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k oki, UPPER EXTREMITY THE BREAST & Specialize accessory glands of the ‘skin that are capable of secreting milk & present in both sexes THE BREAST * sespentory ligament “retromammary space | \ferous ductsinus.* sebaceous glands ‘nary til (of Spence) Parts of the Breast £ Sight below he carter ofeach Breast is @ rng of bipmenied skin, the ateca. which Suounds the central protruding pple Parts of the Breast omen oh oes Parts of the Breast ‘wenn tne bes are sar units ‘ated ouies wich contan Slander avec That reduce ik ‘hung actavon Parts of the Breast alveolar glands pass THE BREAST ‘\ blood supply comes form internal inmate = tami tt thoraces artery ang intercostal artery, cack Soave siympnate craage cepts. hat eeapte anterior axilar tore f ete eat nee cour aed ‘soon alae + nena bore gop of nodes mea ‘Sissi Suen Ey “omnes dueg son ¥ . ¥ ; THE BREAST - Clinical notes , ‘ ie "Changes in te breast * Muliparous women - nips have no | a hr ores nde j women - nipples become rd pendous = ‘ \ I f THE BREAST - Clinical notes B Terms * polymastia . supemumerary breasts ‘exceeding the normal nursber or olithelia (nipples) may occur Superior or inferior to normal breasts ‘amastia- no breast development or There may bea nipple but no slandular tissue Amastia Polythelia THE BREAST - Clinical notes rE © Breast Cancer 4 moat common ype THE BREAST - Clinical notes moe ore. Seer se, heoge "anys THE BREAST - Clinical notes la Breast Cancer ' suigical management The Armpit [ AXILLARY REGION AXILLARY REGION Was of he Axa “subelavis and a r | AXILLARY REGION |i eae Mabiot pall ane L Seraet oak. po \ AXILLARY REGION & Contents pper nb, auilany vein plows ‘iymph nodes of axila AXILLARY REGION - Brachial plexus +5 wes a “cB on eee SHOULDER JOINT © sorte 1 glnohumaral + azromoctancula” 1 + sonrahumera SHOULDER JOINT 5 Functional Jomts > Scapueterce: SHOULDER JOINT # Movements of the Shoulder Girdle + tleatin - stl ond lac and acromien Fess of scapula move superony * pension moton cl semeavest aan erty “+ prcrachon sta end of clave and scala itacton- sto end of clave and scapula move Poster + upward folaten- movement of scapula in vc ‘We glonod tones fees senor * demain - movement flo saa f J SHOULDER JOINT © Glenohumeral joint * artulatontawen the rounded hewd ot humans wth he shallow pea shaped, flood cay of capita + Caps thin andar lowing wade ange ot sohunera garments supe, "int an leon) tamara umes ‘ment roasunumetalipenent eet pe. eet * movements fe, eed, tc, adduct, ‘sai ecu SHOULDER JOINT - | Glenohumeral joint r a] SITS MUSCLE SHOULDER JOINT 1 Acromociavicular jot * areutton athe acromon fh scapula and ‘Sra end of ne ave +zyonal lane ort + Ggament super and ler actomacavatar oes , +more supply sueascan + movement ging movement produced when "he scapata ates or en chet = teva F depressed «ovement leat ae dresion a pe owner Glave al fe medlconpertant = SHOULER JOINT - SHOULDER JOINT Sternociavicular joint ® Sternaciamaular jaunt “occurs between the sternal en of clavicle and SHOULDER JOINT - Scapulohmera! Mechanism f ‘abduction of the arm involves rotation of scapula as well as movement at | the shoulder joint for every 3 degrees of abduction of | the arm 2 cegiees of abduction | occurs.in the glenohumeral joint and 4 | gegree of abduction occurs by | rotation of the scapula SHOULDER JOINT Clinical notes = Rotator Cut injures * aceon gee i Sanh saoallcrre eiattig? cligpertad con erereg wage ‘ing eng ee "ost common atlete tendons he Soraspnts tenon completo rslire of he mace aceon . = * SHOULDER JOINT Clinical SHOULDER JOINT Clinical notes notes j Achesive capsultis of the ¥ Shoulder Dislocation | genohumeraijomt “Types. anterior and posterior stration | toro ane scaring between the + causes: trauma, fal | soared aneviar capsule oatercutt + + Aritior dislocation s due to excessive mre extension and lateral rotation of humerus ind rin cecage ee conpicatons sualy has ately abuctng anc roe | raat arm ‘Rngenot oe nares. causes Wauma, ahr, ator cut ae aiaians tendit.panal teat of tar cut rere ¥] ¥] UPPER ARM UPPER ARM Anero:conpartent Morte Siege boskit Sensory supply ey th coro bnial» brki Lott mad norte oh Stet cpply——emchot or oy rman ‘ Meo Poly Muevbeshneoue ming ose ice watinl cofareruc wid of | ohn ping Muerbcuaniour medion «sear, pa dn inkl heap he abl. (in itr gant dh confer eae bral p- wmrtnat redial art. 4 basilie a on (nish a] ¥] [ upper. ARM poxisir Fodcat THE ELBOW |i articulation between the trachea and. i ace 2 eee _capitulum of humerus and trociear serve avery Raat ‘notch of ulna and head of radus mule type ofjoint synovial hinge and pwwot ied upp " bhi lear olan Lent 1 ee igaments |. aterat igament Mruchures yoann m fhngh He! Rash a. yy 0, : Cngrtnend quadrate igament toert ) ELBOW JOINT movement stal nymera-utnar joint fevon pronmal radto-unar owt CUBITAL FOSSA ‘wangular hollow area on the antenor surface of the elbow boundaries supenor imaginary line connecting * epicondyles of humerus medially = pronator teres laterally ~ brachoradians floor —bracialis and supinator ‘oot ~ deep fascia ana Dicpital aponeurosis ei | CUBITAL FOSSA carrying angle ‘normal value. 170 deg FOREARM contents biceps tendon racnal artery and branches (adie! and ena} brachial ves arts of median nerve end: alnenve FOREARM Deep layer exo polers longus | Fever igtourm protundus ronator quadrats FOREARM * Muscies of Anteror Fascial Compartment Superficial ayer + Pronator teres : + Flexore carps racials * Palmans longus 4 Flexore carp loans Intermediate FOREARM & Muscles in the Lateral Fascial Compartment * Brachioradiais + Extensor carp radais longus | FOREARM FOREARM cial Compartment Deep layer Supertoa layer » supinator + extensor carp radials brevis + abductor poles longus © entensor digtorum © extensor poties Brevis ’ extensor agi mm «extensor poles longus entenor carps uinans + extensor indors ELBOW Clinical notes + lateral eorconayies suttease sbi J fircheod Jean’ : aliaed + medalepiededyis ~| Dace eee - Seeranonplrsts —

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