Podcast
Questions and Answers
A patient presents with a thrombus in the axillary artery's first part. Which artery would be LEAST affected by this occlusion?
A patient presents with a thrombus in the axillary artery's first part. Which artery would be LEAST affected by this occlusion?
- Superior thoracic artery
- Lateral thoracic artery
- Subscapular artery (correct)
- Thoraco-acromial artery
Following a traumatic injury, a patient exhibits impaired abduction of the arm. If the injury affects the third part of the axillary artery, which branch would MOST likely be involved?
Following a traumatic injury, a patient exhibits impaired abduction of the arm. If the injury affects the third part of the axillary artery, which branch would MOST likely be involved?
- Superior thoracic artery
- Lateral thoracic artery
- Anterior circumflex humeral artery (correct)
- Thoracoacromial artery
A surgeon needs to ligate a branch of the axillary artery during a mastectomy. To minimize compromise to the vascular supply of the latissimus dorsi muscle, which artery should be spared?
A surgeon needs to ligate a branch of the axillary artery during a mastectomy. To minimize compromise to the vascular supply of the latissimus dorsi muscle, which artery should be spared?
- Lateral thoracic artery
- Superior thoracic artery
- Thoracodorsal artery (correct)
- Thoracoacromial artery
A patient has a blood clot which blocks the axillary artery after the first branch. Which artery is still providing sufficient blood flow?
A patient has a blood clot which blocks the axillary artery after the first branch. Which artery is still providing sufficient blood flow?
During a surgical procedure, a vessel is encountered that originates from the inferior border of the pectoralis minor muscle. What artery is most likely?
During a surgical procedure, a vessel is encountered that originates from the inferior border of the pectoralis minor muscle. What artery is most likely?
Occlusion of which artery would MOST severely compromise blood supply to the elbow joint?
Occlusion of which artery would MOST severely compromise blood supply to the elbow joint?
A patient presents with ischemia in the anterior compartment of the arm due to arterial occlusion. Which artery is MOST likely affected?
A patient presents with ischemia in the anterior compartment of the arm due to arterial occlusion. Which artery is MOST likely affected?
If a surgeon damages the profunda brachii artery during a mid-humeral fracture repair, which anatomical region would MOST likely experience reduced blood supply?
If a surgeon damages the profunda brachii artery during a mid-humeral fracture repair, which anatomical region would MOST likely experience reduced blood supply?
A patient requires a catheter to be inserted into the heart. Which artery provides the MOST direct route?
A patient requires a catheter to be inserted into the heart. Which artery provides the MOST direct route?
Blood supply to the medial side of the index finger is MOST likely derived from which artery?
Blood supply to the medial side of the index finger is MOST likely derived from which artery?
A surgeon is planning a procedure involving the anatomical snuffbox. Damage to which artery poses the GREATEST risk?
A surgeon is planning a procedure involving the anatomical snuffbox. Damage to which artery poses the GREATEST risk?
If a deep laceration occurs on the anterior forearm, severing the common interosseous artery, which subsequent arterial supply would be MOST immediately affected?
If a deep laceration occurs on the anterior forearm, severing the common interosseous artery, which subsequent arterial supply would be MOST immediately affected?
Collateral circulation around the elbow joint is formed by several arteries. Which set of arteries contributes to this network?
Collateral circulation around the elbow joint is formed by several arteries. Which set of arteries contributes to this network?
A patient loses function in the deep compartment of their forearm. Which artery is MOST likely blocked.
A patient loses function in the deep compartment of their forearm. Which artery is MOST likely blocked.
A complication of drawing blood from the medial cubital vein is inadvertently puncturing a nearby nerve. Which nerve is MOST at risk?
A complication of drawing blood from the medial cubital vein is inadvertently puncturing a nearby nerve. Which nerve is MOST at risk?
After a crushing injury to the hand, a patient exhibits impaired adduction of the thumb. Which arterial branch is MOST likely compromised?
After a crushing injury to the hand, a patient exhibits impaired adduction of the thumb. Which arterial branch is MOST likely compromised?
Which vein is MOST commonly used for drawing blood?
