anatomia toracelui si glanda mamara
Transcript of anatomia toracelui si glanda mamara
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Anatomia Anatomia toracelui si a toracelui si a
glandei mamareglandei mamare
Microcurs - an IIIMicrocurs - an III
E. CatrinaE. Catrina
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Anatomia toraceluiAnatomia toracelui
Delimitare:Delimitare:
Superior - apertura toracica superioaraSuperior - apertura toracica superioara
Inferior - apertura toracica inferioaraInferior - apertura toracica inferioara
Lateral - marginile anterioare si Lateral - marginile anterioare si posterioare ale posterioare ale muschiului deltoidmuschiului deltoid
Profund - piele pleura parietalaProfund - piele pleura parietala
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Anatomia toraceluiAnatomia toracelui
Linii de delimitare:Linii de delimitare:Linii verticaleLinii verticale
Linii orizontaleLinii orizontale
Linii obliceLinii oblice
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Anatomia toraceluiAnatomia toracelui
Linii de delimitare: - Linii de delimitare: - Linii Linii verticaleverticale
Mediana anterioaraMediana anterioara Linia sternalaLinia sternala Linia parasternalaLinia parasternala
MedioclavicularaMedioclaviculara Axilara anterioaraAxilara anterioara
AxilaraAxilara Axilara posterioaraAxilara posterioara
ScapularaScapulara Costovertebrala Costovertebrala
Mediana posterioaraMediana posterioara
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Anatomia toraceluiAnatomia toracelui
Linii de delimitare: - Linii de delimitare: - Linii Linii verticaleverticale
Mediana anterioaraMediana anterioara Linia sternalaLinia sternala Linia parasternalaLinia parasternala
MedioclavicularaMedioclaviculara Axilara anterioaraAxilara anterioara
AxilaraAxilara Axilara posterioaraAxilara posterioara
ScapularaScapulara Costovertebrala Costovertebrala
Mediana posterioaraMediana posterioara
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Anatomia toraceluiAnatomia toracelui
Linii de delimitare: - Linii de delimitare: - Linii Linii verticaleverticale
Mediana anterioaraMediana anterioara Linia sternalaLinia sternala Linia parasternalaLinia parasternala
MedioclavicularaMedioclaviculara Axilara anterioaraAxilara anterioara
AxilaraAxilara Axilara posterioaraAxilara posterioara
ScapularaScapulara Costovertebrala Costovertebrala
Mediana posterioaraMediana posterioara
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Anatomia toraceluiAnatomia toraceluiLinii de delimitare: - Linii de delimitare: - Linii Linii
orizontaleorizontale Anterioare Anterioare
Claviculara Claviculara BimamelonaraBimamelonara XifoidianaXifoidiana SubcostalaSubcostala
PosterioarePosterioare Cervicotoracica (C7)Cervicotoracica (C7) Bispinoscapulara (T3)Bispinoscapulara (T3) Bianguloscapulara (T12)Bianguloscapulara (T12) Subcostala (L1)Subcostala (L1)
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Anatomia toraceluiAnatomia toraceluiLinii de delimitare: - Linii de delimitare: - Linii Linii
orizontaleorizontale Anterioare Anterioare
Claviculara Claviculara BimamelonaraBimamelonara XifoidianaXifoidiana SubcostalaSubcostala
PosterioarePosterioare Cervicotoracica (C7)Cervicotoracica (C7) Bispinoscapulara (T3)Bispinoscapulara (T3) Bianguloscapulara (T12)Bianguloscapulara (T12) Subcostala (L1)Subcostala (L1)
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Anatomia toraceluiAnatomia toracelui
Linii de delimitare: - Linii de delimitare: - Linii Linii obliceoblice
Linia condrosternala –Linia condrosternala –
articarticuulatiile dintre coaste latiile dintre coaste
si cartilajele lorsi cartilajele lor
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Anatomia toraceluiAnatomia toraceluiRegiuni anatomo-topografice:Regiuni anatomo-topografice:I.I. AnterioaraAnterioara (l. mediosternala - l. (l. mediosternala - l.
axilara anterioara)axilara anterioara)
II.II. LateralaLaterala (intre liniile axilare ant. si (intre liniile axilare ant. si post.)post.)
