#Borders, superior border of the scapula through the suprascapular canal, in which it enters via the suprascapular notch inferior to the superior transverse scapular ligament and enters the supraspinous fossa. It then passes beneath the supraspinatus, and curves around the lateral border of the spine of the scapul ...
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Extensor Pollicis Brevis
In human anatomy, the extensor pollicis brevis is a skeletal muscle on the dorsal side of the forearm. It lies on the medial side of, and is closely connected with, the abductor pollicis longus. The extensor pollicis brevis (EPB) belongs to the deep group of the posterior fascial compartment of the forearm. It is a part of the lateral border of the anatomical snuffbox. Structure The extensor pollicis brevis arises from the ulna distal to the abductor pollicis longus, from the interosseous membrane, and from the dorsal surface of the radius. Its direction is similar to that of the abductor pollicis longus, its tendon passing the same groove on the lateral side of the lower end of the radius, to be inserted into the base of the first phalanx of the thumb. Variation Absence; fusion of tendon with that of the extensor pollicis longus or abductor pollicis longus muscle. Function In a close relationship to the abductor pollicis longus, the extensor pollicis brevis both exten ...
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Vasculitis
Vasculitis is a group of disorders that destroy blood vessels by inflammation. Both arteries and veins are affected. Lymphangitis (inflammation of lymphatic vessels) is sometimes considered a type of vasculitis. Vasculitis is primarily caused by leukocyte migration and resultant damage. Although both occur in vasculitis, inflammation of veins (phlebitis) or arteries (arteritis) on their own are separate entities. Signs and symptoms Possible signs and symptoms include: * General symptoms: Fever, unintentional weight loss * Skin: Palpable purpura, livedo reticularis * Muscles and joints: Muscle pain or inflammation, joint pain or joint swelling * Nervous system: Mononeuritis multiplex, headache, stroke, tinnitus, reduced visual acuity, acute visual loss * Heart and arteries: Heart attack, high blood pressure, gangrene * Respiratory tract: Nosebleeds, bloody cough, lung infiltrates * GI tract: Abdominal pain, bloody stool, perforations (hole in the GI tract) * Kidneys: Inflamma ...
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Lead
Lead is a chemical element with the symbol Pb (from the Latin ) and atomic number 82. It is a heavy metal that is denser than most common materials. Lead is soft and malleable, and also has a relatively low melting point. When freshly cut, lead is a shiny gray with a hint of blue. It tarnishes to a dull gray color when exposed to air. Lead has the highest atomic number of any stable element and three of its isotopes are endpoints of major nuclear decay chains of heavier elements. Lead is toxic, even in small amounts, especially to children. Lead is a relatively unreactive post-transition metal. Its weak metallic character is illustrated by its amphoteric nature; lead and lead oxides react with acids and bases, and it tends to form covalent bonds. Compounds of lead are usually found in the +2 oxidation state rather than the +4 state common with lighter members of the carbon group. Exceptions are mostly limited to organolead compounds. Like the lighter members of the ...
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Lead Poisoning
Lead poisoning, also known as plumbism and saturnism, is a type of metal poisoning caused by lead in the body. The brain is the most sensitive. Symptoms may include abdominal pain, constipation, headaches, irritability, memory problems, infertility, and tingling in the hands and feet. It causes almost 10% of intellectual disability of otherwise unknown cause and can result in behavioral problems. Some of the effects are permanent. In severe cases, anemia, seizures, coma, or death may occur. Exposure to lead can occur by contaminated air, water, dust, food, or consumer products. Lead poisoning poses a significantly increased risk to children as they are far more likely to ingest lead indirectly by chewing on toys or other objects that are coated in lead paint. The amount of lead that can be absorbed by children is also higher than that of adults. Exposure at work is a common cause of lead poisoning in adults with certain occupations at particular risk. Diagnosis is typically by ...
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Deep Brachial Artery
The deep artery of arm (also known as arteria profunda brachii and the deep brachial artery) is a large vessel which arises from the lateral and posterior part of the brachial artery, just below the lower border of the teres major. Structure It follows closely the radial nerve, running at first backward between the long and medial heads of the triceps brachii, then along the groove for the radial nerve (the radial sulcus), where it is covered by the lateral head of the triceps brachii, to the lateral side of the arm; there it pierces the lateral intermuscular septum, and, descending between the brachioradialis and the brachialis to the front of the lateral epicondyle of the humerus, ends by anastomosing with the radial recurrent artery. Branches and anastomoses It gives branches to the deltoid muscle (which, however, primarily is supplied by the posterior circumflex humeral artery) and to the muscles between which it lies; it supplies an occasional nutrient artery which enters ...
