上肢局部解剖學(xué)The-upper-limb-課件

Theupperlimb1ppt課件Theupperlimb1ppt課件1ThemusclesofbackSuperficialgroupTrapezius

斜方肌Latissimusdorsi

背闊肌Levatorscapulae肩胛提肌Rhomboideus菱形肌Deepgroup

Erectorspinae豎脊肌Splenius夾肌Thoracolumbarfascia胸腰筋膜2ppt課件ThemusclesofbackSuperficial2精品資料精品資料3你怎么稱呼老師？如果老師最后沒有總結(jié)一節(jié)課的重點的難點，你是否會認(rèn)為老師的教學(xué)方法需要改進？你所經(jīng)歷的課堂，是講座式還是討論式？教師的教鞭“不怕太陽曬，也不怕那風(fēng)雨狂，只怕先生罵我笨，沒有學(xué)問無顏見爹娘……”“太陽當(dāng)空照，花兒對我笑，小鳥說早早早……”上肢局部解剖學(xué)The-upper-limb--ppt課件4ThemusclesofthoraxExtrinsicmusclesPectoralismajor

胸大肌Pectoralisminor

胸小肌Serratusanterior前鋸肌IntrinsicmusclesIntercostalesexterni

肋間外肌Intercostalesinterni

肋間內(nèi)肌Intercostalesintimi肋間最內(nèi)肌5ppt課件ThemusclesofthoraxExtrinsic5MajormusclesofthetrunkTrapeziusOrigin:superiornuchalline,externaloccipitalprotuberance,ligamentumnuchaeandspinousprocessesofseventhcervicalandallthoracicvertebraeInsertion:lateralthirdofclavicle,acromion,andspineofscapularteryActon:upperfiberselevatescapula,lowerfibersdepressscapula;ifscapulaisfixed,onesideactingalong,drawsheadtowardthesameside,andturnfacetooppositeside;bothsidestogether,drawheaddirectlybackward6ppt課件MajormusclesofthetrunkTrap6LatissimusdorsiOrigin:spinousprocessesoflowersixthoracicandalllumbarvertebrae,mediansacralcrest,andposteriorpartofiliaccrest.Insertion:floorofintertuberculargrooveofhumerus.Action:trunkfixed,extends,adductsandmediallyrotatesarm;armfixed,elevatestrunk.7ppt課件Latissimusdorsi7ppt課件7ErectorspinaePosition:fillsthevertebralgrooveoneachsideofthespineAction:extendsvertebralcolumn(drawheadbackwar)8ppt課件Erectorspinae8ppt課件8PectoralismajorOrigin:medialhalfofclavicle,sternum,1th-6thcostalcartilages.Insertion:crestofgreatertubercleofhumerus.Action:flexes,adductsandrotatesarmmedially;armfixed,elevatestrunk;elevatesribs1-6,aiddinginforcedinspiration.9ppt課件Pectoralismajor9ppt課件9TheMusclesofUpperLimb

MusclesofshoulderDeltoidsupraspinatusInfraspinatusTeresminorTeresmajorsubscapularis10ppt課件TheMusclesofUpperLimb

Musc10MusclesofarmAntereriorgroupBicepsbrachii肱二頭肌Coracobrachialis喙肱肌Brachialis肱肌Posteriorgroup–tricepsbrachii肱三頭肌11ppt課件Musclesofarm11ppt課件11Musclesofforearm

SuperficiallayerBrachioradialis肱橈肌Pronatorteres旋前圓肌Flexorcarpiradialis橈側(cè)腕屈肌Palmarislongus掌長肌Flexorcarpiulnaris尺側(cè)腕屈肌12ppt課件Musclesofforearm

Superficial12ThirdlayerFlexordigitorumprofundus指深屈肌Flexorpollicislongus拇長屈肌Fourthlayer－pronatorquadratus

