• •The regional anatomy of the upper limb • •r. palmaris digiti •palma manus •r. carpi palm. •r. antebrachii ant. •r. brachii ant. •r. axillaris •r. cubiti ant. • •r. deltoidea •r. brachii post. •r. cubiti post. •r. antebrachii post. •dorsum manus •r. carpi dors. •dorsum digiti •r. scapularis •X •X •X •acromion •spina scapulae •angulus inf. •r. scapularis • • • • • •n. suprascapularis a. et v. suprascapularis •a. circumflexa scapulae •n. axillaris a. et v. circumflexa humeri post. • •foramen humerotricipitale •foramen omotricipitale • •incisura scapulae •r. deltoidea • • •Left extremity from behind •n. cutaneus brachii lat. sup. (n. axillaris) a. et v. circumflexa humeri post. (rr. cutanei) • •nn. supraclaviculares • •From behind •n. axillaris a. et v. circumflexa humeri post. • •From the front •nn. supraclaviculares •trigonum deltoideopectorale • •fossa axillaris •v. thoracoepigastrica lymphatic vessels • •a. et v. thoracica lat. n. thoracicus longus •a. et v. axillaris plexus brachialis nll. axillares • •fasciculus lat.: n. muculocutaneus r. lat. n. mediani •fasciculus med.: r. med. n. mediani n. ulnaris n. cutaneus brachii med. n. cutaneus antebrachii med. •fasciculus post.: n. radialis n. axillaris Od nervově-cévního svazku se rozbíhají tenké nervy a cévy pro zásobení stěn axily. a. thoracoacromialis a nn. pectorales perforují vpřed do r. infraclavicularis. A. thoracica lat. a n. thoracicus longus sbíhají po med. stěně axily, po povrchu m. serratus ant. lat. směrem se rozbíhají aa. circumflexae humeri. a. subscapularis se větví na a. circumflexa scapulae a a. thoracodorsalis. • •v. basilica n. cutaneus brachii med. •r. brachii •n. medianus n. ulnaris a. et vv. brachiales n. musculocut. n. cut. antebr. med. •n. cutaneus brachii post. •Right one , from below •n. radialis •v. cephalica n. cutaneus brachii lat. inf. •r. brachii ant. • •v. cephalica •n. cutaneus brachii med. • • • •n. cutaneus antebrachii med. v. basilica •Lef one • a. et. v. brachialis n. musculocutaneus n. medianus n. ulnaris •r. brachii post. • •n. cutaneus brachii lat. sup. (n. axillaris) • • •cutaneus brachii lat. inf. n. cutaneus brachii post. n. cutaneus antebrachii post. (n. radialis) •Left one • •n. radialis a. et. v. profunda brachii • •r. cubiti •n. cutaneus antebr. med. v. basilica •n. cutaneus antebr. lat. v. cephalica •n. cutaneus antebr. post. • •n. medianus n. radialis (r. superf.) a. et v. radialis •From the front •n. ulnaris a. et v. ulnaris • •r. antebrachii •Right one, from below •n. cut. antebr. med. v. basilica •r. antebrachii ant. • •n. cutaneus antebr. med. v. basilica •Left one •n. cutaneus antebr. lat. v. cephalica • •a. et v. radialis (palpable puls) •n. medianus • •n. ulnaris a. et v. ulnaris •n. medianus •n. radialis (r. superf.) a. et v. radialis • •n. interosseus ant. (n. medianus) a. et v. interossea ant. •r. antebrachii post. • •Left one •n. cutaneus antebrachii post. •v. cephalica •n. radialis (r. superf.) •v. basilica •n. ulnaris (r. dorsalis) • •n. radialis (r. prof., n. interosseus post.) a. et v. interossea post. •r. carpi palm. •r. carpi dors. •palma manus • n. ulnaris (r. palmaris) superficial veins aponeurosis palmaris •n. medianus (r. palmaris) • • •arcus palmaris superf. aa. digitales palm. comm. aa. digitales palm. propriae •nn. digitales palmares comm. nn. digitales palmares propriae •n. medianus •a. et v. radialis •n. ulnaris (r. superf.) a. et v. ulnaris • •n. ulnaris (r. prof.) •arcus palmaris prof. aa. metacarpeae palm. • •Tributaries of v. basilica n. ulnaris (r. dorsalis) •Tributaries of v. cephalica n. radialis (r. superf.) •dorsum manus •rete venosum nn. digitales dorsales • n. interosseus post. rete carpi dorsale (a. interossea ant., a. interossea post., r. carpeus dors a. radialis et a. ulnaris) •aa. metacarpeae dors. • •digiti manus •nn. digitales palm. propr. (n. medianus et n. ulnaris) aa. digitales palm. propr. •nn. digitales dors. (n. radialis et n. medianus) aa. digitales dors. •phalanx proximalis Lymphatic drainage of UL • • • • • • •The medial collectors– 10-15, along v. basilica, into axilla – nn. l. axillares centrales et laterales •The lateral collectors– 6-7, along v. cephalica into axilla •The frontal collectors– from the palm, 4-5, within the cubital fossa they connect to the previous two systems •The regional anatomy of the lower extremity •r. femoris ant. •r. genus ant. •r. cruris ant. •dorsum pedis •trig. femorale •r. femoris post. •r. glutea •r. genus post. •r. cruris post. •planta pedis •r. femoris ant. v. saphena magna + tributaries n. cutaneus femoris lat. n. cutaneus femoris post. rr. cutanei ant. (from