Practical Exam 2 Flashcards
Axillary Vein
Runs superior to the axillary artery.
Axillary Artery
Subclavian Artery leads to Axillary Artery, which leads to the Brachial Artery.
This all lies deep to the Axillary Vein
Superior Thoracic Artery
First section of the Axillary Artery- Medial Side of the Pectoralis Minor
Along the upper border of the pectoralis minor. It supplies branches to the first and second intercostal spaces as well as to the superior portion of serratus anterior.
Thoracoacromial Artery and Branches
Second Section of the Axillary Artery- Deep to the Pectoralis Minor
4 Branches: Clavicular, Pectoral, Deltoid, and Acromial
Lateral Thoracic Artery
Second Section of the Axillary Artery- Deep to the Pectoralis Minor
Provides blood for the Serratus Anterior muscle and Pec Major
Subscapular Artery
Third Section of the Axillary Artery- Lateral to the Pectoralis Minor
The subscapular artery branches off posteriorly into two stems, approximately four centimeters from its origin; its first branch is the circumflex scapular artery and its second is the thoracodorsal artery.
Posterior Circumflex Humeral Artery
Third Section of the Axillary Artery- Lateral to the Pectoralis Minor
At the lower border of the subscapularis, and runs posteriorly with the axillary nerve through the quadrangular space. It feeds the teres minor and deltoid muscles.
Anterior Circumflex Humeral Artery
Third Section of the Axillary Artery- Lateral to the Pectoralis Minor
It is one of two circumflexing arteries. The anterior is considerably smaller than the posterior. The anterior humeral circumflex artery runs horizontally, beneath the coracobrachialis and short head of the biceps brachii muscle, in front of the neck of the humerus.
Musculocutaneous NerveI***
This innervates the three muscles of the anterior compartment of the arm.
From the one of the five Branches portion of the Brachial Plexus.
It’s the lateral part of the “M”
Lateral Cord***
-Lateral Pectoral Nerve
Lat Pec innervates Pectoralis Major
Medial Cord***
- Medial Pectoral Nerve
- Medial Cutaneous Nerve of Arm
- Medial Cutaneous Nerve of Forearm
- Med Pec innervates Pectoralis Major and Minor
- Med Cute Nerve of Arm innervates the skin of the arm
- Med Cute Nerve of Forearm innervates the skin of the forearm.
Median Nerve******* -Deep Branch Recurrent Branch of Median Nerve Common Palmar Digital Branch Proper Palmar Digital Nerve
- Rec Branch of Med Nerve innervates Thenar muscles
- Com Palm Digit Branch innervates Digits 2/3
Ulnar Nerve****
-
Posterior Cord***
- Axillary Nerve
- Radian Nerve
- Upper Subscapular Nerve
- Middle Subscapular (Thoracodorsal)
- Lower Subscapular
-
Long Thoracic Nerve****
Innervates the Serratus Anterior
Intermuscular Septum
Fascia of the arm (the top part of the upper limb)
Coracobrachialis
Origin: Tip of coracoid process of scapula
Insertion: Middle third of medial surface of humerus
Action: Helps to flex and adduct arm
Blood Supply: Muscular branches of brachial artery
Nerve: Musculocutaneous nerve (C5, C6 and C7) (C5, C6, C7)
Bracialis Muscle
Deep to the Biceps Brachii
Origin: Anterior surface of the distal half of the humerus
Insertion: The coronoid process of the ulna
Action: Flexes the forearm
Blood Supply: Muscular branches of brachial artery and Recurrent Radial Artery
Nerve: Musculocutaneous Nerve
Biceps Brachii
- Long Head
- Short Head
Origin: Long: Supraglenoid tubercle of the scapula and Short: Coracoid process of the scapula
Insertion: Long: Radial tuberosity and Short: bicipital aponeurosis
Action: Flexes elbow flexes and abducts shoulder supinates radioulnar joint in the forearm
Blood Supply: Brachial artery
Nerve: Musculocutaneous nerve (C5–C7)
Lateral Cutaneous Nerve of Forearm***
-
Cubital Fossa
Elbow Pit
The region of the upper limb in front of the elbow joint. It is a triangular area with the following boundaries: laterally, brachioradialis muscle. medially, pronator teres muscle. superiorly, an imaginary line from the medial and lateral epicondyles.
Brachial Artery
- Deep Artery of Arm (and Radial Nerve)
- Superior Ulnar Collateral
- Inferior Ulnar Artery
Axillary Artery turns into the Brachial Artery
- Deep Artery of Arm Branches off most proximally and goes to the posterior side of the arm and eventually attaches to the Radial Collateral/Recurrent.
- Superior Ulnar Collateral is the next branch off that runs towards the Ulna with the Ulnar Nerve
- Inferior Ulnar Artery is the last branch off before the Radial and Ulna branch take over.
Ulnar Artery
Brachial Artery eventually splits into the Ulnar Artery and Radial Artery shortly after it crosses the cubital fossa.
After branching off, there is an Anterior and Posterior Ulnar Recurrent Artery. There is also the Common Interosseus Artery which has an Anterior and Posterior branch.
It continues along the Ulna on the Posterior Side.
Radial Artery
Brachial Artery eventually splits into the Ulnar Artery and Radial Artery shortly after it crosses the cubital fossa.
It continues along the Radius on the Posterior side.
Cephalic Vein
It’s in the Deltopectoral groove and follows the lateral side of the upper limb.
Basilic Vein
The basilic vein passes along the back of the forearm on the ulnar side for a distance and then curves to the surface below the elbow. It continues to move up the medial side until it reaches the middle of the upper arm. There, it enters deep into the tissues and joins the brachial vein. As the basilic and brachial veins merge, they form the axillary vein.
Median Antecubital Vein
This is the vein that runs from the Cephalic Vein to the Basilic Vein.
It’s the Vein that blood is drawn from.
Triceps Brachii
- Long Head- Origin Infraglenoid
- Lateral Head- Lateral o Radial Groove
- Medial Head
Origin: Long head: infraglenoid tubercle of scapula; Lateral head: posterior surface of humerus, superior to radial groove; Medial head: posterior surface of humerus, inferior to radial groove
Insertion: Proximal end of olecranon process of ulna and fascia of forearm
Action: Chief extensor of forearm; long head steadies head of abducted humerus
Nerve: Radial nerve (C6, C7 and C8)
Blood Supply: Branches of deep brachial artery
Radial Groove
The shallow groove that passes around the shaft of the humerus (between the humeral attachments of the lateral and medial heads of the triceps brachii). Radial Nerve and Deep Brachial Artery within the groove.
Brachioradialis
Origin: Lateral Supracondylar ridge of Humerus Insertion: Styloid Process of Ulna Action: Flexes forearm of Elbow Blood Supply: Radial recurrent artery Nerve: Radial Nerve (C5, C6)