This document describes several important regions, spaces, and canals of the upper limb:
1) It outlines the triangular space, quadrangular space, axillary fossa, deltopectoral groove, cubital fossa, medial bicipital groove, carpal tunnel, Guyon's canal, and anatomical snuff box.
2) For each structure, it provides details on borders, contents, and clinical significance. The triangular space and quadrangular space contain important neurovascular structures. The carpal tunnel and Guyon's canal are sites of compression that can cause syndromes.
3) The various spaces, grooves, and canals house important nerves, vessels, and tendons
This document describes several important regions, spaces, and canals of the upper limb:
1) It outlines the triangular space, quadrangular space, axillary fossa, deltopectoral groove, cubital fossa, medial bicipital groove, carpal tunnel, Guyon's canal, and anatomical snuff box.
2) For each structure, it provides details on borders, contents, and clinical significance. The triangular space and quadrangular space contain important neurovascular structures. The carpal tunnel and Guyon's canal are sites of compression that can cause syndromes.
3) The various spaces, grooves, and canals house important nerves, vessels, and tendons
This document describes several important regions, spaces, and canals of the upper limb:
1) It outlines the triangular space, quadrangular space, axillary fossa, deltopectoral groove, cubital fossa, medial bicipital groove, carpal tunnel, Guyon's canal, and anatomical snuff box.
2) For each structure, it provides details on borders, contents, and clinical significance. The triangular space and quadrangular space contain important neurovascular structures. The carpal tunnel and Guyon's canal are sites of compression that can cause syndromes.
3) The various spaces, grooves, and canals house important nerves, vessels, and tendons
This document describes several important regions, spaces, and canals of the upper limb:
1) It outlines the triangular space, quadrangular space, axillary fossa, deltopectoral groove, cubital fossa, medial bicipital groove, carpal tunnel, Guyon's canal, and anatomical snuff box.
2) For each structure, it provides details on borders, contents, and clinical significance. The triangular space and quadrangular space contain important neurovascular structures. The carpal tunnel and Guyon's canal are sites of compression that can cause syndromes.
3) The various spaces, grooves, and canals house important nerves, vessels, and tendons
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Regions / Grooves / Spaces of upper limb
Edited by : Arvin Shahbazi
Supervised by : Dr. Altdorfer !roly " Dr. Somogyi Gy#rgy Spaces/canals/fossas
Borders and descriptions Contents Triangular space ( Medial axillary hiatus ) The space borders: Superior: Teres minor muscle Inferior: Teres major muscle Lateral: Long head of triceps muscle This space contains circumflex scapular artery and vein so they pass from axilla to dorsum of scapula Quadrangular space ( Lateral axillary hiatus ) The space borders: Superior: Teres minor muscle Inferior: Teres major muscle Medial: Long head of triceps muscle Lateral: Surgical nec of humerus This space contains Axillary nerve and posterior circumflex humeral artery
!xillary fossa It is a pyramidal shaped fossa "hich is bordered by: !nterior: #ectoralis major muscle ( lo"er margin of this muscle maes ant.axillary fold) and pectoralis minor #osterior: Latissimus dorsi$ Teres major muscles ( Latissimus dorsi muscle maes post.axillary fold) Medial: Serratus anterior muscle Lateral: %iceps muscle & 'oracobrachialis muscle This fossa contains Axillary artery , Axillary vein , Brachial plexus , Axillary lymph nodes and lots of adipose tissue (eltopectoral groo)e ( (eltopectoral triangle) It is a triangular region "hich is bordered: Lateral: (eltoid muscle Medial: #ectoralis major muscle Superior: 'la)icle (eltopectoral triangle contains cephalic vein ( It "ill pierce this region to join to axillary )ein) and Deltoid branch of Thoracoacrominal artery * !r)in Shahba+i * 'ubital fossa It is a depression on the anterior surface of the elbo" "hich is bordered : Superior: ,picondyles of humerus Medial: #ronator teres muscle Lateral: %rachioradialis muscle -loor: %rachialis muscle This fossa contains Tendon of biceps muscle , Brachial artery (hich bifurcates in this re!ion and !ives "adial and #lnar arteries $, %edian nerve, &ateral cutaneus nerve of forearm
Medial bicipital groo)e This groo)e is located bet"een . structures$ the %iceps muscle and the Triceps muscle * and the intermuscular septum (medial side)/ This region has ner)es and blood )essels of upper limb: %edial antebrachial cutaneus nerve ( most superficial structure ) , Basilic vein ( is the structure "hich lies under this ner)e ) , #lnar nerve ( partly ) and %edian nerve run lateral to basilic )ein and crosses the Brachial artery from lateral to medial/ In this groo)e brachial artery is the deepest structure/
'arpal canal ( 'arpal tunnel ) ! canal "hich is made by fibrous connecti)e tissue and carpal bones$ both sides maing carpal eminences: - ulnar carpal eminence (pisiform0hoo of hamate) - radial carpal eminence (tubercle of scaphoid0trapesium)/ 1steofibrous canal %orders: Superior: -lexor retinaculum Inferior: carpal bones 0 eminences/ CLINICALY: compression in this region results CARPAL TUNNEL SYNDROME. This tunnel carries 23 tendons from flexors of forearm & one ner)e : 'lexor di!itorum superficialis muscle ( has 4 tendons) $ 'lexor di!itorum profondus muscle ( has 4 tendons) are located in one tendon sheat$ %edian nerve/ 'lexor pollicis lon!us muscle ( has 2 tendon) located in one tendon sheath $ 'lexor carpi radialis ( has 2 tendon) located in one tendon sheath$ so all 23 tendons lie in 5 tendon sheath compartments/ * !r)in Shahba+i * 6uyon7s canal ( 6uyons tunnel ) ! canal "hich is made by depression bet"een pisiform & hoo of hamate inferiorly and co)ered by pisohamate ligament & )olar carpal ligament superiorly/ !lso 6uyon7s canal floor is made by -lexor retinaculum/ (osteofibrous canal) CLINICALLY: is significant because it is site of compression/ This tunnel contains #lnar artery and #lnar nerve ("hich bifurcates inside the canal to superficial and deep branches) !natomical snuff box
( Radial !"e!la # !r ( Ta$a%iere # Snuff box is bordered : 8lnar: ,xtensor pollicis longus 9adial: #air of parallel tendons of ,xtensor pollicis bre)is and !bductor pollicis longus -loor : Scaphoid & Trape+oid bones N!%e: !natomical snuff box can be seen during thumb E&%en'i!n and a$duc%i!n. 'ontents of 9adial fo)eola are: "adial artery "hich passes from this region and on its course maes crossing "ith tendons of ,xtensor pollicis longus$ ,xtensor pollicis bre)is and abductor pollicis longus$ but radial artery during crossing lies (ELO) of all of these tendons so finally after passing from radial fo)eola enters to dorsal region of the hand and penetrates the first dorsal interosseus muscle and later maes (eep palmar arch "ith the deep branch of ulnar artery/ Cephalic vein is the other content/ Superficial branch of radial nerve can also be found in this region/ * !r)in Shahba+i *