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UPPER LIMB
ANATOMY
CONTENTS
UPPER LIMB .................................................................................................................................................................. 6
MUSCLES OF UPPER LIMB ......................................................................................................................................... 6
NERVES OF UPPER LIMB............................................................................................................................................ 7
ARTERIES OF UPPER LIMB ......................................................................................................................................... 8
VEINS OF UPPER LIMB ............................................................................................................................................... 9
LIGAMENTS OF UPPER LIMB ..................................................................................................................................... 9
FASCIA OF UPPER LIMB ............................................................................................................................................. 9
JOINTS OF UPPER LIMB ............................................................................................................................................. 9
MOVEMENTS OF UPPER LIMB .................................................................................................................................. 9
ANATOMICAL LANDMARKS OF UPPER LIMB .......................................................................................................... 11
MUSCLES AND THEIR NERVE SUPPLY - SHOULDER ................................................................................................. 12
MUSCLES AND THEIR NERVE SUPPLY - POSTERIOR SCAPULAR REGION ................................................................. 12
MUSCLES AND THEIR NERVE SUPPLY - AXILLA ANTERIOR ................................................................................... 12
MUSCLES AND THEIR NERVE SUPPLY - AXILLA MEDIAL ........................................................................................ 13
MUSCLES AND THEIR NERVE SUPPLY - AXILLA-LATERAL & POSTERIOR .................................................................. 13
MUSCLES AND THEIR NERVE SUPPLY - ANTERIOR COMPARTMENT OF ARM ......................................................... 13
MUSCLES AND THEIR NERVE SUPPLY - ANTERIOR COMPARTMENT OF FOREARM ................................................ 13
MUSCLES AND THEIR NERVE SUPPLY - POSTERIOR COMPARTMENT OF FOREARM .............................................. 13
MUSCLES AND THEIR NERVE SUPPLY - MUSCLES OF HAND ................................................................................... 14
MUSCLES AND THEIR NERVE SUPPLY - THENAR MUSCLES ..................................................................................... 14
MUSCLES AND THEIR NERVE SUPPLY - HYPOTHENAR MUSCLES ............................................................................ 14
LOWER LIMB ............................................................................................................................................................... 14
MUSCLES OF LOWER LIMB ...................................................................................................................................... 14
NERVES OF LOWER LIMB ........................................................................................................................................ 15
ARTERIES OF LOWER LIMB ...................................................................................................................................... 17
LYMPHATICS OF LOWER LIMB ................................................................................................................................ 17
LIGAMENTS OF LOWER LIMB .................................................................................................................................. 17
FASCIA OF LOWER LIMB .......................................................................................................................................... 18
JOINTS OF LOWER LIMB .......................................................................................................................................... 18