Which vein is MOST commonly used for drawing blood?
During a subclavian vein catheterization, a resident accidentally injures the subclavian artery. Which arterial branch arises directly from the aorta?
During a subclavian vein catheterization, a resident accidentally injures the subclavian artery. Which arterial branch arises directly from the aorta?
Which structure does the cephalic vein pierce before joining the axillary vein?
Which structure does the cephalic vein pierce before joining the axillary vein?
If the radial artery is damaged proximal to the wrist, but distal to origin of the radial recurrent artery, which structure would still receive direct blood supply?
If the radial artery is damaged proximal to the wrist, but distal to origin of the radial recurrent artery, which structure would still receive direct blood supply?
What artery provides the primary blood supply to the thumb?
What artery provides the primary blood supply to the thumb?
What anastomoses with the superficial palmar arch?
What anastomoses with the superficial palmar arch?
Where does the subclavian artery become the axillary artery?
Where does the subclavian artery become the axillary artery?
Where is the brachial artery located?
Where is the brachial artery located?
Which artery supplies the medullary cavity of the humerus?
Which artery supplies the medullary cavity of the humerus?
Which arteries terminate as dividing into radial and middle collateral arteries?
Which arteries terminate as dividing into radial and middle collateral arteries?
Which artery passes through the triangular interval and radial groove?
Which artery passes through the triangular interval and radial groove?
The Brachiocephalic trunk divides into which arteries?
The Brachiocephalic trunk divides into which arteries?
Which arteries supply the neck and upper limbs?
Which arteries supply the neck and upper limbs?
At the lateral border of the teres major m., what artery becomes the brachial artery?
At the lateral border of the teres major m., what artery becomes the brachial artery?
What artery is the largest branch of the axillary artery?
What artery is the largest branch of the axillary artery?
Which artery contributes to the vascular supply of the posterior and medial walls of the axilla?
Which artery contributes to the vascular supply of the posterior and medial walls of the axilla?
What artery passes through the triangular space?
What artery passes through the triangular space?
Which artery passes through the quadrangular space?
Which artery passes through the quadrangular space?
What veins are classified as deep?
What veins are classified as deep?
Where do the veins orignate from?
Where do the veins orignate from?
What joins to form the axillary vein?
What joins to form the axillary vein?
What unites with the subclavian vein to form the brachiocephalic vein?
What unites with the subclavian vein to form the brachiocephalic vein?
An elderly patient presents with severe atherosclerosis affecting the brachiocephalic trunk. What is the MOST likely consequence of this condition?
An elderly patient presents with severe atherosclerosis affecting the brachiocephalic trunk. What is the MOST likely consequence of this condition?
Aortic arch aneurysms can compress adjacent structures. Compression of which arterial branch of the aortic arch would MOST directly lead to decreased blood flow in the left arm?
Aortic arch aneurysms can compress adjacent structures. Compression of which arterial branch of the aortic arch would MOST directly lead to decreased blood flow in the left arm?
During a complex thoracic surgery, the arch of the aorta is inadvertently clamped proximal to the origin of the left subclavian artery. Which area would MOST likely maintain relatively normal perfusion due to collateral circulation?
During a complex thoracic surgery, the arch of the aorta is inadvertently clamped proximal to the origin of the left subclavian artery. Which area would MOST likely maintain relatively normal perfusion due to collateral circulation?
A patient undergoes a procedure requiring temporary occlusion of the subclavian artery distal to the thyrocervical trunk. What vascular structure would provide the MOST significant collateral flow to the axillary artery?
A patient undergoes a procedure requiring temporary occlusion of the subclavian artery distal to the thyrocervical trunk. What vascular structure would provide the MOST significant collateral flow to the axillary artery?
A patient presents with symptoms suggesting arterial insufficiency in the upper limb. Angiography reveals severe stenosis at the point where the subclavian artery transitions into the axillary artery. Where does this transition occur?
A patient presents with symptoms suggesting arterial insufficiency in the upper limb. Angiography reveals severe stenosis at the point where the subclavian artery transitions into the axillary artery. Where does this transition occur?
