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    Extremitas Superior: Dr. Candra Rini HP., M.Kes

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    Yosefin Rosalina Kristian
    This document discusses the anatomy of the upper extremities. It describes the layers of the skin, fascia, muscles and bones. It details the joints of the hand including the radio-ulnar joint, radiocarpal joint, carpometacarpal joints, and interphalangeal joints. It outlines the muscles that move the fingers and thumb. The document also maps the nerves and blood vessels, including the branches of the brachial plexus and arteries of the forearm. Key anatomical structures like the carpal tunnel and anatomical snuffbox are defined. References used in creating the document are provided.

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    Extremitas Superior: Dr. Candra Rini HP., M.Kes

    Uploaded by

    Yosefin Rosalina Kristian
    48 views61 pages
    This document discusses the anatomy of the upper extremities. It describes the layers of the skin, fascia, muscles and bones. It details the joints of the hand including the radio-ulnar joint, radiocarpal joint, carpometacarpal joints, and interphalangeal joints. It outlines the muscles that move the fingers and thumb. The document also maps the nerves and blood vessels, including the branches of the brachial plexus and arteries of the forearm. Key anatomical structures like the carpal tunnel and anatomical snuffbox are defined. References used in creating the document are provided.

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    Surface Extremitas Superior Maret 2012

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    This document discusses the anatomy of the upper extremities. It describes the layers of the skin, fascia, muscles and bones. It details the joints of the hand including the radio-ulnar joint, radiocarpal joint, carpometacarpal joints, and interphalangeal joints. It outlines the muscles that move the fingers and thumb. The document also maps the nerves and blood vessels, including the branches of the brachial plexus and arteries of the forearm. Key anatomical structures like the carpal tunnel and anatomical snuffbox are defined. References used in creating the document are provided.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    48 views61 pages

    Extremitas Superior: Dr. Candra Rini HP., M.Kes

    Uploaded by

    Yosefin Rosalina Kristian
    This document discusses the anatomy of the upper extremities. It describes the layers of the skin, fascia, muscles and bones. It details the joints of the hand including the radio-ulnar joint, radiocarpal joint, carpometacarpal joints, and interphalangeal joints. It outlines the muscles that move the fingers and thumb. The document also maps the nerves and blood vessels, including the branches of the brachial plexus and arteries of the forearm. Key anatomical structures like the carpal tunnel and anatomical snuffbox are defined. References used in creating the document are provided.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 61

    EXTREMITAS

    SUPERIOR

    Dr. Candra Rini HP., M.Kes


    Komponen dan Lapisan :
     Cutis
     Fascia Superficialis
     Fascia Profundus
     Musculus
     Ossae
    Dilengkapi dengan :
     Articulatio
     Vascular
     Limphe
     Nervus
    SURFACE ANATOMI
    ARTICULATIO
    art. ginglymus art. trochoidea

    art. sellaris art. condyloidea

    art. spheroidea
    art. plana
     Articulationes Manus
    - Articulatio radio-ulnaris distalis Uniaxial Synovial Pivot
    - Articulatio radiocarpalis Biaxial Synovial Ellipsoid
    - Articulatio carpometacarpalis  Plane Synovial kecuali
    Pollex Biaxial Saddle
    - Articulatio metacarpophalanx Biaxial Condyloid Synovial
    - Articulatio intercarpalis  Synovial Plane
    - Articulatio interphalanx Uniaxial Synovial Hinge
    (naviculare)

    Multangulum minus
    (multangulum majus)
    GERAKAN
     Digiti V  Otot Hypothenar
     Semua berakhiran digiti minimi Ulnaris
    (Abductor, Flexor, Opponen)

     Digiti I (Pollex)  Otot Thenar


     Abductor pollicis brevis Medianus
     Flexor pollicis brevis Medianus
     Opponens pollicis Medianus
     Adductor pollicis Ulnaris

     Otot Intrinsik lain


     Mm. Interossei (4 Palmaris + 3 Dorsalis ) Ulnaris
     Mm. Lumbricalis (1,2,3,4) Medianus,
    Ulnaris
    Dari a. radialis 
     Arcus palmaris profundus
     ke sup.  anastomosis di regio
    carpalis
     ke inf.  gabung dg Aa. Digitales dari
    arcus palmaris superficialis

     A Radialis indicis (lateral index)


     A princeps pollicis (lateral & medial pollex)

    Dari a. ulnaris 
     Arcus palmaris superficialis  Aa. Digitales
     R. Profundus a. ulnaris (bercabang di depan
    retinaculum flexorum)
    Superficial
    Profundus
    Cabang Lain Plexus Brachialis
    Cabang Supraclavicular
     N. thoracalis longus (of Bell) (C5,6,7):  supply m.
    serratus anterior
     N. suprascapular (C5,6): melalui incisura
    suprascapularis  supply m. supra- & infraspinatus
     N. scapularis dorsalis  supply m. rhomboideus &
    levator scapulae
     N. subclavius
    Cabang Infraclavicular
     N. pectoralis medialis and lateralis  supply m.
    pectoralis major & minor
     N. cutaneous brachii & antebrachii medialis
     N. thoracodorsalis (C6,7,8)  supply m. latissimus
    dorsi
     N. subscapularis sup & inf  supply m. subscapularis
    & m. teres major
    GANGGUAN NERVES
    STRUKTUR PENTING
    Palmar Spaces
    Carpal Tunnel
     Terbentuk krn adanya retinaculum flexorum
     Batas :
    - Bagian posterior : 8 tulang carpalia
    - Bagian anterior : Retinaculum flexorum : melekat di medial
    pada pisiform, di lateral naviculare dan trapezium
     Berisi :
    - nervus medianus
    - 9 tendon dari 3 otot fleksor : m. flexor digitorum
    superficialis dan profundus (masing-masing 4 tendon), m.
    flexor pollicis longus
    Tabatiere Anatomicum
    (Anatomical Snuffbox)

    Dibentuk oleh :
     Tendon m. extensor pollicis
    longus (batas medial)
     Tendon m. extensor pollicis
    brevis (batas lateral)
     M. abductor pollicis longus
    (batas lateral)
     Os scaphoid dan trapezium
    (dasar)

    Dilalui oleh :
     A. radialis
    sekian
    Referensi :
     Hansen & Lambert : Netter’s Clinical Anatomy, 1st ed
     Thompson : Netter’s Concise Atlas of Orthopaedic
    Anatomy
     Drake, et al : Gray’s Anatomy for Students
     Snell : Anatomi Klinik untuk Mahasiswa Kedokteran,
    ed 6
     Faiz & Moffat : Anatomy at a Glance
     Moore & Dalley : Clinically Oriented Anatomy, 5th ed
     Feneiz & Dauber : Pocket Atlas of Human Anatomy,
    Based on the International Nomenclature, 4th ed

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