ThemusclesofbackSuperficialgroupTrapezius

斜方肌Latissimusdorsi

背闊肌Levatorscapulae肩胛提肌Rhomboideus菱形肌Deepgroup

Erectorspinae豎脊肌Splenius夾肌Thoracolumbarfascia胸腰筋膜第一頁，共九十六頁。ThemusclesofthoraxExtrinsicmusclesPectoralismajor

胸大肌Pectoralisminor

胸小肌Serratusanterior前鋸肌IntrinsicmusclesIntercostalesexterni

肋間外肌Intercostalesinterni

肋間內(nèi)肌Intercostalesintimi肋間最內(nèi)肌第二頁，共九十六頁。MajormusclesofthetrunkTrapeziusOrigin:superiornuchalline,externaloccipitalprotuberance,ligamentumnuchaeandspinousprocessesofseventhcervicalandallthoracicvertebraeInsertion:lateralthirdofclavicle,acromion,andspineofscapularteryActon:upperfiberselevatescapula,lowerfibersdepressscapula;ifscapulaisfixed,onesideactingalong,drawsheadtowardthesameside,andturnfacetooppositeside;bothsidestogether,drawheaddirectlybackward第三頁，共九十六頁。LatissimusdorsiOrigin:spinousprocessesoflowersixthoracicandalllumbarvertebrae,mediansacralcrest,andposteriorpartofiliaccrest.Insertion:floorofintertuberculargrooveofhumerus.Action:trunkfixed,extends,adductsandmediallyrotatesarm;armfixed,elevatestrunk.第四頁，共九十六頁。ErectorspinaePosition:fillsthevertebralgrooveoneachsideofthespineAction:extendsvertebralcolumn(drawheadbackwar)第五頁，共九十六頁。PectoralismajorOrigin:medialhalfofclavicle,sternum,1th-6thcostalcartilages.Insertion:crestofgreatertubercleofhumerus.Action:flexes,adductsandrotatesarmmedially;armfixed,elevatestrunk;elevatesribs1-6,aiddinginforcedinspiration.第六頁，共九十六頁。TheMusclesofUpperLimb

MusclesofshoulderDeltoidsupraspinatusInfraspinatusTeresminorTeresmajorsubscapularis第七頁，共九十六頁。MusclesofarmAntereriorgroupBicepsbrachii肱二頭肌Coracobrachialis喙肱肌Brachialis肱肌Posteriorgroup–tricepsbrachii肱三頭肌第八頁，共九十六頁。Musclesofforearm

SuperficiallayerBrachioradialis肱橈肌Pronatorteres旋前圓肌Flexorcarpiradialis橈側(cè)腕屈肌Palmarislongus掌長肌Flexorcarpiulnaris尺側(cè)腕屈肌第九頁，共九十六頁。ThirdlayerFlexordigitorumprofundus指深屈肌Flexorpollicislongus拇長屈肌Fourthlayer－pronatorquadratus

