![大三下98790學(xué)習(xí)局解課件總結(jié)_第1頁](http://file4.renrendoc.com/view/300d096c8e776e35f074cf807a5e2fc1/300d096c8e776e35f074cf807a5e2fc11.gif)
![大三下98790學(xué)習(xí)局解課件總結(jié)_第2頁](http://file4.renrendoc.com/view/300d096c8e776e35f074cf807a5e2fc1/300d096c8e776e35f074cf807a5e2fc12.gif)
![大三下98790學(xué)習(xí)局解課件總結(jié)_第3頁](http://file4.renrendoc.com/view/300d096c8e776e35f074cf807a5e2fc1/300d096c8e776e35f074cf807a5e2fc13.gif)
![大三下98790學(xué)習(xí)局解課件總結(jié)_第4頁](http://file4.renrendoc.com/view/300d096c8e776e35f074cf807a5e2fc1/300d096c8e776e35f074cf807a5e2fc14.gif)
![大三下98790學(xué)習(xí)局解課件總結(jié)_第5頁](http://file4.renrendoc.com/view/300d096c8e776e35f074cf807a5e2fc1/300d096c8e776e35f074cf807a5e2fc15.gif)
版權(quán)說明:本文檔由用戶提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請(qǐng)進(jìn)行舉報(bào)或認(rèn)領(lǐng)
文檔簡(jiǎn)介
middleofthearmwhereitpiercesthedeepfasciaandjoinsthebrachialveinoraxillaryvein
Inferior:teresLateral:longheadoftriceps
– MusclesofBackSuperficialgroup
MediancubitalveinLinkscephalicveinandbasilicveininthecubitalItisafrequentsiteforvenipuncturetoremove
Structurespassthroughthetrilateral–Circumflexscapulara.andv.Quadrilateralforamen四邊孔(quadrilateralspace四
Mediannerve
anastomosisaroundtheelbowjoint.TrapeziusLatissimusdorsiLevatorscapulaeRhomboideusDeepSpleniusErectorspinaeTriangleofauscultation聽診三角肩胛旁三LatissimusThemedialborderoftheInferiorlumbartriangleLowerpartofthelateralmarginoflatissimusdorsiPosteriorfreeborderoftheobliquusexternusabdominisIliaccrestSuperiorlumbartriangle腰上三角SerratusposteriorErectorObliquusinternusCephalicveinArisesfromthelateralsideofthedorsalvenousreteonthebackofhandWindsaroundthelateralborderoftheforearm;itthenascendsintothecubitalfossaandupthefrontofthearmonthelateralsideofthebiceps.Itcontinuesupinthedeltopectoralgrooveandthentotheinfraclavicularfossa,whereitpiercesclavipectoralfasciatodrainintoaxillaryvein.Basilicvein
ArisesfromthemedialsideofthedorsalvenousreteofhandWindsaroundthemedialborderoftheThenascendsintothecubitalfossaandupthefrontofthearmonthemedialsideofthebicepsto
sampleofbloodoraddfluidtotheAxillaryfossaMiddle1/3ofLateralborderoffirstUpperborderoftheSuperficialAxillaryfascia腋筋膜(cribriform篩狀筋膜ThemedialSerratusUpperfourribsandintercostalThelateralIntertubercularLongheadandshortheadofbicepsTheanteriorPectoralisPectoralisClavipectoralfasciaTheposteriorLatissimusAxillarya.andprincipalAxillaryv.andBrachialplexusandAxillarylymphTrilateralforamen三邊孔(trilateralspace三邊隙)
–Superior:tereslateralborderofscapula,articularcapsuleofshoulderjoint1
middleofthearmwhereitpiercesthedeepfasciaandjoinsthebrachialveinoraxillaryvein
Inferior:teresLateral:longheadoftriceps
– MusclesofBackSuperficial
MediancubitalveinLinkscephalicveinandbasilicveininthecubitalItisafrequentsiteforvenipuncturetoremove
StructurespassthroughthetrilateralCircumflexscapulara.andv.Quadrilateralforamen四邊孔(quadrilateralspace四
Mediannerve
anastomosisaroundtheelbowjoint.TrapeziusLatissimusdorsiLevatorscapulaeRhomboideusDeepSpleniusErectorspinaeTriangleofauscultation聽診三角肩胛旁三LatissimusThemedialborderoftheInferiorlumbartriangleLowerpartofthelateralmarginoflatissimusdorsiPosteriorfreeborderoftheobliquusexternusabdominisIliaccrestSuperiorlumbartriangle腰上三角SerratusposteriorErectorObliquusinternusCephalicveinArisesfromthelateralsideofthedorsalvenousreteonthebackofhandWindsaroundthelateralborderoftheforearm;itthenascendsintothecubitalfossaandupthefrontofthearmonthelateralsideofthebiceps.Itcontinuesupinthedeltopectoralgrooveandthentotheinfraclavicularfossa,whereitpiercesclavipectoralfasciatodrainintoaxillaryvein.BasilicveinArisesfromthemedialsideofthedorsalvenousreteofhandWindsaroundthemedialborderoftheThenascendsintothecubitalfossaandupthefrontofthearmonthemedialsideofthebicepsto