旋前方肌Action:flexradiocarpaljointandfingers,pronateforearm13ppt課件Thirdlayer13ppt課件13Secondlayer－flexordigitorumsuperficials指淺屈肌14ppt課件Secondlayer－flexo14Posteriorgroup(10)Superficiallayer(5)Extensorcarpiradialislongus橈側(cè)腕長伸肌Extensorcarpiradialisbrevis橈側(cè)腕短伸肌Extensordigitorum指伸肌Extensordigitiminimi小指伸肌Extensorcarpiulnaris尺側(cè)腕屈肌15ppt課件Posteriorgroup(10)15ppt課件15Deeplayer(5)Supinator旋后肌Abductorpollicislongus拇長展肌Extensorpollicisbrevis拇短伸肌Extensorpollicislongus拇長伸肌Extensorindicis示指伸肌Action:extendradiocapraljointandfingers,andsupinateforearm16ppt課件Deeplayer(5)16ppt課件16MusclesofhandLateralgroup－thenar魚際

(4)Abductorpollicisbrevis拇短展肌Flexorpollicisbrevis拇短屈肌Opponenspollicis拇對掌肌Adductorpollicis拇收肌Action:flex,abduct,adductandopposethumbMedialgroup－h(huán)ypothenar(3)Abductordigitiminimi小指展肌Flexordigitiminimibrevis小指短屈肌Opponensdigitiminimi小指對掌肌Action:flex,abduct,andopposelittlefinger17ppt課件Musclesofhand17ppt課件17IntermedialgroupLumbricales蚓狀肌(4)－flexfingersatMPjoints;extendfingersatIPjointsPalmarinterossei骨間掌側(cè)肌(3)－adductfingerstowardsmiddlefingeratMPjointsDorsalinterossei骨間背側(cè)肌(3)－abductfingersawayfrommiddlefingeratMPjoints18ppt課件Intermedialgroup18ppt課件18MajormusclesofupperlimbDeltoidOrigin:lateralthirdofclavicle,acromion,andspineofscapulaInsertion:deltoidtuberosityofhumerusAction:abducts，flexesandmedicallyrotates,extends,andlaterallyrotatesarm19ppt課件MajormusclesofupperlimbDel19TeresmajorOrigin:dorsalsurfaceofinferiorangleofscapulaInsertion:crestoflessertubercleofhumerusAction:mediallyrotatesandadductsarm20ppt課件Teresmajor20ppt課件20BicepsbrachiiOrigin:longhead,supraglenoidtubercle;shorthead,coracoidprocessInsertion:radicaltuberosityAction:supinatorofforearm,flexorofelbowjoint,weakflexorofshouldjointPronatorteresOrigin:medicalepicondyleofhumerusanddeepfasciaofforearmInsertion:middleoflateralsurfaceofradiusAction:pronationofforearmandflexionofelbow21ppt課件Bicepsbrachii21ppt課件21TricepsbrachiiOrigin:longhead,infraglenoidtubercle;lateralhead,abovegrooveforradicaln.,medicalhead,belowgrooveforradicaln.Insertion:olecranonofulnaAction:extendselbowjoint),longheadcanextendandadductshoulderjoint22ppt課件Tricepsbrachii22ppt課件22SupinatorOrigin:lateralepicondyleofhumerusandupperpartoflateralborderofulnaInsertion:upperthirdofanteriorsurfaceofradiusAction:supinationofforearm23ppt課件Supinator23ppt課件23ArteriesofupperlimbAxillaryartery

ContinuationofsubclavianarteryatlateralborderoffirstribBecomesbrachialarteryatlowerborderofteresmajorDividedintothreepartsbyoverlyingpectoralisminorFirstportion,abovemuscle－givesrisetothoracoacromiala.胸肩峰動脈Secondportion,behindmuscle－givesrisetolateralthoracica.胸外側(cè)動脈Thirdportion,belowmuscle－givesrisetosubscapulara.肩胛下動脈,anteriorandposteriorhumeralcircumflexa.旋肱前、后動脈;theformerthendividesintothrocodorsala.胸背動脈

andcircumflexscapulara.旋肩胛動脈24ppt課件ArteriesofupperlimbAxillary2425ppt課件25ppt課件25BrachialarteryContinuationofaxillaryarteryDividesintoradialandulnararteriesatlevelofneckofradiusBranchesDeepbrachiala.肱深動脈－accompanieswithradialnerveSuperiorulnarcollaerala.尺側(cè)上副動脈－accompanieswithulnarnerveInferiorulnarcollaterala.尺側(cè)下副動脈26ppt課件Brachialartery26ppt課件26Radialarteryandbranches

