Upper Limb Flashcards
Pectoral girdle
- Scapula
- Clavicle
Sternoclavicular joint
- between sternal end of clavicle and manubrium of sternum
- only joint between axial skeleton and upper limb
Arm
-humerus
Forearm
- ulna
- radius
Hand
- carpals
- metacarpals
- phalanges
Carpals
- scaphoid
- lunate
- triquetrum
- pisiform
- hamate
- capitate
- trapezoid
- trapezium
Pectoral fascia
-surrounds pectoralis major m.
Clavipectoral fascia
-surrounds subclavius m. (underneath clavicle) and pectoralis minor m.
Axillary fascia
- pectoral + clavipectoral fascia
- floor of the axilla
Deltoid fascia
-surrounds the deltoid m.
Brachial fascia
-surrounds the arm
Antebrachial fascia
- surrounds the forearm
- extensor retinaculum= thickening posteriorly
- palmar carpal ligament= thickening anteriorly
- flexor retinaculum or transverse carpal ligament= thickening anteriorly but deeper and more distal than palmar carpal ligament
- becomes palmar fascia
Carpal tunnel
- space in hand formed by the flexor retinaculum that houses arteries, veins, and nerves
- carpal tunnel syndrome= inflammation of CT surrounding nerves, vessels, tendons, etc.
Central portion of palmar fascia
-palmar aponeurosis where palmaris longus inserts
Special areas on the upper limb
- axilla (major structures of the arm pass through here)
- cubital fossa
- carpal tunnel
- anatomical snuff box
Borders of cubital fossa
- brachioradialis m.
- pronator teres m.
- imaginary line drawn between the medial and lateral epicondyles of humerus
Contents of cubital fossa
- tendon of the biceps brachii m.
- brachial a. (potentially radial and ulnar a.)
- matching veins
- median nerve
Borders of the anatomical snuff box
- abductor pollicis longus m. tendon
- extensor pollicis brevis m. tendon
- extensor pollicis longus m. tendon
Contents of the anatomical snuff box
- radial artery
- radial n. branches
- cephalic v. branches
- scaphoid bone
Axillary artery
- subclavian artery distal to 1st rib in axillary region
- branches: superior thoracic a., thoracoacromial a., lateral thoracic a., anterior circumflex humeral a., posterior circumflex humeral a., subscapular a.
Brachial artery
- subclavian a. distal to teres major m.
branches: deep artery of the arm, superior and inferior ulnar collateral a. - splits after cubital fossa into radial a. and ulnar a.
Radial artery branches
-deep palmar arch
Ulnar artery branches
- common interosseous a.
- superficial palmar arch (branches into common palmar digital a.)
- each palmar arch connects to the opposite forearm artery of their source
Axillary artery parts
- after 1st rib to pectoralis minor m.
- behind pectoralis minor m.
- from pectoralis minor m. to teres major m.
Collateral circulation of the upper limb
- provides an alternate root for blood to reach the distal upper limb if axillary artery is compressed or blocked
- suprascapular a., dorsal scapular a., subscapular a.
Deep veins of upper limb
-same name as the named artery they follow
Superficial veins of upper limb
- dorsal venous netowrk= on the dorsum (posterior) side of the hand
- form both the cephalic and basilic veins
- cephalic vein= laterl; joins axillary vein
- basilic vein= medial; joins brachial v. to form axillary v.
- connected via median cubital v. in the cubital fossa
Lymphatic drainage of the upper limb
- axillary lymph nodes drain to the subclavian lymphatic trunk
- humeral/subscapular/pectoral lymph nodes–> central LN–> apical LN–> supraclavicular LN
Subclavian lymphatic trunk
- Right side= joins others and becomes the right lymphatic duct
- left side= joins the thoracic duct