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BONES OF THE UPPER LIMB. The Resting Arm … by Vinod More. 03. January. 2014 Friday. Kaan Yücel M.D., Ph.D . UPPER LIMB. 1. %. 1. 66.5. 137. 64. 1. Radius. Ulna. 2. Wrist. Carpals. 8. MANUS. 5. 14. UPPER LIMB. Efficiency of hand function
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BONES OF THE UPPER LIMB TheRestingArm… byVinodMore 03.January.2014 Friday Kaan Yücel M.D., Ph.D.
UPPER LIMB 1 % 1 66.5 137 64 1 Radius Ulna 2 Wrist Carpals 8 MANUS 5 14
UPPER LIMB Efficiency of hand function ability to place it in the proper position by movements at the upperlimbjoints
UPPER LIMB associated with lateral aspect of the lower portion of the neck thoracic wall Suspendedfrom the trunk by muscles &a small skeletal articulation between clavicle & sternum: sternoclavicular joint
Shoulder proximal segment of the limb overlaps parts of the trunk (thorax and back) and lower lateral neck
Pectoral (shoulder) gırdle • bony ring, • posteriorlyformed by the scapulae and clavicles • anteriorlybyformedby the manubrium of the sternum
ARM -BRACHIUM Firstsegment of the free upper limb & longest segment of the limb Betweenshoulderandelbow Anterior & posteriorsegments of thearmaroundthehumerus
Forearm-AntebrachIum Secondlongest segment of the limb Between elbow wrist & Includesanterior &posterior regions overlying the radius and ulna
Hand-manus part of the upper limb distal to the forearm formed around the carpus, metacarpus, and phalanges. composed of the wrist, palm, dorsum of hand, and digits
BONES OF THE PECTORAL GIRDLE CLAVICLE SCAPULA
CLAVICLE Köprücük kemiği the only bony attachment between the trunk and the upper limb
CLAVICLE Köprücük kemiği the only bony attachment between the trunk and the upper limb palpable along its entire length S-shaped contour forward-facing convex part medial forward-facing concave part lateral
CLAVICLE medial sternal end articulates with manubrium sternoclavicular joint lateral end acromialend articulates with acromion of scapula acromioclavicularjoint
CLAVICLE Inferiorsurface-neartheacromialend conoid tubercle–medialpart of- trapezoidline–lateralpart of- coracoclavicularligament Medial 1/3 of theclavicle’sshaft subclaviangroove – subclaviusmuscle Moremedially impression for the costoclavicularligament binding 1st ribtoclavicle Limitingelevation of theshoulder
Functions of theClavicle Amoveable, rigid support limb has maximum freedom of motion. A boundaryof the cervico-axillary canal (passageway between the neck and the arm), protection to the neurovascular bundle supplying the upper limb. Transmits shocks from the upper limb to the axial skeleton.
SCAPULA • Shoulderblade / Kürek kemiği large, flat triangular bone lies on the posterolateral aspect of the thorax between2nd-7th ribs
SCAPULA • Anteriorview • three angles • lateral, superior, and inferior • three borders • superior, lateral, and medial • two surfaces • costal and posterior • three processes • Acromion • Spine • Coracoidprocess
SCAPULA Posteriorview Acromion Supraspinous fossa Infraspinous fossa Spine of scapula Suprascapularnotch
SCAPULA Lateralview Glenoidcavity Supraglenoidtubercle Infraglenoidtubercle Acromion Coracoidprocess
BONE OF THE ARM HUMERUS
HUMERUS the largest bone in the upper limb articulates w/ Scapula Glenohumeral(Shoulder) joint Radius&Ulna elbow joint
HUMERUS • In cross-section, shaft triangular with: • anterior, lateral, &medial • borders • anterolateral, anteromedial, posterior • surfaces • Intermuscular septa • attach to medial & lateral borders.
HUMERUS proximalend Head Neck -Anatomicalneck -Surgicalneck Greatertubercle Lessertubercle Intertuberculargroove
HUMERUS shaft Deltoid tuberosity Medial and lateral supraepicondylar(supracondylar) ridges Radial groove
HUMERUS distalend Anteriorview • Posteriorview Radial fossa Coronoid fossa Olecranon fossa Capitilum Trochlea Medialepicondyle Lateralepicondyle
BONES OF THE FOREARM • MORE IMAGES • 99-103 • RADIUS ULNA medial and longer of the two forearm bones • lateral and shorter of the two forearm bones
articulation with humerusproximally head of the radius laterally ULNA proximalend • For articulation with the humerus • Olecranon • Coronoid process • Radialnotch • @ the lateral surface • articulation with head of radius Trochlear notchSemilunarnotch • Tuberosity of ulna • Inferior to coronoid process
ULNA shaft Broad superiorly, continuous with large proximal end Narrow distally to form a small distal head • triangular in cross-section and has: • three borders anterior, posterior, and interosseous • three surfaces anterior, posterior, and medial • Supinatorcrest • Inferior to radial notch @ lateral surface • Supinator fossa • On thelateralsurface, undertheradialnotch Supinatormuscle
ULNA distalend Ulnadoes not reachandparticipatetotheradiocarpal (wrist) joint! Head of theulna Ulnarstyloidprocess
RADIUS • proximalend & shaft • A short head • Neck • Radial tuberosity • Obliqueline • The shaft of the radius • in contrast to that of the ulna • gradually enlarges • triangular in cross-section, with: • three borders • anterior, posterior, and interosseous • three surfaces • anterior, posterior, and lateral
RADIUS • distalend • Dorsal tubercle of the radius • Radial styloid process • Ulnar notch • SHAFT • triangular in cross-section, with: • three borders • anterior, posterior, and interosseous • three surfaces • anterior, posterior, and lateral
BONES OF THE HAND • MORE IMAGES • 104--108
BONES OF THE HAND • Distalrow of carpalbones • lateraltomedial • Trapezium • Trapezoid • Capitate • Hamate Table (Little)Head On a Hook Proximalrow of carpalbones lateraltomedial Scaphoid Lunate Triquetrum Pisiform I am sailingwithmylittleboat on a summernight Themoon is crescent I am fillingmythree-cornered hat withbeasfallingoffthesky
BONES OF THE HAND • Distalrow of carpalbones • lateraltomedial • TrapeziumToToCuHasan • Trapezoid • Capitate • Hamate Proximalrow of carpalbones lateraltomedial Scaphoid Lunate SeLoTyP Triquetrum Pisiform SheLooksTooPretty; TryToCatchHer
BONES OF THE HAND Carpal arch The carpal bones do not lie in a flat plane; rather, they form an arch, whose base is directed anteriorly. lateral side of this base formed by tubercles of the scaphoid and trapezium. medial side formedby pisiform & hook of hamate. head base