旋前方肌Action:flexradiocarpaljointandfingers,pronateforearm第十頁，共九十六頁。Secondlayer－flexordigitorumsuperficials指淺屈肌第十一頁，共九十六頁。Posteriorgroup(10)Superficiallayer(5)Extensorcarpiradialislongus橈側(cè)腕長伸肌Extensorcarpiradialisbrevis橈側(cè)腕短伸肌Extensordigitorum指伸肌Extensordigitiminimi小指伸肌Extensorcarpiulnaris尺側(cè)腕屈肌第十二頁，共九十六頁。Deeplayer(5)Supinator旋后肌Abductorpollicislongus拇長展肌Extensorpollicisbrevis拇短伸肌Extensorpollicislongus拇長伸肌Extensorindicis示指伸肌Action:extendradiocapraljointandfingers,andsupinateforearm第十三頁，共九十六頁。MusclesofhandLateralgroup－thenar魚際(4)Abductorpollicisbrevis拇短展肌Flexorpollicisbrevis拇短屈肌Opponenspollicis拇對掌肌Adductorpollicis拇收肌Action:flex,abduct,adductandopposethumbMedialgroup－h(huán)ypothenar(3)Abductordigitiminimi小指展肌Flexordigitiminimibrevis小指短屈肌Opponensdigitiminimi小指對掌肌Action:flex,abduct,andopposelittlefinger第十四頁，共九十六頁。IntermedialgroupLumbricales蚓狀肌(4)－flexfingersatMPjoints;extendfingersatIPjointsPalmarinterossei骨間掌側(cè)肌(3)－adductfingerstowardsmiddlefingeratMPjointsDorsalinterossei骨間背側(cè)肌(3)－abductfingersawayfrommiddlefingeratMPjoints第十五頁，共九十六頁。MajormusclesofupperlimbDeltoidOrigin:lateralthirdofclavicle,acromion,andspineofscapulaInsertion:deltoidtuberosityofhumerusAction:abducts，flexesandmedicallyrotates,extends,andlaterallyrotatesarm第十六頁，共九十六頁。TeresmajorOrigin:dorsalsurfaceofinferiorangleofscapulaInsertion:crestoflessertubercleofhumerusAction:mediallyrotatesandadductsarm第十七頁，共九十六頁。BicepsbrachiiOrigin:longhead,supraglenoidtubercle;shorthead,coracoidprocessInsertion:radicaltuberosityAction:supinatorofforearm,flexorofelbowjoint,weakflexorofshouldjointPronatorteresOrigin:medicalepicondyleofhumerusanddeepfasciaofforearmInsertion:middleoflateralsurfaceofradiusAction:pronationofforearmandflexionofelbow第十八頁，共九十六頁。TricepsbrachiiOrigin:longhead,infraglenoidtubercle;lateralhead,abovegrooveforradicaln.,medicalhead,belowgrooveforradicaln.Insertion:olecranonofulnaAction:extendselbowjoint),longheadcanextendandadductshoulderjoint第十九頁，共九十六頁。SupinatorOrigin:lateralepicondyleofhumerusandupperpartoflateralborderofulnaInsertion:upperthirdofanteriorsurfaceofradiusAction:supinationofforearm第二十頁，共九十六頁。ArteriesofupperlimbAxillaryartery

ContinuationofsubclavianarteryatlateralborderoffirstribBecomesbrachialarteryatlowerborderofteresmajorDividedintothreepartsbyoverlyingpectoralisminorFirstportion,abovemuscle－givesrisetothoracoacromiala.胸肩峰動脈Secondportion,behindmuscle－givesrisetolateralthoracica.胸外側(cè)動脈Thirdportion,belowmuscle－givesrisetosubscapulara.肩胛下動脈,anteriorandposteriorhumeralcircumflexa.旋肱前、后動脈;theformerthendividesintothrocodorsala.胸背動脈andcircumflexscapulara.旋肩胛動脈第二十一頁，共九十六頁。第二十二頁，共九十六頁。BrachialarteryContinuationofaxillaryarteryDividesintoradialandulnararteriesatlevelofneckofradiusBranchesDeepbrachiala.肱深動脈－accompanieswithradialnerveSuperiorulnarcollaerala.尺側(cè)上副動脈－accompanieswithulnarnerveInferiorulnarcollaterala.尺側(cè)下副動脈第二十三頁，共九十六頁。Radialarteryandbranches

Radialrecurrenta.橈側(cè)返動脈Superficalpalmarbranch掌淺支Principalarteryofthumb拇主要動脈UlnararteryandbranchesUlnarrecurrenta.尺側(cè)返動脈Commoninterosseousartery骨間總動脈Anteriorinterossousa.骨間前動脈Posteriorinterosseousa.骨間后動脈Deeppalmarbranch掌深支第二十四頁，共九十六頁。Superficialpalmararch掌淺弓FormedbyulnararteryandsuperficialpalmarbranchofradialarteryCurveofarchliesacrossthepalm,levelwiththedistalborderoffullyextendedthumbGivesrisetothreecommonpalmardigitalarterieseachthendividesintotwoproperpalmardigitalarteries第二十五頁，共九十六頁。Deeppalmararch掌深弓FormedbyradialarteryanddeeppalmarbranchofulnararteryCurveofarchliesacrossupperpartofpalmaratlevelwithproximalborderofextendedthumbGivesrisetothreepalmarmetacarpalarteries

第二十六頁，共九十六頁。VeinsoftheupperlimbDeepveins:accompanythearteriesofthesameregionandbearsimilarnamesSuperficialveinsCephalicvein頭靜脈

ArisesfromthelateralsideofthedorsalvenousreteofhandAscendsonradialsideoftheforearmtotheelbowandtheninthelateralsideofbicepsbrachiifurrow,continuesupthearminthedeltopectoralgrooveandthentotheinfraclavicularfossa,whereitpiercesclavipectoralfasciatodrainintoaxillaryvein第二十七頁，共九十六頁。Basilicvein

