The venous drainage of the entire lower extremity is carried out by superficial and deep venous systems. Unilateral upper limb edema refers to the swelling of the soft tissues of either the right or left arm or hand. Find powerpoint presentations and slides using the power of, find free presentations research about anatomy of venous drainage of lower limb ppt. As a general rule, the deep veins accompany and share the name of the major arteries in the lower limb. When lower limb muscles contract, the muscle pump can effectively reduce venous pressure in the lower limb to less than 30 mm hg. Start studying venous drainage of the upper limb, thorax, and abdomen. Arterial supply of the upper limb radiology reference. A deep vein thrombosis is a blood clot in one of the deep veins of the arms. It runs in the upper arm lateral to the biceps, in the deltopectoral groove, and perforates the clavipectoral fascia to drain into the axillary vein. Mar 28, 2020 there are two prominent superficial veins of the upper limb. The superficial veins in the upper limb drain the blood from the skin and superficial fascia. Jul 01, 2019 veins of the arm and an overview of the cutaneous innervation and venous drainage of the upper limb can be found here. Posted on april 25, 2017 0 tags upper limb important questions, uppler limb questions with answers categories anatomy upper limb post author.
They have many tributaries, but the most important are the femoral veins, together. Venous drainage of the upper limb, thorax, and abdomen. The arterial supply of the upper limb is derived from the subclavian artery. The brachial veins are the largest in size, and are situated either side of the brachial artery. The dorsal digital veins pass along the sides of the. Perforating veins form communications between the superficial and deep veins. The motor and sensory supply of the upper limb is provided by the brachial plexus which is formed by the ventral rami of spinal nerves c5t1. Veins of lower limb the veins may be classified into three groups. Cephalic vein, basilica vein, median antebrachial vein, deep veins, axillary vein. Superficial lymphatic vessels the superficial lymphatic vessels of the upper limb initially arise from lymphatic plexuses in the skin of the hand networks of lymphatic capillaries beginning in the extracellular spaces.
The venous system can further divide into superficial and deep venous systems. If it occurs in the upper extremity, it is usually due to problems with drainage of the blood or lymph from the arm. The superficial venous system of the upper limb essentially consists of two main veins, which arise from the dorsal venous network. Venous drainage in lower limb is important as venous blood has to ascend against gravity. Venous drainage of the upper extremities guide to peripheral and. Superficial veins and pulses in upper limb deltoid cephalic vein pierces the clavipectoral fascia at upper end of the deltopectoral groove to enter axillary vein radial artery pulse. The upper and lower extremity peripheral venous systems comprise three main types of veinssuperficial, deep, and perforating. The right subclavian artery originates from the brachiocephalic artery, which is the first branch of the aortic arch.
Sonographic evaluation of upper extremity deep venous. They are connected to the superficial system by perforating veins. For example, the venous drainage of the upper limb splits into a superficial and deep venous drainage system. The dorsal digital veins are highly interconnected and form an. Vessels, lymphatic drainage and the breast veins the blood from the upper limb is returned to the heart by two sets of veins, superficial and deep. Anatomy of venous drainage of lower limb ppt xpowerpoint. The superficial veins are highly variable, lie mostly in the subcutaneous tissue. Lymphatic drainage of the upper limb is via series of deep and superficial channels that ultimately drain into the axillary lymph nodes gross anatomy. Trace the arteries of the lower limb from the external iliac artery to the toes. The venous drainage of upper limb is anatomically precise and labelled. Ppt venous and lymphatic drainage of the upper limb. The labels are well placed in approximity to the respective veins to avoid any confusion.
The development and structure of the upper and lower limbs have much in common. Venous drainage of the upper limb basilic cephalic. The venous drainage of the lower limb consists of a superficial and a deep system. Lymphatic, venous drainage and arterial blood supply of lower limb. Venous drainage of lower limb superficialgreat and small saphenous veins deep.
