Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior =...

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Arm, Elbow, Forearm

Transcript of Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior =...

Page 1: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Arm, Elbow, Forearm

Page 2: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Two Compartments of Arm

Arm = Shoulder to elbow; aka Brachium Anterior = flexors

• Innervated by Musculocutaneous Nerve

• Blood supply by brachial aa

Posterior =extensors• Innervated by Radial Nerve

• Blood supply by brachial profunda aa

Page 3: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Muscles of the Anterior Compartment

Coracobrachialis Biceps brachii Brachialis

Page 4: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior Muscles

Page 5: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior muscles

Page 6: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Nerves

Page 7: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Muscles of the Posterior Compartment

Triceps brachii• Long head

• Lateral head

• Medial head

Anconeus

Page 8: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Muscles

Page 9: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Nerve

Page 10: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anconeus

Page 11: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Regional Blood Supply

Brachial Brachial Profunda Superior Ulnar Collateral Inferior Ulnar Collateral Radial Collateral Middle Collateral

Page 12: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply

Page 13: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply

Page 14: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Veins

Page 15: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Humero-Ulnar Joint – flexion/extension• Olecranon Process and Olecranon Fossa (post.)

• Trochlea and Trochlear Notch (ant.)

• Joint Capsule ant. and post.

• Ulnar (Medial) collateral

• Radial (Lateral) collateral

• Anular

• Lateral Ulnar collateral – See Interactive Hand

• Carrying angle

Page 16: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 17: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 18: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 19: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 20: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 21: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 22: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Fill In the Blanks

Page 23: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow complex

Page 24: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Page 25: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow

Use Interactive Elbow

Page 26: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Elbow Complex

Humero-radial Head of radius with capitulum of

humerus Accessory motion Not a direct articulation

Page 27: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Radio-Ulnar Joints – Supination and Pronation

Superior• Head of Radius in radial notch

• Anular ligament

Inferior• Head of Ulna in ulnar notch

• Anterior and Posterior radio-ulnar ligaments

Interosseous Membrane

Page 28: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

R-U Joints

Page 29: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

R-U Joints

Page 30: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Supination and Pronation

Page 31: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Cubital Fossa

Page 32: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Cubital Fossa

Page 33: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Cubital Fossa

Page 34: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Cubital Fossa

Page 35: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Forearm AKA Antebrachium – Two Compartments

Anterior = ventral• Flexors

• All but 1 1/2 mm are innervated by median (or a branch called the anterior interosseous nerve), the other 1 1/2 innervated by the ulnar

• Three layers – superficial, intermediate and deep

• Most have 1 Point of origin on the medial epicondyle - CFT

Page 36: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Forearm

Posterior = dorsal Extensors Innervated by the radial nerve (or one of

two branches called either posterior interosseous nerve or deep radial)

Three layers = superficial, intermediate and deep

Most have 1 point of origin on the lateral epicondyle - CET

Page 37: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior Surface

Superficial• P.Teres

• Flexor Carpi Radialis

• Flexor Carpi Ulnaris

• Palmaris Longus

Page 38: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Superficial Muscles

Page 39: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior Surface

Intermediate• Flexor Digitorum Superficialis

Page 40: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Intermediate Layer -Origin

Page 41: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Intermediate Layer - Insertion

Page 42: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior Surface

Deep Layer• Flexor digitorum profundus (anterior

interosseous branch of median nerve

• Flexor pollicus longus

• Pronator quadratus (ant. Interosseous)

Page 43: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Deep Layer - Origins

Page 44: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Deep Layer - Insertions

Page 45: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Compare Insertions

Page 46: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Compare Insertions

Page 47: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Nerves of Anterior Forearm

Page 48: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Anterior Surface

Transverse Carpal Ligament AKA Flexor Retinaculum

Guyen’s Canal Carpal Tunnel Syndrome

Page 49: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

TCL

Page 50: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

TCL – Median N.

Page 51: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Guyens’ Tunnel – Ulnar N.

Page 52: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Surface

Superficial• Brachioradialis

• Extensor Carpi Radialis Longus

• Extensor Carpi Radialis Brevis

• Extensor Carpi Ulnaris

Page 53: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Superficial Muscles

Page 54: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Surface

Intermediate Layer• Extensor Digitorum Communis

• Extensor Indicus Proprius

• Extensor Digit Minimi

Page 55: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Intermediate Muscles

Page 56: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

EDC Insertion

Page 57: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

EDC Insertion

Page 58: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Surface

Deep• Supinator

• Abductor Pollicus Longus

• Extensor Pollicus Longus

• Extensor Pollicus Brevis

Anatomical “Snuff” box Out-cropper muscles

Page 59: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Deep Muscles

Page 60: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Deep Muscles

Page 61: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Posterior Surface

Extensor Retinaculum Compartments

• 1 epb and apl

• 2 ecrb, ecrl

• 3 epl

• 4 edc and eip

• 5 edm

• 6 ecu

Page 62: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Extensor Tendons

Page 63: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Extensor Tendons at Wrist

Page 64: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Nerves of Posterior Forearm

Page 65: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Nerves of Posterior Forearm

Page 66: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Common Injuries

Radial Nerve Above wrist extensor innervation= “Dropped Wrist”

Colle’s fracture Compression syndromes Epicondylitis – AKA “Tennis Elbow”

“Golfer’s Elbow”

Page 67: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Regional Blood Supply

Ulnar• Ant. Ulnar Recurrent

• Post. Ulnar Recurrent Radial

• Radial Recurrent

• Common Interosseous

• Interosseous Recurrent

• Ant. Interosseous

• Post. Interosseous

Page 68: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply

Page 69: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply

Page 70: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply

Page 71: Arm, Elbow, Forearm. Two Compartments of Arm Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply.

Blood Supply


New Still having issues? · 2020. 2. 7. · Double Fascicular § Restores elbow flexion: ulnar nerve fascicle to FCU + Median Nerve Fascicle to FCR, FDS transferred to musculocutaneous

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