Vessels of the Upper Limb

Department of Anatomy, Histology and Embryology

University of Szeged, Faculty of Medicine

2018
 ARTERIES OF THE UPPER LIMB

Cz.A.
 SUBCLAVIAN A.
 Internal thoracic a.
 Vertebral a.
 Thyrocervical trunk
Suprascapular a.
Superficial cervical a.
Ascendens cervical a.
 Inferior thyroid a.
 Costocervical trunk
Deep cervical a.
Sup. Intercostal a.
 transvers cervical a.
spfc. br. (A. cervicalis spfc.)
deep br. (dorsal scapular a.)

(significant brs. are red)

 BRANCHES OF THE AXILLARY ARTERY

2. 1.

4.

5. 3.

6.

AXILLARY A.
suprascapular a. ← thyrocervical tr. ← subclavian a.
1. Highest thoracic a. I.
2. Thoracoacromial a.
3. Lat. thoracic a.
II. circumflex scapular a. ← subscapular a. ← axillary a.
4. Subscapular a.
5. Ant. circumflex humaral a.
6. Post. circumflex humeral a. III.
 ANASTOMOSES AROUND SHOULDER
1. suprascapular a. (transvers scapular a.; thyrocervical trunk, subclavian a.) –circumflex
scapular a. (A. subscapularis)

2. dorsal scapular a. (deep br., spfc. cervical a., subclavian a.) –

circumflex scapular a. (subscapular a.)

3. Rete acromiale:
Acromial br., (thoracoacromial a., axillary a.) – Acromial br. (suprascapular a., subclavian a.)

4. anterior circumflex humeral a. (axillary a.) – posterior circumflex humeral a. (axillary a.)
Vertebral a. subclavian a.
thyrocervical suprascapular a.
trunk
transverse cervical
artery

axillary a.
circumflex anterior circumflex
scapular a. humeral a.

dorsal posterior circumflex

scapular a. humeral a.
subscapular a.
Deep
brachial a.
Thoraco
dorsal a. brachial a.
 BRACHIAL A.

Upper border:
posterior axillary fold
– latissimus dorsi m.)

 Deep brachial a. (Aa. nutrientes humeri,

middle collateral a., radial collateral a.)
 Superior collateral ulnar a.
 Inferior collateral ulnar a.
RETE ARTICULARE CUBITI
 Brachial a.: superior ulnar collateral a.
inferior ulnar collateral a.
 Deep brachial a.: middle collateral a.
radial collateral a.
 Radial a.: radial recurrens a.
 Ulnar a.: ulnar recurrens a.
interosseal recurrens a.
BRANCHES OF AXILLARY A.: BRANCHES OF SUBCLAVIAN A.:

Highest thoracic a. Vertebral a.

Thoracoacromial a. Internal thoracic a.
Lateral thoracic a. Thyrocervical trunk
Subscapular a. Costocervical trunk
Ant. circumflex humeral a. Transverse cervical a.
(Dorsal scapular a.)
Post. circumflex humeral a.

Radial collateral a.
Arterial anastomosis
Middle collateral a.
around the elbow joint
Interosseous recurrent a.

BRANCHES OF RADIAL A.: BRANCHES OF ULNAR A.:

Radial recurrent a. Ulnar recurrent aa.

Superficial palmar br. Common interosseous a.
Palmar& Dorsal carpal network Deep palmar br.
Proper digital a. of thumb Palmar& Dorsal carpal network
Radialis indicis a.

Cz.A.
ARTERIES OF THE FOREARM
 Brachial a. anterior and posterior interosseal aa.

Ulnar a.

Radial a.

* *
Ulnar a.

Radial a.
Radial a. in the radial foveola
brachioradial m. (Fossa tabatière)
*
 RADIAL ARTERY

Ulnar a.
Radial a.

