1. MAJOR ARTERIES OF UPPER LIMBBY
DR SHIVARAMA BHAT

2. LEARNING OBJECTIVES TO KNOW ABOUT MAJOR ARTERIES.
TO LEARN ABOUT THEIR COURSE AND PARTS.
TO LEARN ABOUT THEIR BRANCHES AND DISTRIBUTION.
TO LEARN ABOUT ANASTOMOSIS AROUND MAJOR JOINTS OF UPPER LIMB.

3. MAJOR ARTERIES AXILLARY ARTERY BRACHIAL ARTERY RADIAL ARTERY
ULNAR ARTERY
PALMAR ARCHES

4. Anastomosis SCAPULAR ANASTOMOSIS ANASTOMOSIS AROUND ELBOW
ANASTOMOSIS AROUND WRIST and CARPALS.

5. ARTERIES OF THE UPPER LIMB
AXILLARY ARTERY
BRACHIAL ARTERY
RADIAL ARTERY
ULNAR ARTERY

7. AXILLARY ARTERY
Begins as the continuation of subclavian artery at the outer border of first rib.
Ends by continuing as brachial artery at the lower border of teres major muscle.
Along its course it is divided by pectoralis minor muscle into three parts.

8. PARTS: FIRST PART - medial to pectoralis minor muscle.
SECOND PART - posterior to pectoralis minor.
THIRD PART - lateral to pectoralis minor.

9. BRANCHES: I PART: 1.Superior thoracic artery. II PART:
1.Thoraco- acromial artery lateral thoracic artery.
III PART:
1.subscapular artery.
2.ant.circumflex humeral artery.
3.post.circumflex humeral artery.

11. BRACHIAL ARTERY
Begins as a continuation of axillary artery at the lower border of Teres major muscle.
Ends at the level of neck of radius by dividing into radial & ulnar arteries.
Accompanied by a pair of venae comitantes.

13. Branches: Profunda brachii artery. Superior Ulnar collateral artery.
Inferior Ulnar collateral artery.
Radial artery.
Ulnar artery.
Nutrient artery.

14. Applied anatomy Pulsation of the brachial artery is
felt or auscultated in front of the
elbow; this helps - recording the
blood pressure.

15. RADIAL & ULNAR ARTERIES
Brachial artery
Ulnar artery
Radial artery

17. Branches of ulnar artery
Anterior ulnar recurrent artery.
Posterior ulnar recurrent artery.
Common interosseous artery.
Palmar and dorsal carpal branches.
Muscular branches.

18. Common interosseous artery
Anterior interosseous branch.
Posterior interosseous branch.
Median artery.

19. Radial artery

21. Branches of radial artery
Radial recurrent artery
Muscular branch
Palmar carpal branch
Dorsal carpal branch
Superficial palmar branch
First dorsal metacarpal artery
Arteria princeps pollicis
Arteria radialis indicis

22. Applied anatomy
Radial pulsations.

23. SUPERFICIAL PALMAR ARCH

24. FORMATION:
formed as the direct continuation of
ulnar artery
laterally completed by one of the following branches of radial artery:
i) superficial palmar branch
ii) radialis indicis
iii) princeps pollicis

25. Superficial Palmar Arch:
Ulnar artery
Radial artery
Common palmar digital artery
Proper palmar digital artery
Ulnar artery

26. branches of superficial palmar arch:
FOUR PALMAR DIGITAL ARTERIES, arise from the convexity of the arch.
The PROPER DIGITAL BRANCH passes along the
medial side of little finger.
Three COMMON PALMAR DIGITAL ARTERIES ,
each of which at the base of the interdigital region
divide into two proper palmar digital arteries,which
supply the adjacent fingers.

27. Deep palmar arch

28. DEEP PALMAR ARCH: FORMATION:
Formed mainly by the terminal part of the radial artery, and is completed medially by the Deep palmar branch of the ulnar artery.
BRANCHES:
1.Three palmar metacarpal arteries.
2. Perforating arteries.
3. Recurrent branches

30. Scapular anastomosis
Between the branches of 1st part of subclavian artery and 3rd part of axillary artery.

31. SCAPULAR ANASTOMOSIS
Between the branches of first part of subclavian artery and the third part of axillary artery.
In the subscapular, supraspinous fossa and infraspinous fossa between a) suprascapular artery
b) deep cervical artery
c) circumflex scapular artery.

33. Anastomosis around elbow
Between branches of brachial artery and ulnar artery.
Between branches of profunda brachial artery and radial artery.

34. Anastamoses around the elbow joint

36. Anastomosis near wrist and carpals
Dorsal and palmar carpal branches of ulnar and radial arteries.
Recurrent branch of deep palmar arch.
Anterior and posterior interosseous arteries.
Dorsal carpal arch.
Perforating branches of deep palmar arch.

38. Applied anatomy Axillary artery blockage. Injury to axillary artery.
Volkmann’s ischaemic contracture.
Myositis ossificans.

39. Questions Scapular anastomosis. Anastomosis around elbow.
Axillary artery.
Brachial artery.
Radial artery.
Ulnar artery.
Superficial palmar arch.
Deep palmar arch.