Upper limb Flashcards

1
Q

بسم الله توكلنا علي الحي الذي لا يموت سبحانه وتعالي علوا كبيرا سبحان من له ملكوت السماوات والأرض ومابينهما وما تحت الثري
سبحان الحي القيوم

The main blood supply to the upper limb arterial ?

A

Axillary artery

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2
Q

describe axillary artery

A

Begins as coniutation of the subvlavian arterty at outer border of first rib
and enters the apex of axilla and run in its lateral wall till reach ( the lower border ot teres major ) giving the Brachial artery

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3
Q

DIVISONS OF Axillary artery

A

3 parts
1st above PM
2nd deep to PM
3rd below PM

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4
Q

First part axillary branches mention

A

one branch superior thoracic branch !

arises at the lower border of subvlavius and giving blood supply to the upper thoracic wall

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5
Q

2nd part axillary branches mention

A

2 Brachches

Thoracoacromial

Lateral Thoracic

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6
Q

thoracoacromial origin and branches ?

A

2nd part of axillary artertty at upper border of pectoralis minor pirecing the clavipectoral fascia

gives 4 branches : 
Acromial 
pectoral 
calvcular
deltoid
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7
Q

serratus anterior and muscle of chest supplied by ?

A

Lateral thoracic of 2nd part of axillary

arising at the lower border of pectoralis minor

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8
Q

Largest branch of axillary artery?

A

it is subscapular artery

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9
Q

third part of axillary artery gives?

A

subscapular artery

anterior and posterior circumflex humoral arteries

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10
Q

the subscapular artery accompanid by .. nerve >/

A

Nerve to latissmius dorsi

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11
Q

the subscapular artery share in scapular anastomosis and gives a branch named,,,,, thar share in it with it .

A

Circumflexscapular artery

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12
Q

anterior cirumflex huomral artery

A

turn over the surgicak neck of humerus from the front till reach the bicipital groove and give ascending branch and end by anastomisis with posterior circumflex humoral artery forming circular anastomisis around surgical neck of humerus
!

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13
Q

Posterior cirumflex humoral artery gives ?

A

Descnding branch anastomsoing with the ascending of the profunda brachii artery

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14
Q

Describe scapular anastomsiis ,

A

Connection between
first part of subclavian artery
third pard of axillary artery

the first part of subclavian giving :
suprascapular
transverse cervical artery

the third part of the axillary give
subscapular
cirumflexscapular artery

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15
Q

suprescapular artery

describe

A

It is branch of thyrocervical turnk of the 1st part of subclavian artery

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16
Q

dorsal scapular artery describe .

A

it is branch of the transverse cervial of tyrocervical trunk of firt part of sublcaivan artery
runs with dorsal sacpular nerve in medial border of scapula deep to levators and rhomboidus

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17
Q

Brachial Artery describe

A

Continuation of the axillary at the lower boreder of teres major and runs medially to the humerus then anterior to it reaching the neck of radius divding into radial and ulnar aretries
it is accompained by 2 vena comitantes that ends in the Axilaary vein

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18
Q

Mention branches of the Brachial artery

A

2M 2 ULNAR COLLATERALS PROFUNDA BRACHII

Muscular branches
Main nutrient to humerus 
Superior ulnar collateral 
inferoior ulnar collateral supratrochlear 
profunda brachii artery
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19
Q

Superior ulnar collateral describe

b

A

Branch of bracial artery that pireces the intermuscular septa with ulnar nerve to be behind the medial epicondule to share in anastomsis around the Elbow

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20
Q

Inferior ulnar collateral artery supratrochlear

A

It arises from the brachial artery and divides into anterior and posterior branches to medial epicondule to share in the anastomisis around the elbow
the posterior branch perices the medial intermuscular septum to be behind the medial epicondyle

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21
Q

The largest branch of brachial artery

A

It is Proufund brachii artery from posterolateral aspect close to lower border of teres major

it runs with Radial Nerve betwenn to heads of triceps to reach the spiral groove of humerus

it terminartes as anterior and posterior descending branches

the asceding anstomse with descending of the posterior circumflex humoral artery

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22
Q

Mention Branches of Profunda Brachii artery

A

2M A 2TERMINAL
Musclar branches
Minor nutreirnt to humerus
Ascending deltoid
Terminal anterior Descending radial collateral
terminal posterior descending middle collateral

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23
Q

The descending of posterior circuflex humoral artery anastomse with

A

The ascending of profunda brachii artery

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24
Q

The termianl antreior descending branch of prfunda brachii artery describe

A

this pierces the intermusclar septa lateral with Radial Nerve to appear sandwitched between brachialis and brachoradialis in front medial epicondyle to share in anastomisis around elbow

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25
Q

The terminal posterior descending branch of the profunda brachii artery

A

This exit the lateral head of triceps to be behind the latral epicondyle to share in anastomsis around elbow

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26
Q

The smaller of the 2 terminal branches of brachial artery at neck of radius ?

