7.cutaneous Nerves, Supercicial Veins

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7.

Cutaneous nerves,supercicial veins


introduction
The superficial fascia seen after the reflection of skin
contains
Cutaneous nerves,cutaneous or supercicial veins and
lymphatics.
the cutaneous nerves are the continuation of the spinal
nerves and carry sympathetic fibres for supplying the sweat
glands ,arterioles in the dermis and arrector pilorum
muscles in relation to the hair follicle.
Cutaneous nerves
Cutaneous nerves
Superficial veins
These are most commonly used for intravenous injections and for
withdrawing blood for testing.
General remarks
1 most of the superficial veins of the limb join together to form two
large veins,cephalic and basilic .

2 the superficial veins run away from pressure points,they are absent
in the palm.

3 the preaxial veins is longer than the postaxial.

4 the earlier a vein becomes deep the better .

5 the superficial veins are accompanied by cutaneous nerves and


superficial lumphatics,and not by arteries.
6the superficial veins are best utilised for intravenous injections.
Superficial veins
Individual veins
Dorsal venous arch
1 three dorsal metacarpal veins
2 a dorsal digital vein from the
medial side of the little finger.
3 a dorsal digital vein from the
radial side of the index figer
4 two dorsal digital veins from the
thumb.
5 most of the blood from the palm
courses through veins passing
around the margins of the hand
and also by perforating veins
passing through the interosseous
spaces.
Superficial veins
Cephalic vein
Cephalic vein is the preaxial vein of
the upper limb .
It begins from the lateral end of
the dorsal venous arch.
It runs upwards.
1 anatomical snuff box
2 along the lateral border of the
biceps brachii.
3 pierces the deep fascia
4 runs in the deltopectoral groove
up to the infraclavicular
fossa,where
5 it pierce the clavipectoral fascia
and joins the axillary vein.
Superficial veins
Basilic vein
Basilic vein is the postaxial vein of
the upper limb.
It begins from the medial end of the
dorsal venous arch.
It runs upwards:

1 along the back of the medial


border of the forearm
2 winds round this border near the
elbow
3 it pierces the deep fascia,and
4 runs up to the lower border of
teres major where it becomes the
axillary vein
Superficial veins
Median cubital vein
Medial cubital vein is a large
communicating vein which
shunts blood from the
cephalic to the basilic vein .
It begins from the cephalic
vein 2.5cm below the bend of
the elbow,and ends in the
basilic vein 2.5cm above the
medial epicondyle.
It is ideal for intravenous
injections.
Superficial veins
Median vein of the forearm

Deep vein
Brachial veins lie on each
side of brachial artery.
Clinical anatomy
The median cubital
vein is the vein of
choice for intravenous
injections,for
withdrawing blood
from donors,and for
cardiac catheterisation
Clinical anatomy
The cephalic vein frequently
communicates with the
external jugular vein by
means of a small vein which
crosses in front of the clavicle.

Enlarges considerably and


helps in draining blood from
the upper limb.

The rupture of the


communicating channel may
lead to formation of a large
haematoma,i.e.collection of
blood

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