sampleofbloodoraddfluidtotheAxillaryfossa腋窩Middle1/3ofLateralborderoffirstUpperborderoftheSuperficialAxillaryfascia腋筋膜(cribriform篩狀筋膜ThemedialSerratusUpperfourribsandintercostalThelateralIntertubercularLongheadandshortheadofbicepsTheanteriorPectoralisPectoralisClavipectoralfasciaTheposteriorLatissimusAxillarya.andprincipalAxillaryv.andBrachialplexusandAxillarylymphLooseconnectivetissueTrilateralforamen三邊孔(trilateralspace三邊隙)Superior:tereslateralborderofscapula,articularcapsuleofshoulderjoint1
Superior:teresarticularcapsuleofshoulderInferior:teresMedial:longheadoftricepsLateral:surgicalneckofStructurespassthroughthequadrilateralAxillaryPosteriorhumeralcircumflexa.andv.AxillaryarteryBeginsattheatlateralborderoffirstribasacontinuationofsubclavianarteryAtthelowerborderofteresmajoritbecomesthebrachialartery.DividedintothreepartsbyoverlyingpectoralisFirstsuperiorthoracicthoracoacromialSecondlateralthoracicThirdsubscapularthrocodorsalcircumflexscapularanteriorhumeralcircumflexposteriorhumeralcircumflexBrachialarteryBeginsatthelowerborderoftheteresmajorasacontinuationofaxillaryarteryTerminatesoppositetheneckofradiusbydividingintoradialandulnararteriesDeepbrachiala.FollowstheradialnerveintothespinalgrooveofthehumerusSuperiorulnarcollaerala.尺側(cè)followstheulnarInferiorulnarcollaterala.2
ArisesfromthemedialandlateralcordofthebrachialplexusDescendsonthelateralsideofbrachialarteryHalfwaydownthearm,itcrossesthebrachialarterytoreachitsmedialsideHumeromusculartunnelFormedbytricepsbrachiiandgrooveforradialnerveofhumerus肱骨StructurespassingthroughtheRadialnerveDeepbrachiala.andv.Radialcollaterala.Middlecollaterala.Cubitalfossa肘窩Laterally:brachioradialisMedially:pronatorteresRoof:skin,superficialfacia,deepfasciaandaponeurosisofbicepsFloor:brachialis肱肌,supinatorandcapsuleofelbowjointbicepsbrachiitendonMedialtobicepsbrachiiBrachiala.肱動(dòng)脈-dividesintoradialandulnara.,usuallyatapexoffossaBrachialv.Mediann.LateraltothebicepsbrachiiRadialn.Lateralantebrachialcutaneousn.前臂外DeepcubitallymphCarpalcanalComposition:Formedbyflexorretinaculum屈肌支持帶andcarpalgroove腕骨溝StructurespassingthroughthecarpalSuperior:teresarticularcapsuleofshoulderInferior:teresMedial:longheadoftricepsLateral:surgicalneckofStructurespassthroughthequadrilateralAxillaryPosteriorhumeralcircumflexa.andv.AxillaryarteryBeginsattheatlateralborderoffirstribasacontinuationofsubclavianarteryAtthelowerborderofteresmajoritbecomesthebrachialartery.DividedintothreepartsbyoverlyingpectoralisFirstsuperiorthoracicthoracoacromialSecondlateralthoracicThirdsubscapularthrocodorsalcircumflexscapularanteriorhumeralcircumflexposteriorhumeralcircumflexBrachialarteryBeginsatthelowerborderoftheteresmajorasacontinuationofaxillaryarteryTerminatesoppositetheneckofradiusbydividingintoradialandulnararteriesDeepbrachiala.FollowstheradialnerveintothespinalgrooveofthehumerusSuperiorulnarcollaerala.尺側(cè)followstheulnarInferiorulnarcollaterala.2
ArisesfromthemedialandlateralcordofthebrachialDescendsonthelateralsideofbrachialarteryHalfwaydownthearm,itcrossesthebrachialarterytoreachitsmedialsideHumeromusculartunnelFormedbytricepsbrachiiandgrooveforradialnerveofhumerus肱骨StructurespassingthroughtheRadialnerveDeepbrachiala.andv.Radialcollaterala.Middlecollaterala.Cubitalfossa肘窩BoundariesLaterallybrachioradialisMedially:pronatorteresRoof:skin,superficialfacia,deepfasciaandaponeurosisofbicepsFloor:brachialis肱肌,supinatorandcapsuleofelbowjointbicepsbrachiitendonMedialtobicepsbrachiiBrachiala.肱動(dòng)脈-dividesintoradialandulnarausuallyatapexofBrachialv.Mediann.LateraltothebicepsbrachiiRadialn.Lateralantebrachialcutaneousn.前臂DeepcubitallymphCarpalcanalComposition:Formedbyflexorretinaculum屈肌支持帶andcarpalgroove腕骨溝StructurespassingthroughthecarpalMediann.