Radialrecurrenta.橈側(cè)返動脈Superficalpalmarbranch掌淺支Principalarteryofthumb拇主要動脈UlnararteryandbranchesUlnarrecurrenta.尺側(cè)返動脈Commoninterosseousartery骨間總動脈Anteriorinterossousa.骨間前動脈Posteriorinterosseousa.骨間后動脈Deeppalmarbranch掌深支27ppt課件Radialarteryandbranches27p27Superficialpalmararch掌淺弓FormedbyulnararteryandsuperficialpalmarbranchofradialarteryCurveofarchliesacrossthepalm,levelwiththedistalborderoffullyextendedthumbGivesrisetothreecommonpalmardigitalarterieseachthendividesintotwoproperpalmardigitalarteries28ppt課件Superficialpalmararch掌淺弓2828Deeppalmararch掌深弓FormedbyradialarteryanddeeppalmarbranchofulnararteryCurveofarchliesacrossupperpartofpalmaratlevelwithproximalborderofextendedthumbGivesrisetothreepalmarmetacarpalarteries

29ppt課件Deeppalmararch掌深弓29ppt課件29VeinsoftheupperlimbDeepveins:accompanythearteriesofthesameregionandbearsimilarnamesSuperficialveinsCephalicvein頭靜脈

ArisesfromthelateralsideofthedorsalvenousreteofhandAscendsonradialsideoftheforearmtotheelbowandtheninthelateralsideofbicepsbrachiifurrow,continuesupthearminthedeltopectoralgrooveandthentotheinfraclavicularfossa,whereitpiercesclavipectoralfasciatodrainintoaxillaryvein30ppt課件VeinsoftheupperlimbDeepve30Basilicvein

貴要靜脈ArisesfromthemedialsideofthedorsalvenousreteofhandAscendsontheulnarsideofforearmtotheelbowandtheninthemedialbicepitalbrachiifurrowtomiddleofthearmwhereitpiercesthedeepfasciaandjoinsthebrachialveinoraxillaryveinMediancubitalvein肘正中靜脈

linkscephalicveinandbasilicveininthecubitalfossa.Itisafrequentsiteforvenipuncturetoremoveasampleofbloodoraddfluidtotheblood31ppt課件Basilicvein貴要靜脈31ppt課件31Thelymphaticdrainageofupperlimb

LymphaticvesselsSuperficial－followthesuperficialveins,drainintosupratrochlearandaxillarylymphnodesDeep－accompanymainvessels,endinaxillarylymphnodes

lymphnodesCubitallymphnode:liesabovemedialepicondyleofhumerusAxillarylymphnode－arrangedinfivegroups32ppt課件Thelymphaticdrainageofuppe32Axillarylymphnodes腋淋巴結(jié)－arrangedinfivegroupsLaterallymphnodes外側(cè)淋巴結(jié)－liearoundthedistalendofaxillaryvein,receivingdrainagefromthearm,forearm,andhandPectorallymphnodes胸肌淋巴結(jié)－liealonglateralthoracicvessels,receiveafferentsfromanteriorthoracicwallincludingcentralandlateralportionofmammaSubscapularlymphnode肩胛下淋巴結(jié)－alongsubscapularvessels,receivelymphfromnapeandscapularregionEfferentsabovethreegroupspasstocentrallymphnode33ppt課件Axillarylymphnodes腋淋巴結(jié)－arran33Centrallymphnode中央淋巴結(jié)－lieinfatofaxillaryfossa,receivedrainagefromalltheabovenodes,efferentspasstoapicallymphnodeApicallymphnode尖淋巴結(jié)Lieintheapexoftheaxilla,alongtheproximalendofaxillaryvesselsReceivedrainagechieflyfromcentrallymphnode,upperportionofmammaEfferentsformsubclaviantrunk,therightsubclaviantrunkjointstherightlymphaticduct;leftusuallydrainsdirectlyintothoracicduct34ppt課件Centrallymphnode中央淋巴結(jié)－liein34Brachialplexus臂叢

Formation:Fiveroots:formedbyanteriorramiofC5-C8andT1spinalnerves,rootsC5～C7giverisetolongthoracicn.胸長神經(jīng)ThreetrunksTheuppertrunkisformedbythejoiningofrootC4,C5,C6.ThemiddletrunkisthecontinuationofrootC7.ThelowertrunkisformedbythejoiningofrootC8andT1.Sixdivisions:aboveclavicle,trunksformanteriorandposteriordivisionsThreecords:belowclavicle,divisionsformthreecordsthatsurroundthesecondportionofaxillarya.35ppt課件Brachialplexus臂叢

