3103 202

ntvunal AMeament 2

CPpe Linb

TESSAY

1Radkal Nowe
For mation Radial Nowe thu bvand of thu
posteior cord hvrodhial lexws
Th pokoior ord ä Jamed byotning the
ppermiddle amd
postetoy dirnon
loucex bunk

Rost Value C- C md Ti

Comser
lius postioy to th hiord
Th adial
nøwe
Jn Axiua
atuuy Amd antiuor to the
pan A1tw anUay
thu postuoT wall aila.
uuscles emin
n Arm Tentes the aum a thu louwov bendey

tous major
awd melial head ticeps
betuweer the Lonq
7 pabes

ertrs mts louxw biangulae pace aOponied wth

pdunda ovadat avdeuy Lsid to loand N

radual aduy. amd madres sporal qoove
Th 9tadias neue M ve qove i döud ovtast witto
ha hwreuus
At louD end spoal gooe, tu Hodial neue

Antoermsaullaw septumu o Cn an
com am
orces latval
enters adtyior epavdmeut n

Bolore ontoung aulikal ova, it ies letuww thv

bYocialis md bvodiomdialis tgtheu wth exlenuov
Cavpi radials Jongu

A the level loteral epiondy kouniratd b

viding irde upmiuin and deqp bande
wbta essa

Byancnes

v Axitlav aies me brandhes

PbstouioY Cutanuous newe Aaum
Nowe to long head biceps
Noue
Newe to nedla haad kouceps

9iral quoov
Lower lodeeads Culzaneous neue q th aum

PosbeoiorCutonerus howe oreaxm

bwe to medial hiad b i c e

Nerne te latoual huad tticep

Ncwe ko anconawS

w Ardaulor tormpovetnoett Atm

Newe ko ovouclhialls
Nowe to brahiomdialls
Newe do oxtonov arp godialus lo
 ,
M
C6
T

Po Atouor
OlkanLous hbwe m ARALLA
Long kuod A brlieps
Praunda
wochit Hodial haod Abuiapr
Ateluray
Lotaer Lotetal otnuous
Lottrel hza hewe axm ARM

Anuoneus Laderal inturuucunlar Sepkum

Bvnehialis
ReoedOalb OElboo Jeint
ixtensor a tadialis lonou
Postoor Gdanao ul Supeiiol teminal
N9W
bvando Tadiol rowe
Deep huminal

ranch Gdoos4eous
Fodnal Nowe Pastouon
Nowe
 Clinicals Apuaton
TuuA nadial newe lov cause melor lou and
8ensony Loss whidw indud, los extnion

elbow ow sexbanMbw wws mudus did

COwses wwt dopp

Sonsony
Sensony Los ev postevioy put louaun amd
louwr atoual adt Aum
Frnetve att Hishalt ahumeu
unglyjecked Invyamusaulau inieckon.
&oturday iyet paxaluis du to conpbsion
odia newe
At8prol Apueeve
Lo Low senodior n doum hand bettoeev the
ul ad suoond metouoxpal
 2. nuast (Hammasy Gland )
tRo h important buchu usent n the
Fectoral xiorv. pLAeut in botA malu and emalus

THals,it á udinpetary bud coell develpod n

Femal
oms a amenenu 80x orga te Jomale Mepuoduchive

sytemv amd phovidtuu mâk nuw com baby.

Location
i Located m thw upeial doriov gdovel

A 3mall Ktensiov t a ppev Jatoal auadrant

alled aillary ail spenc pews the duep

anta aur exkends ncto ariua thuoungh
Foramen longo

tnemt
Vevbiialy, pom end ib o sixt Rib

Ntpp at 4t ibrucastal spa ushich may

Aiervaious emalus
Houzodtally it eatonds em fhe letoal berda

cnun tb midaxillasu ine

Relatforv
TheThe dep aped bwast ià rdated de ksllouut' ng
utvus
Pectoral Fasciou doep kaxiav cOVeung th
entoior oce poskonalis major
 Mubclus The doep oscy Aspet oreast s

evmed pecdovalis mafor 8omattus adtriov

amd extvnal elbliquy musclus
The brt ia
epovat vd kuen peuoralis taiou
bARatonamanpaue ukich led ith
Lccstoredve timue duu o tha H
brea cav meve
up do uely and em
du to Rde

Axitlan dail 8pence

fooe Beast

Longe NOple

AXola sLakera bordw

Hid Axlo

ocatiorv Omd
Ailasuy teil spence
lowicle
Sukclowkua ClawtPeetov fase
POctovali maj or
Butud
Petorcalik n a
Chust Wall
Aewla
Nipple A Pectoral Foscia
Dep Ralotion Proank
 ymph Drainána hu Bruat

nadus Draning thu Buas

PNUS kymp
nodes: yng m the arlila and divAd
Ax Llary wmpw constitukes 75
Anko ouv quaups a) anterlor/pectoval
b) poskerior
central

a lateral
wkunal mammauy hodus yinq alonq hu lntonal thevaio
vesls tAonstwks 201.
y Supwadawiulan nadus ying above the lawicl
inttostal nodus ung in th posterier pat d
iV) Posaior
turcoral spoves tont u head ouib5
VCehalie nodts uing in He dedoecoral geuOvE