A rock climber falls such that they injure their axilla. They come to the ER complaining of pain and paresthesia in their arm. Upon diagnostic imaging, a lesion in the third portion of the axillary artery is found. Which of the following arteries would likely be unaffected?
A rock climber falls such that they injure their axilla. They come to the ER complaining of pain and paresthesia in their arm. Upon diagnostic imaging, a lesion in the third portion of the axillary artery is found. Which of the following arteries would likely be unaffected?
During a surgical repair of a mid-shaft humeral fracture, the surgical team must carefully consider the path of the profunda brachii. Which anatomical landmark is MOST critical for the surgeons to use in locating this artery?
During a surgical repair of a mid-shaft humeral fracture, the surgical team must carefully consider the path of the profunda brachii. Which anatomical landmark is MOST critical for the surgeons to use in locating this artery?
An interventional radiologist is planning to perform an embolization procedure targeting a specific branch of the brachial artery. What anatomical region should the radiologist evaluate in determining where that branch is?
An interventional radiologist is planning to perform an embolization procedure targeting a specific branch of the brachial artery. What anatomical region should the radiologist evaluate in determining where that branch is?
A patient presents with severe ischemia of the anterior compartment of the arm following a traumatic injury. Assuming a single arterial injury, occlusion of which main arterial trunk or its direct branch would MOST likely cause this condition?
A patient presents with severe ischemia of the anterior compartment of the arm following a traumatic injury. Assuming a single arterial injury, occlusion of which main arterial trunk or its direct branch would MOST likely cause this condition?
In a patient undergoing reconstructive surgery of the humerus, care must be taken to preserve the humeral nutrient artery. Occlusion of this artery would MOST directly compromise the:
In a patient undergoing reconstructive surgery of the humerus, care must be taken to preserve the humeral nutrient artery. Occlusion of this artery would MOST directly compromise the:
A surgeon is planning a complex elbow reconstruction. To fully understand the potential impact on blood supply, understanding the termination of the profunda brachii is critical. How does the profunda brachii terminate?
A surgeon is planning a complex elbow reconstruction. To fully understand the potential impact on blood supply, understanding the termination of the profunda brachii is critical. How does the profunda brachii terminate?
A patient presents with a gunshot wound to the forearm, resulting in a complete transection of the radial artery. Which compensatory mechanism would MOST effectively maintain blood supply to the hand immediately following the injury?
A patient presents with a gunshot wound to the forearm, resulting in a complete transection of the radial artery. Which compensatory mechanism would MOST effectively maintain blood supply to the hand immediately following the injury?
A patient is diagnosed with thromboangiitis obliterans (Buerger's disease), affecting the radial artery within the anatomical snuffbox. This condition would MOST directly impair blood supply to which structure?
A patient is diagnosed with thromboangiitis obliterans (Buerger's disease), affecting the radial artery within the anatomical snuffbox. This condition would MOST directly impair blood supply to which structure?
Following a deep laceration on the anterior aspect of the distal forearm, a patient exhibits reduced blood flow to the deep palmar arch. Damage to which artery before it contributes to the deep palmar arch is MOST likely responsible?
Following a deep laceration on the anterior aspect of the distal forearm, a patient exhibits reduced blood flow to the deep palmar arch. Damage to which artery before it contributes to the deep palmar arch is MOST likely responsible?
A patient has a vascular abnormality. As a result, the superficial palmar arch is mainly supplied by the radial artery. Which artery would be primarily responsible for providing blood to the digital arteries of the hand?
A patient has a vascular abnormality. As a result, the superficial palmar arch is mainly supplied by the radial artery. Which artery would be primarily responsible for providing blood to the digital arteries of the hand?
An orthopedic surgeon is using a volar approach to fix a distal radius fracture. What artery and nerve is the surgeon MOST concerned about with this approach?
An orthopedic surgeon is using a volar approach to fix a distal radius fracture. What artery and nerve is the surgeon MOST concerned about with this approach?
A thrombus forms in the brachial artery just proximal to its bifurcation. This condition MOST immediately threatens the viability of tissues supplied by what arteries?