andone-halffingers,ulnarhalfof
–Arisesfromthelateralpartofthe
AgapinthedeepfasicaTendonsofflexordigitorumsuperficialis指淺屈肌andflexordigitorumprofundus指深enclosedbycommonflexorsynovialsheath屈肌總腱鞘Tendonofflexorpollicislongus拇長(zhǎng)屈肌enclosedbysynovialsheathforflexorpollicislongusSuperficialpalmararchFormedbyulnararteryandsuperficialpalmarbranchofradialarteryThecurveofarchliesacrossthepalm,levelwiththedistalborderoffullyextendedthumbGivesrisetothreecommonpalmardigitalarteries(eachthendividesintotwoproperpalmardigitalarteries指掌側(cè)固有動(dòng)脈)andoneulnarpalmararteryofquinaryfinger小指尺掌側(cè)DeeppalmararchFormedbyradialarteryanddeeppalmarbranchofulnararteryThecurveofarchliesacrossupperpartofpalmaratlevelwithproximalborderofextendedthumbGivesrisetothreepalmarmetacarpalarteries掌心動(dòng)脈tojointthedistalendsofthecorrespondingcommonpalmardigitalarteriesMediann.Muscularbranches:supplythenarexceptadductorpollicis,firsttwoCutaneusbranches:supplyskinofthenar,centralpartofpalm,palmaraspectofradialthreeandone-halffingers,includingmiddleanddistalfingersonRecurrentbranchofthemedian–liesdeeptotheskinanddeepfasciaoverlyingtheanteriormarginofthethenarnearthemidlineofthepalmUlnarn.Muscularbranchessupplyhypothenarmuscles,interossei,3rdand4thlumbricalesandadductorpollicisCutaneusbranchessupplyskinofhypothenar,palmarsurfaceofulnarone
ofhand,posterioraspectofulnartwoandone-halffingersLandmarksoflowerGlutealregionandanteriorsuperioriliacspinesanteriorinferioriliacspines髂前下棘tubercleofiliaccrestischialtuberositygreatertrochanterpubictuberclepubiccrestsuperiorborderofpubicpatellaligamenttuberosityoftibiamedialandlateralcondylesmedialandlateralepicondyles內(nèi)、外上tendonofbicepsfemoris semimembranosus半腱、半膜肌腱anteriorborderoftibiaheadoffibulaneckoffibulaAnkleandmedialandlateralmalleoluscalcanealtuberositytuberosityofnavicularbonetuberosityoffifthmetatarsalbone第五SuperficialGreatsaphenousveinDrainsthemedialendofdorsalvenousarchoffootandpassesupwarddirectlyinfrontofthemedialmalleolus.Thenascendsincompanywiththesaphenousn.inthesuperficialfasciaoverthemedialsideoftheSmallsaphenousv.3
venousarchofAscendsbehindlateralmalleolusandthenrunsupthemidlineofthebackofthelegPiercesthedeepfasciaandentersthepoplitealv.DrainsthelateralsideofthefootandankleandthebackofthelegStructurespassingthroughsuprapiriformforamen(fromlateraltomedialside)Superiorglutealn.Superiorgluteala.Superiorglutealv.臀上靜脈Structurespassingthroughinfrapiriformforamen(fromlateraltomedialside)Sciaticn.Posteriorfemoralcutaneousn.股后皮神Inferiorglutealn.Inferiorgluteala.,v.Internalpudendalv.,a.Pudendaln.Structurespassingthroughsmallsciaticforamen(fromlateraltomedialside)Internalpudendalv.,a.Pudendaln.SuperficialinguinallymphSuperiorLiesjustdistaltotheinguinalReceivelymphvesselsfromanteriorabdominalwallbelowumbilicus,glutealregion,perinealregion,externalgenitalorgansInferiorLiesverticalalongtheterminalgreatsaphenousv.Receivesallsuperficiallymphvesselsoflowerlimb,exceptforthosefromtheposterolateralpartofcalfEfferentvesselsdrainintothedeepinguinalln.orexternaliliacln.FascialataIliotibialtractlaterallythedeepfasciaformsathickbandfromtheiliactubercletothelateralcondyleoftibialSaphenoushiatus4