MOVEMENTS OF LOWER LIMB ............................................................................................................................... 18
ANATOMICAL LANDMARKS OF LOWER LIMB ......................................................................................................... 19
MUSCLES AND THEIR NERVE SUPPLY - GLUTEAL REGION ...................................................................................... 20
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UPPER LIMB
ANATOMY
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UPPER LIMB
ANATOMY
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UPPER LIMB
ANATOMY
FORAMINA .............................................................................................................................................................. 46
RIB NOTCHING ........................................................................................................................................................ 48
HISTOLOGY .................................................................................................................................................................. 48
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UPPER LIMB
ANATOMY
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UPPER LIMB
ANATOMY
UPPER LIMB
MUSCLES OF UPPER LIMB
Muscles attached to greater tubercle of humerus
Muscles attached to coracoid process
Rotator cuff
Downward dislocation of glenohumeral joint while
carrying heavy suitcase prevented by
Downward dislocation of glenohumeral joint while
carrying heavy suitcase NOT prevented by
Lattisimus dorsi
Levator scapulae is attached to
Pectoralis major
Finger by which all muscles in hand can be tested
Tendon frequently absent in hand
First extensor compartment of wrist has
Subcutaneous muscle
Dual blood supply
Composite muscle
Composite muscle
NOT a composite muscle
Digastrics muscles
NOT a digastrics muscles
Muscle commonly affected by congenital absence
Isolated function of flexor digitorum
superficialis is best assessed by
Flexion of DIP with fixing of PIP tests action of
MC absent congenital muscle
Serratus anterior muscle
Subclavian vein and subclavian artery separated by
Scalenus anticus muscle
Short head of Biceps is attached to
Biceps brachii is attached to
Responsible for pronator syndrome
NOT responsible for pronator syndrome
Pronator quadrates has same innervations of
Trapezius is NOT attached to
Third head of Coracobrachialis is denoted as
Forgotten muscle
Muscle of back functionally related to thorax
Winging of scapula due to paralysis of
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UPPER LIMB
ANATOMY
Trapezius palsy also cause
Abductor pollicis longus
Winging of scapula
Splits in to two parts, one part is attached
to base of first metacarpal, second part is
attached to trapezium
Musculocutaneous nerve and radial nerve
C5, C6 and C7 (radial nerve)
Dorsal interossei, 3rd and 4th lumbricals
Flexor pollicis longus tendon
Accessory head of flexor pollicis longus
Brachialis is supplied by
Brachioradialis is supplied by
Bipennate muscles
Hammer thumb is due to
Gantzers muscle
Supracondylar syndrome
Pronator teres syndrome is associated
with
Martin gruber connections are
Tip of shoulder is supplied by
Supraclavicular branches of brachial plexus
Palmaris brevis
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UPPER LIMB
ANATOMY
T1 Dermatome
Root value of long thoracic nerve
Dermatome of index finger and thumb
Root value of Thoracodorsal Nerve
Over lateral deltoid
Thumb and index finger
Middle finger
Little finger of hand corresponds to
Axilla and medial arm
Ulnar collateral Nerve is a branch of
Dorsal scapular nerve supplies
Nerve to Serratus anterior
Pseudoganglion of axillary nerve is
situated in
Baxter nerve
Maximum crossing and sensory
innervations in hand
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UPPER LIMB
ANATOMY
Troebe arcade is between
Deep palmar arch
Superior and inferior ulnar collateral
arteries are branches of
Anastomosis around elbow joint
Blood supply to thumb
Deltopectoral triangle
Coracoclavicular ligament
Coracoacromial ligament
Ulnar nerve
Radioscapholunate ligament
Pisiform (flexor carpi ulnaris)
Prevertebral fascia
Prevertebral fascia
