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  • Upper Limb

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    AzwarmuslimHasballahAmin
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    UPPER LIMB What is a limb? sensory to upper limb Making it move - Bones and joints - muscles and nerves Vascular supply No visceraall innervation is somatic (motor or sensory) from ventral ramus of spinal nerve (except autonomics to blood vessels) dermatomes extend over limbs Twisted orientation reflects twisting of limb during development named nerves generally innervate skin over muscles that they innervate sensory territory of

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    UPPER LIMB What is a limb? sensory to upper limb Making it move - Bones and joints - muscles and nerves Vascular supply No visceraall innervation is somatic (motor or sensory) from ventral ramus of spinal nerve (except autonomics to blood vessels) dermatomes extend over limbs Twisted orientation reflects twisting of limb during development named nerves generally innervate skin over muscles that they innervate sensory territory of

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    137 views20 pages

    Upper Limb

    Uploaded by

    AzwarmuslimHasballahAmin
    UPPER LIMB What is a limb? sensory to upper limb Making it move - Bones and joints - muscles and nerves Vascular supply No visceraall innervation is somatic (motor or sensory) from ventral ramus of spinal nerve (except autonomics to blood vessels) dermatomes extend over limbs Twisted orientation reflects twisting of limb during development named nerves generally innervate skin over muscles that they innervate sensory territory of

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    © All Rights Reserved
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    of 20

    UPPERLIMB

    Whatisalimb?
    Sensorytoupperlimb
    Makingitmove
    Bonesandjoints
    Musclesandnerves

    Vascularsupply
    Surfaceanatomy
    (musclestudyhint)

    Whatisalimb?
    Ventralsomaticoutgrowthofoutertube
    Bones(withbone,cartilage,marrow,NAV,
    etc.)
    Joints
    Muscle
    Nerves
    Vascularsupply

    Novisceraallinnervationissomatic
    (motororsensory)fromventralramusof
    spinalnerve(exceptautonomicstoblood
    vessels)

    Sensoryfromlimb
    (dermatomes/sensoryskin
    segmentsfromspine)
    Dermatomesextend
    overlimbs
    Twistedorientation
    reflectstwistingoflimb
    duringdevelopment
    Namednervesgenerally
    innervateskinover
    musclesthatthey
    innervate

    Sensoryterritoryofnerves
    Brachialplexusservestore
    directspinalroutesinto
    namednervescovering
    certainterritory

    Cutaneous branches of
    medial cord/ulnar nerve

    UpperLimbSkeleton(oldhat?)

    Scapula
    Humerus
    Radius,ulna
    Carpalsproximal,
    distal
    Digits
    Metacarpals
    Phalanges

    Joints
    JOINT BETWEEN MOVEMENT TYPE

    Muscles
    ofScapula

    IfINSERTIONonscapula=Move
    scapula

    Rhomboids
    Trapezius
    PectoralisMinor
    SerratusVentralis
    LevatorScapulae

    IfORIGINonscapula=MoveArm

    pg299

    Subscapularis
    Rotator
    Supraspinatus
    Cuff
    Infraspinatus
    TeresMinor
    TeresMajor
    LatissimusDorsi(partialOonscap)
    Coracobrachialis

    UselocationofInsertiontodetermineexactmovement!!

    POSTERIOR AND ANTERIOR COMPARTMENTS

    BrachialPlexus

    M&M,Fig.14.11

    PosteriorCompartmentposteriorcord
    Anteriorcompartmentmedial,lateralcords
    Nameofcordisrelativetoaxillaryartery

    ANTERIORMUSCLES
    MC
    Biceps
    brachialis

    POSTERIORMUSCLES

    Median

    Muscles(radialnerve)
    Forearmflexors
    Triceps
    Thumbintrinsics(1M$nerve)
    Anconeus
    Ulnar
    Brachioradialis
    Flexorcarpiulnaris
    Carpal,digitextensors
    Handintrinsics

    Musclesandnervesbycompartment

    PosteriorCompartmentofForearm

    LateralEpicondyle
    Extensordigitorum
    Extensorcarpiulnaris

    PosteriorView

    Brachioradialis
    ExtCarpiRadialisLongus

    AnteriorCompartmentForearm
    pg302
    MedialEpicondyle
    Brachioradialis
    PronatorTeres
    FlexorCarpiRadialis
    FlexorCarpiUlnaris
    FlexorRetinaculum

    AnteriorView

    FlexorDigitorumSuperficialis
    isdeeptootherflexors

    Routesofnerves(inhuman)
    MC:betweenbicepsbrachiiandbrachialis
    Median:medial/posteriortobiceps,branchesinto
    forearmflexorsatelbowthentohandthroughcarpal
    tunnel
    Recurrentmedian(1M$)superficialatwristtothumbover
    thenaremminence)deficitapeshand

    Ulnar:medialinarm,posteriortomedialepicondleof
    humerus(funnybone)downmedialforearmmedialto
    carpaltunnelintopalm
    Radial:deepposteriorarmaroundlateralepicondyle
    ofhumerustoforearm(deepandsuperficialbranches)

    Vascularsupply
    Subclavianaxillary
    radial(samestreet,new
    streetsigneveryblock)
    Collateralcirculation
    Posterior/anterior
    circumflexhumeral
    Deepbrachiala.

    Radiala.(withmediann.)
    deeppalmararch
    Ulnara.(withulnarn.)
    superficialpalmararch

    MedianNerve

    UlnarNerve

    BrachialArtery
    MusculocutaneousNerve

    UlnarArtery

    WheresRadialNerve?

    RadialArtery
    MedianNerve

    UlnarNerve

    Axilla=Armpit
    Regionbetweenarmandchest
    Boundaries
    Ventralpectoralmuscles
    Dorsal=latissimusdorsi,teresmajor
    subscapularis
    Medial=serratusventralis
    Lateral=bicipitalgrooveofhumerus

    Contents
    Axillarylymphnodes,Axillaryvessels
    BrachialPlexus

    SurfaceAnatomyofUpperLimb

    Biceps+Tricepsbrachii
    OlecrenonProcess
    MedialEpicondyle
    CubitalFossa
    Anteriorsurfaceelbow
    Contents
    MedianCubitalVein
    BrachialArtery
    MedianNerve

    Boundaries
    Medial=Pronatorteres
    Lateral=Brachioradialis
    Superior=Linebetweenepicondyles

    pg786+784

    SurfaceAnatomy
    ofUpperLimb

    CarpalTunnel
    Carpalsconcaveanteriorly
    Carpalligamentcoversit
    Contains:longtendons,
    Mediannerve
    Inflammationoftendons=
    compressionofMedian
    nerve

    AnatomicalSnuffbox

    pg306,788

    Lateral=E.pollicisbrevis
    Medial=E.pollicislongus
    Floor=scaphoid,styloidof
    radius
    ContainsRadialArtery
    (pulse)

    Suggestion:amuscletable
    organizedby
    Jointcrossed?
    Nerveinnervating?
    Action?
    Compartments?
    Alloftheabove?
    MUSCLE ACTION ORIGIN

    INSERTION INNERVATION
    (cordtonerve)

    Biceps

    Radial
    tuberosity

    Flex,sup.

    Humerus,
    glenoid

    MedialcordMC.

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