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Encyclopedia > Anatomical snuff box
Anatomical snuff box
anatomical snuff box
Artery radial artery
Vein cephalic vein
Nerve radial nerve
Dorlands/Elsevier b_20/12194594

The anatomical snuffbox, or radial fossa, (in Latin Foveola Radialis), is a triangular deepening on the radial, dorsal aspect of the hand - at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originates from the use of this surface for placing and then snorting powdered tobacco, or “snuff”. image:hand. ... Section of an artery For other uses, see Artery (disambiguation). ... In human anatomy, the radial artery is the main blood vessel, with oxygenated blood, of the lateral aspect of the forearm. ... In the circulatory system, a vein is a blood vessel that carries blood toward the heart. ... This vein is located in the superficial fascia along the anterolateral surface of the biceps brachii muscle and is often visible through the skin. ... Nerves (yellow) Nerves redirects here. ... The radial nerve is a nerve in the human body, that supplies the arm, the forearm and the hand. ... Elseviers logo. ... The anatomical planes The anatomical position is a schematic convention for describing the relative morphology of the human body. ... In anatomy, the dorsum is the upper or back side of an animal, as opposed to the ventrum. ... In human anatomy, the carpal bones are the bones of the human wrist. ... Shredded tobacco leaf for pipe smoking Tobacco can also be pressed into plugs and sliced into flakes Tobacco is an agricultural product processed from the fresh leaves of plants in the genus Nicotiana. ... Snuff can refer to any of the following: Fine-ground smokeless tobacco, intended for use by being sniffed or snorted into the nose Swedish snus tobacco, used between the cheek and upper gums American moist snuff, or dipping tobacco, placed between in the teeth and lower gums. ...

Contents

The boundaries

The medial border of the snuffbox is the tendon of the extensor pollicis longus and the lateral border is a pair of parallel and intimate tendons, of the extensor pollicis brevis and the abductor pollicis longus. Accordingly, the anatomical snuffbox is most visible, having a more pronounced concavity, during thumb extension. The styloid process of the radius forms the proximal border while the distal border is formed by the approximate apex of the schematic snuffbox isosceles triangle. The floor of the snuffbox varies depending on the position of the wrist, but both the trapezium and primarily the scaphoid can be palpated. A tendon (or sinew) is a tough band of fibrous connective tissue that connects muscle to bone and is built to withstand tension. ... The Extensor pollicis longus muscle is a muscle of the human body. ... The Extensor pollicis brevis muscle is a muscle of the human body. ... The Abductor pollicis longus muscle is a muscle of the human body. ... In metaphysics, extension is the property of taking up space; see Extension (metaphysics). ... Remote Authentication Dial In User Service (RADIUS) is an AAA (authentication, authorization and accounting) protocol for applications such as network access or IP mobility. ... In zootomy, several terms are used to describe the location of organs and other structures in the body of bilateral animals. ... In zootomy, several terms are used to describe the location of organs and other structures in the body of bilateral animals. ... The word trapezium has several meanings: A trapezium refers to either of two geometric figures. ... The scaphoid bone of the wrist is found on the thumb side of the hand, within the anatomical snuffbox. ...


Neurovascular anatomy

Superficial to these lies the radial artery, which passes through the anatomical snuffbox on its course from the normal radial pulse detecting area, to the proximal space in between the first and second metacarpals to contribute to the superficial and deep palmar arches. The cephalic vein arises within the anatomical snuffbox, while the dorsal cutaneous branch of the radial nerve can be palpated by stroking along the extensor pollicis longus with the dorsal aspect of a fingernail. In human anatomy, the radial artery is the main blood vessel, with oxygenated blood, of the lateral aspect of the forearm. ... The metacarpus is the intermediate part of the hand skeleton that is located between the fingers distally and the carpus which forms the connection to the forearm. ... This vein is located in the superficial fascia along the anterolateral surface of the biceps brachii muscle and is often visible through the skin. ...


Pathology

The radius and scaphoid articulate deep to the snuffbox to form the basis of the wrist joint. In the event of a fall onto an outstretched hand, this is the area through which the brunt of the force will focus. This results in these two bones being the most often fractured of the wrist. In a case where there is localized tenderness within the snuffbox, knowledge of wrist anatomy leads to the speedy conclusion that the fracture is likely to be of the scaphoid. This is understandable as the scaphoid is a small, oddly shaped bone whose purpose is to facilitate mobility rather than confer stability to the wrist joint. In the event of inordinate application of force over the wrist, this small scaphoid is clearly likely to be the weak link. Interestingly, scaphoid fracture is one of the most frequent causes of medico-legal issues. Look up Tenderness in Wiktionary, the free dictionary Tenderness is term most often expressing significantly positive form of interaction between lovers, but also exist other examples: tenderly care by parents to kids tenderly care by nurse to patients tenderness (more exactly soft, precise) manipulation by person with important objects etc. ...


Anatomical peculiarity

An interesting anatomical anomaly in the vascular supply to the scaphoid is the area to which the blood supply is first delivered. Blood enters the scaphoid distally. Consequently, in the event of a fracture the proximal segment of the scaphoid will be devoid of a vascular supply, and will - if action is not taken - avascularly necrose within a sufferer's snuffbox. Due to the small size of the scaphoid and its shape, it is difficult to determine, early on, whether or not the scaphoid is indeed fractured with an x-ray. Further complications include; carpal instability (ligament disruption) and fracture-dislocations. Necrosis (in Greek Νεκρός = Dead) is the name given to accidental death of cells and living tissue. ...


A sound understanding of the anatomical relationships within the wrist allows for rapid, informed, and logical appreciation of dysfunction.


Additional images

External links


  Results from FactBites:
 
Anatomical snuff box - Wikipedia, the free encyclopedia (196 words)
The anatomical snuff box is a depression on the back of the hand, just beneath the thumb, that is formed by three tendons.
When snuff was popular, this small compartment could be used as a place to hold the tobacco for snorting.
Tenderness, or pain on contact in the snuff box is diagnostic of a scaphoid fracture, one of the most common causes of medico-legal issues.
  More results at FactBites »


 
 

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