The document summarizes the major blood vessels of the upper limb, including both arteries and veins. It describes the five main arterial vessels that supply blood from proximal to distal as the subclavian, axillary, brachial, radial, and ulnar arteries. It then provides details on each of these vessels, including branches, parts, and clinical relevance such as sites for measuring blood pressure and potential complications from occlusion. It also outlines the superficial and deep venous systems that drain the upper limb, noting key veins like the basilic and cephalic as well as the median cubital vein which is a common site for blood draws.
hey this is Vedika Agrawal and this presentation is TO EXPLAIN AND HELP YOU UNDERSTAND ANATOMY OF FOREARM.
The topic is usually mixed with hand making it difficult to understand and so i seperated it to make it easy for you.
The arterial supply to the upper limb is delivered via five main vessels (proximal to distal):
Subclavian artery
Axillary artery
Brachial artery
Radial artery
Ulnar artery
In this article, we shall look at the anatomy of the arteries of the upper limb – their anatomical course, branches and clinical correlations.
hey this is Vedika Agrawal and this presentation is TO EXPLAIN AND HELP YOU UNDERSTAND ANATOMY OF FOREARM.
The topic is usually mixed with hand making it difficult to understand and so i seperated it to make it easy for you.
The arterial supply to the upper limb is delivered via five main vessels (proximal to distal):
Subclavian artery
Axillary artery
Brachial artery
Radial artery
Ulnar artery
In this article, we shall look at the anatomy of the arteries of the upper limb – their anatomical course, branches and clinical correlations.
venous drainage of the upper limb, median vein of forearm, deep veins, basilic vein, cephalic vein, median cubital vein, superficial vein, dorsal venous arch,
The blood vessels of the upper limb include arteries and veins that supply and drain blood from the various regions of the arm, forearm, hand, and fingers. Understanding the anatomy of these vessels is crucial for medical professionals performing procedures such as venipuncture, vascular surgery, or assessing blood flow to the upper limb.
The veins play a crucial role in returning deoxygenated blood from the upper limb back to the heart.
ARTERIAL SUPPLY OF UPPER LIMBThe arterial supply to the .docxrossskuddershamus
ARTERIAL SUPPLY
OF UPPER LIMB
The arterial supply to the upper limb begins in the chest as the subclavian artery. The right subclavian artery arises from the brachiocephalic trunk, while the left subclavian branches directly off the arch of aorta.
When the subclavian arteries cross the lateral edge of the 1st rib, they enter the axilla, and are called axillary arteries.
IN THE AXILLA
The axillary artery passes through the axilla, just underneath the pectoralis minor muscle, enclosed in the axillary sheath.
At the level of the humeral surgical neck, the posterior and anterior circumflex humeral arteries arise. They circle posteriorly around the humerus to supply the shoulder region. The largest branch of the axillary artery also arises here – the subscapular artery.
The axillary artery becomes the brachial artery at the level of the teres major muscle.
Anteriorly
(i) Skin.
(ii) Superficial fascia
(iii) Deep fascia.
(iv) Clavicular part of the pectoralis major.
(v) Clavipectoral fascia with cephalic vein, lateral pectoral nerve, and thoracoacromial vessels.
Posteriorly
(i) First intercostal space with the external intercostal muscle.
(ii) First and second digitations of the serratus anterior with the nerve to serratus anterior.
(iii) Medial cord of brachial plexus with its medial pectoral
branch
laterally
Lateral and posterior cords of the brachial plexus.
Medially
Axillary vein
The first part of the axillary artery is enclosed (together with the brachial plexus) in the axillary sheath, derived from the prevertebral layer of deep cervical fascia.
Anteriorly
(i) Skin.
(ii) Superficial fascia.
(iii) Deep fascia.
(iv) Pectoralis major.
(v) Pectoralis minor
Posteriorly
(i) Posterior cord of brachial plexus.
