Surface marking upper limb

Surface marking upper limb

1. Surface Marking of Superior Extremity Dr.   Mushfiqul Hoque Lecturer  Dhaka National Medical College

2. Arteries Superior Extremity

3. Brachial Artery Corresponds to a line by joining the following Points:  A Point at the junction of anterior one-third and posterior two thirds of the lateral wall of axilla, where the pulsation of the artery is felt. A point at the cubital fossa 1cm below the bend of the elbow just medial to the tendon of biceps brachii.

4. Brachial Artery A Point at the junction of anterior one-third and posterior two thirds of the lateral wall of axilla, where the pulsation of the artery is felt.

5. Brachial Artery A point at the cubital fossa 1cm below the bend of the elbow just medial to the tendon of biceps brachii.

6. Radial Artery Corresponds to a line by joining the following Points:  A point in front of the elbow at the level of the neck of the radius medial to the tendon of the biceps brachii. The second point at the wrist between the anterior border of the radius laterally and the tendon of the flexor carpi radialis medially, where the radial pulse is commonly felt.

7. Radial Artery A point in front of the elbow at the level of the neck of the radius medial to the tendon of the biceps brachii.

8. Radial Artery 2. The second point at the wrist between the anterior border of the radius laterally and the tendon of the flexor carpi radialis medially, where the radial pulse is commonly felt.

9. Ulnar Artery Corresponds to a line by joining the following Points:  A point in front of the elbow at the level of the neck of the radius medial to the tendon of the biceps brachii  A second point at the junction of the upper one-third and lower two-thirds of the medial border of the forearm (lateral to the ulnar nerve) The third point lateral to the pisiform bone

10. Ulnar Artery A point in front of the elbow at the level of the neck of the radius medial to the tendon of the biceps brachii 

11. Ulnar Artery 2. A second point at the junction of the upper one-third and lower two-thirds of the medial border of the forearm (lateral to the ulnar nerve)

12. Ulnar Artery 3. The third point lateral to the pisiform bone

13. Superficial Palmer Arch Corresponds to a line by joining the following Points:  A point just lateral and distal to the pisiform bone The second point medial to the hook of the hamate bone.  The third point on the distal border of the thenar eminence in line with the cleft between the index and middle fingers.

14. Nerves Superior Extremity

15. Musculocutaneous Nerve Corresponds to a line by joining the following Points:  A point lateral to the axillary artery 3 cm above its termination A point lateral to the tendon of the biceps brachii muscle 2 cm above the bend of the elbow. Here it pierces the deep fascia and continues as the lateral cutaneous nerve of the forearm 

16. Median Nerve (In the arm) Mark the brachial artery. The nerve is then marked lateral to the artery in the upper half, and medial to the artery in the lower half of the arm. The nerve crosses the artery anteriorly in the middle of the arm

17. Median Nerve (In the Forearm) Corresponds to a line by joining the following Points:  A point medial to the brachial artery at the bend of the elbow A point in front of the wrist, over the tendon of the palmaris longus or 1cm medial to the tendon of the flexor carpi radialis

18. Radial Nerve (In the arm) Corresponds to a line by joining the following Points:  The first point is at the lateral wall of the axilla at its lower limit The second point is at the junction of the upper one third and lower two-thirds of a line joining the lateral epicondyle with the insertion of the deltoid  The third point is on the front of the elbow just below the level of the lateral epicondyle 1 cm lateral to the tendon of the biceps brachii

19. Radial Nerve (In the arm) The first point is at the lateral wall of the axilla at its lower limit The second point is at the junction of the upper one third and lower two-thirds of a line joining the lateral epicondyle with the insertion of the deltoid 

20. Radial Nerve (In the arm) The first point is at the lateral wall of the axilla at its lower limit The second point is at the junction of the upper one third and lower two-thirds of a line joining the lateral epicondyle with the insertion of the deltoid 

21. Radial Nerve (In the arm) 3. The third point is on the front of the elbow just below the level of the lateral epicondyle 1 cm lateral to the tendon of the biceps brachii

22. Radial Nerve (In the forearm) Corresponds to a line by joining the following Points:  A point 1 cm lateral to the biceps tendon just below the level of the lateral epicondyle The second point at the junction of the upper two-thirds and lower one-third of the lateral border of the forearm just lateral to the radial artery   The third point at the anatomical snuff box. 

23. Radial Nerve (In the forearm) A point 1 cm lateral to the biceps tendon just below the level of the lateral epicondyle The second point at the junction of the upper two-thirds and lower one-third of the lateral border of the forearm just lateral to the radial artery   The third point at the anatomical snuff box. 

24. Ulnar Nerve (In the arm) Corresponds to a line by joining the following Points:  A point on the lateral wall of the axilla at its lower limit (lower border of the teres major muscle)  The second point at the middle of the medial border of the arm  The third point behind the base of the medial epicondyle of the humerus .  

25. Ulnar Nerve (In the forearm) Corresponds to a line by joining the following Points:  A point on the back of the base of the medial epicondyle of the humerus The second point lateral to the pisiform bone.

26. Flexor Retinaculum Superior Extremity

27. Flexor Retinaculum Flexor retinaculum is marked by joining the following four points Pisiform bone Tubercle of the scaphoid bone Hook of the hamate bone Crest of the trapezium.