!

  
 
  "##!!#
#$%&'(&')&*+(%)!
front.card6.1.qxd 12/6/06 10:01 AM Page 1

Upper Limb 6.1

Clavicle

1 2 3

Superior Surface

Inferior Surface

4 5 6

COA
back.card6.1.qxd 12/4/06 4:31 PM Page 1

Clavicle
1. Sternal end
2. Shaft
3. Acromial end
4. Subclavian groove
5. Conoid tubercle
6. Trapezoid line

The clavicle, the first bone to ossify, is highly variable in

shape and size and is one of the most commonly fractured
bones. Fracture is usually evident by the palpable elevation of
the medial portion from action of the sternocleidomastoid and
dropping of the shoulder from the unsupported weight of the
upper limb.

COA

© 2008 Lippincott Williams & Wilkins

front.card6.19.qxd 12/6/06 10:42 AM Page 1

Upper Limb 6.19

Brachial Plexus, Axillary Vein Removed

1
2

3
4
5
6

Grant’s
back.card6.19.qxd 12/4/06 4:40 PM Page 1

Brachial Plexus, Axillary Vein Removed

1. suprascapular nerve
2. posterior cord
3. radial nerve
4. axillary nerve
5. subscapular trunk
6. long thoracic nerve

Injuries to the inferior parts of the brachial plexus occur when

the upper limb is pulled superiorly, as in grasping something
to break a fall or as a baby’s upper limb is pulled during de-
livery. The intrinsic muscles of the hand are involved, result-
ing in claw hand.

COA

© 2008 Lippincott Williams & Wilkins

front.card6.43.qxd 12/6/06 12:09 PM Page 1

Upper Limb 6.43

Acromioclavicular Joint

1 2 3
4

Grant’s
back.card6.43.qxd 12/4/06 4:49 PM Page 1

Acromioclavicular Joint
1. superior acromioclavicular ligament
2. coracoacromial ligament
3. trapezoid ligament
4. conoid ligament
5. clavicle
6. transverse humeral ligament

Dislocation of the acromioclavicular joint, or shoulder separa-

tion, is relatively common in sports or falls that jar the shoul-
der. Rupture of the coracoacromial ligament is evidenced by a
prominent acromion and the upper limb falling.

COA

© 2008 Lippincott Williams & Wilkins