A

the Radial artery

27
Q

deep palamar arch is formed by ?

A

Radial artery

28
Q

Raidal artery course describe

A

it Descend laterall in the forearm till reaching the front of lower end of rdaius giving radial pulse lateral to tendon of flexor carpi radialis and then enter the anatomical snuff box and then in the palm it pass between 2 head of first interosseus muscles and adductor pollicis then deviateing medially forming the deep palamr arch

29
Q

Mention branches of radial atrery in forearm

A

Radial recurrent aretry
Musclar branches
Anterior palamr carpal branch
superficial palamr branch

30
Q

The antreior palamar carpal branch

A

Passes medially in front of carpal bones deep to flexor tendons to share in formation of the deep anterior palamr carpal arch

31
Q

The superficial palamr arch role?

A

Arise from the radial artery when it is about to enter the snuff box to complete the superficial palamr arch of the unlar artery

32
Q

branches of the radial artery in palm?

A

Princeps pollicis

Radials indicies

33
Q

dorsal carpal branch of the radial artery describe ,

A

it runs medially deep to extensor tendons to complete the dorsal carpal arch with the branch dorsal carpal of ulnar arterty

34
Q

first dorsametacapral artery origin ?

A

it arises from the radial artery before entering between 2 heads of 1st interossues muscles
it divides into 2 dorsal digital branches to give supply to adjacent sides of thumb and index

35
Q

Dorsal digital artery of the radial artery describe

A

supply the lateral side of thumb !

36
Q

branches of the radial artery in the dorsum

A

1-dorsal carpal branch
2-1st dorsal metacarpal branch
3- dorsal digital branch to lateral side of thumb

37
Q

Ulnar artery description :

A

It is the largest branch of the brachial artery terminal branch

in uper 1/3 of forearm its oblique and medially descednign then in the remaining 2/3 it is vertically descending and it passes through the wrist in front of flexor retinculum lateral to pisiform and hook of hamate and ulnar nerve in between giving deep branch in the palamr and continue to form superficial palamr arch + the deep branch complete the deep palamr arch of radial artery
t

38
Q

the deep branch of ulnar courese?

A

Between flexor digit minimi brevis and abducto digit minimi and through oponens digit minimi

39
Q

Branches of the Ulnar artery

A

Musclar branches
Anterior Ulnar recuurent
posterior ulnar recurrent both of them run in front and behind the medial epicondyle to share in anastomsis around elbow

common interossues artery giving anterior and posterior interossues arterirs each of them giving branches

40
Q

Describe antrior interossue artery

A

It descends in front of the interossues membrane with the coresponding nerve between flexor digitorum profundus and flexor pollicis longus and at the upper border of pronator quadratus it pierces the interossues membrane to reach the back of the wristh and anastomosing with the posterior interossues artery

41
Q

Menion branches of the antreior interossues artery

A

Median with the median nerve
Muscular
nutreint
Descnding branch deep to pronator quadratus to share int anterior carpal arch

Median Muscular Nutrient Descending

42
Q

Mention branches of the posterior interossues artery

A

Musclar
Interossues recurrent > lateral epicondyle > anastomsis
Antreior carpal branch >arch
posterior carpal branch > arch

43
Q

definition of
superficia palamr arch
deep palamr arch

A

superficial palamr arch is termination of the ulnar and is completed by superficial palamr branch of radial artery

deep palmar arch is the termination of the radial artery and is completed by deep branch of the ulnar artery

44
Q

Branches of superficial palmar arch mention

A

Common digital branches: receving palamar metacrpal branches from the deep palamr arch
each ends by divifng to 2 digital branches supllyind adjacent sides of the fingers

Palmar Digital branch : to the medial side of little finger:

45
Q

superficial palamr arch supply

A

medial 3 1/2 fingers

46
Q

Mention branches of the deep palamr arch .

