VASCULARISASI EXTREMITAS review
Transcript of VASCULARISASI EXTREMITAS review
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VASCULARISASIEXTREMITAS
Dr. MUH.IQBAL BASRI
DEPARTMENT OF ANATOMY
HASANUDDIN UNIVERSITY
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Vascularisasiextremitas superior
Sistema arteriosumSistema venosum
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Sistema arteriosum
a.subclavia
a.axillaris
a.brachialis
a. radialis
a.ulnaris
Arcus volaris superf.
Arcus volaris prof.
Rete carpi dorsalis
Dari arteri pokok tsb,keluar cabang-cabang
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Sistem collaterale(anastomose)
Scapula ( rete scapularis,reteacromialis)
Articulatio humeri Art.cubiti (rete cubiti)
Art.radiocarpalis (rete carpi volare &
rete carpi dorsale)
Manus ( arcus volaris superficialis,arcus volaris profundus & rete
dorsalis manus)
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a.ulnaris
a.Interosseaanterior
a.Interosseacommunis
a.Recurrensulnaris
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VENA SUPERFICIALIS
• V.CEPHALICA
• V.BASILICA
V.MEDIANA CUBITI
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SUPERFICIALIS
• Terletak subcutan
• Terbentuk anastomose antara vena
superficial satu sama lain• Vena superficialis utama:
1. V.BASILICA
2. V.CEPHALICA
3. V.MEDIANA CUBITI
hubungan v.basilica dgnv.cephalica pada fossa
cubiti
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PROFUNDA
• Terletak di profunda, diantara otot-otot
•
Mengikuti arteri• Biasanya 1 (satu) pasang
• Vena profunda utama
v.Radialis
v.Ulnaris
v.Brachialis
v.Axillaris
v.subclavia
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Vascularisasiextremitas inferior
Sistema arteriosumSistema venosum
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Asal vascularisasi extremitasinferior
A. iliaca interna (=a.hypogastrica) cabang a. iliaca
communis
A. iliaca externa
cabang a. iliaca communis
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A. ILIACA INTERNA
a.glutea superiora. glutea inferior
a. obturatoria
Dari arteri pokok tsb, keluar cabang-cabang
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A. ILIACA EXTERNA
a. femoralis
a.poplitea
a.tibialis anterior a.tibialis posterior
a.epigastrica inferior
a.circumflexa ilium profunda
a.peronea
Cabang-cabang pada pedis
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A.FEMORALIS
Lanjutan a.iliaca externa
Dari tepi bawah lig.inguinale (pdfossa iliopectinea) ke canalisadductorius, ke fossa popliteasebagai A.POPLITEA
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Anastomose lainnya pd regioglutea & regio femoris
A.gluteasuperior
(r.profundus)
A.glutea
superior(r.profundus)
A.glutea
A.circumflexailium profundus
A.circumflexafemoris lateralis
(r.ascendens)
A.glutea inferior
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A.circ.femorismed.(r.superf.&prof .ascendens)
A.circ.ilium prof.
A.circ.ilium prof.
A.circ.fem.med.(r.superf)
aa.perforantes I-III(I-II,II-III)
a.obturatoria
(r.ant)
A.glutea inferior
A.glutea inferior
A.circ.fem.lat.
(r.asc)
A.perforans I
A.circ.fem.med
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A.POPLITEA
Terletak dlm fossa poplitea
Mulai keluar canalis adductorius –
tepi cranial m.soleus kemudianbercabang:
a.Tibialis anterior
a.Tibialis posterior
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A.TIBIALIS ANTERIOR
Cabang lateral a.poplitea Ke ventral, tepi cranial membrana
interossea cruris (pd regio cruris lat.)
Ke distal antara m.tibialis ant. &m.ext.hallucis longus
Sd di profunda lig.transv.cruris &lig.cruciatum cruris
Sampai pd dorsum pedis mjdA.DORSALIS PEDIS
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A.TIBIALIS POSTERIOR
Cabang medial a.poplitea
Pada regio cruris post.