liesabout4cmbelowandlateraltothepubictubercle.Thefalciformmarginisthelowerlateralborderoftheopeningwhichliesanteriortothefemoralvessels.Filledwithlooseconnectivetissuecalledthecribriformfascia篩筋膜LacunamusculorumAnteriorly:lateralportionofinguinalligamentPosterolaterally:Medially:iliopectinalIliopsoasfemoraln.lateralfemoralcutaneousn.股外LacunavasorumAnteriorly:medialportionofinguinalligamentPosteriorly:fasciaofpecteineusandpectinealligamentMedially:lacunaLaterally:iliopectinalFemoralsheathFemorala.andv.Femoralbranchofn.LymphaticFemoraltriangleSuperiorly(base):inguinalligament腹股溝韌帶Laterally:medialborderofsartorius縫匠肌內(nèi)側(cè)緣Medially:medialborderofadductorlongus長(zhǎng)收肌內(nèi)側(cè)Apex:continuouswithadductorcanal收肌管Anteriorwall:fascialataPosteriorwall:consistsofiliopsoas髂腰肌,pectineus恥骨肌andadductorlongusMediann.
andone-halffingers,ulnarhalfof
–Arisesfromthelateralpartofthe ?AgapinthedeepfasicaTendonsofflexordigitorumsuperficialis指淺屈肌andflexordigitorumprofundus指深enclosedbycommonflexorsynovialsheath屈肌總腱鞘Tendonofflexorpollicislongus拇長(zhǎng)屈肌enclosedbysynovialsheathforflexorpollicislongusSuperficialpalmararchFormedbyulnararteryandsuperficialpalmarbranchofradialarteryThecurveofarchliesacrossthepalm,levelwiththedistalborderoffullyextendedthumbGivesrisetothreecommonpalmardigitalarteries指掌側(cè)總動(dòng)脈(eachthendividesintotwoproperpalmardigitalarteries指掌側(cè)固有動(dòng)脈)andoneulnarpalmararteryofquinaryfinger小指尺掌側(cè)DeeppalmararchFormedbyradialarteryanddeeppalmarbranchofulnararteryThecurveofarchliesacrossupperpartofpalmaratlevelwithproximalborderofextendedthumbGivesrisetothreepalmarmetacarpalarteries掌心動(dòng)脈tojointthedistalendsofthecorrespondingcommonpalmardigitalarteriesMediann.Muscularbranches:supplythenarexceptadductorpollicis,firsttwoCutaneusbranches:supplyskinofthenar,centralpartofpalm,palmaraspectofradialthreeandone-halffingers,includingmiddleanddistalfingersondorsumRecurrentbranchofthemedian–liesdeeptotheskinanddeepfasciaoverlyingtheanteriormarginofthethenarnearthemidlineoftheUlnarn.Muscularbranchessupply
lumbricalesandadductorpollicis–Cutaneusbranchessupplyskinofhypothenar,palmarsurfaceofulnarone
ofhand,posterioraspectofulnartwoandone-halffingersLandmarksoflowerGlutealregionandanteriorsuperioriliacspinesanteriorinferioriliacspines髂前下棘tubercleofiliaccrestischialtuberositygreatertrochanterpubictuberclepubiccrestsuperiorborderofpubicpatellaligamenttuberosityoftibiamedialandlateralcondylesmedialandlateralepicondyles內(nèi)、外上tendonofbicepsfemoris semimembranosus半腱、半膜肌腱anteriorborderoftibiaheadoffibulaneckoffibulaAnkleandmedialandlateralmalleoluscalcanealtuberositytuberosityofnavicularbonetuberosityoffifthmetatarsalbone第五SuperficialGreatsaphenousveinDrainsthemedialendofdorsalvenousarchoffootandpassesupwarddirectlyinfrontofthemedialmalleolus.
