4.Upper limb 2课件.ppt

Dorsal surface of the upper limb 山东大学医学院 解剖教研室 李振华 Muscles of Back Superficial group Trapezius 斜方肌 Levator scapulae 肩胛提肌 Rhomboid minor 小菱形肌 Rhomboid major 大菱形肌 Latissimus dorsi 背阔肌 Thoracolumbar fascia 胸腰筋膜 Muscles of Back Deep group Splenius 夹肌 Erector spinae 竖脊肌 Thoracolumbar Fascia 胸腰筋膜 Scapular region 肩胛区 Deltoid 三角肌 Supraspinatus 冈上肌 Infraspinatus 冈下肌 Teres minor 小圆肌 Teres major 大圆肌 Subscapularis 肩胛下肌 Scapular region 肩胛区 Myotendionous cuff 肌腱袖 冈上肌、冈下肌、小圆肌和肩胛下肌的肌腱连成腱板，围绕肩关节的上、后和前方，并与肩关节囊愈着 对肩关节起稳定作用 Scapular region 肩胛区 Arterial anastomoses around scapula 肩胛动脉网 肩胛上动脉 肩胛背动脉 旋肩胛动脉 Contents of posterior osseofascial compartment of the arm Muscle: Triceps brachii 肱三头肌 Nerve supply to the muscle: Radial nerve 桡神经 Blood supply: deep brachial a. 肱深动脉 Structures passing through the compartment: radial nerve 桡神经 ulnar nerve 尺神经 Posterior brachial region 臂后区 ★ Humeromuscular tunnel 肱骨肌管 构成 肱三头肌和肱骨桡神经沟 通过结构 桡神经 肱深动、静脉 Posterior brachial region 臂后区 Radial nerve 桡神经 起自臂丛后束 在大圆肌下缘，伴肱深血管斜向下外，进入肱骨肌管，紧贴桡神经沟骨面走行 穿过臂外侧肌间隔至肘窝外侧 Posterior brachial region 臂后区 Posterior antebrachial region 前臂后区 Contents of posterior osseofascial compartment of the forearm Muscle (10) Blood supply to the muscles Posterior interosseous artery 骨间后动脉 Nerve supply to the muscles Deep branch of radial nerve 桡神经深支 Posterior antebrachial region 前臂后区 Muscles Superficial layer (5) Extensor carpi radialis longus 桡侧腕长伸肌 Extensor carpi radialis brevis 桡侧腕短伸肌 Extensor digitorum 指伸肌 Extensor digiti minimi 小指伸肌 Extensor carpi ulnaris 尺侧腕伸肌 Posterior antebrachial region 前臂后区 Deep layer (5) Supinator 旋后肌 Abductor pollicis longus 拇长展肌 Extensor pollicis brevis 拇短伸肌 Extensor pollicis longus 拇长伸肌 Extensor indicis 示指伸肌 Action: extend radiocapral joint and fingers, and supinate forearm Posterior antebrachial region 前臂后区 Nerves and vessels Deep branch of radial nerve 桡神经深支 Distribution Extensor muscles of forearm brachioradialis skin on back of forearm Injury: Wristdrop 垂腕 Poste