III.III. PosterioaraPosterioara (l. axilara post. - l. (l. axilara post. - l. scapulara)scapulara)
IV.IV. VertebralaVertebrala (intre liniile scapulare) (intre liniile scapulare)
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Anatomia toraceluiAnatomia toracelui
Regiuni anterioare:Regiuni anterioare: Reg. sternalaReg. sternala Reg. infraclavicularaReg. infraclaviculara Reg. mamara (pectorala)Reg. mamara (pectorala) Reg. clavi-deltopectoralaReg. clavi-deltopectorala Reg. infrapectorala Reg. infrapectorala
(hipocondrica)(hipocondrica)
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Anatomia toraceluiAnatomia toraceluiRegiuni posterioare:Regiuni posterioare:
Regiunea scapulara:Regiunea scapulara: Reg. supraspinoasaReg. supraspinoasa Reg. infraspinoasaReg. infraspinoasa
Regiunea infrascapularaRegiunea infrascapulara
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Anatomia toraceluiAnatomia toraceluiRepere osteomusculare:Repere osteomusculare:
Incizura jugulara a sternului Incizura jugulara a sternului (manubriul sternal-T2)(manubriul sternal-T2) Unghiul Louis (bifurc. traheei)Unghiul Louis (bifurc. traheei) Apendicele xifoid (T10)Apendicele xifoid (T10) ClaviculeleClaviculele Fosele subclaviculareFosele subclaviculare Santul deltopectoralSantul deltopectoral Rebordul costalRebordul costal Linia GerdyLinia Gerdy
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Anatomia toraceluiAnatomia toracelui
Musculatura peretelui toracic:Musculatura peretelui toracic:
Musculatura extrinsecaMusculatura extrinseca
Musculatura intrinsecaMusculatura intrinseca
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Anatomia toraceluiAnatomia toraceluiMusculatura extrinsecaMusculatura extrinseca M. pectorali mare si micM. pectorali mare si mic M. subclavicularM. subclavicular M. dintat anteriorM. dintat anterior M. latissimus dorsi M. latissimus dorsi M. trapezM. trapez Mm. supraspinos si infraspinosMm. supraspinos si infraspinos M. subscapularM. subscapular Mm. rotund mare si micMm. rotund mare si mic
Musculatura intrinsecaMusculatura intrinseca
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Anatomia toraceluiAnatomia toracelui
Musculatura intrinseca:Musculatura intrinseca: Stratul superficialStratul superficial - mm. intercostali - mm. intercostali
externi + membr. intercostala externaexterni + membr. intercostala externa Stratul intermediarStratul intermediar - m. intercostali - m. intercostali
interni + membr. Intercostala internainterni + membr. Intercostala interna Stratul profundStratul profund – mm. subcostali, – mm. subcostali,
mm. intercostali intimi, m. transvers mm. intercostali intimi, m. transvers toracic, mm. ridicatori ai coastelor toracic, mm. ridicatori ai coastelor (scurti si lungi)(scurti si lungi)
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Anatomia toraceluiAnatomia toracelui
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Anatomia toraceluiAnatomia toracelui
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Anatomia glandei Anatomia glandei mamaremamare
Organe gl. De orig. ectodermala, Organe gl. De orig. ectodermala, asezate simetric in regiunea toracica asezate simetric in regiunea toracica anterioara:anterioara:
Sup. - coasta 3Sup. - coasta 3 Inf. - coasta 6/7Inf. - coasta 6/7 Medial – lina parasternalaMedial – lina parasternala Lateral – linia axilara anterioaraLateral – linia axilara anterioara
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Anatomia glandei Anatomia glandei mamaremamare