Thenascendsincompanywiththehesuperficialfasciaoverthemedialsideoftheleg.Smallsaphenousv.3肌fromlateraltomedialContents:fromlateraltoFemoraln.
SemitendinosusSemimembranosusBicepsfemoris
顴弓zygomatic耳屏髁突condylar
PosteriorOccipitala.v.Greateroccipitaln.FemoralsheathFemorala.Femoralv.FemoralcanalDeepinguinallymphnodes腹股溝深淋巴結(jié)FattytissueFemoralcanalFemoralringAnteriorly:inguinalMedially:lacunalig.Posteriorly:pecteneallig.恥骨Laterally:femoralv.Superior:coveredbyfemoralseptum股環(huán)隔AdductorcanalAnteriorwall:adductorlamina大收肌腱板andsartorius縫匠肌Lateralwall:vastusmedialis股Posteomedialwall:adductorlongus長(zhǎng)收肌andadductormagmus大收肌Saphenousn.Femorala.andfemoralv.股動(dòng)、lymphaticvesselsandlooseconnectivetissueSciaticnerveArisesfromthesacralLeavespelvisthroughinfrapiriformforamentoenterglutealregionRunsinferiorlylaterallydeeptogluteusPassingmidwaybetweenthegreatertrochanteroffemurandischialtuberositytobackofthighLyingdeeptolongheadofbicepsNormallydividedintotibialandcommonperonealnervesjustabovepoplitealfossa
HipandkneejointsPoplitealfossaSuperolaterally:Bicepsfemoris肌Superomedially:semitendinosusandsemimembranosus半腱肌和半膜肌Inferiorly:lateralandmedialheadsofgastrocnemius腓腸肌內(nèi)、外側(cè)頭Roof:deeppoplitealsurfaceoftheposteriorcapsuleofthekneefasciacoveringTibialnerveCommonperonealnerve腓總神PoplitealveinanditsPoplitealarteryanditsPopliteallymphnodesMalleolarcanalFormedbymedialsurfaceofcalcaneus,flexorretinaculumandmedialmalleolusStructurespassingthroughthemalleolarTibialisposteriorFlexordigitirumlongusPosteriortibiala.vandn.脛后動(dòng)脈、靜Tibialn.Flexorhallucis 眉弓superciliary眶上切跡supraorbital眶下孔infraorbital頦孔mental翼點(diǎn)5
乳突mastoid前囟點(diǎn)人字點(diǎn)枕外隆突externaloccipitalParotidductArisesfrontanteriorborderofLies15cmbelowandparalleltozygomaticarchPassesforwardovermasseter,piercesthebuccinatorandoralmucosatoopenoppositeseconduppermolartoothStructuresverticalpassingthroughtheparotidExternalcarotida.Superficialtemporala.Superficialtemporalv.RetromandibularveinAuriculotemporaln.耳顳神經(jīng)StructurestransversalpassingthroughtheparotidMaxillarya&v.Transversefaciala&v.Branchesoffacialn.ThestructuresfromsuperficialtoBranchesoffacialnerveRetromandibularveinExternalcarotida. 頸外動(dòng)脈andAuriculotemporaln.耳顳神經(jīng)LayersoffrontoparietooccipitalConsistsoffiveThesuperficial3layerarecloselyknittogether,calledscalp頭皮SkinthickandhairbearingandcontainsnumeroussebaceousglandsThesuperficialfasciaDenseconnectivetissuethatbindstheskintotheunderlyingepicranialaponeurosisThevasculatureofthescalprunsprimarilyinthislayer.Itisrichandwidelyanastomosis.Woundsofthescalpbleedprofuselybutheala.v.andn.insuperficialAnteriorSupratrochleara.vn.滑車上動(dòng)、靜脈和Supraorbitala.v.n.眶上動(dòng)、靜脈和6
Epicranialaponeurosisandoccipitofrontalis帽狀I(lǐng)tisinterposedbetweenthefrontalisandoccipitalisportionsoftheoccipitofrontalisThesemusclesplacetheaponeurosisundertensionsothatdeeptransverselacerationsofthescalpgapewidelySubaponeuroticlooseconnectivetissue(space)腱膜Containsarichnetworkofdeeparteriesandveins.Therefore,thislayerhasbeencalledthe“dangerousarea”.Infectionmayspreadtothesubstanceofthebones,tovenouschannelswithinthecranialcavity,ortothebrain.PericraniumFusesfirmlywithboneatthesuturesandwiththeperiosteumoftheadjacentbone,thuslimitingthesubperiostealspace.HypophysisandhypiphysealfossaShapeandPea-sizedorgan,attachedbyinfundibulumtohypothalamus,liesinhypophysialfossaConsistsoftwoAnterior-tuberculumPosterior-dorsumAnterolateraly-opticAbove-diaphragmsellae,opticchiasmaandopticnerveLaterally-cavernousBelow-sphenoidCavernoussinusPosition:liesoneachsideofsellaTraversingthecavernousinternalcarotidarteryabducentnerveTraversingthelateralwallofthecavernousoculomotornervetrochlearnervevenousarchofAscendsbehindlateralmalleolusandrunsupthemidlineofthebackofthe