{"regions":[{"id":"membre-superieur-d","label":"Membre supérieur droit","cote":"droit"},{"id":"membre-superieur-g","label":"Membre supérieur gauche","cote":"gauche"},{"id":"membre-inferieur-d","label":"Membre inférieur droit","cote":"droit"},{"id":"membre-inferieur-g","label":"Membre inférieur gauche","cote":"gauche"},{"id":"visceres","label":"Viscères","cote":null},{"id":"tete-cou","label":"Tête et cou","cote":null},{"id":"tronc","label":"Tronc (thorax et dos)","cote":null},{"id":"abdomen-bassin","label":"Abdomen et bassin","cote":null}],"structures":[{"id":"os-clavicule","fma":"FMA13322","nom":"Clavicule","nomLatin":"Clavicula","region":"Ceinture scapulaire","couche":"os","fiche":{"description":"Os long en forme de S italique, horizontal, à la base du cou. Seul lien osseux entre le membre supérieur et le tronc.","action":"Articulations : sterno-claviculaire (médiale) et acromio-claviculaire (latérale). Maintient l'épaule à distance du thorax."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-scapula","fma":"FMA13395","nom":"Scapula","nomLatin":"Scapula","region":"Ceinture scapulaire","couche":"os","fiche":{"description":"Os plat triangulaire de la face postérieure du thorax (de K2 à K7). Reliefs : épine, acromion, processus coracoïde, cavité glénoïdale.","action":"Articulations : gléno-humérale et acromio-claviculaire. Sert d'insertion aux muscles de la coiffe des rotateurs."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-humerus","fma":"FMA23130","nom":"Humérus","nomLatin":"Humerus","region":"Bras","couche":"os","fiche":{"description":"Os long du bras. Extrémité proximale : tête, col anatomique, tubercules majeur et mineur, sillon intertuberculaire, col chirurgical. Extrémité distale : capitulum, trochlée, épicondyles latéral et médial.","action":"Articulations : gléno-humérale (épaule) et huméro-ulnaire / huméro-radiale (coude). Le nerf radial longe le sillon du nerf radial, le nerf ulnaire passe derrière l'épicondyle médial."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-radius","fma":"FMA23464","nom":"Radius","nomLatin":"Radius","region":"Avant-bras","couche":"os","fiche":{"description":"Os latéral de l'avant-bras. Tête discoïde en haut, tubérosité radiale (insertion du biceps), processus styloïde en bas.","action":"Pivote autour de l'ulna lors de la prono-supination (articulations radio-ulnaires proximale et distale). S'articule avec le scaphoïde et le lunatum (articulation radio-carpienne)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-ulna","fma":"FMA23467","nom":"Ulna","nomLatin":"Ulna","region":"Avant-bras","couche":"os","fiche":{"description":"Os médial de l'avant-bras. Olécrâne et processus coronoïde forment l'incisure trochléaire ; tête et processus styloïde en distal.","action":"Pièce fixe de l'avant-bras : articulation huméro-ulnaire (flexion-extension du coude) et radio-ulnaires."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-scaphoide","fma":"FMA24435","nom":"Scaphoïde","nomLatin":"Os scaphoideum","region":"Poignet","couche":"os","fiche":{"description":"Os de la première rangée du carpe, le plus latéral. Palpable dans la tabatière anatomique.","vascularisation":"Vascularisation rétrograde (branches de l'artère radiale entrant par le pôle distal) : risque de nécrose du pôle proximal après fracture.","action":"Os le plus souvent fracturé du carpe (chute sur la main en extension)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-lunatum","fma":"FMA24437","nom":"Lunatum","nomLatin":"Os lunatum","region":"Poignet","couche":"os","fiche":{"description":"Os en croissant de la première rangée du carpe, entre scaphoïde et triquetrum.","action":"S'articule avec le radius. Luxation péri-lunaire possible ; nécrose = maladie de Kienböck."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-triquetrum","fma":"FMA24439","nom":"Triquetrum","nomLatin":"Os triquetrum","region":"Poignet","couche":"os","fiche":{"description":"Os pyramidal de la première rangée du carpe, médial au lunatum. Porte la surface articulaire du pisiforme."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-pisiforme","fma":"FMA24441","nom":"Pisiforme","nomLatin":"Os pisiforme","region":"Poignet","couche":"os","fiche":{"description":"Petit os sésamoïde du tendon du fléchisseur ulnaire du carpe, palpable à la face antéro-médiale du poignet.","action":"Limite médiale du canal ulnaire (loge de Guyon) où passent le nerf et l'artère ulnaires."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-trapeze","fma":"FMA24443","nom":"Trapèze","nomLatin":"Os trapezium","region":"Poignet","couche":"os","fiche":{"description":"Os le plus latéral de la deuxième rangée du carpe.","action":"Articulation trapézo-métacarpienne (en selle) avec le 1er métacarpien : opposition du pouce. Siège fréquent d'arthrose (rhizarthrose)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-trapezoide","fma":"FMA23725","nom":"Trapézoïde","nomLatin":"Os trapezoideum","region":"Poignet","couche":"os","fiche":{"description":"Petit os de la deuxième rangée du carpe, entre trapèze et capitatum ; s'articule avec la base du 2e métacarpien."