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Superficial Palmar Arch
The superficial palmar arch is formed predominantly by the ulnar artery, with a contribution from the superficial palmar branch of the radial artery. However, in some individuals the contribution from the radial artery might be absent, and instead anastomoses with either the princeps pollicis artery, the radialis indicis artery, or the median artery, the former two of which are branches from the radial artery. Alternative names for this arterial arch are: superficial volar arch, superficial ulnar arch, arcus palmaris superficialis, or arcus volaris superficialis.Again, ''palmar'' and ''volar'' may be used synonymously, but ''arcus volaris superficialis'' does not occur in the TA, and can therefore be considered deprecated. The arch passes across the palm in a curve (Boeckel's line) with its convexity downward, If one were to fully extend the thumb, the superficial palmar arch would lie approximately 1 cm distal from a line drawn between the first web space to the Hook ...
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Ulnar Artery
The ulnar artery is the main blood vessel, with oxygenated blood, of the medial aspects of the forearm. It arises from the brachial artery and terminates in the superficial palmar arch, which joins with the superficial branch of the radial artery. It is palpable on the anterior and medial aspect of the wrist. Along its course, it is accompanied by a similarly named vein or veins, the ulnar vein or ulnar veins. The ulnar artery, the larger of the two terminal branches of the brachial, begins a little below the bend of the elbow in the cubital fossa, and, passing obliquely downward, reaches the ulnar side of the forearm at a point about midway between the elbow and the wrist. It then runs along the ulnar border to the wrist, crosses the transverse carpal ligament on the radial side of the pisiform bone, and immediately beyond this bone divides into two branches, which enter into the formation of the superficial and deep volar arches. Branches Forearm: Anterior ulnar recurr ...
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Anatomical Terms Of Location
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of ana ...
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Palmar Carpal Arch
The palmar carpal arch is the combination ( anastomosis) of two arteries: the Palmar carpal branch of radial artery and the palmar carpal branch of ulnar artery. This anastomosis is joined by a branch from the anterior interosseous artery above, and by recurrent branches from the deep palmar arch below, thus forming a palmar carpal network which supplies the articulations of the wrist and carpus. See also * Dorsal carpal arch The dorsal carpal arch (dorsal carpal network, posterior carpal arch) is an anatomical term for the combination ( anastomosis) of dorsal carpal branch of the radial artery and the dorsal carpal branch of the ulnar artery near the back of the wris ... * Deep palmar arch * Superficial palmar arch References Arteries of the upper limb {{Portal bar, Anatomy ...
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Deep Palmar Arch
The deep palmar arch (deep volar arch) is an arterial network found in the palm. It is usually primarily formed from the terminal part of the radial artery. The ulnar artery also contributes through an anastomosis. This is in contrast to the superficial palmar arch, which is formed predominantly by the ulnar artery. Structure The deep palmar arch is usually primarily formed from the radial artery. The ulnar artery also contributes through an anastomosis. The deep palmar arch lies upon the bases of the metacarpal bones and on the interossei of the hand. It is deep to the oblique head of the adductor pollicis muscle, the flexor tendons of the fingers, and the lumbricals of the hand. Alongside of it, but running in the opposite direction—toward the radial side of the hand—is the deep branch of the ulnar nerve. The superficial palmar arch is more distally located than the deep palmar arch. If one were to fully extend the thumb and draw a line from the distal border of t ...
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Proper Palmar Digital Arteries
The proper palmar digital arteries travel along the sides of the phalanges (along the contiguous sides of the index, middle, ring, and little fingers), each artery lying just below (dorsal to) its corresponding digital nerve. Alternative names for these arteries are: proper volar digital arteries, collateral digital arteries, arteriae digitales palmares propriae, or aa. digitales volares propriae.Again, ''palmar'' and ''volar'' may be used synonymously, but ''aa. digitales volares propriae'' does not occur in the TA, and can therefore be considered deprecated. They anastomose freely in the subcutaneous tissue of the finger tips and by smaller branches near the interphalangeal joints. Each also gives off a couple of dorsal branches which anastomose with the dorsal digital arteries, and supply the soft parts on the back of the second and third phalanges, including the matrix of the fingernail. The proper palmar digital artery for the medial side of the little finger arises di ...
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Metacarpophalangeal Joints
The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the proximal phalanges. Being condyloid, they allow the movements of flexion, extension, abduction, adduction and circumduction at the joint. Structure Ligaments Each joint has: * palmar ligaments of metacarpophalangeal articulations * collateral ligaments of metacarpophalangeal articulations Dorsal surfaces The dorsal surfaces of these joints are covered by the expansions of the Extensor tendons, together with some loose areolar tissue which connects the deep surfaces of the tendons to the bones. Function The movements which occur in these joints are flexion, extension, adduction, abduction, and circumduction; the movements of abduction and adduction are very limited, and cannot be performed while ...
