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Extremitas Superior

Thontowi Djauhari NS

Laboratorium Anatomi

Program Pendidikan Dokter

Universitas Muhammadiyah Malang



Getah bening



V. basilica

V. cephalica

V. Mediana cubiti

V.Mediana antebrachii

Arcus venosus dorsalis

V. axillarisV.brachialis

V. subclavia



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



Cabang arteri axillaris



Cabang arteri brachialis



FOSSA Cubiti



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



Arteri di kompartemen anterior



Archus palmaris superficial



Archus palmaris profunda



Asal suplai arteri di tangan



Pulsasi arteri



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



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



Plexus cervicalis

R. ventralis

Truncus

Divisi

Fasciculus

Nervus

N. Ulnaris

N. Medianus

N. Musculocutaneus

N. Radialis

N. Axillaris



Asal dari Fasciculus lat



Asal dari Fasciculus lat

Menembusm.coracobrac

Inervasi: m.coracobrachi

m.bicep

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



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



N.MedianusN. Ulnaris



• 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



Carpal Tunnel Syndrome



• 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



CLAW HAND



– 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



Extremitas Superior

Thontowi Djauhari NSLaboratorium Anatomi

Program Pendidikan Dokter

Universitas Muhammadiyah Malang



Suplai arteri



Perjalanan arteri

Figure 19.16a



Perjalanan vena

Figure 19.26a



plexus

Lumbar plexus



Lumbar plexusfemoral, obturator and saphenous nerves

• Sacral plexus nerves:



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



Nervus Femoralis



Obturator Nerve

“Sciatic” Nerve



Sciatic Nerve

Foot Drop.

Tibi l N



Tibial Nerve

Taleps Calcaneovalgus.



Tibial Nerve Foot

Peroneal Nerve



Peroneal Nerve

Talipes Equinovarus.

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