Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
In its upper part the _brachial artery_ lies internal to the humerus
but below it is in front of the bone. The _radial_ runs in a line from
the middle of the elbow anteriorly to the inner side of the styloid
process of the radius and is much exposed to injury in the lower third
of its course, as when the hand is thrust through glass. On it at the
wrist the pulse is counted. It is much smaller than the ulnar and winds
around the outer side of the thumb to the palm, where, with the deep
branch from the ulnar, it forms the _deep palmar arch_. The _ulnar
artery_ passes obliquely inward to the middle of the forearm and thence
along its ulnar border to the palm of the hand, where it divides into
the deep branch and the _superficial palmar arch_ which supplies the
four _digital arteries_.
From the _axillary artery_ branches go to the chest wall and shoulder,
the most important being the two _circumflex arteries_ to the deltoid.
The brachial has only two branches of any importance, the _superior_
and _inferior profunda_, both on the upper arm, of course.
In case of _hemorrhage_ compression can frequently be applied with the
fingers where the subclavian crosses the rib or in the axilla, where
the artery can be pressed up against the humerus.
=Nerves.=--The nerve supply of the shoulder comes chiefly from the
anterior and posterior _thoracic_, the _suprascapular_, and the
_circumflex_, these last going to the deltoid. The biceps is supplied
by the _musculo-cutaneous_, the triceps by the _musculo-spiral_, and
the brachialis anticus by both. Most of the flexor and pronator muscles
are supplied by the _median_, while the _posterior interosseous_ and
the _musculo-spiral nerves_ go to the extensors and supinators. The
_ulnar nerve_ supplies the hand largely.
CHAPTER XIII.
THE LOWER EXTREMITIES.
The lower extremities resemble the upper very closely in the
arrangement of the bones, muscles, arteries, and nerves, though
modifications occur, due to the difference in function of the lower
limbs. There is one long bone in the upper part or thigh, the femur,
and two in the lower part or leg, the tibia and fibula, while over the
knee-joint is the patella or knee-cap. The ankle has seven bones and
the foot nineteen like the hand.
=The Femur.=--The femur is the longest bone in the body, being about
one-fourth the height of the person. It inclines toward its fellow at
the knee in order to bring the knee-joints near the center of gravity
in walking, the amount of inclination varying with the width of the
hips and the height of the person. On account of the greater width of
hip the tendency to knock-knee is greater in women than in men.
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