12 whole upper limb
TRANSCRIPT
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Upper limb anatomy
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Winners make rules, and
losers follow it…
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Breast anatomy
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Extent of the breast
2nd rib
6th rib
4th rib
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Pectoralis major m.&
fascia
The breast lies over
Serratus anterior m.
External oblique m.
Rectus sheath
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Clavicular head of pectoralis major m.
Sternocostalhead of
Pectoralis major m.
Insertion of pectoralis major m.
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Origin of serratus anterior m.
Inserted along the inner aspect of
medial lib of scapula
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Architecture of the breast
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Lobe of mammary gland(breast fat)
Suspensory lig. of breast
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Lobe of mammary gland
Suspensory lig. of breast
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Blood supply of the breast
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Internal mammary artery
Medial perforators)artery, vein, nerve & lymph(
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Axillary a.
Lateral thoracic a.
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Aorta
3rd intercostal a.
Intercostal arteries
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Accessory hemiazygos v.
Intercostal v.
Hemiazygos v.Azygos v.
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Azygos v.
S.V.C
Sympatheticchain
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Lymph drainage of the breast
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Pectoral node I
Pectoral node III
Interpectoral L.N of Rotor
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Pectoral node II
Pectoral node I
Pectoral node III
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Axilla
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What is axilla?Medial side of the arm
Lateral side of chest wall
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Anterior wall of axilla
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Pectoralis major m.
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Pectoralis minor m . &fascia
Suspensory lig. of axilla
Clavipectoral fascia
Subclavius m. & fascia
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Posterior & medial wall of axilla
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Subscapularis m.
Teres major m.
Serratus anterior m.(medial wall)
Posterior wall
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Lateral wall of axilla
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Coracobrachialis m.
Short head of biceps brachii m.
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Apex
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Neurovascular bundle
Clavicle
1st ribAcromion
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Contents of axilla
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Axillary artery
Axillary vein
Brachial plexus
Lymphatics
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Triangular & quadrangular spaces
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Subscapularis
Hum
erus
Teres major
Long
hea
d of
trice
ps
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Posterior cord of brachial plexus
Axillary nerve
Radial nerve
Nerve to long head of triceps
Nerve to latissimus dorsi
Long thoracic nerve
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Cubital fossa(borders)
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Imaginary line at the lower border of brachii muscle
Brachioradialis muscle)Laterally(
Pronator teres m.)Medially(
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Floor of cubital fossa
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Brachialis muscle
Supinator m.
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Content of cubital fossa
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Median nerve
Brachial artery
Radial nerve
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Anatomical snuff box
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Adductor pollicis longus m.
Extensor pollicis brevis m.
Extensor pollicis longus m.)Medially(
Laterally
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Floor of snuff box
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Extensor carpi radialis brevis m.
Extensor carpi radialis longus m.
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Content of snuff box
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Radial artery
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Extensor retinaculum
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Extensor retinaculum of wrist
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Adductor pollicis longus m.
Extensor pollicis brevis m.1st
Comp.
Extensor carpi radialis brevis m.Extensor carpi radialis longus m.
2nd Comp.
Extensor pollicis longus m. (3rd comp.)
Extensor digitorum m.
Extensor indicis m.4th
Comp.
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Muscles of upper limb(Shoulder Region)
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Origin of clavicular head of pectoralis major m.From the medial ½ of front of clavicle
Origin of sternocostal head ofPectoralis major m. from anterior Surface of sternum upper 6 c.c.
Insertion of pectoralis major m.In the lateral lip of
bicipital groove of humerus
Nerve supplyMed. & lat. Pectoral nerves
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Origin of Pectoralis minor m. from 3rd, 4th &5th ribs.
Insertion of pectoralis minor m.In the coracoid process
Nerve supplyMedial pectoral n.
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Origin of subclavius m. from 1st costochondral junction.
Insertion of subclavius m.In the lower surface of the
Middle ½ of the clavicle.
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Origin of serratus anterior m.By 8 digitations from upper ribs
Inserted of serratus anterior m.along the inner aspect of medial lib of scapula
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Origin of trapezius m. 1. Superior nuchal line.2. External occiptal protuberance.3. Ligamentum nuchae.4. C7 spine & spines of all
thoracic vertebrae.