A thrombus forms in the brachial artery just proximal to its bifurcation. This condition MOST immediately threatens the viability of tissues supplied by what arteries?
A patient presents with compartment syndrome in the deep posterior compartment of the forearm. Compression of which artery would contribute MOST directly to ischemia in this compartment?
A patient presents with compartment syndrome in the deep posterior compartment of the forearm. Compression of which artery would contribute MOST directly to ischemia in this compartment?
A surgeon ligates the ulnar artery just distal to the origin of the common interosseous artery to control bleeding. What artery could MOST likely provide some collateral blood flow distal to the ligation?
A surgeon ligates the ulnar artery just distal to the origin of the common interosseous artery to control bleeding. What artery could MOST likely provide some collateral blood flow distal to the ligation?
A patient with an upper arm injury is noted to have a loss of pronation. Further exam reveals that the anterior interosseous artery is compressed. Which vessel has perforating branches that may supply the posterior compartment of the forearm?
A patient with an upper arm injury is noted to have a loss of pronation. Further exam reveals that the anterior interosseous artery is compressed. Which vessel has perforating branches that may supply the posterior compartment of the forearm?
A surgeon needs to harvest the cephalic vein for a coronary artery bypass graft. What anatomical relationship must the surgeon consider MOST carefully to avoid complications during the cephalic vein harvest?
A surgeon needs to harvest the cephalic vein for a coronary artery bypass graft. What anatomical relationship must the surgeon consider MOST carefully to avoid complications during the cephalic vein harvest?
A patient requires a central venous catheter to be placed. During the procedure to access the subclavian vein, the nearby subclavian artery is nicked. If ligated, what vein could serve as an alternative bypass?
A patient requires a central venous catheter to be placed. During the procedure to access the subclavian vein, the nearby subclavian artery is nicked. If ligated, what vein could serve as an alternative bypass?
A patient presents with thrombosis of the basilic vein in the mid-upper arm. This occlusion would MOST directly impede venous drainage from which region?
A patient presents with thrombosis of the basilic vein in the mid-upper arm. This occlusion would MOST directly impede venous drainage from which region?
During a surgical procedure in the cubital fossa, a surgeon must carefully identify and protect the median cubital vein. Why is the median cubital vein a clinically important landmark in this region?
During a surgical procedure in the cubital fossa, a surgeon must carefully identify and protect the median cubital vein. Why is the median cubital vein a clinically important landmark in this region?
Flashcards
Arteries
Arteries
Vessels that carry blood from the heart to the distal organs.
Aorta
Aorta
The main artery of the human body.
Arch of aorta
Arch of aorta
The part of the aorta that curves to the left side after leaving the heart.
Brachiocephalic trunk
Brachiocephalic trunk
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Common carotid arteries
Common carotid arteries
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Subclavian arteries
Subclavian arteries
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Axillary artery
Axillary artery
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Brachial artery
Brachial artery
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1st part of axillary artery
1st part of axillary artery
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Superior thoracic artery
Superior thoracic artery
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Thoraco-acromial artery
Thoraco-acromial artery
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Clavipectoral fascia
Clavipectoral fascia
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Supplies the anterior axillary wall.
Supplies the anterior axillary wall.
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Lateral thoracic artery
Lateral thoracic artery
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Subscapular artery
Subscapular artery
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Circumflex scapular artery
Circumflex scapular artery
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Thoracodorsal artery
Thoracodorsal artery
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Posterior circumflex humeral artery
Posterior circumflex humeral artery
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Brachial artery (arm)
Brachial artery (arm)
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Humeral nutrient artery
Humeral nutrient artery
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Profunda brachii artery
Profunda brachii artery
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Cubital fossa apex
Cubital fossa apex
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Radial artery
Radial artery
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Ends as deep palmar arch
Ends as deep palmar arch
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Radial recurrent artery
Radial recurrent artery
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Superficial palmar branch
Superficial palmar branch
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Dorsal carpal arch
Dorsal carpal arch
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Radial artery (hand)
Radial artery (hand)
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Princeps pollicis artery
Princeps pollicis artery
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Radialis indicis artery
Radialis indicis artery
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Deep palmar arch
Deep palmar arch
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Ulnar artery
Ulnar artery
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Anterior ulnar recurrent a.