Osbome fascia
Radioulnar joint
Carpometacarpal joint
Dorsal
Rotator cuff
Distal radioulnar joint
2:1
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UPPER LIMB
ANATOMY
Compressed during flexion and abduction of shoulder
joint
NOT compressed during flexion and abduction of
shoulder joint
Teres major helps in
Clavicular portion of deltoid helps in
Action of deltoid and supraspinatus
0 15* abduction by
15 90* abduction by
More than 90* abduction by
NOT involved in shoulder abduction
Rupture of supraspinatus manifests as
NOT involved in retraction of shoulder
Movements during abduction of shoulder
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UPPER LIMB
ANATOMY
Serratus
T7
Ascending branch of anterior circumflex artery, Synovial
membrane of shoulder joint
Circumflex scapular artery, subscapular
vessels
Radial nerve, profunda brachii vessels
Axillary nerve, posterior circumflex
humeral vessels
Compression of axillary nerve in
quadrangular space
Muscular arch extending from lattissimus
dorsi to pectoralis major
Scapula , Trapezius, Lattisimus dorsi
Serratus anterior
Deep pectoral fascia and breast
Lateral pectoral nerve, Cephalic vein, Thoracoacromial
artery
Costocoracoid Ligament
Hexagonal
Brachioradialis
Brachialis and supinator
Brachial artery, Ulnar artery, Median nerve, Tendon of
biceps brachii
Brachioradialis
Thenar space
Forearm
Flexor pollicis longus
Around tendon of flexor digitorum
superficialis and flexor digitorum
profundus
Radial artery
Radial artery, Superficial Cutaneous branch of radial
nerve, Abductor pollicis longus and extensor pollicis
brevis form anterior wall
Abductor pollicis longus and external pollicis brevis
form anterior wall
Extensor carpii radialis brevis
Flexor retinaculum
Ulnar nerve
Median nerve, Flexor digitorum superficialis, Flexor
digitorum profundus
Centre of radial head to distal ulnar
articular disc
Median nerve
Median nerve, Flexor pollicis longus, Flexor digitorum
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UPPER LIMB
ANATOMY
superficialis
Flexor carpi radialis, Palmaris longus
Flexor carpi radialis
Convey ulnar nerve, Lies at wrist
Addisons disease
Floor approach
Long head of biceps
Supraspinatus, Infraspinatus, Teres minor
Pisohamate ligament
Suprascapular nerve
Space lying medial to a fibrous septum
attaching palmar aponeurosis to 3rd
metacarpal bone
Base of expansion over head of
metacarpal, apex is attached to distal
phalanx
Digital facial complex
Each finger has 2 vincula brevia and 3
vincula longa (filiform)
Suprascapular Nerve
Lower Subscapular Nerve
Axillary Nerve
Radial Nerve
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UPPER LIMB
ANATOMY
Musculocutaneous Nerve
Ulnar Nerve
Median Nerve
Median Nerve
Medial half Ulnar Nerve
Lateral Half Anterior Interosseous
Nerve
Anterior Interosseous Nerve
Radial Nerve
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LOWER LIMB
ANATOMY
Extensor digiti minimi
Extensor carpi ulnaris
Extensor Indicis
Extensor Pollicis Longus
Extensor Pollicis brevis
Abductor pollics Longus
Supinator
Ulnar Nerve
Median Nerve
Ulnar Nerve
LOWER LIMB
MUSCLES OF LOWER LIMB
Key muscle of gluteal region
Lurching gait is due to paralysis of
Trendelenberg sign is positive in paralysis of
Hamstrings
Attached to ischial tuberosity
Adductor component of thigh in upper
Piriformis
Gluteus medius
Tensor fascia lata, Gluteus medius, Gluteus minimus
Long head of biceps femoris, Semitendinosus,
Semimembranosus
Biceps femoris
Coracobrachialis
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LOWER LIMB
ANATOMY
limb is represented by
Triceps coxa
Spare part
Piriformis syndrome is associated with
Anterior division of pectineus is supplied
by
Posterior division of pectineus is supplied
by
Violent inversion of foot will lead to avulsion of tendon
th
of which of the muscle attached to tuberosity of 5
metatarsal
Stance phase muscles
Muscles acting both at knee and ankle joint
Muscle flexing knee and also plantar
flexion
Blood supply of gastrocnemius
Nerve supply of gastrocnemius
NOT a muscle of anterior compartment of leg
Muscles of anterior compartment of leg
Stimulation of skin overlying Sartorius muscle at lower
part of Hunters canal would lead to stimulation of
Intraarticular tendon
Biceps femoris is inserted into
Muscle pathology associated with too
many toes sign
Masters knot of Henry
Claw to deformity
