Upper Extremity Angiology Flashcards
Internal thoracic artery path
Travels inferiorly to supply the posterior aspect of the anterior thoracic wall
Suprascapular artery path
Travels through suprascapular notch over the transverse scapular ligament to the posterior aspect of scapula to supply supraspinatus and infraspinatus muscles
Transverse cervical artery path
Travels posteriorly across neck, branches into deep and superficial branches (if no branching, it travels to deep surface of trapezius)
Superficial branch- travels with spinal accessory nerve along deep surface of trapezius
Deep branch- if present, replaces dorsal scapular artery traveling along medial border of scapula supplying levator scapulae and rhomboid muscles
When does the subclavian artery become the axillary artery
Once it is distal to the first rib
Superior thoracic path
Branches off axillary artery, travels to thoracic wall, supplies 1st and 2nd intercostal spaces and superior portion of serratus anterior
Axillary aneurism
Region one of the axillary artery is susceptible to aneurysm in individuals experience repeated rapid arm movements (pitchers) and can compress the brachial plexus, resulting in pain and loss of sensation
Thoracoacromial trunk branches and what they supply
Pectoral, acromial, clavicular and deltoid branches
Supplies pectoralis major/minor, deltoid, acromion and clavicle
Lateral thoracic artery path
Branches off axillary, travels along lateral border of pectoralis minor, supplying pectoralis major/minor, serratus anterior and intercostal muscles
Subscapular artery branches/path
Distal to pectoralis minor, proximal to teres major
Branches into circumflex scapular and thoracodorsal
CS travels around lateral border of scapula, visible in triangular space, into infraspinous fossa to contribute to scapular anastomosis.
Thoracodorsal supplies latissimus dorsi
Anterior/posterior circumflex humeral
ACH- smaller, supplies glenohumeral joint and head of humerus
PCH- visible in quadrangular space, supplies surround musculature and glenohumeral joint
If you wanted to cut off all circulation to the arm, ligation of the axillary artery must occur where, and why
Ligation must be distal to the subscapular artery of the axillary artery. Due to extensive anastomosis in the scapula, ligation of axillary artery b/w thoracoacromial trunk and subscapular artery results in reversal of blood flow in the subscapular artery and continued feed of arterial blood to the brachial artery
When does axillary artery become brachial artery
Distal to the teres major
Deep brachial artery path
Branches from brachial A. just distal to teres major, travels with radial nerve around the humerus, branches into middle collateral and radial collateral arteries
Middle collateral artery
Branches off of deep brachial artery, travels posterior to lateral humeral epicondyle, anastomosis w/recurrent interosseous A. from ulnar A.
Radial collateral artery
Branches off brachial artery, travels anterior to lateral humeral epicondyle, anastomosis with radial recurrent A.
Humeral nutrient artery
Branch of brachial artery, supplies humerus
Superior ulnar collateral artery
Branch of brachial artery
Travels with ulnar nerve behind medial epicondyle where it anastomosis with posterior ulnar recurrent A.
Inferior ulnar collateral artery
Branch of brachial artery
Travels anterior to medial epicondyle and anastomosis with anterior ulnar recurrent artery
Ulnar artery
Terminal branch of brachial A., forms in cubital fossa
Descends through antebrachium supplying mostly flexors, enters hand over flexor retinaculum, terminates as superficial palmar arch and deep palmar branch
Anterior/posterior ulnar recurrent
Branch off ulnar, travel superiorly through arm, anterior branch goes anterior to medial epicondyle and anastomosis with inferior ulnar collateral, posterior branch goes posterior to medial epicondyle and anastomosis with superior ulnar recurrent
Common interosseous artery
Branches off ulnar artery, then branches into anterior and posterior interosseous arteries
Anterior interosseous artery
Branches off common interosseous, travels anterior to interosseous membrane, perforates membrane and supplies deep posterior forearm muscles, replaces posterior interosseous artery just proximal to wrist and then feeds into dorsal carpal arch