貴要靜脈ArisesfromthemedialsideofthedorsalvenousreteofhandAscendsontheulnarsideofforearmtotheelbowandtheninthemedialbicepitalbrachiifurrowtomiddleofthearmwhereitpiercesthedeepfasciaandjoinsthebrachialveinoraxillaryveinMediancubitalvein肘正中靜脈linkscephalicveinandbasilicveininthecubitalfossa.Itisafrequentsiteforvenipuncturetoremoveasampleofbloodoraddfluidtotheblood第二十八頁，共九十六頁。Thelymphaticdrainageofupperlimb

LymphaticvesselsSuperficial－followthesuperficialveins,drainintosupratrochlearandaxillarylymphnodesDeep－accompanymainvessels,endinaxillarylymphnodes

lymphnodesCubitallymphnode:liesabovemedialepicondyleofhumerusAxillarylymphnode－arrangedinfivegroups第二十九頁，共九十六頁。Axillarylymphnodes腋淋巴結(jié)－arrangedinfivegroupsLaterallymphnodes外側(cè)淋巴結(jié)－liearoundthedistalendofaxillaryvein,receivingdrainagefromthearm,forearm,andhandPectorallymphnodes胸肌淋巴結(jié)－liealonglateralthoracicvessels,receiveafferentsfromanteriorthoracicwallincludingcentralandlateralportionofmammaSubscapularlymphnode肩胛下淋巴結(jié)－alongsubscapularvessels,receivelymphfromnapeandscapularregionEfferentsabovethreegroupspasstocentrallymphnode第三十頁，共九十六頁。Centrallymphnode中央淋巴結(jié)－lieinfatofaxillaryfossa,receivedrainagefromalltheabovenodes,efferentspasstoapicallymphnodeApicallymphnode尖淋巴結(jié)Lieintheapexoftheaxilla,alongtheproximalendofaxillaryvesselsReceivedrainagechieflyfromcentrallymphnode,upperportionofmammaEfferentsformsubclaviantrunk,therightsubclaviantrunkjointstherightlymphaticduct;leftusuallydrainsdirectlyintothoracicduct第三十一頁，共九十六頁。Brachialplexus臂叢

Formation:Fiveroots:formedbyanteriorramiofC5-C8andT1spinalnerves,rootsC5～C7giverisetolongthoracicn.胸長神經(jīng)ThreetrunksTheuppertrunkisformedbythejoiningofrootC4,C5,C6.ThemiddletrunkisthecontinuationofrootC7.ThelowertrunkisformedbythejoiningofrootC8andT1.Sixdivisions:aboveclavicle,trunksformanteriorandposteriordivisionsThreecords:belowclavicle,divisionsformthreecordsthatsurroundthesecondportionofaxillarya.第三十二頁，共九十六頁。Position:passesthroughthescalenefissuretoposterosuperiorofsubclavianartery,thenenterstheaxillatoformlateral,medialandposteriorcordsMainbranchesLateralcordMusculocutaneousn.肌皮神經(jīng)Lateralroottomediann.正中神經(jīng)外側(cè)根MedialcordMedialroottomediann.正中神經(jīng)內(nèi)側(cè)根Ulnarn.尺神經(jīng)Medialbrachialcutaneousn.臂內(nèi)側(cè)皮神經(jīng)Medialantebrachialcutaneousn.前臂內(nèi)側(cè)皮神經(jīng)第三十三頁，共九十六頁。Posteriorcordradialn.橈神經(jīng)axillaryn.腋神經(jīng)thoracodorsaln.胸背神經(jīng)第三十四頁，共九十六頁。Musculocutaneous

肌皮神經(jīng)Distribution:Bicepsbrachii,brachalisandcoracobrachialis‘BBCnerve’;skinonanterioraspectofforearm第三十五頁，共九十六頁。Median

正中神經(jīng)Distribution:Flexorofforearmexceptbrachioradialis,flexorcarpiulnarisandulnarhalfofflexordigitorumprofundus,thenarexceptadductorpollicis,firsttwolumbricals;skinofthenar,centralpartofpalm,palmaraspectofradialthreeandone-halffingers,includingmiddleanddistalfingersondorsum

Injury:Apehand猿手producessignofbenediction,inwhichtheindexandmiddlefingerscannotbeflexedandthethumbcannotbeopposed

