Upper Limb
Upper Limb
Upper Limb
Answer: The axillary artery is the continuation of the subclavian artery after it passes
the first rib. It has three parts:
1. First part (proximal to pectoralis minor):
Superior thoracic artery
2. Second part (behind pectoralis minor):
Thoracoacromial artery
Lateral thoracic artery
3. Third part (distal to pectoralis minor):
Subscapular artery
Anterior circumflex humeral artery
Posterior circumflex humeral artery
These branches supply the shoulder, chest, and upper limb.
Answer: The brachial plexus is a network of nerves originating from the cervical and
thoracic spinal nerves (C5-T1). It supplies motor and sensory innervation to the upper
limb, including the shoulder, arm, forearm, and hand. It gives rise to five major
branches:
o Musculocutaneous nerve
o Axillary nerve
o Radial nerve
o Median nerve
o Ulnar nerve
Answer: The shoulder joint (glenohumeral joint) allows the following movements:
o Flexion (raising the arm forward)
o Extension (moving the arm backward)
o Abduction (raising the arm away from the body)
o Adduction (bringing the arm back toward the body)
o Medial rotation (rotating the arm inward)
o Lateral rotation (rotating the arm outward)
o Circumduction (circular motion)
Answer: The carpal tunnel is a passageway in the wrist, formed by the carpal bones
and the transverse carpal ligament. It contains:
o Median nerve
o Tendons of flexor muscles: Flexor digitorum superficialis, flexor digitorum
profundus, flexor pollicis longus.
Answer: The deltoid muscle is responsible for the abduction of the arm at the
shoulder. It also assists in flexion, extension, medial rotation, and lateral rotation of
the shoulder, depending on which part of the muscle is activated.
Answer: The upper limb receives blood from the following arteries:
o Subclavian artery → Axillary artery → Brachial artery
o The brachial artery gives off branches like the profunda brachii artery (deep
artery of the arm) and divides into the radial and ulnar arteries in the
forearm.
o The radial and ulnar arteries supply the hand via their respective branches,
forming the superficial and deep palmar arches.
11. What is the anatomical snuffbox and its significance?
Answer: The anatomical snuffbox is a triangular depression on the lateral side of the
wrist. It is bounded by:
o Laterally: Tendon of the abductor pollicis longus and extensor pollicis brevis.
o Medially: Tendon of extensor pollicis longus.
o Floor: Scaphoid and trapezium bones.
The snuffbox is clinically significant because the scaphoid bone is commonly
fractured here, and it is an area where the radial artery can be palpated.
12. What are the common causes of upper limb nerve injury?
Answer: The supinator muscle is located in the forearm and is responsible for the
supination of the forearm, which is the motion of turning the palm upward or forward
(as in holding a bowl of soup).
I cannot create a PDF directly, but I can certainly provide a list of short questions and
answers related to the anatomy of the upper limb that would be useful for your MBBS 1st
year studies. You can then copy this into a Word document or PDF format if needed.
Anatomy of Upper Limb - MBBS 1st Year Short Questions with Answers
Answer: The rotator cuff consists of four muscles (supraspinatus, infraspinatus, teres minor,
and subscapularis). These muscles stabilize the glenohumeral joint, help in the rotation and
movement of the arm, and prevent dislocation of the shoulder.
Answer: The brachial plexus is a network of nerves originating from the C5 to T1 spinal
roots. It gives rise to nerves that supply motor and sensory functions to the upper limb. It is
divided into five parts:
Answer: The carpal tunnel is a narrow passageway in the wrist, formed by the carpal bones
and the flexor retinaculum. It contains the median nerve, flexor tendons of the fingers, and
the flexor pollicis longus tendon. It allows these structures to pass from the forearm into the
hand. Compression of the median nerve in this tunnel leads to carpal tunnel syndrome.
Answer: The cubital fossa is the triangular region on the anterior side of the elbow. It is an
important landmark and contains:
Biceps tendon
Brachial artery (which bifurcates into the radial and ulnar arteries)
Median nerve
Answer: The main arterial supply is the subclavian artery, which becomes the brachial
artery at the level of the first rib. The brachial artery divides into the radial and ulnar
arteries at the elbow. These arteries further divide into smaller branches to supply the
forearm, hand, and fingers.
Answer: Lymph from the upper limb drains into the axillary lymph nodes, which are
located in the armpit. The axillary nodes are the primary lymphatic drainage site for the arm,
and from there, lymph drains into the subclavian lymphatic trunk.
Answer: The flexor retinaculum is a fibrous band that crosses the front of the wrist, forming
the roof of the carpal tunnel. It helps to hold the tendons of the flexor muscles in place and
prevents them from bowstringing during wrist and finger movements.
12. What are the intrinsic muscles of the hand?
Thenar muscles: (Abductor pollicis brevis, Opponens pollicis, Flexor pollicis brevis)
Hypothenar muscles: (Abductor digiti minimi, Opponens digiti minimi, Flexor digiti
minimi)
Lumbricals: Flex the MCP joints and extend the IP joints.
Interossei: Dorsal interossei abduct the fingers; Palmar interossei adduct the fingers.
Answer: The ulnar nerve supplies most of the intrinsic muscles of the hand, including the
hypothenar muscles, interossei, and most of the lumbricals. It also innervates the medial side
of the palm and fingers. Damage to the ulnar nerve can result in weakness in these muscles
and "claw hand."
Answer: In the anatomical position, the body stands erect with the arms at the sides, the
palms facing forward, and the fingers extended. The thumbs point outward (laterally).