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Extremitas Superior
Thontowi Djauhari NS
Laboratorium Anatomi
Program Pendidikan Dokter
Universitas Muhammadiyah Malang
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Getah bening
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V. basilica
V. cephalica
V. Mediana cubiti
V.Mediana antebrachii
Arcus venosus dorsalis
V. axillarisV.brachialis
V. subclavia
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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
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Cabang arteri axillaris
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Cabang arteri brachialis
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FOSSA Cubiti
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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
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Arteri di kompartemen anterior
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Archus palmaris superficial
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Archus palmaris profunda
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Asal suplai arteri di tangan
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Pulsasi arteri
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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
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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
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Plexus cervicalis
R. ventralis
Truncus
Divisi
Fasciculus
Nervus
N. Ulnaris
N. Medianus
N. Musculocutaneus
N. Radialis
N. Axillaris
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Asal dari Fasciculus lat
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Asal dari Fasciculus lat
Menembusm.coracobrac
Inervasi: m.coracobrachi
m.bicep
brachii,brachialisCb.achir.n.cut.antebrc.lat
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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
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N.MedianusN. Ulnaris
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• 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
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Carpal Tunnel Syndrome
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• 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
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CLAW HAND
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– 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
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Extremitas Superior
Thontowi Djauhari NSLaboratorium Anatomi
Program Pendidikan Dokter
Universitas Muhammadiyah Malang
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Suplai arteri
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Perjalanan arteri
Figure 19.16a
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Perjalanan arteri
Figure 19.16a
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Perjalanan vena
Figure 19.26a
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Perjalanan vena
Figure 19.26a
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plexus
Lumbar plexus
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Lumbar plexusfemoral, obturator and saphenous nerves
• Sacral plexus nerves:
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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
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Nervus Femoralis
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Obturator Nerve
“Sciatic” Nerve
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Sciatic Nerve
Foot Drop.
Tibi l N
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Tibial Nerve
Taleps Calcaneovalgus.
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Tibial Nerve Foot
Peroneal Nerve
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Peroneal Nerve
Talipes Equinovarus.
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