Ke distal,profunda lamina prof.fasciacruris antar m.fl.digit.longus &m.fl.hall.longus
Diantara malleolus medialis &calcaneus, sampai ke pedis
Ditutupi lig.laciniatum
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A.PERONEA Cabang ke lateral a.tibialis posterior
Diantara m.tibialis posterior dgnm.fl.hall.longus
cabang :
rr.Musculares
a.Nutricia fibulae
r.Perforans
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A.DORSALIS PEDIS
Terletak pd dorsum pedis
Lanjutan a.tibialis anterior (mulai
tepi ligamentum cruciatum cruris) Jalan pada spatium
intermetatarsalia I
Rete dorsale pedis,dibtk a.arcuata &a.tarsea lateralis
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A.PLANTARIS LATERALIS
Terletak pd lateral – basismetatarsalis V
Di superficial m.qudratus plantae Di profunda m.fl.digit.brevis
Pada basis metatarsalis V belok ke
medial,anastomose dgn ramusprofundus a.dorsalis pedis membtkARCUS PLANTARIS
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Cabang a.plantaris lateralis
3 aa.metatarsales plantares II-IV
A.metatarsalis plantaris I
Rami perforantes
2 aa.digitales plantares
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SISTEMA VENOSUMEXTREMITAS INFERIOR
Superficialisprofundus
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SUPERFICIALIS
Terletak subcutan
Terbtk banyak anastomose antara
vena superficialis satu sama lainnya Vena superficialis utama:
V.SAPHENA MAGNA
V.SAPHENA PARVA
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V.SAPHENA MAGNA Mulai dari dorsum manus, anterior
malleolus medialis
Lanjutan dari v.marginalis medialis
(dorsum pedis) Vertikal ke cranial (pd cruris) di medial
tibiae, bersama N.SAPHENUS
Sampai sedikit post.cond.med.tibiae &femoris
Kesisi med.regio fem. Sd. trig.femorale
Masuk fossa iliopectinea
Bermuara pd V.FEMORALIS
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V.SAPHENA PARVA
Mulai dr dorsum pedis,lat-post. Malleoluslat.
Lanjutan v.marginalis lat.(dorsum pedis)
Di dorsal cruris Ke dorso-lat malleolus lat.,lat.tendo
achilles, vertikal diantara kedua caputm.gastrocnemius
(1/3 cranial jln sama n.suralis)
(2/3 caudal jln sama n.cut.suraemed.)
Sampai pd fossa poplitea,bermuara pd
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PROFUNDA Terletak diprofunda, diantara otot-otot Mengikuti arteri
Biasanya 1 pasang
Vena profunda utama:V.TIBIALIS ANTERIOR
V.TIBIALIS POSTERIOR
V.PERONEAV.POPLITEA
V.FEMORALIS
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Arterial Supply of Lower Extremity
Internal iliac
Superior and inferiorgluteals - gluteals
Internal pudendal-perineum, ext.genitalia
Obturator- adductors
External iliac
Femoral
• Deep femoral
adductors,hamstrings, quads
Popliteal
• Anterior tibial
• Posterior tibial
• Fibular
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Venous Drainage Superficial
Great saphenous• Femoral
Small saphenous
• Popliteal
Deep Anterior and posterior
tibials form popliteal v.which becomes
femoral v. thenexternal iliac v..
Internal and externaliliacs form commoniliac
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Surface Anatomy Gluteal Region
Posterior superior iliac spine
• dimple
• Sacroiliac joint
Prominences of buttocks
• Gluteus maximus andsubcutaneous fat
Midline groove – natal orgluteal cleft
Horizontal fold - gluteal fold
Ischial tuberosities- medialside of gluteal fold
Greater trochanter- lateralhip- hand’s breath inferior to
iliac crest.