Marma's of Upper extremity. m.pptx presentation

It tells about uper limb marma sthanas according to Ayurveda classics

1. Marma’s of upper Extremity -presented by mohan r Guided by Dr. Dipti godbole

2. Kshipra Location: located between thumb and fingers Structures related to kshipra marma : 1. First inter metacarpal space.
2. Tendons of abductor pollicis and deep portion of flexor pollicis brevis
3. Branches of radial artery and deep palmar arch,radialis indicis artery
4. Digital branches of median nerve & first dorsal inter osseous muscle. CLINICAL ANATOMY Pointing finger : Due to injury to median nerve. Causes loss of sensations over lateral 3 and half fingers Ape hand deformity

3. Talahridaya Location: Located in middle of palm Structures related to talahridaya marma :
1. palmar aponeurosis
2. Superficial palmar arch
3. Deep palmar arch& abductor pollicis longus 4. Flexor pollicis brevis & Interosseous muscles
5. Lumbrical Muscles CLINICAL ANATOMY Dupuytren’s contracture Laceration of palmar arterial arches

4. Kurcha Location: Located on both sides and proximal to kshipra Structures related to kurcha marma :
1. Carpo metacarpal and inter metacarpal ligaments
2. Tendons of extensor pollicis longus,extensor indicis and flexor carpi radialis brevis
3. Radial artery and it’s dorsal metacarpal branches
4. Interosseous muscles
5. Carpo metacarpal and inter metacarpal articulations CLINICAL ANATOMY Interosseous atrophy : usually caused by damage to ulnar nerve

5. Kurcha-shiras Location: Located distal and both sides of the manibandha sandhi. Structures related to kurchashiras marma :
1. Ulnar and radial collateral ligaments
2. Intercarpal and transverse carpal ligaments
3. Ulnar artery
4. Median nerve and superficial branches of ulnar nerve
5. Inter carpal articulations CLINICAL ANATOMY Anatomical snuff box.
The tenderness in the anatomical box indicates fracture of scaphoid bone.

6. Manibandha Location: located at junction of forearm and hand Structures related manibandha marma :
1. Wrist ( distal radio ulnar and radio carpal ) joint
2. Radio ulnar,radio carpal and radial and ulnar collateral ligaments CLINICAL ANATOMY Colles fracture: It is fracture at distal end of radius. Aspiration of the wrist joint

7. Indravasti Location: located in middle and anterior and anterior part of forearm. Structures related Indravasti marma :
1. Ulnar artery and median nerve
2. Radial artery with its palmar branches
3. Palmar interosseous branches of ulnar artery
4. Pronator teres 5. Flexor digitorum profundus & Flexor carpi radialis CLINICAL ANATOMY Posterior interosseous nerve syndrome Aberrant ulnar artery.

8. Kurpara Location: located at the elbow joints. Structures related to kurpara marma :
1. Elbow joint
2. Capsular ligament
3. Radial and ulnar collateral and annular ligaments CLINICAL ANATOMY Golfers elbow ( medial epicondylitis) Dislocation of elbow

9. Ani Location: Above and both sides of the kurpara . Structures related to Ani marma :
1. Tendons of biceps brachii 2. Brachial artery
3. Median,ulnar , radial and musculocutaneous nerves
4. Biceps,coraco brachialis and triceps muscles CLINICAL ANATOMY Compression of brachial artery Injury to musculocutaneous nerve

10. Bahwi Location: Located in middle of brachium Structures related to bahwi marma :
1. Brachial artery
2. Brachial vein
3. Median, ulnar and radial nerves
4. Biceps brachii muscle CLINICAL ANATOMY Volkmanns ischaemic contracture

11. Lohitaksha Location: Located above the Bahwi Structures related to Lohitaksha marma :
1. Axillary vein
2. Brachial artery and it’s venae commitants 3. Median and ulnar nerves
4. Pectoralis major and minor muscles CLINICAL ANATOMY Spontaneous thrombosis of axillary vein

12. Kakshadhara Location: Located between thorax and axilla Structures related to kakshadhara marma :
1. Brachial plexus ( lateral,medial and posterior cords)
2.Pectoralis minor muscle
3. Median and ulnar nerves CLINICAL ANATOMY Brachial plexus Erb’s paralysis. Klumpke’s paralysis

13. Thank you