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Humerus
The humerus (; ) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes (tubercles, sometimes called tuberosities). The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes (trochlea & capitulum), and 3 fossae (radial fossa, coronoid fossa, and olecranon fossa). As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons. Etymology The word "humerus" is derived from la, humerus, umerus meaning upper arm, shoulder, and is linguistically related to Gothic ''ams'' shoulder and Greek ''ōmos''. Structure Upper extremity The upper or pr ...
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Brachial Plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers the to chest, shoulder, arm, forearm, and hand. Structure The brachial plexus is divided into five ''roots'', three ''trunks'', six ''divisions'' (three anterior and three posterior), three ''cords'', and five ''branches''. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches, such as the subscapular nerve, the thoracodorsal nerve, and the long thoracic nerve, that leave the plexus at various points along its length. A common structure used to identify part of the brachial plexus in cadaver dissections is the M or W shape made by the musculocutaneous nerve, lateral cord, median nerve, medial cord, and ...
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Tendon
A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability to withstand significant amounts of tension. Tendons are similar to ligaments; both are made of collagen. Ligaments connect one bone to another, while tendons connect muscle to bone. Structure Histologically, tendons consist of dense regular connective tissue. The main cellular component of tendons are specialized fibroblasts called tendon cells (tenocytes). Tenocytes synthesize the extracellular matrix of tendons, abundant in densely packed collagen fibers. The collagen fibers are parallel to each other and organized into tendon fascicles. Individual fascicles are bound by the endotendineum, which is a delicate loose connective tissue containing thin collagen fibrils and elastic fibres. Groups of fascicles are bounded by the epitenon, ...
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Triceps Brachii
The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates Vertebrates () comprise all animal taxa within the subphylum Vertebrata () ( chordates with backbones), including all mammals, birds, reptiles, amphibians, and fish. Vertebrates represent the overwhelming majority of the phylum Chordata, .... It consists of 3 parts: the medial, lateral, and long head. It is the muscle principally responsible for Extension (kinesiology), extension of the elbow joint (straightening of the arm). Structure The long head arises from the infraglenoid tubercle of the scapula. It extends distally anterior to the Teres minor muscle, teres minor and posterior to the Teres major muscle, teres major. The medial head arises proximally in the humerus, just inferior to the Radial sulcus, groove of the radial nerve; from the dorsal (back) surface of the humerus; from the Medial intermuscular septum of arm ...
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Anconeus
The anconeus muscle (or anconaeus/anconæus) is a small muscle on the posterior aspect of the elbow joint. Some consider anconeus to be a continuation of the triceps brachii muscle. Some sources consider it to be part of the posterior compartment of the arm, while others consider it part of the posterior compartment of the forearm. The anconeus muscle can easily be palpated just lateral to the olecranon process of the ulna. Structure Anconeus originates on the posterior surface of the lateral epicondyle of the humerus and inserts distally on the superior posterior surface of the ulna and the lateral aspect of the olecranon. Innervation Anconeus is innervated by a branch of the radial nerve (cervical roots 7 and 8) from the posterior cord of the brachial plexus called the nerve to the anconeus. The somatomotor portion of radial nerve innervating anconeus bifurcates from the main branch in the radial groove of the humerus. This innervation pattern follows the rules of innervation ...
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Brachioradialis
The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. It is also capable of both pronation and supination, depending on the position of the forearm. It is attached to the distal styloid process of the radius by way of the brachioradialis tendon, and to the lateral supracondylar ridge of the humerus. Structure The brachioradialis is a superficial, fusiform muscle on the lateral side of the forearm. It originates proximally on the lateral supracondylar ridge of the humerus. It inserts distally on the radius, at the base of its styloid process. Near the elbow, it forms the lateral limit of the cubital fossa, or elbow pit. Nerve supply Despite the bulk of the muscle body being visible from the anterior aspect of the forearm, the brachioradialis is a posterior compartment muscle and consequently is innervated by the radial nerve. Of the muscles that receive innervation from the radial nerve, it is one of only four that receive input directly from the ra ...
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