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EXTREMITAS SUPERIOR Dr. Candra Rini HP., M.Kes Komponen dan Lapisan : Cutis Fascia Superficialis Fascia Profundus Musculus Ossae Dilengkapi dengan : Articulatio Vascular Limphe Nervus SURFACE ANATOMI ARTICULATIO art. ginglymus art. sellaris art. trochoidea art. condyloidea art. spheroidea art. plana Articulationes Manus - Articulatio radio-ulnaris distalis Uniaxial Synovial Pivot Articulatio radiocarpalis Biaxial Synovial Ellipsoid Articulatio carpometacarpalis Plane Synovial kecuali Pollex Biaxial Saddle - Articulatio metacarpophalanx Biaxial Condyloid Synovial Articulatio intercarpalis Synovial Plane Articulatio interphalanx Uniaxial Synovial Hinge (naviculare) Multangulum minus (multangulum majus) GERAKAN Digiti V Otot Hypothenar Ulnaris Digiti I (Pollex) Otot Thenar Semua berakhiran digiti minimi (Abductor, Flexor, Opponen) Abductor pollicis brevis Flexor pollicis brevis Opponens pollicis Adductor pollicis Medianus Medianus Medianus Ulnaris Otot Intrinsik lain Mm. Interossei (4 Palmaris + 3 Dorsalis ) Mm. Lumbricalis (1,2,3,4) Ulnaris Medianus, Ulnaris Dari a. radialis Arcus palmaris profundus ke sup. anastomosis di regio carpalis ke inf. gabung dg Aa. Digitales dari arcus palmaris superficialis A Radialis indicis (lateral index) A princeps pollicis (lateral & medial pollex) Dari a. ulnaris Arcus palmaris superficialis Aa. Digitales R. Profundus a. ulnaris (bercabang di depan retinaculum flexorum) Superficial Profundus Cabang Lain Plexus Brachialis Cabang Supraclavicular N. thoracalis longus (of Bell) (C5,6,7): supply m. serratus anterior N. suprascapular (C5,6): melalui incisura suprascapularis supply m. supra- & infraspinatus N. scapularis dorsalis supply m. rhomboideus & levator scapulae N. subclavius Cabang Infraclavicular N. pectoralis medialis and lateralis supply m. pectoralis major & minor N. cutaneous brachii & antebrachii medialis N. thoracodorsalis (C6,7,8) supply m. latissimus dorsi N. subscapularis sup & inf supply m. subscapularis & m. teres major GANGGUAN NERVES STRUKTUR PENTING Palmar Spaces Carpal Tunnel Terbentuk krn adanya retinaculum flexorum Batas : - Bagian posterior : 8 tulang carpalia Bagian anterior : Retinaculum flexorum : melekat di medial pada pisiform, di lateral naviculare dan trapezium Berisi : - nervus medianus 9 tendon dari 3 otot fleksor : m. flexor digitorum superficialis dan profundus (masing-masing 4 tendon), m. flexor pollicis longus Tabatiere Anatomicum (Anatomical Snuffbox) Dibentuk oleh : Tendon m. extensor pollicis longus (batas medial) Tendon m. extensor pollicis brevis (batas lateral) M. abductor pollicis longus (batas lateral) Os scaphoid dan trapezium (dasar) Dilalui oleh : A. radialis sekian Referensi : Hansen & Lambert : Netter’s Clinical Anatomy, 1st ed Thompson : Netter’s Concise Atlas of Orthopaedic Anatomy Drake, et al : Gray’s Anatomy for Students Snell : Anatomi Klinik untuk Mahasiswa Kedokteran, ed 6 Faiz & Moffat : Anatomy at a Glance Moore & Dalley : Clinically Oriented Anatomy, 5th ed Feneiz & Dauber : Pocket Atlas of Human Anatomy, Based on the International Nomenclature, 4th ed