Scribd Logo
Upload

Welcome to Scribd!

  • 78 views

    Vascularisasi Extremitas Superior

    Uploaded by

    tania
    This document describes the blood vessels and nerves of the upper limb. It details the arteries, veins and nerves from the shoulder down to the hand. The key arteries discussed are the axillary, brachial, radial and ulnar arteries. It also outlines the brachial plexus formation and its branches that provide innervation to the muscles and skin of the upper limb.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Vascularisasi Extremitas Superior

    Uploaded by

    tania
    78 views52 pages
    This document describes the blood vessels and nerves of the upper limb. It details the arteries, veins and nerves from the shoulder down to the hand. The key arteries discussed are the axillary, brachial, radial and ulnar arteries. It also outlines the brachial plexus formation and its branches that provide innervation to the muscles and skin of the upper limb.

    Original Description:

    Vaskularisasi ekstemitas

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document describes the blood vessels and nerves of the upper limb. It details the arteries, veins and nerves from the shoulder down to the hand. The key arteries discussed are the axillary, brachial, radial and ulnar arteries. It also outlines the brachial plexus formation and its branches that provide innervation to the muscles and skin of the upper limb.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    78 views52 pages

    Vascularisasi Extremitas Superior

    Uploaded by

    tania
    This document describes the blood vessels and nerves of the upper limb. It details the arteries, veins and nerves from the shoulder down to the hand. The key arteries discussed are the axillary, brachial, radial and ulnar arteries. It also outlines the brachial plexus formation and its branches that provide innervation to the muscles and skin of the upper limb.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 52

    Blood Vessels of the upper limb

    1. a.subclavia
    2. a.axillaris
    3. a.brachialis
    4. a. Radialis
    5. a.ulnaris
    • Arteries
    – Carry blood from the
    heart to the body
    • Veins
    – Return blood from the
    capillary beds to the
    heart
    • Capillaries
    – Simple endothelial
    tubes connecting
    arterial and venous
    sides of the circulation
    Axillary Artery

    • The axillary artery


    begins at the lateral
    border of the first
    rib as a
    continuation of the
    subcla
    Arteri Axillaris
    • Branches
    First Part (1 branch)
    1 superior
    thoracic a.
    (supreme thoracic a.)

    Second Part(2 branches)


    2 thoracoacromial a.
    3 lateral thoracic a.

    Third Part (3 branches)


    4 subscapular a.
    5 anterior humeral circumflex a.
    6 posterior humeral circumflex a.
    Arteries of the Arm

    • a.brachialis
    • A.profunda brachii
    (branches not shown on diagram)
    • anterior branch
    • posterior branch
    • A.collateralis ulnaris
    superior
    • A.collateralis ulnaris
    inferior
    • Rr.musculares
    Arteries of Forearm

    • 1 a.brachialis
    • 2 a.radialis
    – 3 a. recurrens radialis
    – 4 a.superficial radialis
    – 5 a.profunda radialis
    • 6 ulnar
    – 7 a. recurrens ulnaris ant/sup
    – 7 a. recurrens ulnaris post/inf
    – 8 a. interosseous communis
    • 9 a. interosseous posterior
    • 10 a.interosseous anterior
    – 11 superficial branch
    – 12 deep branch
    Arteries of the Hand

    • There are two arteries


    entering the hand and
    these are the:
    1. radial
    2. ulnar.
    Together, the branches of
    these arteries form two
    arterial arches:
    1. superificial
    2. deep.
    • Arcus Palmaris Superficialis :
    - a.ulnaris
    - Ramus palmaris superficialis a.radialis

    • Percbgkan 3 aa digitales palmares


    communis

    percbgkan 3 aa digitalis propriae


    • Arcus palmaris profundus
    - ramus palmaris profundus a.ulnaris
    - a.radialis
    • Percabangan:3
    aa.metacarpales palmares
    Venous Blood Supply

    • cephalic vein (1) just


    posterior to the styloid
    process of the radius at
    the wrist. This is the site
    most often used for a cut
    down in the upper limb.
    • frequently, the cephalic
    and basilic veins (2) can
    be seen on either side of
    the elbow where the
    medial cubital vein is
    located.
    Venous Blood Supply
    • Superficial
    1. v. cephalica
    2. v.medina cubiti
    3. v. basilia
    – Superficial palmar venous
    arch