Piercesthedeepfasciaandentersthepoplitealv.DrainsthelateralsideofthefootandankleandthebackofthelegStructurespassingthroughsuprapiriformforamen(fromlateraltomedialside)Superiorglutealn.Superiorgluteala.Superiorglutealv.臀上靜脈Structurespassingthroughinfrapiriformforamen(fromlateraltomedialside)Sciaticn.Posteriorfemoralcutaneousn.股后皮神Inferiorglutealn.Inferiorglutealav.Internalpudendalva.Pudendaln.Structurespassingthroughsmallsciaticforamen(fromlateraltomedialside)Internalpudendalva.Pudendaln.SuperficialinguinallymphSuperiorLiesjustdistaltotheinguinalReceivelymphvesselsfromanteriorabdominalwallbelowumbilicus,glutealregion,perinealregion,externalgenitalorgansInferiorLiesverticalalongtheterminalgreatsaphenousv.Receivesallsuperficiallymphvesselsoflowerlimb,exceptforthosefromtheposterolateralpartofcalfEfferentvesselsdrainintothedeepinguinalln.orexternaliliacln.FascialataIliotibialtractlaterallythedeepfasciaformsathickbandfromtheiliactubercleto
lateralcondyleofSaphenoushiatus
liesabout4cmbelowandlateraltothepubictubercle.Thefalciformmarginisthelowerlateralborderoftheopening,whichliesanteriortothefemoralvessels.Filledwithlooseconnectivetissuecalledthecribriformfascia篩筋膜LacunamusculorumAnteriorly:lateralportionofinguinalligamentPosterolaterally:Medially:iliopectinalIliopsoasfemoraln.lateralfemoralcutaneousn.股LacunavasorumAnteriorly:medialportionofinguinalligamentPosteriorly:fasciaofpecteineusandpectinealMedially:lacunaLaterally:iliopectinalFemoralsheathFemorala.andv.Femoralbranchofn.LymphaticFemoraltriangleSuperiorly(base):inguinalligament腹股溝韌帶Laterally:medialborderofsartorius縫匠肌內(nèi)側(cè)緣Medially:medialborderofadductorlongus長(zhǎng)收肌內(nèi)側(cè)Apex:continuouswithadductorcanal收肌管Anteriorwall:fascialata
Posteriorwall:consistsofiliopsoas髂腰肌,pectineus恥骨肌andadductorlongusophthalmicnervemaxillarynerve
investingDeep-prevertebral
–Recurrentlaryngeal
enteringtheTheinferiorthyroida.iscloselyrelatedtoLandmarksoftheHyoidboneThyroidcartilageCricoidcartilageCatotidtubercleSternocleidomastoidSuprasternalfossaGreatersupraclaviclarfossaCervicalfasciaSuperficiallayerofcervicalfascia頸筋膜淺層(investingfascia封套筋膜Enclosestrapezius,sternocleidomastoid,posteriorbellyofdigastricandparotidandsubmandibularAttachedtobonylandmarksofupperandlowerboundariesofneckandzygomaticarchoffacePretracheallayerLiesdeeptotheinfrahyoidEnclosesvisceraofneck:pharynx,larynx,trachea,esophagus,thyroidglandandparathyroidglandsCompletelysurroundsthyroidgland,formingasheathforit,andbindtheglandtolarynxtoformsuspensoryligamentofthyroidgland甲狀腺懸Extendsfromarchofcricoidcartilage,thyroidcartilageandhyoidbonetofibrouspericardiumofsuperiormediastinumPrevertebrallayerLiesanteriortobodiesofcervicalvertebraeandprevertebralmuscles;extendsfrombaseofskulldownwardintothesuperiormediastinum,continuouswithanteriorlongitudinallig.andendothoracicfasciaCoverssubclavianvesselsandrootsofbrachialExtendsintoupperlimbasaxillary★CarotidtriangleAnteriorborderofSuperiorbellyofPosteriorbellyofCoveredbyskin,superficialfascia,platysma