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Palmar Metacarpal Artery
The palmar metacarpal arteries (volar metacarpal arteries, palmar interosseous arteries) are three or four arteries that arise from the convexity of the deep palmar arch. Structure The palmar metacarpal arteries arise from the convexity of the deep palmar arch. They run distally upon the palmar interossei muscles. They anastomose at the clefts of the finger A finger is a limb of the body and a type of digit, an organ of manipulation and sensation found in the hands of most of the Tetrapods, so also with humans and other primates. Most land vertebrates have five fingers ( Pentadactyly). Chambers ...s with the common palmar digital arteries which arise from the superficial palmar arch. References External links * ("Palm of the hand, deep dissection, anterior view") Arteries of the upper limb {{circulatory-stub ...
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Lumbricals Of The Hand
The lumbricals are intrinsic muscles of the hand that flex the metacarpophalangeal joints, and extend the interphalangeal joints. p. 97 The lumbrical muscles of the foot also have a similar action, though they are of less clinical concern. Structure The lumbricals are four, small, worm-like muscles on each hand. These muscles are unusual in that they do not attach to bone. Instead, they attach proximally to the tendons of flexor digitorum profundus, and distally to the extensor expansions. The first and second lumbricals are unipennate, while the third and fourth lumbricals are bipennate. Nerve supply The first and second lumbricals (the most radial two) are innervated by the median nerve. The third and fourth lumbricals (most ulnar two) are innervated by the deep branch of ulnar nerve. This is the usual innervation of the lumbricals (occurring in 60% of individuals). However 1:3 (median:ulnar - 20% of individuals) and 3:1 (median:ulnar - 20% of individuals) also e ...
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Allen's Test
In medicine, Allen's test or the Allen test is a medical sign used in physical examination of arterial blood flow to the hands. It was named for Edgar Van Nuys Allen, who described the original version of the test in 1942. An altered test, first suggested by Irving S Wright in 1952, has almost universally replaced the original method in contemporary medical practice. The alternative method is often referred to as the modified Allen's test or modified Allen test. Method Original test The original test proposed by Allen is performed as follows: # The patient is asked to clench both fists tightly for 1 minute at the same time. # Pressure is applied over both radial arteries simultaneously so as to occlude them. # The patient then opens the fingers of both hands rapidly, and the examiner compares the colour of both. The initial pallor should be replaced quickly by rubor. # The test may be repeated, this time occluding the ulnar arteries. Allen's test looks for abnormal circulation. ...
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Anastomosis
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal (such as the foramen ovale in a fetus's heart) or abnormal (such as the patent foramen ovale in an adult's heart); it may be acquired (such as an arteriovenous fistula) or innate (such as the arteriovenous shunt of a metarteriole); and it may be natural (such as the aforementioned examples) or artificial (such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. Anastomoses that are abnormal, whether congenital or acquired, are often called fistulas. The term is used in medicine, biology, mycology, geology, and geography. Etymology Anastomosis: medical or Modern Latin, from Greek ἀναστόμωσις, anastomosis, "outlet, opening", Gr ana- "up, on, upon", stoma " ...
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Deep Palmar Arch
The deep palmar arch (deep volar arch) is an arterial network found in the palm. It is usually primarily formed from the terminal part of the radial artery. The ulnar artery also contributes through an anastomosis. This is in contrast to the superficial palmar arch, which is formed predominantly by the ulnar artery. Structure The deep palmar arch is usually primarily formed from the radial artery. The ulnar artery also contributes through an anastomosis. The deep palmar arch lies upon the bases of the metacarpal bones and on the interossei of the hand. It is deep to the oblique head of the adductor pollicis muscle, the flexor tendons of the fingers, and the lumbricals of the hand. Alongside of it, but running in the opposite direction—toward the radial side of the hand—is the deep branch of the ulnar nerve. The superficial palmar arch is more distally located than the deep palmar arch. If one were to fully extend the thumb and draw a line from the distal border of t ...
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Hand
A hand is a prehensile, multi-fingered appendage located at the end of the forearm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs. A few other vertebrates such as the koala (which has two opposable thumbs on each "hand" and fingerprints extremely similar to human fingerprints) are often described as having "hands" instead of paws on their front limbs. The raccoon is usually described as having "hands" though opposable thumbs are lacking. Some evolutionary anatomists use the term ''hand'' to refer to the appendage of digits on the forelimb more generally—for example, in the context of whether the three digits of the bird hand involved the same homologous loss of two digits as in the dinosaur hand. The human hand usually has five digits: four fingers plus one thumb; these are often referred to collectively as five fingers, however, whereby the thumb is included as one of the fingers. It has 27 bones, not including the sesamoid bone, the numbe ...
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