Anatomy Hand-out Upper Limb_ (Z-Library).pdf

Anatomy Hand-out Of. SAMEH DOSS (Ph.D) PROFESSOR OF ANATOMY FACULTY OF MEDICINE, CAIRO UNIVERSITY / anatomy hand-out BY DR. SAMEH DOSS (Ph.D) PROFESSOR OF ANATOMY FACULTY OF MEDICINE, CAIRO UNIVERSITY A...

Anatomy Hand-out Of. SAMEH DOSS (Ph.D) PROFESSOR OF ANATOMY FACULTY OF MEDICINE, CAIRO UNIVERSITY / anatomy hand-out BY DR. SAMEH DOSS (Ph.D) PROFESSOR OF ANATOMY FACULTY OF MEDICINE, CAIRO UNIVERSITY All Rights Reserved sdsn jU* £401 fSj 2015 /1661 I.S.B.N.: 978 - 977 - 90 - 2543 - 8 Correspondence: 01229129090  Anatomical abbreviations Rt- z risht It^ left a* - artery aa*z arteries V* s vein VV* z Veins xvi nerve n n-z nerves m* s muscle mmz muscles ant** anterior pest*z posterior md* s medial tat* lateral tup. z superior inf.z inferior l*l4*z lymph node L'Nszlymph nodes Ug< z ligament LigS'z ligaments flex.zflesor z%t*ze%\en$or &&; abductor add-z adductor MS s nerve supply # * inch i2*cmS) U.Lz upper limb L* I* slowerlimb O z Cervical T'z thoracic L>* lumbar &z sacral bfi r branch br$>zbranches  INDEX OF CONTENTS 1.BONES OF THE UPPER LIMB- 1-32 2.PECTORAL REGION- -33-36 3.MUSCLES OF THE SHOULDER AND SCAPULAR REGION- -37-43 ^INTERMUSCULAR SPACES IN THE SHOULDER REGION- -44 5.AXILLA 45-46 6.THE ARM — 47-50 7.SUPERFICIAL MUSCLES OF THE FRONT OF FOREARM- -51-54 8.DEEP MUSCLES OF THE FRONT OF FOREARM -54-55 9.CUBITAL FOSSA— — —56 10.FLEXOR RETINACULUM AND CARPAL TUNNEL -57-58 11.SUPERFICIAL MUSCLES OF THE BACK OF FOREARM- 19-61 12.DEEP MUSCLES OF THE BACK OF FOREARM — -62-63 13.ANATOMICAL SNUFF BOX AND EXTENSOR RETINACULUM—63-64 14.THE HAND- 65-74 15.ARTERIES OF THE UPPER LIMB- -75-87 16.VEINS OF THE UPPER LIMB -88-89 17.NERVES — —90-113 18.JOINTS — —- —114-130 19.LYMPHATIC DRAINAGE OF UPPER LIMB- -131-132 20.THE BREAST— ~ —— —133-136 21.OSSIFICATION OF THE BONES OF THE U.L- -137-138  Bones of the Upper Limb 1 Ihe bones of the upper limy Consist of. (I) Boies ofthe shoulderorpecbralgirdle-. these are the bones which connect the limb to the trunk and include t : (a) the Clavicle: anteriorly tb) the ttjnhj posteriorly: Ml ~{f)the Shouldergirdle is Complel by the upperendofthe sternum which articulates with the med ends of the 2 clavicles- (2) posteriorly, the 2scapulae are widely separated from each other4are connectedto the axial skeleton by muscles only- If'Bone of the upperarm** ihe humerus - "& Bones of the forearm-, tf) Radius ttheblbone): (2) Ulna (the med>bone) r Bones ofthehand; include ' L^)^r£a[bo_nes:present in the wrist ^)tn^ar^rpa[bom§_: present in the ®E^i™3?jL' Pre$ent in the finders  (1) THE SCAPULA a/-It is the post bone ofthe shouldergirdL *lype: ft is aflat bone developing by Cartilagenous ossification - * Anatomical position: (0 it lies on the posterolateral aspect of the chest Wall Covering the backs of the ribs 2-7- (Z) its med-border lies parallel to the vertebral Column ^5cm- away from the spines (3) its Surfaces lie in aplane, midway between front to back c\siae toside - (4) thecoracoidprocess projectsforwards slightly laterally below thejunction between thi lat-fy b\themed-3/t4 0f the clavicle - I GENERAL FEATURES OF THE SCAPULA the scapula has: (a) 2 surfaces ' ant-c\ post- (b) ^orders '> sup , med o\lateral- &3jin$es ; sup9 inf- \ lateral- (cl) 3 fossae : subscapular/ supraspinous o\infraspinous LO 3processes: spine , acromion ^coracoid process (f)3 notches: suprascapular,spincrc/lenoid * it is transformed into Foramen by the suprascapularwTr^ jf//spinoqknoid V,3menb. ' f/ 1 *"*" + through the foramen passes thesuprascapular n V ''. , //I ci^mf/ex scapukr kabove the \ig* passes the suprascapular vessels* VJf j$ iZ)$pinolM> from the supraspinous fossa to the infraspinous fossa * (3) circumflex scapular notch* It is agroove on the dorsal aspect of the lot*borderproduced by the Circumflex scapular artery* (G) TUBERCLES OF THE SCAPULA i\)5upra-glenoid tubercle'' asmall rough projection above theglenoidCavity LZ)hFra,alenoid tubercle W^ \^A^ arough triangular area just belouf theglenoid Cavity w \J/ tubercle td)luhercie oF the crest of spine; , #. / V jjjr fAjjf tubercle of atfuanaukr rough projection Ftomthelowerlip'oFthe ^*%pW«fspine Crest oF spine* OSSIFICATION OF THE SCAPULA 'see Pade \si * SUBCUTANEOUS BONY LANDMARKS: (I) the acromion ^acromialangle ' lie immediatelyabove thesmoothbulgeofthedeltoid (flGoracoidprocess:lies deepd* belowthejunction oFthe l*t\ UmcdfyoFthedavide* (3j the crest oFthe spine oFthe scapula. (u) the inFeriorangle lS)thebwer2/gofthemed*borJer<