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Arterial Anastomoses
describing the arterial anastomoses of the upper limb
11
Biology
Post-Graduate
09/20/2013

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Term
Arterial Anastomoses around Scapular?
Definition

Occurs btw three groups of arteries


Suprascapular- arises from the thyrococervical trunk, passes over the transverse scapular ligament, supplying the supraspinatus and infraspinatus

 

Dorsal Scapular- arises from the subclavian artery, accompanies the dorsal scapular nerve, supplies the rhomboids, levator scapulae and serratus anterior

 

Circumflex Scapular Arteries- arises from the subscapular artery, enters the triangular space

 

Posterior/Anterior circumflex- arises from the axillary artery and posteriorly with the axillary nerve from the quadrangular space along the surgical neck of humerus. anastomoses with profunda brachial artery

 

[image]

 

Term

Axillary Arterial Branches (group1)

 

Definition

Supreme Thoracic Artery- supplies the intercostal muscles 

 

Thoracoacromial Artery- has clavicular,acromial,deltoidal, pectoral branches. pierces through the clavipectoral fascia

 

Lateral Thoracic Artery- runs along lateral border of the pec minor. supplies the pec major/minor, serratus anterior, and the axillary lymph nodes. gives rise to lateral mammary branches


[image]

Term
Axillary Artery Branches (group2)
Definition

Subscapular Artery- split into two branches

 

Thoracodorsal Artery- accompanies the thoracodorsal nerve and supplies the lat dorsi and lateral thoracic wall

Circumflex Scapular Artery- passes posteriorly through the triangular space

 

Anterior Humeral Circumflex Artery- anastomoses with the posterior circumflex artery

 

Posterior Humeral Circumflex Artery- runs posteriorly with the axillary nerve through the quadrangular space. anastomoses with the anterior circumflex and partially with the profunda brachii artery


[image]

Term
Ligation of the Axillary Artery?
Definition

anastomoses in the scapular region arriving at the subscapular artery , provides the necessary compensation 

 

[image]

Term
Profunda Brachii Artery
Definition

Descends posteriorly with the radial nerve and gives off an ascending branch, which anastomesis with the descending branch of the posterior humeral circumflex artery.

 

Splits into 2 branches


Radial Collateral Artery- follows the radial nerve and ends at the lateral epicondyle anastomosing with the radial recurrent artery


Middle Collateral Artery- anastomosis with the interosseous recurrent artery

 

[image]

Term
Superior Ulnar collateral Artery and Inferior Ulnar collateral Artery
Definition

Superior ulnar collateral artery- accompanies the ulnar nerve behind the intermuscular septum and the medial epicondyle. anastomesis with the posterior ulnar recurrent branch which connects to ulnar artery

 

Inferior Ulnar collateral artery- anastomoses with the anterior ulnar recurrent branch of the ulnar artery

 

*If the inferior recurrent branch is ligated, anastomoses will still reach the ulnar and radial artery

[image]

Term
Radial Artery
Definition

Radial Recurrent Artery- provides the anastomesis from the radial collateral branch from the profunda brachii artery

 

Palmar Carpal Branch- joins the palmar carpal branch of the ulnar artery forming the palmar carpal arch

 

Superficial Palmar Branch- anastomeses with the superficial branch of ulnar artery completing the superficial palmar arterial arch

 

Dorsal Carpal Branch- joins the the dorsal carpal branch of hte ulnar artery and the dorsal terminal branch of the anterior interosseous artery to form dorsal carpal rete

 

Princeps Pollicis Artery- descends along the ulnar border of the first metacarpal. divides into 2 proper digital arteries for each side of the thumb

 

Radialis Indicis Artery- supplies the second metacarpal, arising from the deep palmar branch

 

Deep Palmar Arch- arises from the main termination of the radial artery and joins the ulnar artery branch, forms the common digital palmar arteries

 

[image]

 

Term
Ulnar Artery interosseous region
Definition

Anterior Ulnar recurrent artery- joins the inferior ulnar collateral artery

 

Posterior ulnar recurrent artery- joins the superior ulnar collateral artery

 

Common Interosseous Artery- arises from the lateral side and splits off into 2 branches

 

Anterior interosseous artery- descends with the anterior interosseous nerve to perforate the interosseous membrane anastomosing with the with the posterior interosseous artery and joins the dorsal carpal network

 

Posterior Interosseous Artery- Gives rise to the interosseous recurrent artery, which joins the middle collateral artery of the profunda brachii artery. descends behind the interosseous [image]membrane accompanies with posterior interosseous nerve. anastomoses with the the dorsal carpal branch of the anterior interosseous artery




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