Medial-lateralwallofCommoncarotida.anditsInternaljugularv.anditsHypoglossaln.withitsdescendingAccessoryDeepcervicallymphMusculartriangleBoundedbymidlineoftheneck,superiorbellyoftheomohyoidandanteriorborderoftheCoveredbyskin,superficialfascia,platysma,anteriorjugularv.,andinvestingfasciaDeep-prevertebralThyroidglandShapeandH-Leftandrightlobes:lieoneithersideofinferiorpartoflarynxandsuperiorpartoftrachea,extendfrommiddleofthyroidcartilagetolevelofsixthtracheacartilageIsthmus:overlies2ndto4thtrachealPyramidallobe:sometimesarisesfromCoveringsofthethyroidFalsecapsule:asheathofpretrachealfasciawhichisattachedtoarchofcricoidandthyroidcartilagestoformthesuspensoryligamentofthyroidgland,hence,thethyroidglandmoveswithlarynxduringswallowingandoscillatesduringspeakingTruecapsule:fibrousSpacebetweensheathandcapsuleofthyroidgland:therearelooseconnectivetissue,vessels,nervesandparathyroidglandsRelationsofthethyroidsuperficialinvestingInfrahyoidmusclesandpretrachealLarynxandPharynxand7
Carotidsheathwithcommoncarotida.,internaljugularv.,andvagusn.CervicalsympatheticArteriesofthethyroidSuperiorthyroida.BranchofexternalcarotidRunssuperficialandparalleltotheexternalbranchofsuperiorlaryngealn.toreachtheupperpoleofthyroidglandGivesoffsuperiorlaryngeala.incompanywithinternalbranchofsuperiorlaryngealn.InferiorthyroidarteryBranchofthyrocervicaltrunkofsubclaviana.Turnsmediallyanddownward,reachestheposteriorborderofthethyroidgland,whereitiscloselyrelatedtotherecurrentlaryngealn.SuppliesinferiorpoleofthyroidArteriathyroideaimaMayarise(4%)fromthea.oraorticSuperiorlaryngealn.Internalbranch內(nèi)支:whichpiercesthyrohyoidmembranetoinnervatesmucousmembraneoflarynxabovefissureofglottisExternalbranch外支:isfinen.,whichdescendsincompanywiththesuperiorthyroida.andsuppliescricothyroidRecurrentlaryngealnervesAscendintracheo-esophagealPassdeeptothelobeofthethyroidglandandcomeintocloserelationshipwiththeinferiorthyroida.CrosseitherinfrontoforbehindtheNervesenterlarynxposteriortocricothyroidjoint,thenerveisnowcalledinferiorlaryngealnerve喉Innervations:laryngealmucosabelowfissureofglottis,alllaryngeallaryngealmusclesexceptRelationshipofarteriestothelaryngealThesuperiorthyroida.iscloselyrelatednearitsorigintothesuperiorlaryngealn.Sectionofthenervewouldanaesthetisethelaryngealmucosaandabolishthecoughreflex,soincreasingtheriskoffoodoraforeignbody8
recurrentlaryngealn.asitenterstheSectionofthenervewouldresultinparalysisofmusclesthatmovethevocalcordsonthatside.ParathyroidglandTwosuperiorparathyroidglands:lieatjunctionofsuperiorandmiddlethirdofposteriorborderofthyroidglandTwoinferiorparathyroidglands:lieneartheinferiorthyroidartery,closetotheinferiorpolesofthyroidglandRelationsofcervicalpartofSuperficialInvestingSuprasternalspaceandjugularInfrahyoidmusclesandpretrachealIsthmusofthyroidgland(infrontofthe2ndto4thtrachealcartilage)Inferiorthyroidv.andunpairedthyroidvenousplexusArteriathyroidima(ifThymus,leftbrachiocephalicv.andaorticarchinchildlobesofthethyroidgland(downasfarasthesixthring)R.&L.recurrentlaryngealCervicalsympatheticCarotidCarotidsheathFormedbycomponentsofallthreelayersofdeepcervicalfasciaContainscommonandinternalcarotidarteries,internaljugularvein,andvagusnerveLandmarksofJugularnotchcorrespondsThe2ththoracicvertebrainmale,the3ththoracicvertebrainfemale肌fromlateraltomedialContents:fromlateraltoFemoraln.