Formation:335Position:passesthroughthescalenefissuretoposterosuperiorofsubclavianartery,thenenterstheaxillatoformlateral,medialandposteriorcordsMainbranchesLateralcordMusculocutaneousn.肌皮神經(jīng)Lateralroottomediann.正中神經(jīng)外側(cè)根MedialcordMedialroottomediann.正中神經(jīng)內(nèi)側(cè)根Ulnarn.尺神經(jīng)Medialbrachialcutaneousn.臂內(nèi)側(cè)皮神經(jīng)Medialantebrachialcutaneousn.前臂內(nèi)側(cè)皮神經(jīng)36ppt課件Position:36ppt課件36Posteriorcordradialn.橈神經(jīng)axillaryn.腋神經(jīng)thoracodorsaln.胸背神經(jīng)37ppt課件Posteriorcord37ppt課件37Musculocutaneous

肌皮神經(jīng)

Distribution:Bicepsbrachii,brachalisandcoracobrachialis‘BBCnerve’;skinonanterioraspectofforearm38ppt課件Musculocutaneous肌皮神經(jīng)38ppt課件38Median

正中神經(jīng)Distribution:Flexorofforearmexceptbrachioradialis,flexorcarpiulnarisandulnarhalfofflexordigitorumprofundus,thenarexceptadductorpollicis,firsttwolumbricals;skinofthenar,centralpartofpalm,palmaraspectofradialthreeandone-halffingers,includingmiddleanddistalfingersondorsum

Injury:Apehand猿手producessignofbenediction,inwhichtheindexandmiddlefingerscannotbeflexedandthethumbcannotbeopposed

39ppt課件Median正中神經(jīng)39ppt課件39Ulnarnerve

Distribution:Flexorcarpiulnaris,ulnarhalfofflexordigitorumprofundus,hypothenarmuscles,interossei,3rdand4thlumbricalsandadductorpollicis;skinofhypothenar,palmarsurfaceofulnaroneandone-halffingers,ulnarhalfofdorsumofhand,posterioraspectofulnartwoandone-halffingersInjury:clawhand40ppt課件Ulnarnerve40ppt課件40Radial

橈神經(jīng)Distribution:Extensormusclesofarmandforearm,brachioradialis;skinonbackofarm,forearm,andradialsideofdorsumofhandandradialtwoandone-halffingersInjury:Wristdrop41ppt課件Radial橈神經(jīng)41ppt課件41Axillary腋神經(jīng)

Distribution:Deltoidandteresminormuscle;skinoverdeltoidandupperposterioraspectofarmInjury:resultindeltoidandteresminorparalysis(lossofshoulserabdutionandweelexternalrotation)withlossofsensationoverthedeltoid

42ppt課件Axillary腋神經(jīng)42ppt課件42Regionalanatomyofupperlimb山東大學(xué)醫(yī)學(xué)院解剖教研室李振華43ppt課件Regionalanatomyofupperlimb43Partsandregions

Shoulderregion－junctionofarmandtrunkArm－betweenshouldandelbowElbow－bendofarm,jointbetweenarmandforearmForearm－betweenelbowandhandHand44ppt課件Partsandregions

Shoulderre44SurfaceanatomyShoulderregion:acromion,spineofscapula,coracoidprocess,greatertubercle,anteriorandposterioraxillaryfoldsArm－medialandlateralbicepsbrachiifurrow,deltoidtuberosityElbow－medialandlateralepicondyles,headofradius,olecranon,tendonofbicepsbrachiiForearm－betweenelbowandhandHand－styloidprocess,dorsaltubercle45ppt課件SurfaceanatomyShoulderregion45Anatomicalsnuffbox鼻煙壺Whenthethumbisabductedandextended,atriangularhollowappearsbetweenthetendonoftheextensorpollicislongsmediallyandthetendonsoftheextensorpollicisbrevisandabductorpollicislonguslaterally.Thefloorofthesnuffboxisthescaphoidandtrapeziumbonesandcrossedbytheradiala..46ppt課件Anatomicalsnuffbox鼻煙壺46p461650～1700Carringangle提攜角47ppt課件1650～1700Carringangle提攜角47pp47

