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    musculoskeletal musculoskeletal Presentation Transcript

    • Selected Chapters from the Cross-Sectional Anatomy – Musculoskeletal anatomy András Jakab MD, Levente István Lánczi MD
    • Leonardo da Vinci(April 15, 1452 – May 2, 1519)
    • Upper limb and shoulder1. Movements of the shoulder 1. Thoracohumeral muscles 2. Back muscles2. Movements of the elbow 1. Arm muscles3. Movements of wrist and hand 1. Forearm and hand muscles
    • Upper limb, bones clavicle scapula arm humerusforearm ulna radius hand
    • Thoracohumeral musclesOrigin: thoracic cageAdhere: shoulder pectoralis major m. pectoralis minor m. subclavius m. serratus anterior m.
    • deltoideus m. pectoralis major m.serratus anterior m.external abdominaloblique m.
    • Muscles of shoulderOrigin: scapulaAdhere: proximal part of humerus deltoideus m. supraspinatus m. infraspinatus m. teres major / minor m. subscapularis m.
    • Muscles of the arm  biceps brachii m.  long head  short head  coracobrachial m.  brachialis m.  triceps brachii m.  long head334  lateral head  medial head
    • coracoid process supraspinatus m. deltoideus m. subscapularis m. pectoralis major m. teres major m. biceps brachii m., short head biceps brachii m.,triceps brachii m. long head brachioradialis m.
    • biceps brachii m. median n. brachial a. brachial v.brachialis m. ulnar n. humerus radial n. triceps brachii m.,triceps brachii medial headm., lateral headtriceps brachiim., long head
    • 1. infraspinatus m. 2. teres minor m. 3. glenoid labrum4. deltoideus m. 5. humerus head 6. biceps brachii, tendon7. subscapularis m. 8. axillary fossa 9. pectoralis major m.10. clavicle
    • 1. biceps brachii m.2. brachialis m.3. brachial a / v.4. humerus5. triceps brachii m.
    • Arm c BI BI B M B B U B H BR H R b R TRI TRI
    • Elbow
    • Muscles of the forearmFlexor musclesOrigin from the medial epicondyle of humerus Superficial muscles  pronator teres m.  flexor carpi radialis m.  palmaris longus m.  flexor carpi ulnaris m.  flexor digitorum spf. m. Deep muscles  flexor pollicis longus m.  flexor digitorum profundus m.
    • Muscles of the forearmExtensor musclesOrigin from the lateral epicondyle of humerus brachioradialis m. extensor carpi radialis longus, brevis mm. extensor digitorum m. extensor digiti minimi m. extensor carpi ulnaris m.
    • biceps brachii m. medial epicondyle brachioradialis m. palmaris longus m. flexor carpi radialis m.flexor carpi ulnaris m. flexor digitorum supeficialis m.
    • brachioradialis m. extensor carpi radialis longus m. lateral epicondyle extensor carpi radialis brevis m.abductor pollicis longus m.
    • ulnar a. radial a. flexor carpi ulnaris m. flexor digitorumextensor carpi profundus m.radialis brevis m. extensor pollicis extensor pollicis brevis m., longus m., abductor pollicis extensor indicis longus m. m. extensor digitorum m. extensor carpi ulnaris m.
    • Forearm pl fcr r fdsf fcu u Flexor br m muscles pt fdpf R U R U Extensor muscles
    • Hand
    • Hand Th Hyth Carpal tunnel  Tendon of flexors Tm Tq  Median n. To C H Guyton tunnel  Ulnar a., v., n.
    • Upper limb - arteries axillary a.: straight continuation of subclavian a.  thoracal branches  circumflex humeri a.  subscapularis a. brachial a.  collaterals Ulnar a. radial a. superficial palmar arch (ulnar a.) deep palmar arch
    • a. circumflexa a. axillaris anterior humeri a. brachialis a. recurrens ulnarisa. recurrens radialis a. radialis a. interossea anterior arcus palmaris superficialis arcus palmaris profundus
    • PelvisLower limb Femur Knee Lower limb Leg Foot
    • Lower limb
    • Muscles of lower limb Iliac muscles  Iliacus m.  psoas major, minor m.  piriformis m.  obturator internus m. Muscles of gluteal region  gluteus max/med/min m.  tensor m. of fascia lata  quadratus femoris m.  obturator externus m.  gemellus sup / inf. m.
    • piriformis m. coccygeus m.obturator internus m. gluteus maximus m.
    • Anterior femoral muscles(Adductors) pectineus m. adductor longus, brevis m. gracilis m. adductor magnus m.
    • Anterior femoral muscles(extensors of knee) sartorius m. quadriceps femoris m.  rectus femoris m.  vastus medialis m.  vastus intermedius m.  vastus lateralis m.
    • Posterior femoral muscles(flexors of knee) Semitendinosus m. Semimembranosus m. Biceps femoris m.
    • gluteus maximus m. sartorius m. tensor m. of fascia lata rectus femoris m. vastus lateralis m. biceps femoris m., long head biceps femoris m., shortheadsemimembranosus m.
    • pectineus m.tensor m. of adductor longus, magnus m.fascia lata gracilis m.quadricepsfemoris m. sartorius m.
    • quadriceps femoris m. sartorius m. femoral a. & v. adductor magnus m. gracilis m.biceps femoris m. semitendinosus m. semimembranosus m.
    • vastus lateralis m. vastus medialis m.bicepsfemoris m.common fibular n. tibial n. gracilis m. popliteal a. & v. semimembranosus m.
    • 1. femur, lateral condyle 2. articular cartilage3. fibula, lateral condyle 4, fibula5. femur, medial condyle 6. articular cartilage7. tibia, medial condyle
    • Knee joint
    • Muscles of the legAnterior compartment m. tibialis anterior m. extensor hallucis longus m. extensor digitorum longus
    • Muscles of the leg tibialis anterior m. tibia peroneus (fibularis) gastrocnemius m. longus m. extensor digitorum soleus m. longus m.
    • Muscles of the posterior compartment of the leg Superficial grouop  gastrocnemius m/l m.  soleus m.  plantaris m. Deep group  popliteus m.  tibialis posterior m.  flexor digitorum longus m.  flexor hallucis longus m.
    • Articulatio talocruralis Tibia Talus Tibia N F Calcaneus Talus