2. Lumphakips Dvainng he Breast

Th lyrmphntis draindng th buast a diidd ivto kue

i i&upwikal yomphatica dreins We uporiuial ui the

brea ex ept tkak plu andi aresla
thu loveukt
iy Doep ymuhatic8 draln hu paruncyma
and th i n nipple aue axeola.
A plexus umph vesels dep to thu
auela 4 called
8uh ornelor plexus &appey
Th
thu Lipe tuom latoal quadrets thu breast a

dnained Lnko tu aukoior anilany qroup m mau

Tht uyrl em medial qundrouts is dralu inko
nternad mewnmuA hymlv nodis
Sonumetia may go o hu internal mammay ymp rl
4w oppostke sile
Feuw umpw Yescelk. thw loweu media
hkaw quadrant q h
bveast omunicate witw ubpeorlkoneal lymp plexne
Avdterio
7 anillauodus

Slbauelo
plums
Sap pe

Npde
OL DM
LL

allapan Tupe

OVAA
2 Clinical anatom rea
Boua ancev (Caxdnoma a thu oveast) á áhu most ommorv
Cana sm {omales ariss kaw ths epbtbheial cells tbu
lockienous duets
Cnival pons as a voy soous pddlem witw tu
kolleuoing mdnd umptoms
Pruson painles hwud ump.
Bauasr euans tked and nnobile r duu to Angd tvotien
MUpenor igamonds
Rekutlon eerv , due to injlkration an broyts

Lact oas ducs

nppla
dy peaw d'oraueje appeaoane thu sainy due to the
eokucttow Mpetilal 4 ypatics
eSenno yupl vexels om louce medial auadrank hcast
Tnunrate uwitw uepeltenual myaw plxus. Candi cells
riorrate transuoelonmicaly and qots duposited onv he overty
And lad to kuwkenbrqs kumo
 Short Netes

Puk Capomutatarpal
Jont :

ype an ANoniaoint and sadle yavniety

Artiulon uaus
Jolnt korm betuoceru Dital uwaav
kraperiuand PruoKimal a a abae
1St Netcanpall
The attiulau oace ae OwcaNd- Conwexo sepDally

Ligamevnts
Cappularr ligamet CJeirt Caple ).
I onpletaly endoss thu Joint. Tt atadhad
the
pruorimally trapexium and ditally te
to thw .

uinouloena base 1st Hetacarpal bon.

Thinev udae i lined y th unevial menbrane

2. Loal LigamentFlbHous band txocire rom lateral

rrovuin kropeziunm amd lotoral sd o I
Htpuopa bone
3. Artorior Ligonet r Cktends oldiquuly om plmaw ido t
rotAun to uwna du 1 t etocapol bone

4A Portortbor LEgamunk extunds puom donsal aidu

toperium o ulnox sidu A (Hetouoal bene
bene
 Relation
Radiol aoeny its
orv storomedial ide
Fibst dpial vtvuovseos mwsclu on s madial xde
Blcod Muppy
Radial Avduy
Nowe upry Hedian Nenwe

Hovemevt FlaiOn and Exkennor

Abducbion amd addudhion

Opposikion
Madial DLoteval Retalon.
Cwwrduuthon

Spincdib and Prorotin

midprane ption, the
hn thu elbow s 80milexn
deuruond
palw kwwnd upoaxd n upinotionn q
M pronation.

Ioccuss od tho upouor ineuor

rodio 1oints anund a

votial ois
he u s
This axis åetolinu and pas Lom
om
huad Athe adlius akove h v oe styleid

rDCES uha blouo .

fhs ais meves onau Aud mid ally dudnq supnatie

anl badkuard ahd Latealy Auri na pronoitepn

w mpination u nadius amd the uvA kiv partalll

ë uotdion
Ho ead etur. avnd M paetion, thew
otoyt end wadis, along vit tho axticulas hse n
haod una
 Nuecls invelned

supunationn Supincder
Biceps Bvadu
Gvadiomdialis

PHOnation Pronokor Tehes

Prroler odratu
BYrochioradialis

3. Dosta Venous Anchw

As a venous Arch that drains the dtsum

hand DAontins rveguloa Canedion

veins pbend ou 2-3 un fewands prorimal Mde

om hu hand 4 etaavpal
e from w niddu plhallergal lvc

Tuuraus
Thovee dorsal metacanpal veins
Dosal digitral vein kom medial ndu aLitbJrgn
Dasal dfaital veinv om totoral ide inker au
Tuxo doual digtal vins hem
em kunb
Veins droinirg paln A hand.