Mamma乳房PositionLieinsuperficialfasciaoverthepectoralsmajorandpectoralfasciaExtendfrom3rdto7thribsvertically,andfromparasternallinetomidaxillarylinetransversally48ppt課件Mamma乳房Position48ppt課件48Structures－containsskin,mammaryglandsandadiposetissueEachbresthasabout15～20lobesofmammaryglandEachloberadiatesoutfromthenippleandhasalactiferousduct輸乳管

whichopensseparatelyonthesummitofthenippleandpossessesadilatedlactiferoussinuses輸乳管竇

justpriortoitstermination49ppt課件Structures－containsskin,mamm49Suspensoryligamentsofbreast乳房懸韌帶(cooper’sligaments)－strandsofconnectivetissuerunsbetweenskinanddeepfasciaandservetosupportthemammaryglands50ppt課件Suspensoryligamentsofbreast50Axillaryfossa腋窩Theaxillaryfossaisapyramid-shapedspacethroughwhichmajorneurovascularstructurespassbetweenthethoraxandupperextremity51ppt課件Axillaryfossa腋窩Theaxillary51BoundariesTheapexisatriangularspacelimitedbythefirstrib,thescapula,andthemiddlethirdofclavicle.Thebase－skinandfasciaoftheaxillaryfossa52ppt課件Boundaries52ppt課件52TheanteriorwallPectoralismajor,pectoralisminorandsubclaviusmusclesClavipectoralfascia

鎖胸筋膜Thedeepfaxciawhichextendsbetweensubclavius,coracoidprocessandpectoralisminormusclesThestructurespassthroughtheclavipectoralfaxciaCephalicv.Thoracoacromiala.Lateralpectoraln.

53ppt課件Theanteriorwall53ppt課件53Theposteriorwall－teresmajor,latissimusdorsi,subscapularisandscapula

Trilateralandquadrilateralforamina

三邊孔和四邊孔Betweenthesubscapularisandteresmajor,thereisalongtriangularspacewhoselateralsideissurgicalneckofhumerus.Thelongheadoftricepsbrachiisubdividesthisspaceintoamedialtrilateralforamenandalateralquadrilateralforamen.Theposteriorhumeralcircumflexa.andaxillaryn.passthroughthequadrilateralforamen.Thecircumflexscapulara.passesthroughthetriangularspacetoreachthedorsumofthescapula.54ppt課件Theposteriorwall－teresmajor54Thebroadmedialwall－serratusanterior，intercostalmusclesandupperfourribsThenarrowlateralwall－coracobrachialis,bicepsbrachiiandintertuberculargrooveContentsBrachialplexus,axillarya.andprincipalbranches,axillaryv.andtributaries,axillarylymphnodesandlooseconnectivetissue55ppt課件Thebroadmedialwall－serratus55Brachialplexus臂叢

Formation:Fiveroots:formedbyanteriorramiofC5-C8andT1spinalnerves,rootsC5～C7giverisetolongthoracicn.胸長神經(jīng)ThreetrunksTheuppertrunkisformedbythejoiningofrootC4,C5,C6.ThemiddletrunkisthecontinuationofrootC7.ThelowertrunkisformedbythejoiningofrootC8andT1.Sixdivisions:aboveclavicle,trunksformanteriorandposteriordivisionsThreecords:belowclavicle,divisionsformthreecordsthatsurroundthesecondportionofaxillarya.56ppt課件Brachialplexus臂叢

Formation:556Position:passesthroughthescalenefissuretoposterosuperiorofsubclavianartery,thenenterstheaxillatoformlateral,medialandposteriorcordsMainbranchesLateralcordMusculocutaneousn.肌皮神經(jīng)Lateralroottomediann.正中神經(jīng)外側(cè)根MedialcordMedialroottomediann.正中神經(jīng)內(nèi)側(cè)根Ulnarn.尺神經(jīng)Medialbrachialcutaneousn.臂內(nèi)側(cè)皮神經(jīng)Medialantebrachialcutaneousn.前臂內(nèi)側(cè)皮神經(jīng)57ppt課件Position:57ppt課件57Posteriorcordradialn.橈神經(jīng)axillaryn.腋神經(jīng)thoracodorsaln.胸背神經(jīng)58ppt課件Posteriorcord58ppt課件58Axillarysheath