Muscle passing on the groove on lower
surface of talus (Sustentaculum tali)
Hallux saltans
Powerful push off muscle
Beef to calf
Muscle passing through groove on cuboid
Medial longitudinal arch provides
Lateral longitudinal arch provides
Keystone to lateral longitudinal arch
Jack great toe test for
Quadriceps, Gastrocnemius
Gastrocnemius, Soleus
Gastrocnemius
Sural artery
Tibial nerve
Peroneus brevis
Peroneus tertius, Extensor hallucis longus, Tibialis
anterior
Iliopsoas muscle
Popliteus
Head of Fibula
Tibialis posterior
Crossing of flexor digitorum longus and
flexor hallucis longus tendon on medial
side of foot
Due to scarring of quadrates plantar
Flexor hallucis longus
Thickening of flexor hallucis longus
Flexor hallucis longus
Flexor hallucis longus
Peroneus longus
Resiliency
Rigidity
Cuboid
Arch of foot
L2, L3
Compression of sciatic nerve
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LOWER LIMB
ANATOMY
Gluteus medius is supplied by
Superior gluteal nerve does NOT supply
NOT supplied by Superior Gluteal Nerve
Superior gluteal nerve supplies
Tensor fascia Lata is supplied by
Skin over femoral triangle is supplied by
S1 root irritation will result in pain along
Pain felt between great toe and second toe is due to
involvement of
Two branches of obturator nerve are
supplied by
Muscles supplied by obturator nerve
Nerve associated with adduction of thigh at hip
Lateral rotators of thigh are supplied by
Defective adduction of hip joint and pain in hip and
knee joint. Nerve involved
Posterior division of obturator nerve
innervates
Posterior division of obturator nerve
innervates
Nerve to obturator internus supplies
Supplied by Obturator Nerve
Thickest nerve of the body
Anterior relations of Sciatic nerve in Gluteal region
Does NOT supply gluteal region
Branch of sacral plexus
Root value for Lumbar Plexus
Largest branch of lumbar plexus
Nerve in the groove between iliacus and
psoas major
Pectineus is supplied by
Largest branch of Lumbar plexus
Posterior cutaneous nerve of thigh supplies skin over
Lateral cutaneous nerve
Lateral femoral cutaneous nerve (lateral
cutaneous nerve of thigh)
Referred pain from following sites felt on inner side of
thigh
Great saphenous vein associated with
Sensory supply of medial border of foot
Longest cutaneous branch of Femoral nerve
Skin overlying region where a venous cut down is made
to access greater saphenous vein is supplied by
Altered sensation over area of greater saphenous vein
in leg is seen due to an injury to
Tibial nerve
Nervus hesitans
Medial plantar nerve supplies
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LOWER LIMB
ANATOMY
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LOWER LIMB
ANATOMY
Prevents hyperextension of hip and thigh
Bigelow ligament at
Cruciate ligaments are supplied by
Anterior cruciate ligament prevents
Posterior cruciate ligament prevents
Ligament of Humphry
Ligament of Wrisbery
Expansion of Semimembranosus tendon
NOT contributing to stability of ankle joint
Posterior dislocation of tibia prevented by
Coronary ligament is present between
Anterior cruciate Ligament attaches to
Abduction of leg at knee prevented by
Lisfranc ligament
Medial deltoid ligament arise from
Iliofemoral ligament
Hip joint
Middle geniculate branch of popliteal
artery
Anterior dislocation of tibia
Posterior dislocation of tibia
Anterior meniscofemoral ligament
Posterior meniscofemoral ligament
Oblique Popliteal ligament
Calcaneonavicular or spring ligament
Posterior cruciate ligament
Meniscus and tibial cartilage
Medial part of anterior intercondylar area
Medial or tibial collateral ligament
Interosseous cuneometatarsal ligament
Medial malleolus
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LOWER LIMB
ANATOMY
Abductors of thigh
NOT an abductor of thigh
Nerve associated with extension of hip
Lateral rotator of thigh
Piriformis
NOT a lateral rotator of thigh
Contraction of tensor fascia lata
Main action of gemelli
Chief extensor of knee joint in hip flexion
Extension of knee joint by
Flexion of knee by
Nerve associated with inability to stand
at tip toe
Knee movements
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LOWER LIMB
ANATOMY
genitofemoral triangle
Femoral vein
Lymphatics
Lymph node
Iliopsoas, pectineus, adductor longus
Femoral vein, Inguinal ligament, Lacunar ligament
Femoral artery, Femoral Nerve
Fascia transversalis
