Download Upper Limbs

Upper Limbs
Lu Xiaoli
Regional Anatomy & Operative Surgery
China Medical University
Acromion Process
Supraspinous Fossa
Spine of Scapula
Glenoid Fossa
(Cavity)
Infraspinous Fossa
Lateral Border
Medial Border
Inferior Angle
Acromion Process
Coracoid Process
Spine
Glenoid Fossa
Infraspinous Fossa
Inferior Angle
Subscapular Fossa
Medial or lateral?
Articulate with which
structure?
Medial
Articulate with
which structure?
Manubrium of sternum
Acromion process of scapula
Humerus
Proximal or distal?
Proximal
Deltoid Tuberosity
Shaft
Participate in
which joint?
Elbow Joint
Head
Intertubercular (bicipital) groove
Lesser Tubercle
Greater
Anatomical neck
Tubercle
Greater
Tubercle
Surgical
Neck
Shaft
Medial
Supracondylar
Ridge
Lateral
Supracondylar
Ridge
Olecranon
Fossa ;
Accomodates
Ulna
Lateral
Epicondyle
Trochlea
Coronoid Fossa
Radial Fossa
Medial
Epicondyle
Capitulum
Superior Radioulnar Joint
Radius
Shaft
Interosseous Border
Ulna
& Radius
Inferior Radioulnar Joint
Head
Neck
Radius Tuberosity
Shaft
Interosseous
Border
Articulates with what
part of what bone?
Capitulum of Humerus
Olecranon
Process
Coronoid
Process
Trochlear Notch;
articulates with
trochlear of humerus
Radial Notch;
Articulates with
the head of radius
Ulnar
Tuberosity
Anteromedial view
Lateral view
Styloid
Process
of Ulna
Head of Ulna
Styloid Process
of Radius
Carpal articular surface participates in forming wrist joints
Be specific – include
name of bone
Name the joints this surface
participates in forming
Distal Phalanx
of Ring Finger
Middle Phalanx of
Index Finger
Proximal Phalanx of
Middle Finger
Metacarpophalangeal
Joints
4th Metacarpal
Bone
Carpometacarpal Joint
Carpus
Capitate
Hamate
Trapezoid
Pisiform
Trapezium
Scaphoid; Lunate; Triquetral
Head of Middle Phalanx
Body of Proximal
Phalanx of Ring
Finger
Interphalangeal Joint
Head of 2nd
Metacarpal
Body
Base of 1st Metacarpal
Intermetacarpal Joints
Shoulder
Arm
Elbow
Forearm
Wrist
Hand
Axilla
1 Inlet
 1 Floor
 4 Sides
 Contents

Skin
 Superficial fascia
 Axillary fascia

Anterior Wall
Pectoralis
Major
 Pectoralis
Minor
 Subclavius
 Clavipectoral
Fascia

Anterior Wall
Pectoralis
Major
 Pectoralis
Minor
 Subclavius
 Clavipectoral
Fascia

Clavipectoral
Fascia
Costocoracoid
Fascia
 Fascia invests
Pectoralis
Minor
 Suspensary
Lig. of Axilla

Posterior Wall
Subscapuaris
 Teres Minor
 Teres Major
 Latissimus
Dorsi

Medial Wall
Serratus
Anterior
Muscle
 Upper 4
Ribs
 Intercostal
Spaces

Contents
Axillary a.
 Axillary v.
 Brachial plexus
 Lymphatic nodes
 Loose connective tissue

Axillary a.

First Part (1)

superior thoracic a.



Second Part (2)



supreme thoracic a.
highest thoracic a.
thoracoacromial a.
lateral thoracic a.
Third Part (3)



subscapular a.
anterior humeral
circumflex a.
posterior humeral
circumflex a.
Axillary v.
Brachial Plexus
Root → trunk → division → cord
C5-C6：
sup.
trunk
C7 ：
mid.
trunk
C8, T1 ：
inf.
trunk
ant. division
post. division
ant. division
post. division
ant. division
post. division
lat. cord
post. cord
med. cord
Roots
dorsal scapular
long thoracic
nerve to subclavius
Trunks
suprascapular
Lateral
Cords
Medial
Posterior
lateral pectoral
lateral head of median n.
musculocutaneous
medial pectoral
medial cutaneous of arm
medial cutaneous of forearm
medial head of median n.
ulnar
upper subscapular
thoracodorsal
lower subscapular
axillary
radial
Long
Thoracic n.
 Serratus
Ant. m.

Axillary Lymphatic Drainage
Right Lymphatic Duct
Thoracic Duct
R. & L. Subclavian Lymphatic Trunk
Apical
Lateral
Subscapular
Central
Pectoral
Deltoid & Scapular Region
Triangular Spaces

Boundaries:
Teres minor above
 Teres major below
 scapular head of Triceps laterally


Contents:

scapular circumflex vessels
Teres minor
Deltoid m.
Post.
Circumflex
Humeral a.
Humerus
Axillary n.
Teres
Major
Long head of triceps m.
Quadrangular Space

Boundaries:
superior: Subscapularis & Teres minor
(inferior border)
 inferior: Teres major (superior border)
 medially: long head of Triceps brachii
 laterally: surgical neck of humerus


Contents:
axillary n.
 posterior humeral circumflex a.

Shoulder Joints
Coracoacromial arch
 Myotendinous cuff

Coracoacromial arch
Myotendinous cuff
Arm
2
1
3
1
Anterior
Compartment
2
3
4
5
6
3
1
3
4
2
4
5
2
3
4
1
1
2
1
2
1
3
2
1
3
2
1
Posterior
Compartment
2
1
?
1
4
3
2
2
1
Humoromuscular tunnel
Humoromuscular tunnel
Humoromuscular tunnel
Cubital Region
 Forearm
 Wrist
 Hand