(ii) subscapularis
Medially
(i) Medial cord of brachial plexus,
(ii) Medial pectoral nerve,
(iii) Axillary vein.
Laterally
Lateral cord of brachial plexus.
Anteriorly
(i) Skin.
(ii) Superficial fascia,
(iii) Deep fascia.
(iv) In the upper part there are the pectoralis major and medial root of the median nerve.
Posteriorly
(i) Radial nerve.
(ii) Axillary nerve in the upper part,
(iii) Subscapularis in the upper part,
(iv) Tendons of the latissimus dorsi and the teres major in the lower part.
Laterally
Coracobrachialis.
Musculocutaneous nerve in the upper part,
Lateral root of median nerve in the upper part,
Trunk of median nerve in the lower part.
Medially
(i) Axillary vein,
(ii) Medial cutaneous nerve of the forearm and ulnar nerve
(iii) Medial cutaneous nerve of arm
1st part:
Superior Thoracic artery
2nd part:
Acromiothoracic artery
Lateral Thoracic artery
3rd part:
Subscapular artery
Ant circumflex humeral artery
Post circumflex humeral artery
CLINICAL RELEVANCE: AXILLARY ARTERY ANEURYSM
An aneurysm is dilation of a blood vessel to more than twice its original size. Although rare, axillary artery aneurysms can occur as a result of atherosclerosis, thoracic out.
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Motor functions:
Innervates the muscles of the posterior thigh (biceps femoris, semimembranosus and semitendinosus) and the hamstring portion of the adductor magnus (remaining portion of which is supplied by the obturator nerve).
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Blood vessels of Upper Limb.pptx
1. Blood vessels of Upper Limb
Dr Mathew Joseph
MBBS, MD(AIIMS), BCC(Palliative Medicine)
Assistant Professor
Department of Anatomy
Amala Institute of Medical Sciences, Thrissur
2. Arteries of Upper Limb
• The arterial supply to the upper limb is delivered via five main vessels
(proximal to distal):
• Subclavian artery
• Axillary artery
• Brachial artery
• Radial artery
• Ulnar artery
2
DRMATS
4. Subclavian Artery
• On the right : the subclavian artery arises from the brachiocephalic trunk.
• On the left : directly from the arch of aorta.
• The subclavian artery travels laterally towards the axilla.
• It can be divided into three parts based on its position relative to the anterior
scalene muscle:
• First part – origin of the subclavian artery to the medial border of the
anterior scalene.
• Second part – posterior to the anterior scalene.
• Third part – lateral border of anterior scalene to the lateral border of the first
rib.
4
DRMATS
6. Axillary Artery
• The axillary artery lies deep to the pectoralis minor and is enclosed in
the axillary sheath (a fibrous layer that covers the artery and the
three cords of the brachial plexus).
• The artery can be divided into three parts based on its position
relative to the pectoralis minor muscle:
• First part – proximal to pectoralis minor
• Second part – posterior to pectoralis minor
• Third part – distal to pectoralis minor
6
DRMATS
7. Axillary Artery
First Part Second Part Third Part
Superior Thoracic Artery Thoracoacromial artery
Lateral thoracic artery
Subscapular artery
Anterior Circumflex Humeral
artery
Posterior circumflex Humeral
Artery
7
DRMATS
9. Clinical Relevance: Axillary Artery Aneurysm
• An axillary artery aneurysm is a dilation of the vessel to more than twice its
original size. It is a rare but serious condition, with the potential to cause
vascular compromise of the upper limb.
• The dilated portion of the axillary artery can compress the brachial plexus,
producing neurological symptoms such as paraesthesia and muscle
weakness.
• The definitive treatment of an axillary artery aneurysm is surgical. It
involves excising the aneurysm and reconstructing the vessel wall using a
vascular graft.
9
DRMATS
12. Brachial Artery
• The brachial artery is a continuation of the axillary artery past the lower
border of the teres major.
• It is the main supply of blood for the arm.
