peredaran darah dan saraf

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 1/49

Extremitas Superior

Thontowi Djauhari NS

Laboratorium Anatomi

Program Pendidikan Dokter

Universitas Muhammadiyah Malang

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 2/49

Getah bening

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 3/49

V. basilica

V. cephalica

V. Mediana cubiti

V.Mediana antebrachii

 Arcus venosus dorsalis

V. axillarisV.brachialis

V. subclavia

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 4/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 5/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 6/49

Arteries of the Upper Limb and Thorax

Figure 20.11

Vertebral artery 

Costocervical trunk 

Thoracoacromial artery 

Axillary artery 

Subscapular artery 

Radial artery 

Ulnar artery 

profunda palmar arch 

Superficial palmar arch 

Digital arteries 

Brachial artery 

Suprascapular artery 

Thyrocervical trunk 

Posterior circumflex

humeral artery Anterior circumflex

humeral artery 

Artery profunda brachii 

Common interosseousartery 

Common carotid arteries 

Right subclavian artery 

Left subclavian artery 

Brachiocephalic trunk 

Posterior intercostal arteries 

Anterior intercostal artery 

Internal thoracic artery 

Lateral thoracic artery 

Descending aorta 

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 7/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 8/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 9/49

Cabang arteri axillaris

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 10/49

Cabang arteri brachialis

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 11/49

FOSSA Cubiti

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 12/49

LACERTUS FIBROSUS

Basis : M.brachialis

Basis : M.supinator

Lateral : M.brachioradialis

Medial : M. pronator teres

N. MedianusN. radialis

 A. brachialisTendon.M.biceps brachii

Lateral : Tendon M. biceps brachii

Tengah : A. brachialisMedial  : N. medianus

Dasar   : N. radialis

Isi  Fossa Cubiti

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 13/49

Arteri di kompartemen anterior

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 14/49

Archus palmaris superficial

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 15/49

Archus palmaris profunda

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 16/49

Asal suplai arteri di tangan

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 17/49

Pulsasi arteri

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 18/49

Major Arteries

Figure 20.8b

(b) Pulse points 

Common carotid

artery 

Brachial artery 

Radial artery 

Femoral artery 

Popliteal artery 

Posterior tibial

artery

Dorsalis pedis

artery

Superficial temporal

artery

Facial artery 

digital ischemia

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 19/49

D. Plexus Brachialis

Plexuscervicalis

R. ventralisTruncus Divisi Fasciculus Nervus

C5 Superior  Anterior Lateralis N. Musculo

cutaneus

C6 Posterior N. Medianus

C7 Medialis

 Anterior N. Ulnaris

Posterior

Posterior

N. Axillaris

C8 Inferior

Posterior N. Radialis

 Anterior Medialis N. Medianus

Th1 N. Ulnaris

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 20/49

Plexus cervicalis

R. ventralis

Truncus

Divisi

Fasciculus

Nervus

N. Ulnaris

N. Medianus

N. Musculocutaneus

N. Radialis

N. Axillaris

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 21/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 22/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 23/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 24/49

Asal dari Fasciculus lat

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 25/49

 Asal dari Fasciculus lat

Menembusm.coracobrac

Inervasi: m.coracobrachi

m.bicep

brachii,brachialisCb.achir.n.cut.antebrc.lat

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 26/49

INERVASI

• N. Medianus : – Cabang : Nn.Digitalis volaris communis Nn. Digitalis propriae

3 ½ jari radial vola manus 

•N. Ulnaris : – Cabang : - Nn. Digitalis volaris communis Nn. Digitalis propria

1 ½ jari ulnar vola manus

- Nn. Digitalis dorsalis communis Nn. Digitalis propria2 ½ jari ulnar dorsomanus

• N. Radialis : – Cabang : Nn. Digitalis dorsalis communis Nn. Digitalis propria 2

½ jari radial dorsomanus

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 27/49

N.MedianusN. Ulnaris

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 28/49

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 29/49

• Distribution: Flexors of forearmexcept brachioradialis, flexorcarpi ulnaris and ulnar half of

flexor digitorum profundus,thenar except adductor pollicis,first two lumbricals;skin of thenar, central part ofpalm, palmar aspect of radialthree and one-half fingers,

including middle and distalfingers on dorsum.

• Injury: Apehand

produces sign of benediction, inwhich the index and middlefingers cannot be flexed and the

thumb cannot be opposed

Median nerve 

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 30/49

Carpal Tunnel Syndrome

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 31/49

• Distribution: Flexor carpi ulnaris,

ulnar half of flexor digitorumprofundus, hypothenar muscles,

interossei, 3rd and 4th lumbricals

and adductor pollicis; skin of

hypothenar, palmar surface of

ulnar one and one-half fingers,

ulnar half of dorsum of hand,

posterior aspect of ulnar two and

one-half fingers

• Injury: clawhand

Ulnar nerve 

C7,8,T1 

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 32/49

CLAW HAND

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 33/49

 – Distribution: Extensor

muscles of arm andforearm, brachioradialis;

skin on back of arm,

forearm, and radial side

of dorsum of hand and

radial two and one-halffingers

 – Injury: Wristdrop

Radial nerve

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 34/49

Extremitas Superior

Thontowi Djauhari NSLaboratorium Anatomi

Program Pendidikan Dokter

Universitas Muhammadiyah Malang

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 35/49

Suplai arteri

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 36/49

Perjalanan arteri

Figure 19.16a

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 37/49

Perjalanan arteri

Figure 19.16a

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 38/49

Perjalanan vena

Figure 19.26a

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 39/49

Perjalanan vena

Figure 19.26a

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 40/49

plexus

Lumbar plexus

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 41/49

Lumbar plexusfemoral, obturator and saphenous nerves

• Sacral plexus nerves:

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 42/49

sciatic, tibial and fibular

nerves

• L4  – S4

• Superior & inferiorgluteal nerves

 – To gluteus muscles

• Sciatic nerve

 – To hamstrings &other posteriorthigh & legmuscles

• Pudendal nerve

 – Sensory frompenis, clitoris,labia minora, anus

l

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 43/49

Nervus Femoralis

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 44/49

Obturator Nerve

“Sciatic” Nerve

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 45/49

Sciatic Nerve 

Foot Drop. 

Tibi l N

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 46/49

Tibial Nerve

Taleps Calcaneovalgus.

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 47/49

Tibial Nerve Foot

Peroneal Nerve

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 48/49

Peroneal Nerve

Talipes Equinovarus. 

8/10/2019 Peredaran Darah Dan Saraf

http://slidepdf.com/reader/full/peredaran-darah-dan-saraf 49/49