Fascia iliaca
Femoral Nerve
Both heads of gastrocnemius, Adductor magnus, Biceps
femoris, Semitendinosus
Oblique popliteal ligament
Tibialis anterior, extensor hallucis longus,
anterior tibial artery, deep peroneal
nerve, extensor digitorum longus,
peroneus tertius
Posterior tibial artery, Tibialis posterior
Tibilais posterior
Talus
Flexor hallucis longus
Tendons medial to lateral, anterior to posterior, tibialis
posterior, flexor digitorum longus, flexor hallucis longus
Tibialis posterior
Popliteal artery
Nerve to vastus lateralis
First layer of sole
Ossification centre at the upper end fuses by 20 years,
gives attachment to menisceal cartilage on
intercondylar ridge, gives attachment to
semimembranous
Patella do NOT articulate with tibia or fibula
L5,S1,S2
Nerve to Obturator internus
Nerve to Quadratus femoris
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LOWER LIMB
ANATOMY
Femoral Nerve
Femoral Nerve
Adductor Part Obturator Nerve
Hamstring Part Sciatic Nerve
Obturator Nerve
Sciatic Nerve
Tibial Nerve
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LOWER LIMB
ANATOMY
Peroneus brevis
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THORAX
ANATOMY
Palmar Interossei
THORAX
DIAPHRAGM
Diaphragm develops from
MUSCLES OF THORAX
Serratus anterior
NERVES OF THORAX
nd
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THORAX
ANATOMY
SYMPATHETIC CHAIN
Thoracic sympathetic chain
Sympathetic trunk lies
Sympathetic trunk enters abdominal cavity through
Ansa subclavia
Greater splanchnic nerve
Lesser splanchnic nerve
Least splanchnic nerve
nd
th
ARTERIES OF THORAX
Arterial supply of lattisimus dorsi
Posterior marking on barium column in barium swallow
study is caused by
Structure related to lower part of manubrium sterni
Musculophrenic artery give rise to
Anterior and posterior intercostal arteries
pass between
Branches of thoracoacromial trunk
Artery maintaining blood flow in ligation
of thoracoacromial trunk
Subscapular artery
Aberrant right subclavian artery
Arch of Aorta
Anterior intercostal arteries for
intercostal spaces 7 to 9
Internal and innermost intercostalis
muscle
Pectoral, deltoid, acromial, clavicular
Superior thoracic artery
VEINS OF THORAX
Internal thoracic veins are tributaries of
Azygous vein
Azygous vein
Hemiazygous vein
Brachiocephalic vein
Brachiocephalic veins
In posterior mediastinum, paravertebral,
does not accompany corresponding
arteries
Posterior to esophagus
Often connected with left renal vein
Formed behind sternoclavicular joint, Left vein is longer,
Right vein is vertical, Superior intercostals is tributary of
left vein
st
Right vein unite at left 1 costal cartilage
LYMPHATICS OF THORAX
Delphic nodes
Thoracic duct is also called
Thoracic duct starts at
Pretracheal nodes
Pecquet duct
Continuation of cisterna chyli, Passes through aortic
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THORAX
ANATOMY
Thoracic duct
Thoracic duct does NOT receive tributary from
Thoracic duct receive tributary from
Thoracic duct terminates into
Thoracic duct drains
opening
Arches 3-4 cm above left clavicle at C7
Right bronchomediastinal lymphatic trunk
Bilateral ascending lumbar trunk, Left upper intercostals
duct, Bilateral descending thoracic trunk
Left brachiocephalic vein at the junction of internal
jugular vein and subclavian vein
Whole body except right head and neck,
right hemi thorax, right lung, right heart,
right upper limb, right hemidiaphragm,
right lobe of liver. These structures drain
in to right lymphatic duct
Chylothorax, Lymphopenia, Dehydration, Electrolyte
imbalance
T5
FASCIA OF THORAX
Prevertebral fascia is NOT anterior to
Thoracolumbar fascia
Sympathetic chain
Attached to spinous process and transverse process of
lumbar vertebra, gives attachment to transverse
abdominal and internal oblique
JOINTS OF THORAX
Articular part of rib articulates with
MOVEMENTS OF THORAX
Flexor of trunk
Rectus abdominis
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THORAX
ANATOMY
Aortic opening
Aortic hiatus contain
Structure passing through Aortic opening
Structures passing along with aorta in diaphragmatic
opening
Greater and lesser splanchnic nerve pass
through
Foramen of morgagni
Foramen of morgagni is in
Structure found in cross section of thorax at T4
NOT seen at T4
Pass through posterior to diaphragm
NOT passing posterior to diaphragm