Stratigrafie:Stratigrafie:
1.1.Piele :areola, mamelon, Piele :areola, mamelon,
2.2.Tesutul grasos premamar (lig. Cooper, Tesutul grasos premamar (lig. Cooper, crestele Duret)crestele Duret)
3.3.Fascia premamaraFascia premamara
4.4.Glanda mamara (fata ant, post, margini, Glanda mamara (fata ant, post, margini, prelungiri)prelungiri)
5.5.Fascia retromamaraFascia retromamara
6.6.Tesutul gras retroglandular (bursa Tesutul gras retroglandular (bursa Chassaignac)Chassaignac)
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Anatomia glandei Anatomia glandei mamaremamare
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Anatomia glandei Anatomia glandei mamaremamare
Vascularizatie arteriala:Vascularizatie arteriala:
1.1.A. mamara interna (rr. perforante)A. mamara interna (rr. perforante)
2.2.A. mamara externaA. mamara externa
3.3.Aa.intercostale II-IVAa.intercostale II-IV
4.4.A. toracica suprema (r. superficial)A. toracica suprema (r. superficial)
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Anatomia glandei Anatomia glandei mamaremamare
Vascularizatia venoasa:Vascularizatia venoasa:
a)a)Circ. superf. (cercul venos Haller)Circ. superf. (cercul venos Haller)
b)b)Circ. Profunda:Circ. Profunda: Medial – v. mamara int.- tr. Medial – v. mamara int.- tr.
BrahiocefalicBrahiocefalic Lateral – v. mamara ext. – v. axilaraLateral – v. mamara ext. – v. axilara Posterior – vv. intercostale – vv. Posterior – vv. intercostale – vv.
Lombare – v. azygos si hemiazigosLombare – v. azygos si hemiazigos
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Anatomia glandei Anatomia glandei mamaremamare
Circulatia limfatica:Circulatia limfatica:Retea superfRetea superfRetea profundaRetea profunda
1.1.Caile eferente principaleCaile eferente principale Calea axilara – gg. Axilari – gg. Calea axilara – gg. Axilari – gg.
supraclavicularisupraclaviculari Calea mamara interna – gg. Toracici interni Calea mamara interna – gg. Toracici interni
– (gg. Supraclaviculari, confluentul – (gg. Supraclaviculari, confluentul jugulosubclavicular, ductul toracic/marea jugulosubclavicular, ductul toracic/marea vena limfatica)vena limfatica)
2.2.Caile eferente secundareCaile eferente secundare
Efectoare limfatice
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Anatomia glandei mamareAnatomia glandei mamareClasificarea Cuneo- Poirer a gg. Clasificarea Cuneo- Poirer a gg.
axilari:axilari:
1.1.Gg. Mamari externi (4-8)Gg. Mamari externi (4-8)
2.2.Gg. Laterali (4-6)Gg. Laterali (4-6)
3.3.Gg. Scapulari (5-12)Gg. Scapulari (5-12)
4.4.Gg. Centrali (4-6)Gg. Centrali (4-6)
5.5.Gg. Apicali (6-12)Gg. Apicali (6-12)
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Anatomia glandei Anatomia glandei mamaremamare
Clasificarea Berg a gg. limfatici Clasificarea Berg a gg. limfatici axilari:axilari:
I.I.Gg. Infra pectoraliGg. Infra pectorali
II.II.Gg. RetropectoraliGg. Retropectorali
III.III.Gg. Supra pectoraliGg. Supra pectorali
IV.IV.Gg. Interpectoral Gg. Interpectoral
(Rotter)(Rotter)
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Anatomia glandei Anatomia glandei mamaremamare
Caile eferente secundare:Caile eferente secundare:Calea accesorie retropectorala Calea accesorie retropectorala
(Moinard)(Moinard)Calea axilara controlaterala Calea axilara controlaterala
presternala (Oesner)presternala (Oesner)Calea accesorie inferioara (Gerota)Calea accesorie inferioara (Gerota)Calea transpectoralaCalea transpectoralaCalea retrosternala (substernala)Calea retrosternala (substernala)