Beruflich Dokumente
Kultur Dokumente
SUPERFICIAL GROUP:
.brachioradialis
.pronator teres
.flexor carpi radialis
.palmaris longus
.flexor carpi ulnaris
.flexor digitorum superficialis
BRACHIORADIALIS
origin: above lateral epicondyle
insertion: stylod process of radius
PRONATOR TERES
origin; medial epicondyl and medial border of coronoid process
insertion: middle 1/3 of the lateral aspect of shaft of radius
FLEXOR CARPI RADIALIS
origin;medial epicondyl
insertion:base of the 2nd metacarpal
Pronator teres
Flexor carpi
radialis Flexor carpi
ulnaris
Palamris longus
PALMARIS LONGUS
origin:medial epicondyl
insertion; flexor retinaculam and palmar aponeurosis
FLEXOR CARPI ULNARIS
.origin; medial epicondyl and medial apect of olecranon proces
.insertion: pisiform,hook of hamate and base of 5th mtacarpal bone
FLEXOR DIGITORUM SUPERFICIALIS
origin:meial epicondyl and anterior aspect of saft of radius
insertion: attach sides of the middle phalanx of medial four finger
action: flex the middle phalanx and wrist
DEEP MUCLES
Flexor pollicis
longus
FLEXOR DIGITORUM PROFUNDUS
origin: upper anteromedial saft of ulna
insertion: distal phalanx of medial four fingers
Flexor digitorum
profundus
PRONATOR QUADRATUS
Origin: lower anterior surface of ulna
Insertion:lower anterior surface of radius
POSTERIOR GROUP
divided into;
superficial layer
deep layer
SUPERFICIAL LAYER
.EXTENSOR CARPI RADIALIS LONGUS & BREVIS
.EXTENSOR DIGITORUM
.EXTENSOR DIGITI MINIMI
.EXTENSOR CARPI ULNARIS
EXTENSOR CARPI RADIALIS LONGUS
.origin: lateral one third of the lateral uppercondylar ridge
.insertion: dorsal base of the 2nd metacarpal bone
brevis
longus
EXTENSOR INDICIS
.ORIGIN:POSTERIOR SURFACE OF ULNA BELOW THE EXTENSOR POLLICIS
LONGU
INSERTION: EXTENSOR EXPANSON OF THE INDEX FINGER
MUSCLES OF HAND
ADDUCTOR POLLICIS
Origin: oblic head from capitate and2nd &3rd mtatcarpal
Insertion; proximal phalanx of the thumb
HYPOTHENAR MUSCLES
SUPERFICIAL
ABDUCTOR DIGITI MINIMI: piciform to ulnar side of base of proximal phalanx
FLEXOR DIGITI MINIMI: from hook of hamate &flexor retinaculam to ulnar side of
base of proxiaml phalanx
OPPONENS DIGITI MINIMI: hook of hamate&flexor retinaculam to medial surfce
of 5th metacarpal bone
INTERMEDIATE GROUP
LUBRICALES: arise from the tendons of flexor digitorum profundus in palm
.1st &2nd from lateral side of the tendon for index finger
1&2 by median nerve
. 3 4 adjacent sides of two tendon.
rd th
1-scaphoid
2-trapezium
3-pisiform
4-hamate
1. Median nerve
2.Tendons of flexor digitorum
superficialis
3.Tendons of flexor digitorum
profundus
4.Tendons of flexor pollicis
longus
5.tendons of flexor carpi
redialis
PALMAR APONEUROSIS
Thickened deep fascia of the central part of the palm.it is triangular in
shape.
The apex which is proximal blends with the flexor retinaculam and is
continuous with tendon of the palamris longus.
DUPUYTREN’S CONTRACTURE:
ANATOMIC SNUFFBOX
Ulnar
Radial artery artery
Ulnar
nerve
CUBITAL FOSSA
Laterallly –brachioradialis
Medially—pronator teres
Superiorly-imaginary line from
medial and lateral epicondyl
1.Brachial artery
2.Median nerve
1.Cephalic
2.Basilic
3.Median
cubital vein
Erb’s palsy:upper brachi plexusinjury especialy C5&C6,,drooping,wasted,pronated,exten
Limb hangs,loss of innervation in movement,,loss of sensation in lateral aspect
Klumpke’s palsy: lower brachial plexus injury especialy C8&T1,,claw hand and
loss of sensation in medial aspect of limb
Superficial arterial arche mainly formed by ulnar artery and supficial
radial artery
Deep arch maily deep radial artery and terminal of ulna artey
VEINS OF HAND
Dorsal venous plexus