The venous drainage of the upper limb is composed of superficial and deep groups of vessels. An overview of the venous drainage of the brain, including the superficial veins of the cerebrum, dural venous sinuses and cavernous sinus thrombosis. The left subclavian artery originates directly from the aortic arch, being the third branch. The superficial veins starts on the back of the hand as a dorsal arch. Lymphatic drainage of the upper limb vessels nodes. Failure of this drainage can give rise to distension of veins varicose veins and limb swelling apart from other sequelae. Like in the forearm, the arm is drained by the brachial veins deep veins that accompany the brachial artery and all its branches. The deep venous drainage system of the lower limb is located beneath the deep fascia of the lower limb.
All types of exam questions on anatomy of upper limb enumerate, short notes, long questions, draw labelled diagrams and applied anatomy questions. The shoulder girdle or pectoral girdle, composed of the clavicle and the scapula, connects the upper limb to the axial skeleton through the sternoclavicular joint the only joint in the upper limb that directly articulates with the trunk, a ball and socket joint supported by the subclavius muscle which acts as a dynamic ligament. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. Jul 28, 2014 venous return is supplemented with contraction of the muscles in the lower limb, which pump the blood toward the heart. Lateral to the tendon of flexor carpi radialis pectoralis major. Examples hepatic portal vein and hypophyseal portal system. Zooming within the model displays the smaller sized labels as well. The chief superficial veins are the great and small saphenous veins. It starts within the ulnar area of the dorsal venous network. If these factors dont assist the drainage, the immobility of venous blood in the superficial veins cause varicose veins and in the deep veins result in deep vein thrombosis. Lymphatic drainage of the upper limb radiology reference. Venous drainage of the upper limb involves two networks superficial and deep.
Subclavian vein flow volume in the upper limb with lymphedema was significantly different from that in the contralateral limb p aug 08, 2018 cephalic vein is the preaxial vein of the upper limb and corresponds to the great saphenous vein of the lower limb. The upper limb is composed of four increasingly mobile. To meet the vena mediana cubiti, this vein climbs upwards in the back area of the ulnar spot within the forearm, settling in the lower part of the elbow. The superficial veins of the upper extremity are the digital, metacarpal, cephalic, basilic, median. There are two prominent superficial veins of the upper limb. Yet, a number of factors facilitate its drainage vide infra. The peripheral veins transport blood from the limbs and hands and feet. The venous drainage of the upper extremities is again divided into a superficial and deep system. It travels a bit in the arm area until it connects with the vena medianacubiti. Anatomy, shoulder and upper limb, veins statpearls. Another important upper limb portion to discuss in more detail is the basilica vein.
Healthy street venous drainage of upper limb the main. In green you can see arising laterally from the dorsal venous network, is the cephalic vein, and from the medial aspect of the dorsal venous network, weve got the basillic vein. Often, the artery and vein are located within the same vascular sheath so that the arterial pulsations aid the venous return. Both sets have valves, and both drain ultimately into the axillary vein. The venous system of the upper limb drains deoxygenated blood from the arm, forearm and hand. The veins of the deep system accompany the vessels of the arterial system, and they follow a similar naming structure. The chief superficial veins of the upper limb are the cephalic and. The superficialveins starts on the back of the hand as a dorsal arch.
Basilic vein the basilic vein begins as the continuation of the medial end of the dorsal venous arch of the hand. The venous blood of the lower limb is emptied against gravity. While this muscle prevents dislocation in the joint, strong. In this article, we shall look at the anatomy of the upper limb veins their anatomical course, structure, and. The left subclavian artery originates directly from. In the posterior triangle of the neck these rami form three trunks from which fibers enter the axilla region armpit to innervate the muscles of the anterior and posterior compartments of the limb. Ppt lymphatic, venous drainage and arterial blood supply.