Anterior ulnar recurrent a.
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Anterior interosseous a.
Anterior interosseous a.
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Deep palmar artery
Deep palmar artery
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Superficial palmar arch
Superficial palmar arch
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Veins
Veins
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Superficial veins
Superficial veins
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Deep veins
Deep veins
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Deep veins
Deep veins
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Palmar digital veins
Palmar digital veins
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Superficial veins
Superficial veins
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Basilic vein
Basilic vein
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Cephalic vein
Cephalic vein
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Median cubital vein
Median cubital vein
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Axillary vein
Axillary vein
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Cephalic vein
Cephalic vein
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Subclavian vein
Subclavian vein
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Superior vena cava
Superior vena cava
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Study Notes
Arteries Overview
- Arteries transport blood from the heart to the distal organs
- Aorta is the main artery in the human body
- After leaving the heart, the aorta arches to the left, forming the arch of the aorta
- The arch of the aorta gives rise to 3 main branches
Branches of the Aorta
- Brachiocephalic trunk
- Left common carotid artery
- Left subclavian artery
Common Carotid Arteries
- Supplies blood to the head, including the brain, and the neck
Subclavian Arteries
- Supplies blood to the neck and upper limbs
Transformation of the Subclavian Artery
- At the lateral border of the first rib, the subclavian artery becomes the axillary artery
- The axillary artery then passes through the axilla
Transformations of the Axillary Artery
- At the lower border of the teres major muscle, the axillary artery becomes the brachial artery
Axillary Artery Divisions: First Part
- Is proximal to the pectoralis minor muscle
- Has one branch, the superior thoracic artery
Superior Thoracic Artery
- A small artery supplying the upper regions of the medial and anterior axillary walls
Axillary Artery Divisions: Second Part
- It is posterior to the pectoralis minor muscle
Thoraco-acromial Artery
- It is a short artery originating from the superior border of the pectoralis minor muscle
- Penetrates the clavipectoral fascia
- Divides into four branches: pectoral, deltoid, acromial, and clavicular
- Supplies the anterior axillary wall
Lateral Thoracic Artery
- Originates from the inferior border of the pectoralis minor muscle
- Supplies the anterior and medial axillary walls
- Branches in women contribute to the blood supply of the breast
Axillary Artery Divisions: Third Part
- It is distal to the pectoralis minor muscle
Subscapular Artery
- The largest branch of the axillary artery
- Provides the major blood supply to the posterior axillary wall
- Divides into two terminal branches, the circumflex scapular and thoracodorsal arteries
Thoracodorsal Artery
- Contributes to the vascular supply of the posterior and medial walls of the axilla
Circumflex Scapular Artery
- Passes through the triangular space
- Enters the infraspinous fossa
Anterior Circumflex Humeral Artery
- Passes anterior to the surgical neck of the humerus
- Anastomoses with the posterior circumflex humeral artery.