SemitendinosusSemimembranosusBicepsfemoris
zygomatic耳屏condylar
PosteriorOccipitala.v.Greateroccipitaln.FemoralsheathFemorala.Femoralv.FemoralcanalDeepinguinallymphnodesFattytissueFemoralcanalFemoralringAnteriorly:inguinalMedially:lacunalig.Posteriorly:pecteneallig.恥骨Laterally:femoralv.Superior:coveredbyfemoralseptum股環(huán)隔AdductorcanalAnteriorwall:adductorlamina大收肌腱板andsartorius縫匠肌Lateralwall:vastusmedialis股Posteomedialwall:adductorlongus長(zhǎng)收肌andadductormagmus大收肌Saphenousn.Femorala.andfemoralv.股動(dòng)、lymphaticvesselsandlooseconnectivetissueSciaticnerveArisesfromthesacralLeavespelvisthroughinfrapiriformforamentoenterglutealregionRunsinferiorlylaterallydeeptogluteusPassingmidwaybetweenthegreatertrochanteroffemurandischialtuberositytobackofthigh
LyingdeeptolongheadofbicepsNormallydividedintotibialandcommonperonealnervesjustabovepoplitealfossa
HipandkneejointsPoplitealfossaSuperolaterally:Bicepsfemoris股二頭Superomedially:semitendinosusandsemimembranosus半腱肌和半膜肌Inferiorly:lateralandmedialheadsofgastrocnemius腓腸肌內(nèi)、外側(cè)頭Roof:deeppoplitealsurfaceofth
溫馨提示
- 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請(qǐng)下載最新的WinRAR軟件解壓。
- 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請(qǐng)聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶所有。
- 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內(nèi)容里面會(huì)有圖紙預(yù)覽,若沒有圖紙預(yù)覽就沒有圖紙。
- 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
- 5. 人人文庫網(wǎng)僅提供信息存儲(chǔ)空間,僅對(duì)用戶上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對(duì)用戶上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對(duì)任何下載內(nèi)容負(fù)責(zé)。
- 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請(qǐng)與我們聯(lián)系,我們立即糾正。
- 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時(shí)也不承擔(dān)用戶因使用這些下載資源對(duì)自己和他人造成任何形式的傷害或損失。
最新文檔
- 電力系統(tǒng)中的潛在風(fēng)險(xiǎn)與應(yīng)對(duì)措施研究
- 電力工程勘察設(shè)計(jì)的智能化應(yīng)用
- 甘肅2025年甘肅西北師范大學(xué)誠(chéng)聘海內(nèi)外高層次人才160人筆試歷年參考題庫附帶答案詳解
- 泰州2025年江蘇泰州市消防救援支隊(duì)政府專職消防員招聘179人筆試歷年參考題庫附帶答案詳解
- 現(xiàn)代辦公環(huán)境下股票投資探討
- 電子商務(wù)在智能家居的滲透與應(yīng)用
- 生態(tài)農(nóng)業(yè)金融支持與綠色食品產(chǎn)業(yè)發(fā)展研究
- 物聯(lián)網(wǎng)在現(xiàn)代物流業(yè)的應(yīng)用及挑戰(zhàn)
- 建筑智能化系統(tǒng)調(diào)試與優(yōu)化考核試卷
- 消費(fèi)信貸市場(chǎng)教育如何理解網(wǎng)絡(luò)金融
- 身份證籍貫對(duì)照表(自動(dòng))
- 質(zhì)量問題分析及措施報(bào)告
- 汽修廠安全風(fēng)險(xiǎn)分級(jí)管控清單
- 現(xiàn)代通信原理與技術(shù)(第五版)PPT全套完整教學(xué)課件
- 社區(qū)獲得性肺炎教學(xué)查房
- 病例展示(皮膚科)
- GB/T 39750-2021光伏發(fā)電系統(tǒng)直流電弧保護(hù)技術(shù)要求
- 教科版五年級(jí)科學(xué)下冊(cè)【全冊(cè)全套】課件
- 糖尿病運(yùn)動(dòng)指導(dǎo)課件
- 完整版金屬學(xué)與熱處理課件
- T∕CSTM 00640-2022 烤爐用耐高溫粉末涂料
評(píng)論
0/150
提交評(píng)論