Upper limb regions and special formations Flashcards
Infraclavicular region
SKIN INNERVATION: med. and intermediate supraclavicular n. (cervical plexus)
FASCIAS: deltoid, pectoral, claviopectoral
DELTOPECTORAL TRIANGLE
SUPERFICIAL LAYER: cephalic vein, thoracoacromial artery, pectoral nerves
DEEP LAYER: axillary vein, axillary artery, 3 nerve cords of brachial plexus, suprascapular a/v/n
Deltopectoral triangle
in infraclavicular region
Borders: sup: clavicle
lat: deltoid muscle
med: pectoralis major
Pectoral region
BORDERS: sup: clavicle
lat: deltopectoral sulcus
inf: pectoralis major
med: sternum
SKIN INNERVATION: supraclavicular n, ant. cutaneous of 1-6 intercostal nerves
FASCIAS: superficial pectoral, superficial axillary, deep pectoral
CONTENT: Axillary artery with branches
Axillary artery parts
1st part: Superior thoracic, thoraco-acromial
2nd part: lateral thoracic, subscapular
3rd part: ant and post circumflex humeral
Axillary region
BORDERS: sup: cervicoaxillary canal
inf: skin
ant: pectoralis major + minor
post: scapula, subscapularis muscle
med: thoracic wall, serratus anterior
lat: humerus
SKIN INNERVATION: intercostobrachial anastomosis
CONTENTS:
-axillary blood vessels
-lymphatic vessels + lymph nodes
-brachial plexus cords
-coracobrachials tendon
-biceps brachii short head
Deltoid region
BORDERS: ant: deltopectoral groove
post: deltoid
SKIN INNERVATION: lat. supraclavicular n, sup lat brachial cutaneous n
Quadrangular, triangular spaces
Quadrangular space
BORDERS: sup: teres minor inf: teres major med: long head of triceps brachii lat: humerus CONTENT: axillary nerve posterior circumflex humeral artery
Medial triangular space
BORDERS: sup: teres minor inf: teres major lat: long head of triceps brachii CONTENT: circumflex scapular artery
Lateral triangular space
BORDERS: sup: teres major med: long head of triceps brachii lat: humerus CONTENT: radial nerve deep brachial artery
Dorsal scapular region
BORDERS:
sup: acromion
med: midline of body
inf: inf angle of scapula
lat: longitudinal line from acromion
SKIN INNERVATION: dorsal rami of spinal nerves
CONTENT: suprascapular artery, suprascapular nerve, dorsal scapular nerve, dorsal scapular artery
Anterior brachial region
BORDERS: sup: pectorails major, deltoid inf: above cubital fossa med: medial margin of humerus lat: lateral margin of humerus SKIN INNERVATION: medial brachial cutaneous nerve superior lateral brachial cutaneous nerve interior lateral brachial cutaneous nerve CONTENT: cephalic and basilic veins medial cutaneous brachial + antebrachial nerves musculocutaneous nerve
Medial bicipital groove content
median nerve medial brachial and antebrachial cutaneous nerves brachial artery + 2 brachial veins ulnar nerve superior collateral ulnar artery
Posterior brachial region
BORDERS: sup: inferior border of deltoid inf: above olecranon med: medial margin of humerus lat: lateral margin of humerus SKIN INNERVATION: posterior brachial cutaneous nerve medial brachial cutaneous nerve inferior lateral brachial cutaneous nerve CONTENT: radial nerve deep brachial artery middle collateral and radial collateral artery posterior antebrachial cutaneous nerve
Anterior cubital region
BORDERS: sup: above cubital sulcus inf: under cubital sulcus med. medial epicondyle lat: lateral epicondyle SKIN INNERVATION: lateral antebrachial cutaneous nerve medial antebrachial cutaneous nerve CONTENT: cubital fossa basilic vein + medial antebracial cutaneous nerve cephalic vein + lateral antebrachial cutaneous nerve median cubital vein
Cubital fossa
BORDERS:
roof: antebrachial fascia, bicipital aponeurosis
floor: brachialis muscle, supinator muscle
med: pronator teres, flexors of forearm
lat: brachioradialis, extensors of forearm
CONTENT:
median nerve
brachial artery- ulnar and radial artery
tendon on biceps brachii
lymph nodes