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Superior extremity
Bones of upper limb
Bones of upper limb
• Clavicle
• Scapula
• Humerous
• Radius
• Ulna
• Skeleton of hand
Clavicle
Morphological types of bone
• Modify long bone
• – only long bone of body which lies in
horizontally
Anatomical point
• Sternal end is enlarged & directed medially
• Medial 2/3 of shaft of clavicle convex and
forward
• Groove for subclavius lies inferiorly
External features of clavicle
• Two end – large sternal end and flat acromial
end
• Shaft –
• medial 2/3 convex anteriorly, it has four
surface – ant , pos, supe, infe
• Lateral 1/3concave anteriorly, it has two
surface superior and inferior
Attachment of clavicle
Muscles
• Trapezius: spinal part of accessory nerve
• Sternocleidomastoid : spinal part of accessory nerve
• Deltoid : axillary nerve(arise from pos cord of br.pl)
• pectoralis major (medial and lateral pectoral nerve)
• Subclavius
• Sternohyoid
Ligament :
• coracoclavicular ligament
Peculiarities of clavicle
• It has no medullary cavity
• It is ossify in membrane
• It is pierce by supreclavicular nerve
• It is the first bone of body to start ossification
Ossification of clavicle
• Two membranous ossification at shaft
• One 2nd ossification center at sternal end
Name of
bone
Primary ossification center Secondary ossification center
Clavicle Two One for sternal end
Humerus One for shaft Three for upper end – head , greater & lesser
tubercle
Four for lower end – lateral & medial epicondyle,
capitulum, trochlear
Radius One primary ossification
center for shaft
One for upper end
One for lower end
Ulna One primary ossification
center for shaft
One for upper end
One for lower end
Carpal bone One primary ossification
center which appear after
birth
No secondary ossification centre
Metacarpal
bone
One primary ossification
center for shaft
One 2nd ossification centre :
base of 1st metacarpal bones is ossified from 2nd
ossification center
Heads of 2-5 metacarpal bone are ossified from 2nd
ossification center
Phalanges One primary ossification
center for shaft and head
One 2nd ossification center for base of each phalanx
Joint related to clavicle
Sternoclavicular jt
• Type : saddle type of
synovial jt
• Articular surface: sternal
end of the clavicle which
is covered by a fibro-
cartilage and clavicular
notch of manubrium
sterni .
• Joint cavity : two jt cavity
divided by articular disc
(fibrocartilage)
• Acromioclavicular jt
• Type: plane type of
synovial jt
• Articular surfaces :
lateral end of clavicle
and clavicular facet on
medial margin of
acromial process
Scapula
Morphologically scapula is a
Flat bone
External features of scapula
• Three angle : superior, inferior and lateral
• Three border: lateral, medial and superior
• Three process: coracoid, acromion,spinous
• Two surfaces: costal and dorsal
• Scapular notch
Rotator cuff Nerve supply
1. Supraspinatus
2.Infraspinatus
3.Subcapsularis
4. Teres minor
• Trapezius
• Deltoid
• Pectoralis minor
• Teres major
• Lattissimus dorsi
• Levator scapulae
• Rhomboidus major and minor
• Long head of biceps brachii
• Long head of triceps brachii
• Serratus anterior
Attachment of scapula

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Upper limb bone

  • 3. Bones of upper limb • Clavicle • Scapula • Humerous • Radius • Ulna • Skeleton of hand
  • 5. Morphological types of bone • Modify long bone • – only long bone of body which lies in horizontally
  • 6. Anatomical point • Sternal end is enlarged & directed medially • Medial 2/3 of shaft of clavicle convex and forward • Groove for subclavius lies inferiorly
  • 7.
  • 8.
  • 9. External features of clavicle • Two end – large sternal end and flat acromial end • Shaft – • medial 2/3 convex anteriorly, it has four surface – ant , pos, supe, infe • Lateral 1/3concave anteriorly, it has two surface superior and inferior
  • 10. Attachment of clavicle Muscles • Trapezius: spinal part of accessory nerve • Sternocleidomastoid : spinal part of accessory nerve • Deltoid : axillary nerve(arise from pos cord of br.pl) • pectoralis major (medial and lateral pectoral nerve) • Subclavius • Sternohyoid Ligament : • coracoclavicular ligament
  • 11. Peculiarities of clavicle • It has no medullary cavity • It is ossify in membrane • It is pierce by supreclavicular nerve • It is the first bone of body to start ossification
  • 12. Ossification of clavicle • Two membranous ossification at shaft • One 2nd ossification center at sternal end
  • 13.
  • 14. Name of bone Primary ossification center Secondary ossification center Clavicle Two One for sternal end Humerus One for shaft Three for upper end – head , greater & lesser tubercle Four for lower end – lateral & medial epicondyle, capitulum, trochlear Radius One primary ossification center for shaft One for upper end One for lower end Ulna One primary ossification center for shaft One for upper end One for lower end Carpal bone One primary ossification center which appear after birth No secondary ossification centre Metacarpal bone One primary ossification center for shaft One 2nd ossification centre : base of 1st metacarpal bones is ossified from 2nd ossification center Heads of 2-5 metacarpal bone are ossified from 2nd ossification center Phalanges One primary ossification center for shaft and head One 2nd ossification center for base of each phalanx
  • 15. Joint related to clavicle Sternoclavicular jt • Type : saddle type of synovial jt • Articular surface: sternal end of the clavicle which is covered by a fibro- cartilage and clavicular notch of manubrium sterni . • Joint cavity : two jt cavity divided by articular disc (fibrocartilage) • Acromioclavicular jt • Type: plane type of synovial jt • Articular surfaces : lateral end of clavicle and clavicular facet on medial margin of acromial process
  • 16.
  • 19. External features of scapula • Three angle : superior, inferior and lateral • Three border: lateral, medial and superior • Three process: coracoid, acromion,spinous • Two surfaces: costal and dorsal • Scapular notch
  • 20.
  • 21.
  • 22.
  • 23. Rotator cuff Nerve supply 1. Supraspinatus 2.Infraspinatus 3.Subcapsularis 4. Teres minor • Trapezius • Deltoid • Pectoralis minor • Teres major • Lattissimus dorsi • Levator scapulae • Rhomboidus major and minor • Long head of biceps brachii • Long head of triceps brachii • Serratus anterior Attachment of scapula