Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3
.pdfExtensor Tendons at Wrist
See also Plates 430, 431
Posterior (dorsal) view
Transverse fibers of extensor expansions (hoods)
Intertendinous connections
Dorsal interosseous muscles
Abductor digiti minimi muscle
Radial artery in anatomical snuffbox
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Extensor retinaculum |
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Extensor pollicis brevis |
Plane of cross section |
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Compartment 1 |
shown below |
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Abductor pollicis longus |
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Extensor carpi radialis longus |
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Compartment 2 |
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Extensor carpi radialis brevis |
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Compartment 3 — Extensor pollicis longus
Extensor indicis
Compartment 4
Extensor digitorum
Compartment 5 — Extensor digiti minimi
Compartment 6 — Extensor carpi ulnaris
Cross section of most distal portion of forearm
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Extensor retinaculum |
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Extensor pollicis longus — Compartment 3 |
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Compartment 4 |
Extensor digitorum and |
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extensor indicis |
Extensor carpi |
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radialis brevis |
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Extensor |
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Compartment 2 |
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Compartment 5 |
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Extensor carpi |
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digiti minimi |
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radialis longus |
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5 |
4 |
3 |
2 |
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6 |
Extensor |
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Extensor |
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1 |
pollicis brevis |
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Compartment 6 |
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carpi |
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Compartment 1 |
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ulnaris |
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Abductor |
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pollicis longus |
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Ulna |
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Radius |
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Plate 457 |
Wrist and Hand |
Fingers 6
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Epiphysis |
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Nail matrix |
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Nail root |
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Eponychium |
Sagittal section |
(cuticle) |
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Lunule |
Nail bed
Body of nail
Distal phalanx
Nerves Arteries Septa
Distal anterior closed space (pulp)
Synovial membrane |
Lateral band |
Extensor |
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Articular cartilage |
Central tendon |
mechanism |
Middle phalanx |
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Flexor digitorum superficialis tendon
Fibrous tendon sheath of finger
Synovial (flexor tendon) sheath of finger
Flexor digitorum profundus tendon
Palmar ligament (volar plate)
Articular cavity
Body of nail
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Subungual space |
Cross section |
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through distal |
Minute arteries |
phalanx |
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Fine nerves |
Dorsal branches of proper palmar digital arteries and nerves to dorsum of middle and terminal phalanges
Arteries and nerves
Nail bed
Distal phalanx
Fibrous septa and areolar tissue in anterior
closed space (pulp)
Dorsal digital artery and nerve
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Nutrient branch to epiphysis |
Proper palmar digital artery |
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to neighboring digit |
Nutrient branches to metaphysis |
Proper palmar digital artery and nerve |
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Wrist and Hand |
Plate 458 |
Cutaneous Innervation of Wrist and Hand
See also Plates 400, 449
Anterior (palmar) view
Proper palmar
digital
branches Median nerve
Palmar branch
Proper palmar digital branches
Ulnar nerve
Palmar branch
Medial antebrachial cutaneous nerve
Proper Median nerve palmar digital
branches
Superficial branch and dorsal digital branches
Radial nerve
Posterior antebrachial cutaneous nerve
Musculocutaneous nerve
Superficial Radial nerve branch
Lateral
antebrachial Musculocutaneous nerve cutaneous
nerve
Posterior (dorsal) view
Proper palmar digital branches
Ulnar nerve
Dorsal branch and dorsal digital branches
Division between ulnar and radial nerve innervation on dorsum of hand is variable
Medial antebrachial
cutaneous nerve
Lateral antebrachial cutaneous nerve
Plate 459 |
Neurovasculature |
Arteries and Nerves of Upper Limb 6
See also Plate 416
Anterior view
Deltoid muscle
Coracobrachialis muscle
Short head (cut)
Biceps brachii muscle
Long head (cut)