    3
    • Deep
    – Subclavian v.
    – Axillary v.
    – Radial and ulnar v.
    – Deep palmar venous arch
    The Brachial Plexus

    • Provides innervation of the upper limb


    • Ventral rami of spinal nerves C5-8 and T1
    form the plexus
    cervical

    thoracal

    lumbal
    Conus medullaris

    Cauda equina
    Filum terminale internum

    Filum terminale externum


    C1
    n.Spinalis C1

    n.Spinalis C8
    n.SpinalisT1 Plexus brachialis

    Plexus lumbalis

    Plexus sacralis
    Substantia grisea
    Subs. alba Fila radicularis radix post
    Radix post.

    Ganglion spinale

    Ramus dorsalis n.spinalis

    Ramus ventralis
    • Roots (ventral rami)
    • Trunks(truncus)
    • Divisions
    • Cords (fasciculus)
    • Branches
    Roots Combine Forming Trunks
    Which Then Split Into Divisions

    C5 Anterior Division
    Truncus sup
    C6 Posterior Division

    Anterior Division
    C7 Truncus medius
    Posterior Division

    C8 Anterior Division
    Truncus inferior
    T1 Posterior Division
    Divisions Form Cords

    • Anterior Lateral Cord (fasciculus)


    Upper
    • Posterior

    • Anterior Medial Cord (fasciculus)


    Middle • Posterior

    • Anterior Posterior Cord (fasciculus)


    Lower
    • Posterior
    Cords Form Branches

    • Lateral Cord Musculocutaneous n.

    Median n.

    • Medial Cord Ulnar n.

    • Posterior Cord Radial n.


    Axillary n.
    Cabang terminal plexus brachialis
    • n.musculocutaneus (C5-7)
    • n.medianus (C5-Th.1)
    • n.ulnaris (C8- Th.1)
    • n.radialis (C5 – Th.1)
    The Brachial Plexus – Innervation
    of the Upper Limb
    • N.Axillaris (fasciculus Posterior)
    – Runs posterior to the neck of the humerus
    – Deltoid and teres minor
    – Skin over inferior half of deltoid

    • Musculocutaneous Nerve (Terminal


    Branch of Lateral Cord)
    – Anterior arm
    – Innervates arm flexors
    – Distal to elbow, becomes cutaneous –
    sensation on lateral forearm
    The Brachial Plexus - Innervation
    of the Upper Limb
    • Median Nerve (Lateral & Medial Cords)
    – Travels with brachial artery in arm, with radial
    artery in forearm
    – Muscles of flexor compartment of forearm
    except flexor carpi ulnaris and medial flexor
    digitorum profundus.
    – Through carpal tunnel to 5 intrinsic muscles of
    hand
    – Skin of lateral 2/3 of hand on palm side and
    dorsum of fingers 2 and 3
    The Brachial Plexus –
    Innervation of the Upper Limb
    • Ulnar Nerve (Medial cord)
    – Descends along medial side of arm
    – Passes posterior to medial epicondyle =
    “funny bone”
    – Runs with ulnar artery in forearm
    – Innervates flexor carpi ulnaris and medial
    flexor digitorum profundus in forearm
    – Intrinsic muscles of hand except for 5
    – Skin of medial 1/3 of hand anteriorly and
    posteriorly
    The Brachial Plexus – Innervation
    of the Upper Limb

    • Radial Nerve (Posterior Cord)


    – Largest branch of brachial plexus
    – Humerus in radial groove supplying posterior
    compartment of arm
    – Curves anteriorly around lateral epicondyle,
    dividing into superficial and deep branch
    – Superficial branch to skin on dorsolateral
    surface of hand
    – Deep branch to extensor muscles of forearm
    Cutaneous Innervation of Hand

    ventral
    dorsal
    Surface Anatomy of Upper Limb

    • Anatomical snuffbox( = Tabatiere


    Anatomicum_
    – Defined by tendons of thumb extensors
    • Extensor pollicis brevis
    • Extensor pollicis longus
    • Floor
    –Scaphoid, styloid of radius
    • Contents – radial artery
    Carpal Tunnel
    • Carpus is concave
    anteriorly
    • Carpal ligament
    covers the
    concavity forming
    the carpal tunnel
    • Contents are flexor
    tendons with their
    synovial sheaths
    and median nerve

    You might also like