NOT a structure that pass from thorax to abdomen
behind the diaphragm
Exposure of left subclavian artery by supraclavicular
approach does NOT require cutting
Attachment of first rib
NOT an attachment to first rib
Junction of left and right brachiocephalic
veins to form superior vena cava
Trachea bifurcates at
Level of sternal angle
Level of nipple
Level of xiphisternum
Level of inferior angle of scapula
Level of umbilicus
Osseoaponeurotic opening
Azygous vein and thoracic duct
Thoracic duct, Azygous vein
Thoracic duct, Azygous vein
Medial arcurate ligament of diaphragm
Diaphragmatic opening, Superior epigastric vessels pass
through it
Diaphragm
Arch of aorta, Thymus, Thoracic duct
Azygous vein
Aorta, Azygous vein, Thoracic duct
Greater splanchnic nerve
Greater splanchnic nerve
Scalenus medius
Scalenus anterior, Scalenus medius, suprapleural
membrane
Scalenus posterior
T4
T4,T5
T4,T5
T4
T6
T7
T10
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ANATOMY
Xiphod process
Rectus muscle hematoma
Bulbospongiosus, Ischiocavernous
Bulbospongiosus
Bulbospongiosus, Superfical transverse perinei, Deep
transverse perinei
Ischiocavernous
Triangular ligament
Deep transverse perinei, perineal membrane, sphincter
urethra, left and right transverse perinei profundus
Colles fascia, Transverse perinea superficialis
Colles fascia
Transverse perineii muscle
Obturator internus
L4
Genital branch of genitofermoral nerve
Pudendal nerve, Sacral plexus, Nervi erigentes
(S2,S3,S4)
Parasympathetic
Nerve of Erigentes
Nerve to Quadratus and Gemelli Inferior
Hypogastric plexus
Anterior aspect of aortic bifurcation and fifth lumbar
vertebra
Main nerve of perineum, Chief sensory nerve of
external genitalia, Sensory and motor, S2,S3,S4, Comes
out through greater sciatic foramen
S2,S3,S4
Sensory and motor, S2,S3,S4, comes out through lesser
sciatic foramen
Sacral plexus greater sciatic foramen lesser sciatic
foramen pudendal canal
Ventral rami of S2,S3,S4, Pelvic splanchnic nerve
Aorticorenal ganglia is a part of celiac plexus, Greater
and lesser splanchnic nerve is sympathetic, Posterior
vagal is parasympathetic, Abdominal aortic plexus is
intermesentric in location
Appendix
Anterior rami of S2,S3,S4
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ANATOMY
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28
ANATOMY
Right gastroepiploic artery is a branch of
Left gastroepiploic artery is a branch of
Branches of gastroduodenal artery
Groove for gastroduodenal artery
Arch of Buhler
Branches of splenic artery
Splenic artery
Splenic artery
Posterior gastric artery is a branch of
Arteria cauda pancreatica
NOT true about splenic artery
NOT a branch of splenic artery
Normal obturator artery is a branch of
Abnormal obturator artery is a branch of
Branches of superior mesenteric artery
Gastroduodenal artery
Splenic artery
Right gastroepiploic artery, superior
pancreaticoduodenal artery
Junction of head and neck of pancreas
Connecting gastroduodenal artery with
superior mesenteric artery
Left gastroepiploic artery, short gastric
artery, pancreatic artery, splenic hilar
branches
Short gastric artery, hilar branches, arteria pancreatica
magna
Tortuous course, Branch of celiac trunk, Supplies
greater curvature of stomach
Splenic artery
Branch of splenic artery
Has branches freely anastomose within spleen
Right gastroepiploic artery
Internal iliac artery
Inferior epigastric artery
Inferior pancreaticoduodenal artery,
middle colic artery, right colic artery,
ileocolic artery
Left colic artery
Superior Mesentric artery
Superior and inferior branch, anterior
cecal artery, posterior cecal artery, jejuna
and ileal artery
Left colic artery, sigmoid artery, superior
rectal artery
Inferior mesenteric artery
Inferior Mesenteric artery
Right colic flexure
Superior mesenteric artery and superior
mesenteric vein
Splenic flexure
Arch of Riolan
Superior and inferior mesenteric artery
Throughout intestine
Superior vesical artery
Internal iliac
External Iliac artery
Femoral artery
Anterior division of internal iliac artery
5 in number
Umbilical artery
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ANATOMY
Phrenicocolic ligament
Pubovesical Ligament
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30
ANATOMY
Common in females
Internal Pudendal artery
Inferior rectal vein
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31
