L7.2 - Vessels of UL

Question 1

What can be found around major joints?

Answer 1

Anastomosis

Question 2

Where is the axillary vein located in terms to axillary artery?

Answer 2

Medial

Question 3

Axillary artery divides into 3 parts

Answer 3

Above, beneath and below pec. minor

Question 4

RaBAM at cubittal fossa

Answer 4

Going lateral to medial:

• Radial Nerve
• Biceps tendon
• Artery, Brachial
• Median Nerve

Question 5

Brachial artery - how it descends

Answer 5

Starts off medial but ends up in between CEO and CFO as it descends to forearm

Question 6

BS for triceps

Answer 6

Profunda brachii that winds around to back of arm to supply tricpes.
*Accompanied by radial nerve posteriorly

Question 7

Radial artery - what does it run under?

Answer 7

Joins superficial branch of radial nerve and runs under brachioradialis

Question 8

Radial artery - how does it travel to palmar aspect of the hand? Where does the radial nerve want to travel to, dorsal or palmar?

Answer 8

Goes through snuffbox, over the floor and pierces 1st dorsal interosseous

Radial nerve - dorsal

Question 9

Ulnar artery - what does it run under?

Answer 9

FCU, along with ulnar nerve. Going over the top of the flexor retinaculum and into the palm

Question 10

What branch does the ulnar artery give off?

Answer 10

After its origin, it gives off a common interosseous artery which divides into ant and post, running front and back, respectively, supplying deep muscles of the forearm

Question 11

What artery forms the superficial palmar arch? Deep? What structures do they supply?

Answer 11

Superficial - ulnar a (placed at level of distal border of outstretched thumb, supplies medial 3 1/2 fingers)
Deep - radial a (more proximally paced and supplies 1 1/2 lateral fingers, has MC branches)

Question 12

Always 2 types of veins - what are they?

Answer 12

Superficial - always visible
Deep - accompanies arteries

*Free anastomosis between the 2 and valves present to ensure unidirectional flow

Question 13

Dorsal venous arch

Answer 13

The dorsal venous network of the hand is a network of veins formed by the dorsal metacarpal veins.
-It is where the bulk of venous blood from palm is, driven by the pressure of gripping

Question 14

Cephalic vein in deltopectroal groove pierces the clavipectoral fascia and joins the axillary vein

Basilic vein goes halfway up the arm to lower border of teres major and piece deep fascia to join brachial vein to form axillary vein

Answer 14

Cephalic vein in deltopectroal groove pierces the clavipectoral fascia and joins the axillary vein

Basilic vein goes halfway up the arm to lower border of teres major and piece deep fascia to join brachial vein to form axillary vein

Question 15

Which lymph node does all of UL drain into?

Answer 15

Axillary lymph nodes

Question 16

Lymph vessels deep to deep fascia follow _

Answer 16

Arteries

Question 17

Lymph vessels superficial in superficial fascia follow _

Answer 17

Veins

Question 18

What else does axillary lymph node drain? Clinical significance?

Answer 18

Drain ant and post chest wall of upper quadrant hence melanoma on breast and upper quadrant of back drain here as well