第三十六頁，共九十六頁。Ulnarnerve

Distribution:Flexorcarpiulnaris,ulnarhalfofflexordigitorumprofundus,hypothenarmuscles,interossei,3rdand4thlumbricalsandadductorpollicis;skinofhypothenar,palmarsurfaceofulnaroneandone-halffingers,ulnarhalfofdorsumofhand,posterioraspectofulnartwoandone-halffingersInjury:clawhand第三十七頁，共九十六頁。Radial

橈神經(jīng)Distribution:Extensormusclesofarmandforearm,brachioradialis;skinonbackofarm,forearm,andradialsideofdorsumofhandandradialtwoandone-halffingersInjury:Wristdrop第三十八頁，共九十六頁。Axillary腋神經(jīng)

Distribution:Deltoidandteresminormuscle;skinoverdeltoidandupperposterioraspectofarmInjury:resultindeltoidandteresminorparalysis(lossofshoulserabdutionandweelexternalrotation)withlossofsensationoverthedeltoid

第三十九頁，共九十六頁。Regionalanatomyofupperlimb山東大學(xué)醫(yī)學(xué)院解剖教研室李振華第四十頁，共九十六頁。Partsandregions

Shoulderregion－junctionofarmandtrunkArm－betweenshouldandelbowElbow－bendofarm,jointbetweenarmandforearmForearm－betweenelbowandhandHand第四十一頁，共九十六頁。SurfaceanatomyShoulderregion:acromion,spineofscapula,coracoidprocess,greatertubercle,anteriorandposterioraxillaryfoldsArm－medialandlateralbicepsbrachiifurrow,deltoidtuberosityElbow－medialandlateralepicondyles,headofradius,olecranon,tendonofbicepsbrachiiForearm－betweenelbowandhandHand－styloidprocess,dorsaltubercle第四十二頁，共九十六頁。Anatomicalsnuffbox鼻煙壺Whenthethumbisabductedandextended,atriangularhollowappearsbetweenthetendonoftheextensorpollicislongsmediallyandthetendonsoftheextensorpollicisbrevisandabductorpollicislonguslaterally.Thefloorofthesnuffboxisthescaphoidandtrapeziumbonesandcrossedbytheradiala..第四十三頁，共九十六頁。1650～1700Carringangle提攜角第四十四頁，共九十六頁。

Mamma乳房PositionLieinsuperficialfasciaoverthepectoralsmajorandpectoralfasciaExtendfrom3rdto7thribsvertically,andfromparasternallinetomidaxillarylinetransversally第四十五頁，共九十六頁。Structures－containsskin,mammaryglandsandadiposetissueEachbresthasabout15～20lobesofmammaryglandEachloberadiatesoutfromthenippleandhasalactiferousduct輸乳管whichopensseparatelyonthesummitofthenippleandpossessesadilatedlactiferoussinuses輸乳管竇justpriortoitstermination第四十六頁，共九十六頁。Suspensoryligamentsofbreast乳房懸韌帶(cooper’sligaments)－strandsofconnectivetissuerunsbetweenskinanddeepfasciaandservetosupportthemammaryglands第四十七頁，共九十六頁。Axillaryfossa腋窩Theaxillaryfossaisapyramid-shapedspacethroughwhichmajorneurovascularstructurespassbetweenthethoraxandupperextremity第四十八頁，共九十六頁。BoundariesTheapexisatriangularspacelimitedbythefirstrib,thescapula,andthemiddlethirdofclavicle.Thebase－skinandfasciaoftheaxillaryfossa第四十九頁，共九十六頁。TheanteriorwallPectoralismajor,pectoralisminorandsubclaviusmusclesClavipectoralfascia

鎖胸筋膜Thedeepfaxciawhichextendsbetweensubclavius,coracoidprocessandpectoralisminormusclesThestructurespassthroughtheclavipectoralfaxciaCephalicv.Thoracoacromiala.Lateralpectoraln.

第五十頁，共九十六頁。Theposteriorwall－teresmajor,latissimusdorsi,subscapularisandscapula

Trilateralandquadrilateralforamina

三邊孔和四邊孔Betweenthesubscapularisandteresmajor,thereisalongtriangularspacewhoselateralsideissurgicalneckofhumerus.Thelongheadoftricepsbrachiisubdividesthisspaceintoamedialtrilateralforamenandalateralquadrilateralforamen.Theposteriorhumeralcircumflexa.andaxillaryn.passthroughthequadrilateralforamen.Thecircumflexscapulara.passesthroughthetriangularspacetoreachthedorsumofthescapula.第五十一頁，共九十六頁。Thebroadmedialwall－serratusanterior，intercostalmusclesandupperfourribsThenarrowlateralwall－coracobrachialis,bicepsbrachiiandintertuberculargrooveContentsBrachialplexus,axillarya.andprincipalbranches,axillaryv.andtributaries,axillarylymphnodesandlooseconnectivetissue第五十二頁，共九十六頁。Brachialplexus臂叢