ANATOMY
th
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32
ANATOMY
Temporalis
Rectus capitis posterior minor
Superior constrictor
Superior constrictor
Lateral pterygoid
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ANATOMY
Ventral rami of C1 supplies
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34
ANATOMY
muscles EXCEPT
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35
ANATOMY
NOT a branch of maxillary artery
Left subclavian artery is a branch of
Branches of subclavian artery
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36
ANATOMY
Ligaments connecting axis with occiput
bypassing atlas
Transverse ligament of atlas is a part of
Ossified posterior longitudinal ligament
Atlantoaxial joint
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ANATOMY
Masticator space
Kraissal line
Vestibule is present in
Boundaries of submental triangle
C3
C4
C6
Transverse process of C6
Two heads of sternocleidomastoid
Ansa cervicalis
Common carotid artery, internal carotid
artery, internal jugular vein, vagus
Ansa cervicalis
Cervical Sympathetic chain
Foramen rotundum
Styloglossus, lingual nerve, submandibular
ganglion, deep part of submandibular
gland, hypoglossal nerve, suprahyoid
branch of lingual artery
Muscles of mastication, mandibular nerve,
buccal pad of fat
Tension free lines in face for incision
Larynx, Nose, Pharynx
Base body of hyoid, apex chin, each
side anterior belly of digastrics, floor
mylohyoid
Submental lymph nodes and vein
Base base of mandible, anteroinferiorly
anterior belly of digastric,
posteroinferiorly posterior belly of
digastric, floor mylohyoid, hyoglossus
Submandibular gland, hypoglossal nerve
Parotid, external carotid artery, internal
carotid artery, internal jugular vein,
vagus, styloglossus, stylopharyngeus
Anteriorly midline of neck,
posterosuperiorly superior belly of
omohyoid, posteroinferiorly
sternocleidomastoid
Infrahyoid muscle
Anterosuperiorly posterior belly of
digastrics, stylohyoid. Anteroinferiorly
superior belly of omohyoid, posterior
sternocleidomastoid
Common carotid artery, external carotid
artery, internal jugular vein, hypoglossal
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ANATOMY
Posterior triangle
GANGLIA
Sympathetic ganglion
Sympathetic ganglion arise from
Otic ganglion
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ANATOMY
Pseudounipolar neuron
Pseudobipolar neuron
Pseudounipolar ganglion
Neurons of dorsal root ganglia
Semilunar ganglion is
Semilunar ganglion
Preganglionic fibres of submandibular ganglion is
formed by
Posterior Ramus of C1
FACIAL NERVE
Trochlear Nerve
Abduscent Nerve
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ANATOMY
Superior Rectus
Inferior Rectus
Medial Rectus
Inferior Oblique
Occulomotor Nerve
Facial Nerve
Nerve to Mylohoid from Inferior Alveolar
branch of Mandibular Nerve
Anterior rami of C1,C2,C3 through Ansa
Cervicalis
Anterior rami of C1 carried along
Hypoglossal Nerve
Nerve to Mylohoid from Inferior Alveolar
branch of Mandibular Nerve
Facial Nerve
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ANATOMY
Accessory Nerve
Posterior Rami of Middle Cervical Nerve
Anterior Rami of C4 to C7
Anterior Rami of C3 to C7
Anterior Rami of C5 to C7
Vagus Nerve
Glossopharyngeal Nerve
Vagus Nerve
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OSTEOLOGY
ANATOMY
Hypoglossal Nerve
Genioglossus
Hyoglossus
Styloglossus
Hypoglossal Nerve
OSTEOLOGY
BASICS IN OSTEOLOGY
Zone of polarizing activity is related to
Osteon
Haversian system is found in
True
Chief mineral of bone
Periosteum is attached to deep bone by
Pneumatic bone
NOT a pneumatic bone
Craniofacial angle
Growth of bone
Present in compact bone, Concentric lamellae is
present, Haversian canal is present
Diaphysis of long bone
Osetoblast give rise to osteocyte
Hydroxyappatite
Sharpeys fibres
Maxillary, ethmoidal
Mandible
130*
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OSTEOLOGY
ANATOMY
Skull consists of
Large interparietal bone
Goeths ossicle
Pterion overlies
22 bones
Inca bone
Large intraparietal ossicle
Anterior branch of middle meningeal
artery and lateral fissure of cerebral
hemisphere
Posterior end of sphenoparietal suture
3-4 months of age
Sylvian
Axis
Inion
EPIPHYSIS
Pressure epiphysis
Traction epiphysis
Atavistic epiphysis
Type of epiphysis in os trigonum
Aberrant epiphysis
