Материал: Kaplan USMLE-1 (2013) - Anatomy

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RADIOLOGY

Glenoid Clavicle Coracoid fossa

Surgical neck of humerus (axillary nerve and posterior circumflex humeral artery)

Mid-shaft of humerus­ radial groove (radial nerve and profunda brachii artery)

Figure 111-4-6. Upper Extremities: Anteroposterior

View of Shoulder (External Rotation)

Location of median nerve

Lateral epicondyle (location of radial nerve)

Coronoid process of ulna

Ulna

From the IMC, DxR Development

Group, Inc. All rights reserved.

Figure 111-4-7. Upper Extremities: Anteroposterior View of Elbow

Chapter If • Upper Limb

Clinical Correlate

Humeral Surgical Neck Fracture

The axillary nerve accompanies the posterior humeral circumflex artery as it passes around the surgical neck of the humerus.

A fracture in this area could lacerate both the artery and nerve.

Mid-Shaft (Radial Groove) Humeral

Fracture

The radial nerve accompanies the profunda brachii artery.

Both could be damaged as a result of a mid-shaft humeral fracture.

What deficits would result from laceration of the radial nerve?

MEDICAL 297

Lower Limb 5

LUMBOSACRAL PLEXUS

The lumbosacral plexus provides the motor and sensory innervation to the lower limb and is formed by ventral rami of the L2 through S3 spinal nerves.

• The major nerves of the plexus are the:

-

Femoral nerve

 

posteriordivisions of L2 through L4

-

 

v

 

 

t

ant rior divisions of L2 through L4

Obturator

 

-

 

 

 

nerve

 

 

 

Tibialner e

an-erioredivisions of L4 through S3

 

Common

fibular nerve-posterior divisions of L4 through S2

 

 

 

-

 

 

 

-

Superior gluteal nerve posterior divisions of L4 through S 1

Inferiorgluteal nerve -posterior divisions of LS through S2

 

 

 

 

 

 

 

-

• The tibial nerve and common fibular nerve travel together through the gluteal region and thigh in a common connective tissue sheath and together are called the sciatic nerve.

• The common fibular nerve divides in the proximal leg into the superfi­ cial and deep fibularnerves.

Sciatic nerve

Figure 111-5-1 . Lumbosacral Plexus

MEDICAL 301

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