Formation:Fiveroots:formedbyanteriorramiofC5-C8andT1spinalnerves,rootsC5～C7giverisetolongthoracicn.胸長神經(jīng)ThreetrunksTheuppertrunkisformedbythejoiningofrootC4,C5,C6.ThemiddletrunkisthecontinuationofrootC7.ThelowertrunkisformedbythejoiningofrootC8andT1.Sixdivisions:aboveclavicle,trunksformanteriorandposteriordivisionsThreecords:belowclavicle,divisionsformthreecordsthatsurroundthesecondportionofaxillarya.第五十三頁，共九十六頁。Position:passesthroughthescalenefissuretoposterosuperiorofsubclavianartery,thenenterstheaxillatoformlateral,medialandposteriorcordsMainbranchesLateralcordMusculocutaneousn.肌皮神經(jīng)Lateralroottomediann.正中神經(jīng)外側(cè)根MedialcordMedialroottomediann.正中神經(jīng)內(nèi)側(cè)根Ulnarn.尺神經(jīng)Medialbrachialcutaneousn.臂內(nèi)側(cè)皮神經(jīng)Medialantebrachialcutaneousn.前臂內(nèi)側(cè)皮神經(jīng)第五十四頁，共九十六頁。Posteriorcordradialn.橈神經(jīng)axillaryn.腋神經(jīng)thoracodorsaln.胸背神經(jīng)第五十五頁，共九十六頁。Axillarysheath

腋鞘－extensionofdeepcervicalfasciaoftheneck,formingatubularsheaththatsurroundsaxillarya.andv.,andbrachialplexus第五十六頁，共九十六頁。Axillaryartery

ContinuationofsubclavianarteryatlateralborderoffirstribBecomesbrachialarteryatlowerborderofteresmajorDividedintothreepartsbyoverlyingpectoralisminorFirstportion,abovemuscle－givesrisetothoracoacromiala.胸肩峰動脈Secondportion,behindmuscle－givesrisetolateralthoracica.胸外側(cè)動脈Thirdportion,belowmuscle－givesrisetosubscapulara.肩胛下動脈,anteriorandposteriorhumeralcircumflexa.旋肱前、后動脈;theformerthendividesintothrocodorsala.胸背動脈andcircumflexscapulara.旋肩胛動脈第五十七頁，共九十六頁。Axillarylymphnode－arrangedinfivegroupsLaterallymphnodes－liearoundthedistalendofaxillaryarteryvein,receiveafferentvesselsfromupperlimb.Pectorallymphnodes－liealonglateralthoracicvessels,receiveafferentsfromanteriorthoracicwallincludingcentralandlateralportionofmammaSubscapularlymphnode－alongsubscapularvessels,receivelymphfromnapeandscapularregionEfferentsabovethreegroupspasstocentrallymphnodeCentrallymphnode－lieinfatofaxillaryfossa,receivelymphfromalltheabovenodes,efferentspasstoapicallymphnodeApicallymphnode－lieintheapexoftheaxilla,alongtheproximalendofaxillaryvessels,receiveafferentschieflyfromcentrallymphnode,upperportionofmamma;efferentsformsubclaviantrunk,therightsubclaviantrunkjointstherightlymphaticduct;leftusuallydrainsdirectlyintothoracicduct第五十八頁，共九十六頁。Cubiralfossa肘窩BoundariesBase－linedrawnthroughepicondylesofhumerusApex－brachioradialislaterallyandpronatorteresmediallyRoof－skin,superficialfaxcia,deepfaxciaandaponeurosisofbicepsFloor－brachialis,supinatorandcapsuleofelbowjoint第五十九頁，共九十六頁。Contents－fromlateraltomedialBicepsbrachiitendonBrachiala.－dividesintoradialandulnara.,usuallyatapexoffossaMediann.Lateraltothebicepsbrachiitendon－radialn.andlateralantebrachialcutaneousn.第六十頁，共九十六頁。Carpaltunnel

