2. nerve and blood supply to upper limb Flashcards
(32 cards)
stem (main) artery
subclavian artery
right - from brachiocephalic trunk
left - from arch of aorta
subclavian artery path
passes through scalene triangle (over first rib)
divided into 3 parts by scalenus anterior
1st: medial to muscle
2nd: behind muscle
3rd: lateral to muscle
becomes axillary artery
dorsal scapular artery
from 2nd/3rd part of subclavian
contributes to scapular anastomosis
thyrocervical trunk
from first part of subclavian artery
contributes to scapula anastomosis
when does subclavian become axillary artery?
as it crosses outer border of first rib
axillary artery
divided into 3 parts by pectoralis major 1st: medial to muscle 2nd: behind muscle 3rd: lateral to muscle ends at lower part of teres major becomes brachial artery
branches of axillary
subscapular artery - to scapular anastomosis
anterior/posterior circumflex humeral - to neck/shaft of humerus
brachial artery
superficial
supplies flexors
contributes to anastomosis around elbow
terminates in cubital fossa: ulnar and radial
large branch = profunda brachia artery (supplies extensors)
profunda brachii artery
branch of brachial
accompanies radial nerve in spiral groove
supplies arm extensors (triceps)
radial artery
lateral side of forearm smaller of the 2 terminal branches covered by brachiradialirs forms deep palmar arch winds around dorsum of hand at wrist passes through anatomical snuffbox
ulnar artery
medial side of forearm
covered by flexor carpi ulnaris muscle
gives off deep branch - common interosseous artery
forms superficial palmar arch
deep veins
paired - run which arteries of same name
venae comitantes
drain into axillary vein
superficial veins
cephalic
basilic
drain into axillary vein
connected by median cubital vein at elbow
brachial plexus
nerve supply to upper limb
mixed nerves
divided into roots, trunks, divisions and cords
roots
ventral primary rami of C5-T1
motor axons within each root innervate different functional group of muscles
c5 root
shoulder abduction and adduction
c6/c7 roots
elbow flexion and extension
c7/c8 roots
wrist flexion and extension
c8/t1 roots
movement of digits
trunks
from roots pass through scalene muscles superior (C5, C6) middle (C7) inferior(C8, T1)
divisions
from trunks
each trunk divides into anterior and posterior divisions
anterior divisions
axons to flexor compartments
forms lateral and medial cords
posterior divisions
axons to extensor compartments
forms posterior cord
cords
under pectoralis major cord named in relation axillary artery lateral posterior medial