Upper Extremities Blood Supply

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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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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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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@ [email protected] 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

.

Upper Extremities Blood Supply

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