醫(yī)學教材 臂叢神經(jīng)解剖圖譜

臂叢

Nervesoftheupperlimb:

Brachialplexus演示課件演示課件演示課件演示課件根(root)：C5～T1.分支（branches）1.Nervetoserratusanterior(longthoracicN.)胸長神經(jīng)C5,6,72.Nervetorhomboideus(dorsalscapularN.)肩胛背神經(jīng)C5演示課件翼狀肩wingingofthescapular胸長神經(jīng)受損原因：Suddenpressureontheshoulderfromabove;carryingheavyloadsontheshoulder前鋸肌演示課件肩胛背神經(jīng)演示課件分支（branches）:僅從上干發(fā)出分支Suprascapularnerve肩胛上神經(jīng)C5,6Nervetosubclavius至鎖骨下肌的神經(jīng)C5,6干：Uppertrunk上干middletrunk中干lowertrunk下干演示課件肩胛上神經(jīng)演示課件股：anteriorandposteriordivisions前股和后股（此處無分支）索：lateral,posteriorandmedialcords前索、后索、外側(cè)索演示課件外側(cè)索的分支C5,61.LateralpectoralN.胸外側(cè)神經(jīng)C5,62.Musculocutaneous肌皮神經(jīng)C5,63.Lateralrootofmedian正中神經(jīng)的外側(cè)根演示課件肌皮神經(jīng)演示課件內(nèi)側(cè)索的分支C8,T11.MedialpectoralN.胸內(nèi)側(cè)神經(jīng)2.MedialcutaneousN.ofarm臂內(nèi)側(cè)皮神經(jīng)3.MedialcutaneousN.offorearm前臂內(nèi)側(cè)皮神經(jīng)4.UlnarN.尺神經(jīng)5.Medialrootofmedian正中神經(jīng)的外側(cè)根演示課件正中神經(jīng)尺神經(jīng)演示課件后索的分支C5-T1subscapularN.肩胛下神經(jīng)C5,62.ThoracodorsalN.胸背神經(jīng)C7,83.AxillaryN.腋神經(jīng)C5,64.RadialN.橈神經(jīng)C5-T1演示課件subscapularN.肩胛下神經(jīng)AxillaryN.腋神經(jīng)RadialN.橈神經(jīng)演示課件胸背神經(jīng)背闊肌演示課件正中神經(jīng)演示課件皮支演示課件

猿手肌支除肱橈?。锷窠?jīng)）、尺側(cè)腕屈肌、指深屈肌尺側(cè)半（尺神經(jīng)）以外所有前臂前群肌魚際?。词占〕呱窠?jīng)）1、2蚓狀肌演示課件演示課件演示課件尺神經(jīng)演示課件皮支演示課件肌支尺側(cè)腕屈肌指深屈肌尺側(cè)半拇收肌小魚際骨間肌3.4蚓狀肌爪形手演示課件橈神經(jīng)肌支肱三頭肌肱橈肌前臂后群肌垂腕演示課件演示課件皮支演示課件Undueseparationoftheheadfromtheshoulder：產(chǎn)傷；肩部受傷；麻醉期2.癱瘓的肌肉：三角肌、肱二頭肌、肱肌、肱橈??；部分的岡上肌、岡下肌、旋后肌Erb’s

點臂叢的損傷LesionsoftheBrachialPlexus

Erb’sparalysis麻痹(uppertrunk)‘policeman’stiphand’or‘porter’stiphand’演示課件Undueabductionofthearm2.癱瘓的肌肉：intrinsicM.ofthehand(手內(nèi)肌T1)；ulnarflexorsofthewristandfingers(尺側(cè)屈腕和屈指肌C8)3.Clawhand(爪形手)：hyperextensionatthemetacarpophalangealjtandflexionattheinterphalangealjtKlumpke’sparalysis麻痹(lowertrunk)演示課件1.Dislocationofhumerus肩關(guān)節(jié)脫位2.涉及到的神經(jīng)：musculocutaneousN.肌皮神經(jīng)；lateralrootofmedian正中神經(jīng)的外側(cè)根3.癱瘓的肌肉：肱二頭肌、喙肱??；除了手肌之外由正中神經(jīng)支配的肌肉。4.不能屈腕、屈肘，前臂橈側(cè)感覺缺失。Injurytolateralcord外側(cè)束的損傷演示課件1.Subcoracoiddislocationofhumerus肩關(guān)節(jié)喙突下脫位2.涉及到的神經(jīng)：ulnerN.尺神經(jīng)；media