腋鞘－extensionofdeepcervicalfasciaoftheneck,formingatubularsheaththatsurroundsaxillarya.andv.,andbrachialplexus59ppt課件Axillarysheath腋鞘－extensiono59Axillaryartery

ContinuationofsubclavianarteryatlateralborderoffirstribBecomesbrachialarteryatlowerborderofteresmajorDividedintothreepartsbyoverlyingpectoralisminorFirstportion,abovemuscle－givesrisetothoracoacromiala.胸肩峰動脈Secondportion,behindmuscle－givesrisetolateralthoracica.胸外側(cè)動脈Thirdportion,belowmuscle－givesrisetosubscapulara.肩胛下動脈,anteriorandposteriorhumeralcircumflexa.旋肱前、后動脈;theformerthendividesintothrocodorsala.胸背動脈

andcircumflexscapulara.旋肩胛動脈60ppt課件Axillaryartery60ppt課件60Axillarylymphnode－arrangedinfivegroupsLaterallymphnodes－liearoundthedistalendofaxillaryarteryvein,receiveafferentvesselsfromupperlimb.Pectorallymphnodes－liealonglateralthoracicvessels,receiveafferentsfromanteriorthoracicwallincludingcentralandlateralportionofmammaSubscapularlymphnode－alongsubscapularvessels,receivelymphfromnapeandscapularregionEfferentsabovethreegroupspasstocentrallymphnodeCentrallymphnode－lieinfatofaxillaryfossa,receivelymphfromalltheabovenodes,efferentspasstoapicallymphnodeApicallymphnode－lieintheapexoftheaxilla,alongtheproximalendofaxillaryvessels,receiveafferentschieflyfromcentrallymphnode,upperportionofmamma;efferentsformsubclaviantrunk,therightsubclaviantrunkjointstherightlymphaticduct;leftusuallydrainsdirectlyintothoracicduct61ppt課件Axillarylymphnode－arrangedi61Cubiralfossa肘窩BoundariesBase－linedrawnthroughepicondylesofhumerusApex－brachioradialislaterallyandpronatorteresmediallyRoof－skin,superficialfaxcia,deepfaxciaandaponeurosisofbicepsFloor－brachialis,supinatorandcapsuleofelbowjoint62ppt課件Cubiralfossa肘窩Boundaries62p62Contents－fromlateraltomedialBicepsbrachiitendonBrachiala.－dividesintoradialandulnara.,usuallyatapexoffossaMediann.Lateraltothebicepsbrachiitendon－radialn.andlateralantebrachialcutaneousn.63ppt課件Contents－fromlateraltomedia63Carpaltunnel

腕管FlexorretinaculumThickeningofdeepfasciainthehandAttachedlaterallytoscaphoidandtrapeziunandmediallytopisiformandhamateFormanosseofibroustunnel(carpaltunnel)withcarpalgroove－transmitsmediann.,flexordigitorumsupericialis,flexordigitorumprofundus,andflexorpollicuslongusfromforearmintohand64ppt課件Carpaltunnel腕管Flexorretinac64CommonflexorsheathTeninoussheathofflexorpollicislongus65ppt課件CommonflexorsheathTeninouss6566ppt課件66ppt課件66Skinincisions67ppt課件Skinincisions67ppt課件67Cephalicv.LateralcutaneousbranchAnteriorcutaneousbranchSuperficialfascia

68ppt課件Cephalicv.Lateralcutaneousb68Clavipectoralfascia

鎖胸筋膜Thedeepfaxciawhichextendsbetweensubclavius,coracoidprocessandpectoralisminormusclesThestructurespassthroughtheclavipectoralfaxciaCephalicv.Thoracoacromiala.Lateralpectoraln.69ppt課件Clavipectoralfascia鎖胸筋69Axillarya.

Thoracoacromiala.

