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UPPER

EXTREMITIES:
Blood Supply &
Venous Drainage
MA. CRISTINA S.
ELMA,M.D.,M.S.P.H.,F.P.O.G.S.

OBJECTIVES
At the end of this lecture, you should
be able to:
1. Identify the main arterial trunks of
the upper limbs, their branches &
areas of distribution.
2. Describe the collateral pathways
around the shoulder, elbow & hand.
3. Identify the superficial set of veins
noting their course and the deep set
of veins accompanying the arteries.

OBJECTIVES
4. Describe the main routes of
lymphatic drainage & the principal
regional lymph nodes of upper limbs.
5. State the general flow of lymph
from the upper limbs to the main
vessels: thoracic duct & right
lymphatic duct.

AXILLARY ARTERY

AXILLARY ARTERY
Continuation of subclavian
Lateral border of 1st rib to
lower border of teres major
ms.
Divided into 3 parts by
pectoralis minor ms.
1st part highest thoracic
2nd part thoracoacromial
- lateral thoracic
3rd part subscapular
- ant. humeral
circumflex
- post. humeral
circumflex

BRACHIAL ARTERY

BRACHIAL ARTERY

Continuation of
axillary a.
Lower border of teres
major to neck of radius
Important branches:
Profunda brachii
Superior ulnar
collateral a.
Inferior ulnar
collateral a.
Radial a
Ulnar a.

RADIAL ARTERY

Forms part of superficial


and deep palmar
arterial arches(mainly
deep arterial arch)
Impt. Branches
Muscular a.
Radial recurrent a.
Palmar carpal a.
Dorsal carpal a.
Superficial palmar a.
Princeps pollicis a.
Radial indicis proprius
a.

RADIAL ARTERY

RADIAL ARTERY

RADIAL ARTERY

ULNAR ARTERY

Forms part of superficial


and deep palmar arterial
arches (mainly superficial)
Impt. Branches
Anterior ulnar recurrent a.
Posterior ulnar recurrent
a.
Common interosseous a.
Muscular a.
Dorsal carpal a.
Palmar carpal a.
Deep palmar a.

ULNAR ARTERY

ULNAR ARTERY

PALMAR ARTERIAL
ARCHES
SUPERFICIAL
-formed principally by
ulnar a.
- supplies medial 3
digits
DEEP
- formed principally by
radial a.
- Supplies lateral 1
digits

SUPERFICIAL & DEEP


PALMAR ARCHES

ARTERIAL
ANASTOMOSES
SCAPULAR
Axillary system with
subclavian system
ELBOW JOINT
- Branches of brachial
a. with branches of
radial and ulnar aa.
ANASTOMOSES
WRIST & PALM
- Branches of radial
and ulnar arteries
-

VENOUS DRAINAGE

VENOUS DRAINAGE

THANK YOU!!!

QUIZ- SEC A
WHAT MUSCLE MARKS THE
TERMINATION OF THE AXILLARY
ARTERY?
2.
GIVE 1 ARTERY ARISING FROM THE
3RD PART OF THE AXILLARY ARTERY.
3&4. WHAT ARE THE TERMINAL
BRANCHES OF THE BRACHIAL
ARTERY?
5. WHAT ARTERY SUPPLIES THE TRICEPS
BRACHII MUSCLE?
1.

QUIZ SEC A
6 & 7. RADIAL ARTERY IS FOUND
BETWEEN THE TENDONS OF WHAT
MUSCLES?
8. THE DEEP PALMAR ARTERIAL ARCH
ARISES MAINLY FROM WHAT ARTERY?
9. WHAT SUPERFICIAL VEIN PASSES
THRU THE DELTOPECTORAL GROOVE?
10. SUPERFICIAL LYMPH VESSELS ON
THE MEDIAL SIDE OF THE UPPER
LIMBS WILL DRAIN INTO WHICH
GROUP OF AXILLARY NODES?

QUIZ SEC B
WHAT MUSCLE DIVIDES THE
AXILLARY ARTERY INTO 3 PARTS?
2. GIVE 1 ARTERY ARISING FROM THE
2ND PART OF THE AXILLARY
ARTERY.
3&4. WHAT ARE THE TERMINAL
BRANCHES OF THE BRACHIAL
ARTERY?
5. WHAT MUSCLE IS SUPPLIED BY THE
DEEP BRACHIAL ARTERY?
1.

QUIZ SEC B
6. WHAT CARPAL BONE WILL BE OF HELP
IN LOCATING FOR THE PULSATION OF
YOUR ULNAR ARTERY?
7. THE SUPERFICIAL PALMAR ARTERIAL
ARCH ARISE MAINLY FROM WHAT
ARTERY?
8 & 9. THE AXILLARY VEIN IS FORMED BY
THESE TWO VEINS?
10. LYMPH VESSELS OF THE UPPER LIMBS
WILL DRAIN MAINLY INTO WHICH
GROUP OF AXILLARY NODES?