A

Three palmar metacarpal branches : which join common palamar digital branches
three pp proximal perfroating which enters the 2,3,4 interosseus spaces to join dorsal metacarpal branches of the dorsal carpal arch
Recurrent branches to anterior carpal arch

47
Q

How is Anterior carpal arch formed?:

A

Anterior carpal branch of ulnar and radial
Descending of the anterior interossues
reucrretn of deep palamar arch

واصل بين الشريان الزندي والكعبري

48
Q

Formation of dorsal carpal arch discuss

A

by the dorsal carpal branch of radial and ulnar

by the termination of antreior and posterioir interossues arterirs

49
Q

Mention branches of Dorsal carpal arch

A

it gives 3 dorsal metacarpal branches running in 2.3.4 interosseus spaces
then each of them divides giving 2 dorsal digital branches

50
Q

Mention connection of the dorsal carpal branch

A

Deep palamr arrch : by proximal perforators
superficial palamr arch : it its coneected to the Common palamr digital branches by distal perforators

يمثل وصل بين الكعبري والزندي
يمثل تغذية الثلاث اصابع ونصف الوسطية من ظهرها بواسطة الدومية

51
Q

Anastomsis around the elbow : discuss

A

It takes place between the brachial artery and its terminal branches the radial and ulnar arteries
around medial and lateral epicondyles

52
Q

anastomisis around medial epicondyle

A

antreior :
anterior branch of infeior ulnar collateral from brachial
anterior ulnar reucrretn from the ulnar

post:
posterior branch of inferior ulnar collateral . superior ulnar collateral from brachial
posteriro ulnar recuurent artery from ulnar

53
Q

Anastomisis around lateral epicondyle

A

Anterior :
Radial collateral anterior descenign branch of profunda brachii artery
radial recurrent aretry from radail artery

post:
Middle collateral post descending branch of profunda brachii artery
Interossues recurrent of the posterior interossues artery from ulnar ! !! !

54
Q

Dorsal venous arch recevies?

A

Dorsal metacarpal and dorsal digital veins

55
Q

cephalic vein is

basalic vein is

A

cephalic is lateral

basalic is medial

56
Q

Basalic veins description

A

arises from the medial side of dorsal venous arch and winds around wrist to front of fore arm runs medially in the forear till it forms medial cubital veins with cephalic and contiue to join the vena comitants of the brachial artery to from the Axillary Vein .

57
Q

Cephalic vein description

A

arises from the lateral side of dorsal venos arch to winds lateral border of forearm and runs laterally to biceps and share in formation of median cubital vein then deltopectoral groove then pirece clavipectoral fascia to join axillary vein

58
Q

Median cubital vein direction

A

from cephalic to basalic

separated from the brachial artery and Median Nerve by Bicipital aponeurosis !

لكم قصرت في الدعاء لكم نسيت نفسي فلم تنساني لكم ارجعتني إلي الطريق ثم ضللت و لكنك حلمت علي ولم تعذبني لكم نسيت العذاب ونسيت الأماني العذاب لكنها دنيا ولكنك غفور حمدا لك لا تعاجل بالعقوبة حمدا لك كتبت علي نفسك الرجمة حمدا لك حمدا لك حمدا لك رب العالمين

it is usually joined by the median vein of fore arm

59
Q

Clincal imp of the cubital fossa

A

Site for sampling , transfusion , intravenus injection
using medial cubital veins or basalic
may use cephalic in snuff box or dorsal veous arch as alternative

60
Q

Mention deep veins of upper limb

A

in hand
Superficial venous pleux draining the common digital palamr veins
deep venous pleux draining the palamr metacarpal veins

in forearm
venacomitatnes of ulnar and radial arteris
ulnar veins drains the superficial palamr venous plexu
radial veins drains the deep palamr venous pleux
they two both join each other to form the vena comitante of the brachial aretry
they join the Axillary vein ? which is conintuauon of the basalic vein and receies tributaries as:

the cephalic vein
the brachal artery vena comitantes
tributaries corrsponding to branches of the axillary artery

61
Q

The axillary vein is ….. to Axillary artery

A

medial

62
Q

The axillary vein is ….. to Axillary artery

A

medial

63
Q

تم بحمد الله وتوفيقه وعونه فالحمدلله رب العالمين

A