Musculocutaneousn.Mediann.Medialantebrachialcutaneousn.Ulnarn.Medialbrachialcutaneousn.Intercostobrachialn.Thoracodorsaln.&a.Longthoracicn.&lateralthoracica.Lateralpectoraln.70ppt課件Axillarya.Thoracoacromiala.70Posteriorhumeralcircumflexa.&axillaryn.Radialn.Circumflexscapulara.71ppt課件Posteriorhumeralcircumflexa71Musculocutaneousn.Mediann.Medialbrachialcutaneousn.Ulnarn.Medialantebrachialcutaneousn.Superiorulnarcoleterala.Deepbrachiala.72ppt課件Musculocutaneousn.Mediann.Me72Musculocutaneousn.Mediann.Axillarya.Brachiala.Medialantebrachialcutaneousn.Medialbrachialcutaneousn.Deepbrachiala.Superiorulnarcoleterala.&Ulnarn.Inferiorulnarcoleterala.73ppt課件Musculocutaneousn.Mediann.Ax73Mediancubitalv.Lateralanterachialcutaneousn.&cephelicv.Medialinterracialcutaneousn.&basiicv.74ppt課件Mediancubitalv.Lateralanter74Radialrecurrenta.Radiala.Radialn.Mediann.Ulnarn.Ulnara.Ulnarrecurrenta.Ulnarn.Brachiala.75ppt課件Radialrecurrenta.Radiala.Ra75Muscolocutaneousn.Brachiala.Radialn.Radialrecurrenta.Radiala.Mediann.Ulnarrecurrenta.Commoninterosseousa.Ulnara.,v.&n.76ppt課件Muscolocutaneousn.Brachiala.76Palmaraponeurosis77ppt課件Palmaraponeurosis77ppt課件77Superficialpalmara.recurrentn.

Ulnara.78ppt課件Superficialpalmara.recurrent78Posteriorregionofupperlimb山東大學(xué)醫(yī)學(xué)院解剖教研室李振華79ppt課件Posteriorregionofupperlimb79Skinincisions

80ppt課件Skinincisions80ppt課件80Cutaneousn.and

superificialv.81ppt課件Cutaneousn.and

superificia81Trapezium

Deltoid

TriangleofausculationLatissimusdorsiThoracolumbarfasciaLevatorscapularRhomboideus82ppt課件TrapeziumDeltoidTriangleof82Axillaryn.Posteriohumeralcircumflexa.Deepbrachiala.Radialn.Suprascapularn.&a.Supraspinatus

InfraspinatusTeresminorTeresmajor83ppt課件Axillaryn.Posteriohumeralci83Radialn.Deepbrachiala.84ppt課件Radialn.Deepbrachiala.84ppt84Posteriorinterosseousa.Posteriorinterosseousn.85ppt課件Posteriorinterosseousa.Poster8586ppt課件86ppt課件86Hand

山東大學(xué)醫(yī)學(xué)院解剖教研室李振華87ppt課件Hand山東大學(xué)醫(yī)學(xué)院解剖教研室87ppt課件87Palmofhand手掌Flexorretinaculum屈肌支持帶ThickeningofdeepfasciainthehandAttachedlaterallytoscaphoidandtrapeziunandmediallytopisiformandhamateCarpaltunnel

腕管Formedbyflexorretinaculum

andcarpalgrooveTransmitsMediann.FlexordigitorumsuperficialisandflexordigitorumprofundusenclosedbycommonflexorsheathFlexorpollicuslongusenclosedbytendinoussheathofflexorpollicuslongus88ppt課件Palmofhand手掌Flexorretinac88CommonflexorsheathTendinoussheathofflexorpollicislongus89ppt課件CommonflexorsheathTendinous8990ppt課件90ppt課件90Deeppalmarfascia

掌部深筋膜SuperficiallayerThenarfascia魚際筋膜Hypothenarfascia小魚際筋膜Palmaraponeurosis掌腱膜thicktriangularmembraneDeeplayer－palmarinterosseousfascia骨間掌側(cè)筋膜91ppt課件Deeppalmarfascia

掌部深筋膜S91Osseofascialcompartmentsofpalm

手掌骨筋膜鞘Lateralcompartment外側(cè)鞘Medialcompartment內(nèi)側(cè)鞘Intermediatecompartment中間鞘LaeralintermuscularseptumMedial

intermuscularseptumPalmaraponeurosisPalmarinterosseousfasciaAdductorpollicisHypothenarfasciaThenarfascia92ppt課件Osseofascialcompartmentsofp92Intermediatecompartment中間鞘Formedby

palmaraponeurosis,Laeralandmedialintermuscularseptum,palmarinterosseousfasciaContents:superficialpalmararch,a.,v.,n.,tendonso