Musculocutaneous nerve
Brachialis muscle
Biceps brachii muscle (cut) and tendon
Lateral antebrachial cutaneous nerve (from musculocutaneous nerve)
Deep branch
Radial nerve
Superficial branch
Supinator muscle
Brachioradialis muscle
Radial artery
Pronator teres muscle (partially cut)
Median nerve
Flexor pollicis longus muscle
Flexor carpi radialis tendon (cut)
Flexor retinaculum (transverse carpal ligament)
Superficial branch of radial nerve
Recurrent (motor) branch of median nerve to thenar muscles
Common palmar digital branches of median nerve
Proper palmar digital branches of median nerve
Intercostobrachial nerve
Medial brachial cutaneous nerve
Radial nerve
Ulnar nerve
Medial antebrachial cutaneous nerve
Median nerve
Brachial artery
Bicipital aponeurosis
Humeral head (cut)
Pronator teres muscle
Ulnar head
Flexor carpi radialis muscle (cut)
Humero-ulnar head |
Flexor digitorum |
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Radial head |
superficialis muscle (cut) |
Flexor digitorum profundus muscle
Flexor carpi ulnaris muscle
Ulnar artery and nerve
Dorsal branch of ulnar nerve
Flexor digitorum superficialis tendons (cut)
Deep palmar branch of ulnar artery and deep branch of ulnar nerve Superficial branch of ulnar nerve
Superficial palmar arch (cut)
Common palmar digital branch of ulnar nerve
Communicating branch of median nerve with ulnar nerve
Proper palmar digital branches of ulnar nerve
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Neurovasculature |
Plate 460 |
Nerves of Upper Limb
See also Plates 400, 410, 416
Axillary nerve
Musculocutaneous nerve (dominant nerve to anterior compartment muscles of arm)
Median nerve
(dominant nerve to anterior compartment muscles of forearm, thenar hand muscles)
Radial nerve
(dominant nerve to posterior compartment muscles of arm and forearm)
Ulnar nerve (dominant nerve to muscles of hand, flexor
carpi ulnaris and medial half of flexor digitorum profundus in forearm)
Lateral |
Cords of |
Posterior |
brachial |
Medial |
plexus |
Medial brachial cutaneous nerve
Medial antebrachial cutaneous nerve
Anterior
Radial nerve |
T2 |
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(posterior cutaneous |
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nerve of arm) |
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Posterior |
Musculocutaneous nerve |
T1 |
(lateral cutaneous |
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nerve of forearm) |
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Radial nerve |
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(superficial branch) |
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Ulnar nerve |
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T2 |
Median nerve |
Radial nerve |
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(posterior cutaneous |
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nerve of arm) |
Musculocutaneous nerve |
T1 |
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(lateral cutaneous |
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nerve of forearm) |
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Radial nerve |
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(superficial branch) |
Ulnar nerve |
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Median nerve |
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(innervates nail beds) |
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Plate 461 |
Neurovasculature |
Anterior view
Note: Only muscles innervated by musculocutaneous
nerve shown.
Musculocutaneous nerve (C5, 6, 7)
Coracobrachialis muscle
Biceps brachii muscle (retracted)
Brachialis muscle
Articular branch
Lateral antebrachial cutaneous nerve
Anterior branch
Posterior branch
Musculocutaneous Nerve 6
See also Plate 417
Medial |
Cords of |
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Posterior |
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brachial |
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Lateral |
plexus |
Medial brachial cutaneous nerve
Medial antebrachial cutaneous nerve
Ulnar nerve
Median nerve
Radial nerve
Axillary nerve
Cutaneous innervation (via lateral antebrachial cutaneous nerve)
Anterior (palmar) view |
Posterior (dorsal) view |
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Neurovasculature |
Plate 462 |
Median Nerve
See also Plates 400, 432, 433
Anterior view
Musculocutaneous nerve
Median nerve (C5, 6, 7, 8, T1)
Inconstant contribution
Pronator teres muscle (humeral head)
Articular branch
Flexor carpi radialis muscle
Palmaris longus muscle
Pronator teres muscle (ulnar head)
Flexor digitorum superficialis muscle (turned up)
Flexor digitorum profundus muscle (lateral part supplied by median [anterior interosseous] nerve; medial part supplied by ulnar nerve)
Anterior interosseous nerve
Flexor pollicis longus muscle
Pronator quadratus muscle
Palmar branch of median nerve
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Abductor pollicis brevis |
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Opponens pollicis |
Thenar |
Superficial head of |
muscles |
flexor pollicis brevis |
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(deep head |
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supplied by |
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ulnar nerve) |
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1st and 2nd |
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lumbrical muscles |
Dorsal branches to dorsum of middle and distal phalanges
Note: Only muscles innervated by median nerve shown.
