Lecture 9: Vascular Supply to Upper Extremity Flashcards
What is the direct branch of the left subclavian artery?
aortic arch
What is the branch of the right subclavian artery?
brachiocephalic
The subclavian arteries arise _______ to sternoclavicular joint.
posterior
Part 1 of the subclavian artery is ______ to the anterior scalene.
medial
Part 2 of the subclavian artery is ______ to the anterior scalene.
posterior
Part 3 of the subclavian artery is ______ to the anterior scalene.
lateral
What are the branches of part 1 of the subclavian artery?
internal thoracic
vertebral
thyrocervical arterial trunk
What are the branches of the thyrocervical arterial trunk?
transverse cervical artery
inferior thyroid artery
ascending cervical artery
suprascapular artery
What are the branches of the transverse cervical artery?
superficial (cervical) branch deep branch (dorsal scapular artery)
What is the branch of part 2 of the subclavian artery?
costocervical trunk
What are the branches of the costocervical trunk?
supreme intercostal
deep cervical
What are the branches of the part 3 of the subclavian artery?
No branches
What does the vertebral artery pass through?
transverse foramina 6-1
foramen magnum
The vertebral artery unites with _______ to form ______
opposite vertebral artery
basilar artery
What does the supra scapular artery pass between?
sternomastoid and anterior scalene muscles
What does the supra scapular artery pass over?
supra scapular ligament
What path does the supra scapular artery take?
to supraspinous fossa, through spinoglenoid notch, to infraspinous fossa
What does the transverse cervical artery pass anterior to?
anterior scalene
What does the transverse cervical artery run with?
CN IX
What does the transverse cervical artery supply?
rhomboids
After the subclavian artery passes the first rib it turns into the ______
axillary artery at the lateral border of the rib
Where does the axillary artery begin?
inferior border of the first rib
What divides the axillary artery into thirds?
Pectoralis minor muscle
The first part of the axillary artery is _______ to the pectoralis minor muscle
superior
The second part of the axillary artery is _______ to the pectoralis minor muscle
deep
The third part of the axillary artery is _______ to the pectoralis minor muscle
inferior
What does the superior thoracic artery supply?
posterior aspects of intercostal spaces 1 and 2 and part of serratus anterior
What are the branches of the second part of the axillary artery?
thoracoacromial and lateral thoracic artery
What are the branches of the thoracoacromial artery?
pectoral branch
deltoid branch
acromial branch
clavicular branch
The lateral thoracic artery extends along the ______
lateral side of pectoralis minor
What does the lateral thoracic artery supply?
part of the pectoral muscles, lymph nodes, breast
What are the branches of the third part of the axillary artery?
posterior circumflex humeral artery
anterior circumflex humeral
subscapular
The posterior circumflex humeral artery passes around _______ aspect of ________ of humerus
posterior; surgical neck
What does the posterior circumflex humeral artery anastomose with?
anterior circumflex humeral
What does the posterior circumflex humeral artery run with?
axillary nerve
What does the posterior circumflex humeral artery supply?
deltoid and triceps
The posterior circumflex humeral artery is part of the contents of the _____ space
quadrilateral
What are the branches of the sub scapular artery?
thoracodorsal artery
circumflex scapular
What doe she throacodorsal artery supply?
latissimus dorsi
Arterial branches arising form the _______ and _______ arteries form an ________ around the scapula, allowing collateral circulation to the upper limb
subclavian and axillary; anastomosis
Where are the anastomosing arterial branches?
suprascapular dorsal scapular posterior intercostal circumflex scapular thoracodorsal
The artery that runs along the _________ of the scapula is referred to as the _______ artery
vertebral border; dorsal scapular
What is the brachial artery?
Continuation of the axillary artery at inferior border of teres major muscle
The brachial artery runs ______ to median nerve in ______ part of the arm
medial; upper
The brachial artery runs _______ to median nerve in _____ part of the arm
lateral; lower
What does the brachial artery branch into?
radial and ulnar arteries
The brachial artery passes ______ to bicipital aponeurosis
deep
The deep brachial artery can also be called the ____
profunda brachii
The deep brachial artery wraps around the ______ surface of humerus.
posterior
The deep brachial artery runs with what nerve in what groove?
radial neve in radial groove
What does the deep brachial artery supply?
posterior compartment of brachium
What are the branches of the deep brachial artery?
ascending branch to posterior circumflex humeral artery
descending branch become radial collateral
What does the deep brachial artery anastomose with?
radial recurrent
What are the branches of the brachial artery?
deep brachial
nutrient humeral artery
superior ulnar collateral
The superior ulnar collateral artery runs with the _____ nerve
ulnar
The superior ulnar collateral artery passes _____ to medial epicondyle
posterior
What does the superior ulnar collateral anastomose with?
posterior ulnar recurrent
The radial artery enters the _____ and _____ to from _____ arch
wrist and hand; deep palmar
What does the radial artery give off?
radial recurrent to radial collateral from deep brachial
What does the ulnar artery give off?
common interosseous artery near its origin
What does the ulnar artery run through? with what nerve?
ante brachium; ulnar nerve
The ulnar artery enters the _____ and _____ to form _____ arch
wrist and hand; superficial palmar
What does the common interosseous artery give off?
anterior and posterior interosseous arteries
The common interosseous artery runs on either side of the ________ membrane in the _______
interosseous; ante brachium
Where does venous drainage begin?
dorsal venous arch (which receives blood from digits)
What does the cephalic vein drain?
lateral side of dorsal venous arch
What does the basilic vein drain?
medial side of dorsal venous arch
What side of the ante brachium does the cephalic vein run? and what is it in?
lateral side; superficial fascia
The cephalic vein receives tributaries from _______ vein near the level of the elbow
median
Where does the cephalic vein run?
lateral side of brachium in superficial fascia
What does the cephalic vein run through?
deltopectoral triangle
What does the cephalic vein piece?
clavipectoral fascia
What does the cephalic vein dump into?
axillary vein
Where does the basilic vein run?
medial side of ante brachium
What drainage does the basical vein receive?
median cubital vein
The median cubital vein lies ______ to bicipital aponeurosis?
superficial
The basical vein runs in what facia? Along what side of the brachium?
deep; medial side
What does the basilic vein join to form axillary vein?
venae comitantes
After the axillary vein passes under the clavicle what does it turn into?
subclavian vein
What does the subclavian vein form with the jugular vein?
brachiocephalic vein
There are _____ brachiocephalic veins but only ____ brachiocephalic artery
two, one
The two brachiocephalic veins come together to form the _____
superior vena cava
Where is lymphatic drainage is from the?
palmar surface to dorsal surface of hand
What is the lateral pathway of lymphatics?
lymphatics follow cephalic vein to
chain of nodes in delta pectoral groove to
axillary nodes
What is the medial pathway of lymphatics?
lymphatics flow to epitrochelar nodes to
axillary nodes
Where does the brachial lymph nodes lie?
medial to humerus near axillary artery and vein
Where does the pectoral lymph nodes lie?
behind pectorals minor with lateral thoracic artery
What does the pectoral lymph nodes drain?
mammary gland
Where does the sub scapular lymph nodes lie?
behind pectorals minor with lateral thoracic artery
What does the subscapular nerve drain?
back
Where are the central lymph nodes?
axillary fat
Where does the central nodes drain?
apical nodes behind clavicle