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Normal anatomy Supra-clavicular and retro-clavicular fossa Sternocleidomastoid muscle muscle in the superficial layers of the anterior portion of the neck Origin: Manubrium Sterni and medial portion of the Clavicula Insertion: Mastoid process of the Temporal bone Infrahyoid muscles (Strap muscles) Group of 4 pairs of muscles in the anterior part of the neck Origin: posterior surface of Manubrium Sterni and Clavicle Insertion: Hyoid Bone Anterior Scalene muscle It lies deeply at the side of the neck, behind the Sternocleidomastoid. Origin: Transverse processes of C3, C4, C5 and C6 Insertion: First rib Common Carotid Artery Artery that supply the head and neck with oxygenated blood The right common carotid originates in the neck from the Brachiocephalic Trunk The left arises from The Aortic Arch in the thoracic region Subclavian Artery A paired major artery of the upper thorax, below the clavicle. Supplies blood to the left and right arm. The right Subclavian Artery arises from the Brachiocephalic Trunk and the left from The Aortic Arch As the Subclavian Artery crosses the lateral border of the first rib, it becomes the Axillary Artery Internal Jugular Vein Collects deoxygenated blood from the brain, face and neck to the heart via the superior vena cava. Origin: Sigmoid Sinus at the base of the skull. Jugular Vein unites with the Subclavian Vein to form the Brachiocephalic Vein (innominate vein) at the root of the neck. Subclavian Vein The Subclavian Vein is a continuation of the Axillary Vein. It runs from the outer border of the First Rib to the medial border of Anterior Scalene muscle. From here it joins with the Internal Jugular Vein to form the Brachiocephalic Vein (innominate vein). Axillary regions Pectoralis Major muscle The Pectoralis Major is a thick, fanshaped muscle, situated at the chest (anterior) of the human body. Origin: - Clavicular head - Sternocostal head: anterior surface of the sternum, the superior six costal cartilages, and the aponeurosis of the external oblique muscle. Insertion: lateral edge of the Humerus. Pectoralis Minor muscle The Pectoralis Minor is a thin, triangular muscle, situated at the upper part of the chest, under the Pectoralis Major muscle Origin: 3th to 5th ribs near their costal cartilage Insertion: the Coracoid Process of the Scapula Lattisimus Dorsi muscle The Lattismus Dorsi is the larger, flat, dorso-lateral muscle on the trunk and posterior to the arm. Origin: - Scapula - 3th or 4th rib - spinous processes of vertebrae T7-L5 - iliac crest Insertion: humerus Axillary Artery It is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla and the upper limb. Origin: the lateral margin of the first rib, before which it is called the Subclavian artery 3 parts: - the part of the artery medial to p. minor - the part of the artery posterior to p. minor - the part of the artery lateral to p. minor Branches: Subscapular and Humeral arteries (lateral to pectoralis minor muscle)… Axillary Vein It is a large blood vessel that conveys blood from the lateral aspect of the thorax, axilla and upper limb toward the heart. Origin: Basilic vein, Brachial veins, Cephalic vein. Drains to: Subclavian Vein It is accompanied along its course by the Axillary artery