Physiological process during growth of epiphyseal plate
NOT occur during growth of epiphyseal plate
Epiphysis of knee, wrist and medial end of
ankle fuse at
METAPHYSIS
Metaphysis
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OSTEOLOGY
ANATOMY
CARTILAGE
Aricular cartilage
Hyaline cartilage
Cell Nests
Articular surface of synovial joints covered by
OSSIFICATION
Number of ossification centres at birth
Kerckring centre of ossification associated with
Bone ossified at birth
Number of ossification centres for hyoid bone
Ossification of ear ossicles
Ossification of lower end of femur
First primary ossification centre to appear in carpal
bone
Distal tibial epiphysis appear at the age of
Ossification centre appears just before birth
Lower end of femur can help to determine
Enchondral ossification
First centers of ossification appears during
First ossification centre
Ossification at second month
Earliest ossification centre for
Ossification centre last to appear
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Bones of skull
Lower end of femur, Calcaneum, Upper tibia
6
th
4 fetal month
th
40 week
Capitate
34 weeks
Lower end of femur
Age
Long bones
At the end of second month of pregnancy
Clavicle
Capitate
Os calcis talus
Inner end of clavicle
TYPES OF JOINTS
Type of joint in growth plate
Type of joint between epiphysis and diaphysis
Joint between epiphysis and diaphysis of long bone
Primary cartilaginous joint
(synchondroses)
First costochondral joint
Secondary cartilaginous joint (symphyses)
Secondary cartilaginous joint
Manubriosternal joint
Primary cartilaginous
Primary cartilaginous
Synchondrosis
Joint between epiphysis and metaphysis,
spheno occipital joint, first chondrosternal
joint, costochondral joint
Synchondroses/syncendrosis
Symphysis pubis, manubrosternal joint,
intervertebral joint
Situated in midline, permanent, binding
cartilage and fibrocartilage
Symphysis
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OSTEOLOGY
ANATOMY
Type of joint between sacrum and coccyx
Sacrococcygeal joint
Ellipsoid joint
Examples of ellipsoid joint
First carpometacarpal joint
Examples of saddle joint
Syndesmosis
Gomphosis
Acromioclavicular joint
Synovial joint
Stability of synovial joint is
Joints between ossicles of ear
Incudomalleolar joint is an example of
Vomer sphenoidal rostrum junction
Temporomandibular joint is
Temporomandibular joint
Radioulnar joint is
Fibrous joint
Sternoclavicular joint
Upper surface of first costal cartilage
involved in sternoclavicular joint
Ankle joint is
Hinge joint
Hinge joint
Subtalar joint / talocalcaneal joint
Symphysis
Secondary cartilaginous
Wrist
Atlanto occipital joint,
metacarpophalyngeal joint, wrist
Saddle
Sternoclavicular, calcaneocuboid
Inferior talofibular
Tooth in its sockets
Plane synovial joint
Stability is inversely proportional to mobility
Inversely proportional to motility
Synovial joint
Saddle
Schindylesis
Condyloid joint
Modified hinge type synovial joint
Pivot joints
Frontoparietal suture
Synovial sellar joint
Diarthroses
Hinge joint
Ankle, elbow, interphalangeal
Elbow
Plane synovial
FORAMINA
Emissary vein is transmitted by
Sternberg canal
Sternberg canal
Foramen rotundum
Structure passing through foramen ovale
Mandibular nerve passes through
Structure passing through foramen spinosum
Middle meningeal artery enters the skull through
Foramen spinosum
Passing through jugular foramen
Anterior part of jugular foramen
Middle part of jugular foramen
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OSTEOLOGY
ANATOMY
Posterior part of jugular foramen
Structure NOT passing through Jugular foramen
NOT passing through jugular foramen
Foramen petrosum/canaliculus
innominatus/foramen of Arnold
Structure passing through internal auditory canal
Vertical crest in fundus of internal auditory canal
Internal acoustic meatus
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HISTOLOGY
ANATOMY
RIB NOTCHING
Ribnotching
HISTOLOGY
Sinuses are seen in
Sinuses are NOT seen in
Auerbach plexus present in
Stratified cuboidal epithelium
Duct NOT lined by stratified cuboidal epithelium
Basal layer of cell in stratified squamous epithelium
Ducts lined with stratified squamous epithelium
Non keratinized stratified squamous
epithelium
Parakeratinization
Similar kind of epithelium
Pseudostratified columnar epithelium
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