 Recurrens radial a.
 Nutrient a. of radius
 Palmar carpal a.
 Sfc. palmar br.
 Dorsal carpal br.:(doesal carpal network, dorsal metacarpal aa., dorsal digital aa.)
 Princeps pollicis a.
 Radialis indicis a.
 Deep palmar arch (palmar metacarpal aa., Perforant brs.)
ULNAR ARTERY
 A. recurrens ulnaris (R. anterior et
posterior)
 A. nutriens ulnae
 A. interossea communis (A. interossea
anterior: A. comitans nervi mediani; A.
interossea posterior:
R. perforans, A. interossea recurrens)
 R. carpalis dorsalis
 R. carpalis palmaris
 R. palmaris profundus
 Arcus palmaris superficialis

a. radialis a. ulnaris
ARTERIES OF THE PALM OF THE HAND

RADIAL A. ULNAR A.

sfc. palmar br.

deep palmar br.

princeps DEEP PALMAR ARCH

pollicis a.
SFC. PALMAR ARCH
common palmar dig. aa.

proper palmar
dig. aa.

palmar
metacarpal aa.
ARTERIES OF BACK OF THE HAND
Dorsal carpal rete
 Radial a.:
dorsal carpal br. dorsalis
dorsal metacarpal aa.
dorsal digital aa.
 Ulnar a.:
dorsal carpal br.
ARTERIES OF THE BACK OF THE HAND

DORSAL

ANATOMIC
SNUFF BOX

PALMAR
 VEINS OF UPPER LIMB:
DEEP VEINS: venae profundae – names are same with names of arteries
 Brachial vv.
 Ulnar vv.
 Radial vv.
 Anterior interosseal vv.
 Posterior interosseal vv.
 Deep venous palmar arch
 (palmar metacarpal vv.)

SUPERFICIAL VEINS: venae superficiales (epifascial vv.)

 Cephalic v. – at deltopectoral trigone pierces clavipectoral fascia
enters into axillary v.
 Basilic v. – basilic hiatus –brachial v.
 Median cubital v.
 Median antebrachial v.
 Antebrachial cephalic v.
 Antebrachial basilic v.
 Dorsal venous plexus of hand
 Superficial palmar venous arch
 DEEP VEINS OF UPPER LIMB

Cz.A.
 basilic
hiatus
C
Deep Superficial
veins veins B C

B C

C B

Aspectus dorsalis / ventralis

 SUPERFICIAL VEINS OF UPPER LIMB I.

Cz.A. Dorsal venous network of the hand

 ANASTOMOSIS BETWEEN CEPHALIC and BASILIC VEIN

Basilic hiatus

median cephalic v.

median basilic v.

lat. med.
C B C B C B
median cubital v. median
antebrachial v.

Dorsal venous
Variations of veins network of the hand B C
 Deltopectoral groove

Cephalic v.

Axillary vein ←

Basilic
hiatus
→ Brachial vein

basilic
vein

Cz.A.
Cz.A.
 Great lymphatics of human body
right venous left venous
angle angle
right venous left venous
angle angle

Thoracic
Right duct
lymphatic
trunk
RIGHT AND LEFT VENOUS ANGLE (PIROGOV)
LYMPH NODES OF AXILLA
AND UPPER LIMB

 Nodi lymphatici axillares

Nodi lymphatici apicales/ infraclaviculares
Nodi lymphatici humerales/ laterales
Nodi lymphatici subscapulares/ posteriores
Nodi lymphatici pectorales/ anteriores
Nodi lymphatici centrales
 Nodi lymphatici interpectorales
 Nodi lymphatici deltopectorales

 Nodi lymphatici brachiales (inconstans)

 Nodi lymphatici cubitales superficiales et profundi
LYMPH NODES OF UPPER LIMB

Brachial lymph nodes:

 3 bundle of arm:
medial (medial bicipital groove) –
dorsomedial
lateral (deltopectoral groove)

Cubital lymph nodes:

superficial and deep

 3 bundle of forearm:
radial (by the side of cephalic v.)
ulnar (by the side of basilic v.)
median (by the side of median
antebrachial v.)

Lymphatic network of hand

This presentation compiled by:
Andrea Czigner
Annamária Kovács
Roland Weiczner