n. femoralis) r. cutaneus (from n. obturatorius) n. femoralis → n. saphenus a. et v. femoralis n. obturatorius a. et v. obturatoria n. ischiadicus N. obturatorius tady není, je víc nahoře • v. saphena magna + tributaries a. epigastrica superf. a. circumflexa ilium superf. aa. pudendae ext. n. cutaneus femoris lat. r. femoralis (from n. genitofemoralis) rr. cutanei ant. (from n. femoralis) r. cutaneus (from n. obturatorius) nll. inguinales superf. v. saphena magna nll. inguinales superf. n. ilioinguinalis n. genitofemoralis (r. femoralis) •trig. femorale •v. saphena accessoria v. epigastrica superf. a. epig. superf. v. circumfl. ilium superf. a. circumfl. ilium superf. vv. pudendae ext. aa. pudendae ext. • •m. sartorius, lig. inguinale, m. adductor longus v. saphena magna v. saphena accessoria v. epigastrica superf. v. circumflexa ilium superf. vv. pudendae ext. a. epigastrica superf. a. circumflexa ilium prof. aa. pudendae ext. nll. inguinales superf. n. ilioinguinalis n. genitofemoralis (r. femoralis) •fossa iliopectionea a. et v. femoralis n. femoralis nll. inguinales prof. lacuna musculorum: m. iliopsoas n. femoralis lacuna vasorum: n. genitofermoralis (r. femoralis) a. femoralis v. femoralis nl. Cloqueti Femoral hernia canalis adductorius (m. vastus med. and m. adductor magnus) a. et v. femoralis n. saphenus hiatus tendineus •r. glutea r. femoris post. nn. clunium sup. nn. clunium medii nn. clunium inf. (z n. cutaneus fem. post.) n. cutaneus femoris post. • •rr. dors. nn. spinalium foramen suprapiriforme n. gluteus sup. a. et v. glutea sup. foramen infrapiriforme n. gluteus inf. a. et v. glutea inf. n. pudendus a. et v. pudenda int. n. cut. femoris post. n. ischiadicus n. ischiadicus rr. perforantes (from a. prof. femoris) •r. genus v. saphena magna n. saphenus rr. cut. ant. (from n. femoralis) •v. saphena parva (ev. v. femoropoplitea) n. tibialis n. peroneus comm. a et v. poplitea nll. poplitei •r. cruris n. peroneus superf. n. peroneus prof. a. et v. tibialis ant. n. tibialis a. et v. tibialis post. v. saphena magna n. saphenus → rr. cut. cruris med. v. saphena parva n. suralis n. cut. surae lat. n. cut. surae med. v. saphena magna rr. cut. cruris med (z n. saphenus) n. peroneus superf. n. peroneus prof. a. et v. tibialis ant. n. peroneus comm.: n. peroneus prof. n. proneus superf. v. saphena parva n. cutaneus surae med. + n. cutaneus surae lat. = n. suralis n. suralis •NI •n. peroneus comm. •n. tibialis •n.cut.surae lat. •n.cut.surale med. n. tibialis a. et v. tibialis post. •dorsum pedis •Left extremity, transsection through foot, from distal view rete venosum dorsale pedis n. cut. dorsalis med. n. cut. dors. intermed. n. cut. dors. lat. (from n. suralis) nn. dig. dors. (from n. peroneus prof.) fascia dorsalis – retinaculum extensorum a. et v. dorsalis pedis n. peroneus prof. •dorsum pedis from n. peroneus superf. • rete venosum dorsale pedis v. saphena magna v. saphena parva n. cut. dorsalis med. n. cut. dors. intermed. n. cut. dors. lat. (z n. suralis) n. peroneus prof. (from n. peroneus superf.) • a. et v. dorsalis pedis n. peroneus prof. n. peroneus prof. a. dorsalis pedis •a. arcuata + a. tarsea lat. •aa. metatarseae dors. aa. digitales dorsales •a. metatarsea dors. prima •planta pedis aponeurosis plantaris rr. superf. (from n. plantaris med. et lat.) rr. superf. (from a. et v. plantaris med.) a. et v. plantaris med. et lat. n. plantaris med. et lat. šlachy m. flexor dig. brevis f. flexor digit. longus m. adductor hallucis fascia interossea mm. interossei rr. superf. (z n. plantaris med. et lat.) n. tibialis a. et v. tibialis n. plantaris med. et lat. a. et v. plantaris med. et lat. •a. plantaris lat. + r. plantaris prof (from a. dorsalis pedis) + branch from a. plantaris med. arcus plantaris •aa. metatarseae plant. aa. digitales plant. • •digiti pedis Dorsal aponeurosis nn. digitales dorsales aa. et vv. digitales dorsales Tendons of m. flexor digitorum brevis et longus, vaginae fibrosae et synoviales nn. digitales plantares aa. et vv. digitales plantares Lymphatic drainage of lower extremity •The lateral collectors- from dorsum pedis toward the knee, connect to the medial ones •The medial collectors- from planta pedis, along v. saphena magna onto thigh, they enter nodi lymph. ing. sup. •The posterior collectors- from heel, along v. saphena parva, inside fossa poplitea they enter nodi lymp. poplitei and then added to the deep lymphatic vessels The regional anatomy of the back •regio nuchae •regio vertebralis •regio infrascapularis •regio lumbalis Trigonum suboccipitale Trigonum lumbale petiti Trigonum Grynfelti/Tetragon Krausei Thank you for your attention!