Venous drainage of the lower extremity anatomy medbullets. Source common iliac artery terminal bifurcation of the abdominal aorta on the body of l4. The cephalic and basilic veins are major superficial veins of the forearm. The superficial group starts as an irregular dorsal arch on the back of the hand. When venous valves become incompetent they tend to place extra pressure on more distal valves, which may also become incompetent. Lymph from the hand and forearm drain from lymphatic plexuses via superficial channels that accompany the basilic and cephalic veins to a series of nodes around the elbow superficial and deep cubital lymph nodes. Blood supply, venous drainage, surface anatomy and nerve. View and download powerpoint presentations on anatomy of venous drainage of lower limb ppt. In green you can see arising laterally from the dorsal venous network, is the cephalic vein, and from the medial aspect of the dorsal venous network, weve got the basillic vein, which ive highlighted in purple. There are numerous perforating veins with connections to deeper venous structures and drainage. These form a dorsal venous arch at the base of the back of the hand before the wrist. Medial cutaneous nerve of forearm terminal part of ulnar nerve. The portal venous system is a series of veins that shortly join two capillary beds. From the radial side lateral side of the forearm, the cephalic vein runs up, from the anatomical snuffbox, along the preaxial border of the upper limb.
Like the dermatomal pattern, the logic for naming the main. Aug 08, 2018 the venous blood of the lower limb is emptied against gravity. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Vessles and lympatic drainage of the lower limb venous drainage. In the upper extremity, the deep veins share the name of the artery they accompany. Dec 26, 2015 veins for the upper extremity direct blood flow from the hand, wrist, forearm, upper arm, and shoulder to the ipsilateral central thorax veins and ultimately the superior vena cava. The dorsal digital veins are highly interconnected and form an array of superficial dorsal veins. Deep veinsperforating veins from dorsal venous arch form anterior tibial vein. The venous drainage of the upper limb is composed of superficial and deep vessels. Lymph from the hand and forearm drain from lymphatic plexuses via superficial channels that accompany the basilic and cephalic veins to a series of nodes around the elbow. The veins of the upper extremity and thorax human anatomy. Compare and contrast the superficial venous drainage and the deep venous drainage of the lower limb.
Venous and lymphatic drainage of the upper limb 1 venous and lymphatic drainage of the upper limb. Anatomy, shoulder and upper limb, veins statpearls ncbi. In the palm, these veins form arches and they are associated with the superficial and deep. Most of the lymph from lower limb is drained into inguinal lymph nodes except from deep part of gluteal region and back of thigh, which drain into internal iliac lymph nodes. Chronic venous disease may affect the upper extremity after an acute thrombotic event of any cause or in any patient with long. Valves prevent the reflux of blood back into the lower limb, thereby assisting the unidirectional flow of blood into the right atrium. Compare and contrast the superficial venous drainage and the deep venous drainage of the upper limb. Sep 14, 2017 valves prevent the reflux of blood back into the lower limb, thereby assisting the unidirectional flow of blood into the right atrium. It is formed by paired veins, which accompany and lie either side of an artery. The superficial channels lie immediately beneath the skin within the superficial fasciathe deep venous channels accompany the arteries and are known as venae comitantes and have the same names as the arteries they follow. Anatomy upper limb general concepts flashcards quizlet. Both superficial and deep veins are presented, giving an overview of the progression of veins in the arms. The diagnosis of chronic venous disease is considerably more challenging than acute venous disease because enlarged, thrombus.
The cephalic vein begins at the radial extremity of the arch, ascends along the lateral aspect of the arm within the superficial fascia and then pierces the deep fascia to. The main superficial veins of the upper limb, the cephalic and basilic veins, originate in the subcutaneous tissue on the dorsum of the hand from the dorsal venous network. The superficial system is located in the subcutaneous tissue, whereas the deep system is located in the deep fascia of the lower limb. Apr 27, 2020 the venous drainage of the entire lower extremity is carried out by superficial and deep venous systems. Manual lymphatic drainage in blood circulation of upper. What are the causes of unilateral upper limb edema. The main veins draining the hip and pelvis are considered deep and include the external and internal iliac veins, which unite to form the common iliac veins. In the hand, forearm, and upper arm, the superficial system functions as the principal means for venous drainage.
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