Post on 21-Feb-2018
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UPPERUPPEREXTREMITIES:EXTREMITIES:
Blood Supply &Blood Supply &Venous DrainageVenous DrainageMA. CRISTINA S.MA. CRISTINA S.
ELMA,M.D.,M.S.P.H.,F.P.O.G.S.ELMA,M.D.,M.S.P.H.,F.P.O.G.S.
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OBJECTIVESOBJECTIVES
At the end of this lectue, !ou shouldAt the end of this lectue, !ou should"e #"le to$"e #"le to$
%. Identif! the in #tei#l tun's of%. Identif! the in #tei#l tun's of
the u((e li&"s, thei "#nches )the u((e li&"s, thei "#nches )#e#s of disti"ution.#e#s of disti"ution.
*. Desci"e the coll#te#l (#th+#!s*. Desci"e the coll#te#l (#th+#!s
#ound the shoulde, el"o+ ) h#nd.#ound the shoulde, el"o+ ) h#nd.. Identif! the su(e-ci#l set of eins. Identif! the su(e-ci#l set of eins
notin/ thei couse #nd the dee( setnotin/ thei couse #nd the dee( set
of eins #cco&(#n!in/ the #teies.of eins #cco&(#n!in/ the #teies.
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OBJECTIVESOBJECTIVES
0. Desci"e the in outes of0. Desci"e the in outes of
l!&(h#tic d#in#/e ) the (inci(#ll!&(h#tic d#in#/e ) the (inci(#l
e/ion#l l!&(h nodes of u((e li&"s.e/ion#l l!&(h nodes of u((e li&"s.
1. St#te the /ene#l 2o+ of l!&(h1. St#te the /ene#l 2o+ of l!&(h
fo& the u((e li&"s to the info& the u((e li&"s to the in
essels$ tho#cic duct ) i/htessels$ tho#cic duct ) i/ht
l!&(h#tic duct.l!&(h#tic duct.
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XI!!R" RTER"XI!!R" RTER"
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XI!!R" RTER"XI!!R" RTER"
Continu#tion of su"cl#i#nContinu#tion of su"cl#i#n L#te#l "ode of %L#te#l "ode of %ststi" toi" to
lo+e "ode of tees olo+e "ode of tees o
&s.&s.
Diided into (#ts "!Diided into (#ts "!
(ecto#lis &ino &s.(ecto#lis &ino &s.
%%stst(#t 4 hi/hest tho#cic(#t 4 hi/hest tho#cic
**ndnd(#t 4 tho#co#co&i#l(#t 4 tho#co#co&i#l
5 l#te#l tho#cic5 l#te#l tho#cic
dd(#t 4 su"sc#(ul#(#t 4 su"sc#(ul#
5 #nt. hu&e#l5 #nt. hu&e#l
cicu&2e6cicu&2e6
5 (ost. hu&e#l5 (ost. hu&e#l
cicu&2e6cicu&2e6
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BRC#I! RTER"BRC#I! RTER"
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BRC#I! RTER"BRC#I! RTER"
Continu#tion ofContinu#tion of#6ill#! #.#6ill#! #.
Lo+e "ode of teesLo+e "ode of tees
o to nec' of #diuso to nec' of #dius
I&(ot#nt "#nches$I&(ot#nt "#nches$5 Pofund# "#chiiPofund# "#chii
5 Su(eio uln#Su(eio uln#
coll#te#l #.coll#te#l #.
5 Infeio uln#Infeio uln#coll#te#l #.coll#te#l #.
5 R#di#l #R#di#l #
5
7ln# #.7ln# #.
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RDI! RTER"RDI! RTER"
Fo&s (#t of su(e-ci#lFo&s (#t of su(e-ci#l#nd dee( (#l#nd dee( (#l#tei#l #ches8inl!#tei#l #ches8inl!dee( #tei#l #ch9dee( #tei#l #ch9
I&(t. :#nchesI&(t. :#nches
5 Muscul# #.Muscul# #.5 R#di#l ecuent #.R#di#l ecuent #.5 P#l c#(#l #.P#l c#(#l #.5 Dos#l c#(#l #.Dos#l c#(#l #.
5 Su(e-ci#l (#l #.Su(e-ci#l (#l #.5 Pince(s (ollicis #.Pince(s (ollicis #.5 R#di#l indicis (o(iusR#di#l indicis (o(ius
#.#.
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RDI! RTER"RDI! RTER"
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RDI! RTER"RDI! RTER"
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RDI! RTER"RDI! RTER"
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U!$R RTER"U!$R RTER"
Fo&s (#t of su(e-ci#lFo&s (#t of su(e-ci#l
#nd dee( (#l #tei#l#nd dee( (#l #tei#l
#ches 8inl! su(e-ci#l9#ches 8inl! su(e-ci#l9
I&(t. :#nchesI&(t. :#nches
5 Anteio uln# ecuent #.Anteio uln# ecuent #.5 Posteio uln# ecuentPosteio uln# ecuent
#.#.
5 Co&&on inteosseous #.Co&&on inteosseous #.
5 Muscul# #.Muscul# #.
5 Dos#l c#(#l #.Dos#l c#(#l #.
5 P#l c#(#l #.P#l c#(#l #.
5 Dee( (#l #.Dee( (#l #.
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U!$R RTER"U!$R RTER"
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U!$R RTER"U!$R RTER"
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P!MR RTERI!P!MR RTERI!
RC#ESRC#ES S7PERFICIALS7PERFICIAL
5fo&ed (inci(#ll! "!5fo&ed (inci(#ll! "!
uln# #.uln# #.
5 su((lies &edi#l ;su((lies &edi#l ;di/itsdi/its
DEEPDEEP
5 fo&ed (inci(#ll! "!fo&ed (inci(#ll! "!#di#l #.#di#l #.
5 Su((lies l#te#l % ;Su((lies l#te#l % ;
di/itsdi/its
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SUPER%ICI! & DEEPSUPER%ICI! & DEEP
P!MR RC#ESP!MR RC#ES
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RTERI!RTERI!
$STOMOSES$STOMOSES
SCAP7LARSCAP7LAR5 A6ill#! s!ste& +ithA6ill#! s!ste& +ith
su"cl#i#n s!ste&su"cl#i#n s!ste&
EL:O< =OINTEL:O< =OINT
5 :#nches of "#chi#l:#nches of "#chi#l
#. +ith "#nches of#. +ith "#nches of
#di#l #nd uln# ##.#di#l #nd uln# ##.
ANASTOMOSESANASTOMOSES
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VE$OUS DRI$EVE$OUS DRI$E
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VE$OUS DRI$EVE$OUS DRI$E
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T#$' "OU(((T#$' "OU(((
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)UI*+ SEC )UI*+ SEC
%.%. S THES THE
TERMINATION OF THE A?ILLAR@TERMINATION OF THE A?ILLAR@
ARTER@ARTER@
*.*. GIBE % ARTER@ ARISING FROM THEGIBE % ARTER@ ARISING FROM THERD PART OF THE A?ILLAR@ ARTER@.RD PART OF THE A?ILLAR@ ARTER@.
)0.
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)UI* , SEC )UI* , SEC
) . RADIAL ARTER@ IS FO7ND ) . RADIAL ARTER@ IS FO7ND
:ET
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)UI* , SEC B)UI* , SEC B
%.%.
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)UI* , SEC B)UI* , SEC B
.