Posterior Circumflex Humeral Artery
- Passes through the quadrangular space
- Curves around the surgical neck of the humerus
- Runs with the axillary nerve
Brachial Artery
- Main artery of the arm
- Found in the anterior compartment
- Continuation of the axillary artery at the lower border of the teres major muscle
- Terminates just distal to the elbow joint, dividing into the radial and ulnar arteries
Branches of the Brachial Artery
- Humeral nutrient artery supplies the medullary cavity of the humerus
- Superior and inferior ulnar collateral arteries supply the elbow joint
Profunda Brachii Artery
- Largest branch of the brachial artery
- Passes through the triangular interval and radial groove, running with the radial nerve
- Passes to the posterior compartment and supplies that region
- Terminates by dividing into radial and middle collateral arteries, which supply the elbow joint
Radial Artery
- Passes along the lateral aspect of the forearm
- Is just deep to the brachioradialis muscle
- Passes around the lateral side of the wrist
- Passes through the floor of the anatomical snuffbox
- Passes between the metacarpals I and II
- Ends as the deep palmar arch of the hand
Radial Recurrent Artery
- Contributes to an anastomotic network around the elbow joint
Superficial Palmar Branch
- Anastomoses with the superficial palmar arch, formed by the ulnar artery
Palmar Carpal Branch
- Supplies the carpal bones and joints
Before Penetrating the Back of the Hand, the Radial Artery
- The Dorsal carpal arch gives rise to three dorsal metacarpal arteries
- Dorsal metacarpal arteries then divide into smaller dorsal digital arteries
First Dorsal Metacarpal Artery
- Is also derived from the radial artery
Radial Artery in the Hand
- Deep to the adductor pollicis muscle
- Gives rise to the princeps pollicis and radialis indicis arteries
Princeps Pollicis Artery
- Provides the main blood supply to the thumb
Radialis Indicis Artery
- Supplies the lateral side of the index finger
Deep Palmar Arch
- The radial artery passes between the two heads of the adductor pollicis muscle and becomes this arch
- On the medial side of the palm, it communicates with the deep palmar branch of the ulnar artery
Palmar Metacarpal Arteries
- Three palmar metacarpal arteries join the common palmar digital arteries from the superficial palmar arch
Perforating Arteries
- Pass posteriorly and forms anastomoses with the dorsal metacarpal arteries from the dorsal carpal arch
Ulnar Artery
- The artery passes along the medial aspect of the forearm and is larger than the radial artery
Ulnar Artery: Anterior and Posterior Ulnar Recurrent Arteries
- Contribute to an anastomotic network around the elbow joint
Ulnar Artery: Common Interosseous Artery
- Divides into anterior and posterior interosseus arteries
Anterior Interosseus Artery
- Supplies the deep compartment of the forearm
- Perforating branches supplies the posterior compartment of the forearm
- Terminates by joining the posterior interosseus artery
Posterior Interosseus Artery
- Supplies the deep compartment of the forearm
Ulnar Artery: The Deep Palmar Artery
- It accesses the deep plane of the palm
- It anastomoses with the deep palmar arch which is formed by the radial artery
Ulnar Artery: Superficial Palmar Arch
- Superficial to the flexor tendons
- Gives rise to the palmar digital artery of the little finger
- Gives rise to three common palmar digital arteries
- Common palmar digital arteries divides into proper palmar digital arteries
Veins: Overview
- Veins carry blood from organs back to the heart
- Classified as superficial and deep veins
Veins: Deep Veins
- There is an artery with the same name nearby
- Sometimes 2 deep veins run along with the artery
Veins: Superficial Veins
- Located in the superficial fascia, not paired with an artery
Veins of Hand: Overview
- The hand contains interconnected networks of deep and superficial veins
Veins of Hand: Deep
- Follow arteries, like the palmar digital, palmar metacarpal, deep palmar venous arch, radial, superficial palmar venous arch, ulnar, brachial and axillary Â
Veins of Hand: Superficial Veins origin
- Originate from the dorsal venous network, found on the back of the hand
Cephalic Vein
- It originates from the lateral side of the dorsal venous network
- This vein passes over the anatomical snuffbox
Basilic Vein
- It originates from the medial side of the dorsal venous network
Forearm: Superficial Vein
- Â Basilic vein runs on the medial side
- Cephalic vein runs on the lateral side
Median Cubital Vein
- Found on the roof of the cubital fossa, in the superficial fascia
- Connects the cephalic and basilic veins, common site for blood drawing
Veins: Deep
-  The axillary vein passes through the axilla
- It becomes the subclavian vein as it crosses the lateral border of rib 1
Veins: Superficial
- Cephalic vein passes into the clavipectoral triangle which is between the deltoid, pectoralis major, and clavicle
- Pierces the clavipectoral fasciaÂ
- Joins the axillary vein
Subclavian Vein
- Blood from the upper limb unites with the internal jugular vein
- They form the brachiocephalic vein
Brachiocephalic Veins
- They join together to form the Superior Vena Cava
- Then the the Superior Vena Cava drains into the right atrium of the heart
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