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GROSS SPOTTING OF ELBOW
JOINT, WRIST, CARPAL BONES,
ANASTAMOSIS AROUND ELBOW
JOINT
By:
Dr. Hiba
Dr. Samra
Elbow Joint –
Anterior view
Annular Ligament
Lateral(radial
collateral ligament)
Biceps Brachii
Insertion
Medial (ulnar) Collateral
ligament
Capsule
Oblique Cord
Humerus
Ulna
Radius
Elbow Joint –
Posterior View
Capsule
ARTERIAL ANASTAMOSIS
AROUND ELBOW JOINT
Anastamosis around Medial Epicondyle
• 1. Front of Medial
Epicondyle
Between Inferior Ulnar
Collateral Artery(branch
of Brachial Artery) and
Anterior Recurrent
artery(branch of Ulnar
Artery)
Brachial
Artery
Inferior Ulnar
Collateral Artery
Ulnar Artery
Anterior
Recurrent Artery
Profunda
Brachii
Artery
• 2. Behind Medial
Epicondyle
Between Superior
Ulnar Collateral
Artery (Branch of
brachial artery) and
Posterior Recurrent
Artery (Branch of
Ulnar Artery), Also
anastomose with
Inferior Ulnar
Collateral Artery
Brachial Artery
Ulnar artery
Posterior Recurrent
artery
Superior Ulnar
Collateral Artery
Inferior Ulnar Collateral Artery
Anastomosis Around Lateral Epicondyle
1. In Front of Lateral
Epicondyle
Between Anterior
Descending Branch of
Profunda Brachii
Artery(branch of
Brachial Artery) and
Radial Recurrent
Artery (branch of
Radial Artery)
Anterior Descending
branch of Profunda
Brachii Artery
Radial Recurrent Artery
Radial Artery
2. Behind Lateral
Epicondyle
Between Posterior
Descending Branch
of Profunda Brachii
Artery and
Interosseous
Recurrent Artery
from the Posterior
Interosseous Artery(
branch of Common
Interosseous Artery)
Profunda
Brachii Artery
Posterior
Descending
Branch of
Profunda Brachii
Artery
Interosseous
Recurrent Artery
Posterior
Interosseous Artery
CARPAL BONES
1ST METACARPAL
Scaphoid
Lunate Triquetral
Pisiform
PROXIMAL ROW
She – Scaphoid
Looks – Lunate
Too – Triquetral
Pretty - Pisiform
2 3 4
5
Trapezium
Trapezoid
Capitate
Hamate
Hook of hamate
1ST METACARPAL
5
2 3 4
DISTAL ROW
Try – Trapezium
To – Trapezoid
Catch – Capitate
Her - Hamate
STRUCTURES PASSING THROUGH WRIST
Structures Passing Superficial
to Flexor
Retinaculum:
1. Flexor Carpi Ulnaris Muscle
2. Ulnar Nerve
3. Ulnar Artery
4. Palmar Cutaneous branch
of Ulnar nerve
5. Palmaris Longus
6. Palmar cutaneous branch
of Median Nerve
Flexor Carpi Ulnaris
Ulnar Nerve
Ulnar Artery
Palmaris Longus
Structures Passing Deep to
Flexor Retinaculum:
1. Flexor Digitorum
Superficialis and Flexor
Digitorum Profundus
tendons
2. Median Nerve
3. Flexor Pollicis Longus
4. Flexor Carpi Radialis
Flexor Digitorum
Superficialis and
Flexor Digitorum
Profundus
Flexor Pollicis Longus
Flexor Carpi Radialis
Median Nerve

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Gross Spotting Of Elbow Joint, Wrist,.pptx

  • 1. GROSS SPOTTING OF ELBOW JOINT, WRIST, CARPAL BONES, ANASTAMOSIS AROUND ELBOW JOINT By: Dr. Hiba Dr. Samra
  • 2. Elbow Joint – Anterior view Annular Ligament Lateral(radial collateral ligament) Biceps Brachii Insertion Medial (ulnar) Collateral ligament Capsule Oblique Cord Humerus Ulna Radius
  • 4.
  • 5.
  • 7. Anastamosis around Medial Epicondyle • 1. Front of Medial Epicondyle Between Inferior Ulnar Collateral Artery(branch of Brachial Artery) and Anterior Recurrent artery(branch of Ulnar Artery) Brachial Artery Inferior Ulnar Collateral Artery Ulnar Artery Anterior Recurrent Artery Profunda Brachii Artery
  • 8. • 2. Behind Medial Epicondyle Between Superior Ulnar Collateral Artery (Branch of brachial artery) and Posterior Recurrent Artery (Branch of Ulnar Artery), Also anastomose with Inferior Ulnar Collateral Artery Brachial Artery Ulnar artery Posterior Recurrent artery Superior Ulnar Collateral Artery Inferior Ulnar Collateral Artery
  • 9.
  • 10.
  • 11. Anastomosis Around Lateral Epicondyle 1. In Front of Lateral Epicondyle Between Anterior Descending Branch of Profunda Brachii Artery(branch of Brachial Artery) and Radial Recurrent Artery (branch of Radial Artery) Anterior Descending branch of Profunda Brachii Artery Radial Recurrent Artery Radial Artery
  • 12. 2. Behind Lateral Epicondyle Between Posterior Descending Branch of Profunda Brachii Artery and Interosseous Recurrent Artery from the Posterior Interosseous Artery( branch of Common Interosseous Artery) Profunda Brachii Artery Posterior Descending Branch of Profunda Brachii Artery Interosseous Recurrent Artery Posterior Interosseous Artery
  • 13.
  • 14. CARPAL BONES 1ST METACARPAL Scaphoid Lunate Triquetral Pisiform PROXIMAL ROW She – Scaphoid Looks – Lunate Too – Triquetral Pretty - Pisiform 2 3 4 5
  • 15. Trapezium Trapezoid Capitate Hamate Hook of hamate 1ST METACARPAL 5 2 3 4 DISTAL ROW Try – Trapezium To – Trapezoid Catch – Capitate Her - Hamate
  • 16.
  • 17.
  • 18. STRUCTURES PASSING THROUGH WRIST Structures Passing Superficial to Flexor Retinaculum: 1. Flexor Carpi Ulnaris Muscle 2. Ulnar Nerve 3. Ulnar Artery 4. Palmar Cutaneous branch of Ulnar nerve 5. Palmaris Longus 6. Palmar cutaneous branch of Median Nerve Flexor Carpi Ulnaris Ulnar Nerve Ulnar Artery Palmaris Longus
  • 19. Structures Passing Deep to Flexor Retinaculum: 1. Flexor Digitorum Superficialis and Flexor Digitorum Profundus tendons 2. Median Nerve 3. Flexor Pollicis Longus 4. Flexor Carpi Radialis Flexor Digitorum Superficialis and Flexor Digitorum Profundus Flexor Pollicis Longus Flexor Carpi Radialis Median Nerve