腕管FlexorretinaculumThickeningofdeepfasciainthehandAttachedlaterallytoscaphoidandtrapeziunandmediallytopisiformandhamateFormanosseofibroustunnel(carpaltunnel)withcarpalgroove－transmitsmediann.,flexordigitorumsupericialis,flexordigitorumprofundus,andflexorpollicuslongusfromforearmintohand第六十一頁，共九十六頁。CommonflexorsheathTeninoussheathofflexorpollicislongus第六十二頁，共九十六頁。第六十三頁，共九十六頁。Skinincisions第六十四頁，共九十六頁。Cephalicv.LateralcutaneousbranchAnteriorcutaneousbranchSuperficialfascia

第六十五頁，共九十六頁。Clavipectoralfascia

鎖胸筋膜Thedeepfaxciawhichextendsbetweensubclavius,coracoidprocessandpectoralisminormusclesThestructurespassthroughtheclavipectoralfaxciaCephalicv.Thoracoacromiala.Lateralpectoraln.第六十六頁，共九十六頁。Axillarya.

Thoracoacromiala.

Musculocutaneousn.Mediann.Medialantebrachialcutaneousn.Ulnarn.Medialbrachialcutaneousn.Intercostobrachialn.Thoracodorsaln.&a.Longthoracicn.&lateralthoracica.Lateralpectoraln.第六十七頁，共九十六頁。Posteriorhumeralcircumflexa.&axillaryn.Radialn.Circumflexscapulara.第六十八頁，共九十六頁。Musculocutaneousn.Mediann.Medialbrachialcutaneousn.Ulnarn.Medialantebrachialcutaneousn.Superiorulnarcoleterala.Deepbrachiala.第六十九頁，共九十六頁。Musculocutaneousn.Mediann.Axillarya.Brachiala.Medialantebrachialcutaneousn.Medialbrachialcutaneousn.Deepbrachiala.Superiorulnarcoleterala.&Ulnarn.Inferiorulnarcoleterala.第七十頁，共九十六頁。Mediancubitalv.Lateralanterachialcutaneousn.&cephelicv.Medialinterracialcutaneousn.&basiicv.第七十一頁，共九十六頁。Radialrecurrenta.Radiala.Radialn.Mediann.Ulnarn.Ulnara.Ulnarrecurrenta.Ulnarn.Brachiala.第七十二頁，共九十六頁。Muscolocutaneousn.Brachiala.Radialn.Radialrecurrenta.Radiala.Mediann.Ulnarrecurrenta.Commoninterosseousa.Ulnara.,v.&n.第七十三頁，共九十六頁。Palmaraponeurosis第七十四頁，共九十六頁。Superficialpalmara.recurrentn.

Ulnara.第七十五頁，共九十六頁。Posteriorregionofupperlimb山東大學(xué)醫(yī)學(xué)院解剖教研室李振華第七十六頁，共九十六頁。Skinincisions

第七十七頁，共九十六頁。Cutaneousn.and

superificialv.第七十八頁，共九十六頁。Trapezium

Deltoid

TriangleofausculationLatissimusdorsiThoracolumbarfasciaLevatorscapularRhomboideus第七十九頁，共九十六頁。Axillaryn.Posteriohumeralcircumflexa.Deepbrachiala.Radialn.Suprascapularn.&a.Supraspinatus

InfraspinatusTeresminorTeresmajor第八十頁，共九十六頁。Radialn.Deepbrachiala.第八十一頁，共九十六頁。Posteriorinterosseousa.Posteriorinterosseousn.第八十二頁，共九十六頁。第八十三頁，共九十六頁。Hand

山東大學(xué)醫(yī)學(xué)院解剖教研室李振華第八十四頁，共九十六頁。Palmofhand手掌Flexorretinaculum屈肌支持帶ThickeningofdeepfasciainthehandAttachedlaterallytoscaphoidandtrapeziunandmediallytopisiformandhamateCarpaltunnel

腕管Formedbyflexorretinaculum

andcarpalgrooveTransmitsMediann.FlexordigitorumsuperficialisandflexordigitorumprofundusenclosedbycommonflexorsheathFlexorpollicuslongusenclosedbytendinoussheathofflexorpollicuslongus第八十五頁，共九十六頁。CommonflexorsheathTendinoussheathofflexorpollicislongus第八十六頁，共九十六頁。第八十七頁，共九十六頁。Deeppalmarfascia

掌部深筋膜SuperficiallayerThenarfascia魚際筋膜Hypothenarfascia小魚際筋膜Palmaraponeurosis掌腱膜thicktriangularmemb