EKSTREMITAS SUPERIOR

OVERVIEW

REGIO EKSTREMITAS SUPERIOR MUSKULOSKELETAL VASKULARISASI PERSARAFAN

PEMBAGIAN REGIO EKSTREMITAS SUPERIOR

Shoulder girdle (Gelang Bahu) Axilla Brachii Antebrachii Manus

Anatomi Permukaan (Landmark)

Biceps + Triceps brachii Procesus Olecranon Epicondylus Medial Fossa Cubiti Perm. Anterior isi :

V. Median Cubital Brachial Artery Median Nerve

Batas : Medial= Pronator teres Lateral= Brachioradialis Superior= garis diantara epicondylus

Anatomi Permukaan (landmark)

Carpal Tunnel Cekungan Carpal anterior Carpal ligament : penutup Isi: long tendons, n. median Inflammasi pd tendon = compression of Median nerve

Batas2 Lateral = E.pollicis brevis Medial = E. pollicis longus Floor = scaphoid, styloid of radius Contains Radial Artery (pulse)

MUSKULOSKELETAL : TULANG

TULANG-TULANG YANG MEMBENTUK GELANG BAHU TULANG-TULANG PADA REGIO BRACHII-ANTEBRACHII TULANG-TULANG PADA REGIO MANUS

TULANG PEMBENTUK GELANG BAHU

CLAVICULA SKAPULA

CLAVICULA

(a). Anterior, (b). Posterior

SKAPULA

Humerus: Anterior

Humerus: Posterior

HUMERUS KANAN

Mnemonic I :Carpals

Muskuloskeletal :OTOT

embriologi otot

Bagian dorsal massa otot membentuk otot ekstensor dan supinator. Bagian ventral massa otot membentuk otot fleksor dan pronator

Otot Skapula

1. Insersi pada skapula = Menggerakkan scapula m. Rhomboideus m. Trapezius m. Pectoralis Minor m. Serratus Ventralis m. Levator Scapulae

2. Jika origo pada skapula = Menggerakkan lengan m. Subscapularis m. Supraspinatus m. Infraspinatus m. Teres Minor m. Teres Major m. Latissimus Dorsi (partial Or pada skap) m. Coracobrachialis

Otot : rotator cuff

Rotator cuff

Muscle Origin Insertion Action Palpate Rotator Cuff (SITS)              -Supraspinatus supraspinous fossa greater tubercle abduction deep to deltoid      -Infraspinatus infraspinous fossa greater tubercle horizontal abduction deep to deltoid

     -Teres Minor posteriorly lateral

scapula greater tubercle horizontal abduction,

external rotation deep to deltoid

     -Subscapularis subscapular fossa lesser tubercle internal rotation,

adduction deep to deltoid

Deltoid clavicle, scapula, lateral

acromian deltoid tuberosity flexion, extension,

abduction, horizontal

abduction over head of humerus

Coracobrachialis coracoid process medial humerus flexion, adduction,

horizontal

adduction difficult to palpate

Teres Major lateral scapula above

inferior angle anterior humerus extension, adduction,

internal rotation posterior scapular

surface

Latissimus Dorsi illium, sacrum, T6-L5 anterior humerus extension, adduction, horizontal

posterior aspect of trunk

abduction,

internal rotation below axilla

Pectoralis Major clavicle, ribs, sternum lateral humerus adduction, horizontal

adduction, internal rotation,

flexion, abduction

broad area of anterior

chest