The dosal venous ard drains ndo cophallo ad

baxlDo eins
4. Aritloy Avtrry
T w continuaton Sabelavian Atu
Rb and
begins at oukuv kerduu 1
ends at Aawe lord txes moior
Dueuing tts ouue, it vosed ew is Mupoicial

idh dtikes t ino 3

4spect u pedovalis, minor
PotA
T anilloy vein lis aluooyn medial ko axilony

Paxts
Fiwst pact upou or to musd

2 Setond pot, posteier o rwwsde

3Tind pant inleuor ko musdu.

ranchus
From Fost pot upoior
*ovaio oxdou

Fxom Seuond paet TharoLD -aU0nmial aontvuy Laterol

thevouic astuy
and
Fom thard ort
From Subsuapuau artuw atouer
posterior draumlo
kumenal ortow
Relations Peotenalis Major

Ledleral pedord Nedial Poconal Neuwe

newe Lodene
Cod
Pestoxcoy
AuMany Vein
Hediel Covd
18 povt o thoyacie roWe
Leng
Onilay ovtou
Sorredu4 Ardeer
 Poctonalik maior
Pectoralis nvinor
Lodtereul tovo
Hodiol ord
Ond pand Posterfor dorol
onlony
Suubscoploues
vdoo

Hediol cuwct mudian newe

HuLoulocatn6.o Apillovy vein
hwwe
Uha nwe
2rd pot 2 toelial oWe
oniUuy Arde ubsapularis
Aritlbowy nuo Tores NasoY

5 ntoossei
the mall intwosscou muslu ane locatted bttocen
th metaloapal borshu C auged m
ous palmavu g dersal
Potnoan dubscei hy ay 4&mall musdlu
betuoeen palmo umaes q metocopals
borsal ikwossei 4 small musdls ocaked betteen
huo l the mtacapal&
Nue upply Dee branch wno nswe
Pektom Aducion dioite by Falmo Jntuossu
Abduchon digths by orsal pkotossi-
6 Scapulan Anastomas1s

Th ateuial anastonis fomed. betuween thu bnnches4

oOs pot khe subdavianw aoxtery and tu hind pott

the axillany artery.

ocwts un two
uwo stes .i hu avromiav pocus
u) tho body t e stapula

Araund thu body thu &apula kcums bettoeenu

Supnastapulan aty whicw s branch
avdkeuy mid a
yhyroenital
u paxt
ubulavion ttoy
Cowwmalex Arcby hic ó a vanh
a Asbing ov Hhind paott Sulbscapuloo
anillo adkery
Deep branue YOmays wlal atery
thupocaical wrty aondw
ON thu NNOTMOw pmovens
ocus betreen
QLYOMial brand
Ouromia brandh 8Anpoascapulav artteu
+horoco aoronmial oxouy
Arominyavdw postevlor tfrtumtlex
humeral axdtory
ciical Stan&eoano
4 thu
mulbiawianw avtkeryb nd
n t and thid povdt ous aniUary atey dockd
pectively h Scalar
nastomo acks as petzwtia
patmy Ctollateral culatlo
Ceeulatlon)
Jo onoe th
thu adequate AAulatien do thu
wpov mb
 etiraulum
8Eteo s t
ois d thickenl
tu thickenel
back e the
ov
Th dep auia e n p 7 nttinal
alld tntenser nebinaule
band a l d
te em a fbrus

Attachmuts
to ttoidl poas alra, tiquetnd
Medial end
pisifem onts

Latol end to Louax pot wtoior berdsn Amdiu

Cemporctmus

DEidd ntd 6 ompadmevds b 5 p e cpta

empatrnmta pw nunbered o n om
Thw
lateal to mudial ide

Funchion
Helds thu Ktpsar tendow M daw lock
And prewentz udr loendirg whun the
hand à extendtd
q. Debtoid Nlus

T 3 oWe musdo Ak Ab trlangula

wed
uned amd evwwing thu omdeel grould co.
T dddud hto ponts
Unipernade
aAvdoúoY

byostoior Oipennate
cHiddle Multipebrate
Ooidadn
Pvtior Onipennake auss om uppot MAa aud

aubeder bovdu A lateral ttord daside

Hil HutEpernale povt aris um lottal matgin
Aovion puo
Posteror Uhi perMnate ariss fam luwov lip oret
pUN &apula

Tweution Vkhaped dutheid tulovorhy latoal apot

huwmous

Noue &uppls ARiloy Newe [ C and CJ

tions Artaiior pot Pleusrs 9 mdl Pobdors

Pbskeror pavtt Ectenagrs latvral Rotaters
Hide por> Shom aladwtors Lom 15 to q6

Cirical asetr

Souucwws undu ove

ornUppov end umu (OYQueid pmuoos

aintsSauldo
Musdia Pu. Major avd Pec. Hinar
Voselh Auter Tor an pOsteriorr cincumkler hunewl avdtoy
and vein

Nowe Arilavy NoWe

And Tntvomubaulaw paus