Medial |
Cords of |
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Posterior |
brachial |
Lateral |
plexus |
Medial brachial |
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cutaneous nerve |
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Medial antebrachial |
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cutaneous nerve |
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Axillary nerve
Radial nerve
Ulnar nerve
Cutaneous innervation
Palmar view
Communicating branch of median nerve with ulnar nerve
Common palmar digital nerves
Proper palmar digital nerves
Posterior (dorsal) view
Plate 463 |
Neurovasculature |
Anterior view
Palmar view
Posterior (dorsal) view
Flexor pollicis brevis muscle (deep head only; superficial head and other thenar muscles supplied by median nerve)
Adductor pollicis muscle
1st dorsal interosseous muscle
Ulnar Nerve 6
See also Plates 432, 434
Note: Only muscles innervated by ulnar nerve shown.
Cutaneous innervation
Ulnar nerve (C7, 8, T1)
(no branches above elbow)
Inconstant contribution
Medial epicondyle
Articular branch (behind condyle)
Flexor digitorum profundus muscle (medial part only; lateral part supplied by anterior interosseous branch of median nerve)
Flexor carpi ulnaris muscle (retracted)
Dorsal branch of ulnar nerve
Palmar branch
Palmar carpal ligament
Superficial branch
Deep branch
Palmaris brevis |
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Abductor digiti minimi |
Hypothenar muscles |
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Flexor digiti minimi brevis |
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Opponens digiti minimi |
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Common palmar digital nerve
Communicating branch of median nerve with ulnar nerve
Palmar interosseous muscles
3rd and 4th lumbrical muscles (turned down)
Palmar digital nerves
(dorsal digital nerves are from dorsal branch)
Dorsal branches to dorsum of middle and distal phalanges
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Neurovasculature |
Plate 464 |
Radial Nerve in Arm and Nerves of Posterior Shoulder
See also Plates 413, 418
Dorsal scapular nerve (C5) |
Posterior view |
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Supraspinatus muscle |
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Suprascapular nerve (C5, 6) |
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Levator scapulae |
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muscle (supplied |
Deltoid muscle |
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also by branches |
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from C3 and C4) |
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Teres minor muscle |
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Axillary nerve (C5, 6) |
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Rhomboid |
Superior lateral brachial |
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cutaneous nerve |
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minor muscle |
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Radial nerve |
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(C5, 6, 7 , 8, T1) |
Rhomboid major muscle
Infraspinatus muscle
Teres major muscle
Lower subscapular nerve (C5, 6)
Posterior brachial cutaneous nerve (branch of radial nerve in axilla)
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Long head |
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Triceps brachii muscle |
Lateral |
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head (cut) |
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Medial head |
Triceps brachii tendon
Medial epicondyle
Olecranon
Inconstant contribution
Inferior lateral brachial cutaneous nerve
Posterior antebrachial cutaneous nerve
Lateral intermuscular septum
Brachialis muscle (lateral part; remainder of muscle supplied by musculocutaneous nerve)
Brachioradialis muscle
Extensor carpi radialis longus muscle
Anconeus muscle |
Extensor carpi |
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radialis brevis |
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muscle |
Extensor digitorum muscle
Extensor carpi ulnaris muscle
Plate 465 |
Neurovasculature |
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Radial Nerve in Forearm |
6 |
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See also Plates 430, 454 |
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Radial nerve (C5, 6, 7, 8, T1) |
Inconstant contribution |
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Superficial (terminal) branch |
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Deep (terminal) branch |
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Posterior view |
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Lateral epicondyle of humerus |
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Anconeus muscle
Brachioradialis muscle
Extensor carpi radialis longus muscle
Supinator muscle |
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Extensor carpi radialis brevis muscle |
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Extensor carpi ulnaris muscle |
Extensor-supinator |
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group of muscles |
Extensor digitorum muscle and |
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extensor digiti minimi muscle |
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Extensor indicis muscle |
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Extensor pollicis longus muscle |
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Abductor pollicis longus muscle |
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Extensor pollicis brevis muscle |
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Posterior interosseous nerve (continuation |
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of deep branch of radial nerve distal to |
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lower border of supinator muscle) |
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Superficial branch of radial nerve |
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From axillary nerve |
Superior lateral |
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brachial cutaneous |
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nerve |
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Inferior lateral brachial cutaneous nerve
Posterior brachial cutaneous nerve
From radial nerve
Posterior antebrachial cutaneous nerve
Superficial branch of radial nerve and dorsal digital branches
Dorsal digital nerves
Cutaneous innervation from radial and axillary nerves
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Neurovasculature |
Plate 466 |