SURFACE MARKING

Points

Tip of *cromion process- L*ter*l to *cromio-cl*viccul*r joint

Cor*coid process
Muscles
Cor*cobr*chi*lis- Proxim*l *nd medi*l to biceps br*chii
DELTOID-?????

Styloid processes of r=dius =nd uln=

Styloid process of the uln=- Rounded prominence (medi*l).

1.25 cm dist*l to r*di*l styloid
Styloid process of the r=dius- *t l*ter*l p*rt of the lower p*rt of r*dius 1.25
cm *nterior to uln* styloid

Dors=l tubercle of Lister

Dist*l p*rt of r*dius(midline) in line with interdigit*l cleft between index *nd
middle finger

C=rp=l Bones

B*se of hypothen*r eminence- pisiform

B*se of Then*r eminence- Sc*phoid

ARTERIES( IN ARM AND FOREARM)

Prelimin=ry =ctions(!!)
ARM MUST BE ABDUCTED AND
PALM SHOULD FACE UPWARDS

Axill=ry Artery
Points
!. One point below middle of the lower border of the cl=vicle
#. Anterior 1/3 =nd Posterior 2/3 junction of l=ter=l w=ll of =xill=
Line joining these 2 points is suffice m*rking of *xill*ry *rtery.

Br=chi=l Artery
Points
!. Anterior 1/3 =nd Posterior 2/3 junction of l=ter=l w=ll of =xill=
 #. 1cm below bend of elbow just medi=l to tendon of biceps br=chii
Line joining these 2 points is suffice m*rking of Br*chi*l *rtery.
R=di=l Artery
!. 1cm below bend of elbow just medi=l to tendon of biceps br=chii
#. Between Flexor C=rpi r=di=ls Tendon =nd lower =nterior border of
r=dius
O. OVER ANATOMICAL SNUFFBOX
P. PROXIMAL INTERMETACARPAL SPACE
Line joining these two points is the surf*ce m*rking of the r*di*l *rtery
Uln=r Artery
!. 1cm below bend of elbow just medi=l to tendon of biceps br=chii
#. A) m=rk = point just l=ter=l to pisiform bone.
B) M=rk = point =t Medi=l Epicondyle
C) connect points A) =nd B)
D) now m=rk the midpoint of line AB
E) connect point D) to point 1) =nd rub off the proxim=l p=rt of the line
AB
SUPRFICIAL PALMAR ARCH
From
!. L=ter=l to pisiform
#. to uln=r border of ring finger =t hook of h=m=te 2cm dist=lly
connected by = curve from
O. A dist=lly convex line from the midpoint of then=r eminence
DEEP PALMAR ARCH
!. From * point dist*l to hook o h*m*te
* 4cm long horizont*l line is dr*wn which is 1-1.5cm proxim*l to the
superfici*l p*lm*r *rch
NERVES
!. AXILLLARY NERVE
Join these points
!. Tip of *cromion
#. Level of deltoid
At the midpoint of level of deltoid dr=w = tr=nsverse line

#. MEDIAN NERVE
Join these points
!. Junction of =nt. 1/3 =nd post. 2/3 of l=ter=l w=ll of =xill=
#. 1cm below bend of elbow just medi=l to tendon of biceps br=chii
O. B/w P=lm=ris Longus =nd Flexor C=rpi R=di=ls tendon

O. ULNAR NERVE
Join the following
 !. Junction of =nt. 1/3 =nd post. 2/3 of l=ter=l w=ll of =xill=
#. Middle of the medi=l border of =rm
O. Behind medi=l epicondyle
P. L=ter=l to pisiform

P. RADIAL NERVE
Join the following
!. From the insertion of deltoid( refer to insertion of deltoid point)
#. L=ter=l epicondyle(=t this site the R=di=l Nerve splits into Superfici=l
br=nch =nd Posterior interosseous nerve(PIN))

SUPERFICIAL BRANCH

JOIN THESE POINTS

!. L*ter*l epicondyle
#. Junction of upper 2/3 *nd lower 1/3 of l*ter*l surf*ce of r*dius
O. An*tomic*l Snuff box
POSTERIOR INTEROSSEOUS NERVE
Join these points
!. From L*ter*l Epicondyle to junction of upper 1/3 *nd lower 2/3
#. Over listerʼs tubercle (refer LISTERʼs tubercle *bove)

ANATOMICAL SNUFFBOX

LIMITED BY THE STYLOID PROCESS OF RADIUS

FLEXOR RETINACULUM

POINTS
!. SCAPHOID
#. TRAPEZIUM
O. PISIFORM
P. HOOK OF HAMATE
CONCAVITY FACES UPWARD IN SUPERIOR LIMIT ( FOR UNDERSTANDING:
PROXIMAL CONCAVE SURFACE AT FACES TOWARDS THE ELBOW REDER
DIAGRAM IN TEXT)
EXTENSOR RETINACULUM
POINTS
!. Lower p=rt of =nt. Surf=ce of r=dius
#. Uln=r styloid process
O. 2cm =bove point 1
P. 2cm =bove point 2

TO BE NOTED: the extensor retin=culum extends downw=rd medi=l from

points 3 =nd 4
VEINS
CEPHALIC VEIN
JOIN THE POINTS

!. ANATOMICAL SNUFF BOX

#. LOWER END OF LATERAL SURFACE OF RADIUS