• Immediately distal to the teres major, the brachial artery gives rise to the
profunda brachii (deep artery), which travels with the radial nerve in the
radial groove of the humerus and supplies structures in the posterior aspect
of the upper arm (e.g. triceps brachii).
• The brachial artery proper descends down the arm.
• As it moves through the cubital fossa, underneath the bicipital aponeurosis,
the brachial artery terminates by bifurcating into the radial and ulnar arteries
12
DRMATS
17. Clinical Relevance: Occlusion or Laceration of the Brachial
Artery
• The arm has relatively good anastomotic supply. This means that it is
well protected from ischaemia in cases of temporary or partial
occlusion of the brachial artery.
• However, if the artery is completely occluded (or severed), the
resulting ischaemia can cause necrosis of forearm muscles. Muscle
fibres are replaced by scar tissue and shorten considerably – this can
cause a characteristic flexion deformity, called Volkmann’s ischaemic
contracture.
17
DRMATS
20. Radial & Ulnar Arteries
• Formed by the bifurcation of the brachial artery within the cubital fossa:
• Radial artery – supplies the posterolateral aspect of the forearm. It contributes
to anastomotic networks surrounding the elbow joint and carpal bones.
• The radial pulse can be palpated in the distal forearm, immediately lateral to
the prominent tendon of the flexor carpi radialis muscle.
• Ulnar artery – supplies the anteromedial aspect of the forearm. It contributes
to an anastomotic network surrounding the elbow joint.
• Also gives rise to the anterior and posterior interosseous arteries, which supply
deeper structures in the forearm.
• These two arteries anastomose in the hand by forming two arches – the
superficial palmar arch, and the deep palmar arch
20
DRMATS
26. Veins of Upper Limb
• The venous system of the upper limb drains deoxygenated blood from
the arm, forearm and hand.
• It can be subdivided into the superficial system and the deep system.
26
DRMATS
27. Superficial Veins
Basilic Vein:
• The basilic vein originates from the dorsal venous network of the hand and
ascends the medial aspect of the upper limb.
• At the border of the teres major, the vein moves deep into the arm. Here, it
combines with the brachial veins from the deep venous system to form the
axillary vein.
Cephalic Vein:
• The cephalic vein also arises from the dorsal venous network of the hand. It
ascends the antero-lateral aspect of the upper limb, passing anteriorly at the
elbow.
• At the shoulder, the cephalic vein travels between the deltoid and pectoralis
major muscles (known as the deltopectoral groove), and enters the axilla region
via the clavipectoral triangle. Within the axilla, the cephalic vein empties into
axillary vein.
27
DRMATS
31. Median Cubital Vein
This provides an excellent site
for Mary to draw blood, called
venipuncture techniques.
Venipuncture involves the
collection of blood for
purposes such as lab analysis,
donation, or testing for drugs
or alcohol.
31
DRMATS
33. Deep Veins
• The deep venous system of the upper limb is situated underneath the deep
fascia. It is formed by paired veins, which accompany and lie either side of an
artery. In the upper extremity, the deep veins share the name of the artery
they accompany.
• The brachial veins are the largest in size, and are situated either side of the
brachial artery. The pulsations of the brachial artery assist the venous return.
Veins that are structured in this way are known as vena comitantes.
• Perforating veins run between the deep and superficial veins of the upper
limb, connecting the two systems
33
DRMATS
35. Clinical Relevance: Venepuncture
• Venepuncture is the practice of obtaining intravenous access. This is usually
for the purpose of providing intravenous therapy (e.g. fluids, medications) or
for obtaining a blood sample.
• The median cubital vein is a common site of venepuncture. It is a superficial
vein that is located anteriorly to the cubital fossa region. It is thought to be
fixed in place by perforating veins, which arise from the deep venous system
and pierce the bicipital aponeurosis.
• Its ease of access, fixed position and superficial position make the median
cubital vein a good site for venepuncture in many individuals.
35
DRMATS