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Insertion of trapezius m.In the lateral 1/3 of the
Clavicle & in the acromion.
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Origin of latissimus dorsi m.
Lower 6 thoracic spines.
Lumber fascia.
Iliac crest.
Inferior angle of scapula
Lower 8 ribs
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Insertion of latissimus dorsi m. in the floor of bicipital groove
of humerus
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Insertion of teres major m. in the
medial lip of bicipital groove
Insertion of pectoralis major m. in the lateral lip of bicipital groove
Insertion of latissimus dorsi m. in the floor of
bicipital groove
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Origin of the levator scapulae m. from transverse process of the
upper 4 cervical vertebrae
Insertion of the levator scapulae m. in medial border of scapula from superior angle to root of
spine.
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Origin of the levator scapulae m. from transverse process of the
upper 4 cervical vertebrae
Insertion of the levator scapulae m. in medial border of scapula from superior angle to root of
spine.
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Origin of rhomboid minor m. from C7 & T1 spines.
Insertion of rhomboid minor m. in medial border of the scapula opposite to root of
spine.
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Origin of rhomboid major m. from T2,3,4 & 5
spines
Insertion of rhomboid major m. in medial
border of the scapula; from root of the spine
till inferior angle
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Origin of supraspinatus m. from supraspinous fossa.
Insertion of supraspinatus m. in upper impression of greater
tubercle of the humerus
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Insertion of supraspinatus m. in upper impression of greater
tubercle of the humerus
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Origin of infraspinatus m. from Infraspinous fossa
Insertion of infraspinatus m. in middle impression of the
greater tubercle
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Insertion of infraspinatus m. in middle impression of the
greater tubercle
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Origin of teres minor m. from upper ⅔ of the lateral border of
the scapula (dorsal)
Insertion of teres minor m. in lower impression of the
greater tubercle
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Insertion of teres minor m. in lower impression of the
greater tubercle
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Origin of teres major m. from upper 1/3 of lat
border of scapula (dorsal)
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Insertion of teres major m. in medial lip of the bicipital
groove
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Insertion of teres major m. in the
medial lip of bicipital groove
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Origin of subscapularis m. from subscapular
fossa
Insertion of subscapularis m. in lesser tubercle of the humerus
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Origin of deltoid m. from lateral ⅓ of the clavicle
Lateral border of acromion
Crest of the scapular spine
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Insertion of deltoid m. in the deltoid tuberosity of
the humerus
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Muscles of the Arm The Front of the Arm
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Origin of coracobrachialis m. from tip of coracoid process.
Insertion of coracobrachialis m. in middle of the shaft of humerus medially.
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Insertion of coracobrachialis m. in middle of the shaft of humerus medially.
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Origin of short head of biceps brachii m. from
tip of coracoid process
Insertion of biceps brachii m. in bicipital
aponeurosis
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Origin of long head of biceps brachii m. from supraglenoid tubercle
Infraglenoid tubercle
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Insertion of biceps brachii m. in radial tuberosity
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Origin of brachialis m. from front of lower ½ of
humerus
Insertion of brachialis m. in front of ulna
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The back of arm
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Origin of long head of triceps m. from infra-glenoid tubercle
Origin of lateral head of triceps m. from back of humerus (spiral groove)
Insertion of triceps m. in Top of the olecranon
process of ulna
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supraglenoid tubercle
Insertion of long head of triceps m. in infraglenoid
tubercle
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Origin of the medial head of triceps m. from back of humerus (spiral
groove)
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Muscles of the hand
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Abductor pollicis brevis m.
Flexor pollicis brevis m.
Abductor digiti minimi m.
Flexer digiti minimi brevis m.
Opponens digiti minimi m.
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Opponens pollicis m.
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Digital branches of median nerveSupplies lateral 3 ½ fingers.
Digital branches of ulnar nerveSupplies medial 1 ½ fingers.
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Radial bursa
Ulnar bursa
3 separate synovial sheaths
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Tendon of flexor digitorum superficialis m.
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Tendon of flexor digitorum profundus m.
Lumbrical ms.
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Oblique head of adductor pollicis m.
Transverse head of adductor pollicis m.
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Palmar interosseous ms. Supplied by deepBranch of ulner n .