Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial...
Transcript of Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial...
![Page 1: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/1.jpg)
Veins of UL• superficial system
• deep system
- accompany arteries
- doubled up to axilla
- frequent connections around artery
- frequent valves
• v. subclavia
– small tributaries only
![Page 2: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/2.jpg)
Superficial veins of UL
• v. axillaris
– v. cephalica
– vv. thoracoepigastricae
– vv. costoaxillares
• v. brachialis (doubled)
– v. basilica
v. mediana cubiti + antebrachii
rete venosum dorsale manus
rete carpi dorsale
vv. intercapitulares
![Page 3: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/3.jpg)
Variations of connections of superficial veins within fossa cubitalis
![Page 4: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/4.jpg)
Superficial veins of UL
![Page 5: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/5.jpg)
Veins of lower limb
• superficial system
– compartimentum saphenum
• deep system
- accompany arteries
- doubled up to fossa poplitea
- frequent connections around artery
- frequent valves
• systema venosum laterale (Albanesei)
![Page 6: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/6.jpg)
Vena saphena magna
• confluens venosus subinguinalis
• valvula terminalis + preterminalis
• v. s. m. accessoria
– ant., post., superficialis
• v. circumflexa femoris ant., post.
• runs with n. saphenus
• ultrasound: „Egyptian / Cleopatra‘s eye“
![Page 7: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/7.jpg)
Ultrasound image of vena saphena magna
![Page 8: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/8.jpg)
![Page 9: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/9.jpg)
Confluens venosus subinguinalis
clinical term „Crosse“
= terminal portion of VSM bordered with valves
• v. epigastrica superficialis
• v. circumflexa ilium superficialis
• v. pudenda externa superficialis
• v. saphena magna accessoria anterior et posterior
• crossectomy
![Page 10: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/10.jpg)
Topography of VSM
• compartimentumsaphenum
• hiatus saphenus
• trigonumfemorale
![Page 11: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/11.jpg)
Vena saphena parva
• valvula terminalis + preterminalis
• v.s.p. accessoria superficialis
• extensio cranialis venae saphenae parvae (obsolete „v. femoropoplitea)
• runs with n. suralis
venae intersaphenae
![Page 12: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/12.jpg)
![Page 13: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/13.jpg)
Venae perforantesTransfascial connections = Perforators
• first drawn by Leonardo da Vinci
• interconnect deep (80% of blood) and superficial systems
• contain valves
• insufficient valves → varices
• 6 groups according to position
![Page 14: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/14.jpg)
![Page 15: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/15.jpg)
Venae perforantes
• simple, double or multiple
• run with small artery and cutaneousnerve (Staubesand‘s triad)
• 6 groups: foot, ankle, leg, knee, thigh, buttocks
• eponyms: Cockett, Boyd, Dodd
• e.g.: venae perforantes crurisposteriores tibiales = Cockett‘sperforators– interconnect v.s.m. accessoria posterior
and venae tibiales posteriores
– 18.5, 13.5 a 7 cm proximal to sole
4-mm tibial perforator
![Page 16: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/16.jpg)
![Page 17: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/17.jpg)
Sensory skin innervation
• area radicularis (dermatome)– skin area supplied by 1 radix spinalis (from 1 spinal
segment)
• area nervina– skin area supplied by 1 peripheral sensory nerve
(usually from more spinal segments)
• area radicularis visceralis– Internal organ area supplied by viscerosensory
nerves of 1 spinal segment
• Head‘s zone– segmental projection of sensitivity from organs to
the certain skin areas
![Page 18: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/18.jpg)
Dermatome
skin area supplied
by one spinal
nerve (from one
spinal segment)
![Page 19: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/19.jpg)
Sensory
innervation
of upper
limb
![Page 20: Veins of ULanatomie.lf2.cuni.cz/.../page/files/2019/topografie... · Veins of UL •superficial system •deep system - accompany arteries - doubled up to axilla - frequent connections](https://reader030.fdocuments.net/reader030/viewer/2022040503/5e2dd366469e6c386903cf68/html5/thumbnails/20.jpg)
Sensory
innervation
of lower
limb