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-capitatum","fma":"FMA24446","nom":"Capitatum","nomLatin":"Os capitatum","region":"Poignet","couche":"os","fiche":{"description":"Plus gros os du carpe, au centre de la deuxième rangée ; sa tête s'emboîte dans le scaphoïde et le lunatum. S'articule avec le 3e métacarpien."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-hamatum","fma":"FMA24448","nom":"Hamatum","nomLatin":"Os hamatum","region":"Poignet","couche":"os","fiche":{"description":"Os médial de la deuxième rangée du carpe, reconnaissable à son hamulus (crochet).","action":"Le hamulus limite latéralement le canal ulnaire et donne insertion au rétinaculum des fléchisseurs."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-metacarpiens","fma":"FMA9612","nom":"Métacarpiens","nomLatin":"Ossa metacarpi","region":"Main","couche":"os","fiche":{"description":"Cinq os longs numérotés de I (pouce) à V. Base proximale (articulations carpo-métacarpiennes), tête distale (articulations métacarpo-phalangiennes)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"os-phalanges-main","fma":null,"nom":"Phalanges de la main","nomLatin":"Phalanges manus","region":"Main","couche":"os","fiche":{"description":"14 phalanges : proximale, moyenne et distale pour les doigts II à V ; proximale et distale seulement pour le pouce."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-trapeze","fma":null,"nom":"Trapèze (muscle)","nomLatin":"Musculus trapezius","region":"Ceinture scapulaire","couche":"muscles","fiche":{"origine":"Ligne nucale supérieure, protubérance occipitale externe, ligament nucal, processus épineux de C7 à T12.","insertion":"Tiers latéral de la clavicule, acromion, épine de la scapula.","innervation":"Nerf accessoire (XI), avec contingent sensitif de C3–C4.","vascularisation":"Artère transverse du cou (cervicale superficielle).","action":"Partie descendante : élévation de l'épaule ; partie transverse : rétraction de la scapula ; partie ascendante : abaissement. Participe à la sonnette latérale."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-grand-dorsal","fma":null,"nom":"Grand dorsal","nomLatin":"Musculus latissimus dorsi","region":"Épaule","couche":"muscles","fiche":{"origine":"Processus épineux de T7 à L5 (via le fascia thoraco-lombaire), sacrum, crête iliaque, 3–4 dernières côtes, angle inférieur de la scapula.","insertion":"Fond du sillon intertuberculaire de l'humérus.","innervation":"Nerf thoraco-dorsal (C6–C8), branche du faisceau postérieur.","vascularisation":"Artère thoraco-dorsale (branche de l'artère subscapulaire).","action":"Adduction, extension et rotation médiale du bras (« muscle du grimpeur »)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-grand-pectoral","fma":"FMA13373","nom":"Grand pectoral","nomLatin":"Musculus pectoralis major","region":"Épaule","couche":"muscles","fiche":{"origine":"Faisceau claviculaire : moitié médiale de la clavicule. Faisceau sterno-costal : sternum et cartilages costaux 1–6. Faisceau abdominal : gaine du muscle droit de l'abdomen.","insertion":"Lèvre latérale du sillon intertuberculaire de l'humérus.","innervation":"Nerfs pectoraux latéral et médial (C5–T1).","vascularisation":"Branche pectorale de l'artère thoraco-acromiale.","action":"Adduction et rotation médiale du bras ; le faisceau claviculaire est fléchisseur de l'épaule."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-petit-pectoral","fma":"FMA13375","nom":"Petit pectoral","nomLatin":"Musculus pectoralis minor","region":"Épaule","couche":"muscles","fiche":{"origine":"Faces externes des 3e à 5e côtes.","insertion":"Processus coracoïde de la scapula.","innervation":"Nerf pectoral médial (C8–T1).","vascularisation":"Artère thoraco-acromiale.","action":"Abaisse et porte en avant le moignon de l'épaule ; inspirateur accessoire si la scapula est fixée. Repère divisant l'artère axillaire en 3 segments."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-dentele-anterieur","fma":"FMA13398","nom":"Dentelé antérieur","nomLatin":"Musculus serratus anterior","region":"Épaule","couche":"muscles","fiche":{"origine":"Faces latérales des 9–10 premières côtes.","insertion":"Bord médial de la scapula (face costale).","innervation":"Nerf thoracique long (C5–C7).","vascularisation":"Artère thoracique latérale et artère thoraco-dorsale.","action":"Plaque la scapula contre le thorax et la porte en avant (protraction) ; sonnette latérale. Paralysie = scapula alata."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-deltoide","fma":null,"nom":"Deltoïde","nomLatin":"Musculus deltoideus","region":"Épaule","couche":"muscles","fiche":{"origine":"Tiers latéral de la clavicule, acromion, épine de la scapula.","insertion":"Tubérosité deltoïdienne de l'humérus (V deltoïdien).","innervation":"Nerf axillaire (C5–C6).","vascularisation":"Artères circonflexes humérales postérieure et antérieure, branche deltoïdienne de l'artère thoraco-acromiale.","action":"Abducteur principal du bras (de 15° à 90°). Partie claviculaire : flexion et rotation médiale ; partie spinale : extension et rotation latérale."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-supra-epineux","fma":"FMA32544","nom":"Supra-épineux","nomLatin":"Musculus supraspinatus","region":"Épaule","couche":"muscles","fiche":{"origine":"Fosse supra-épineuse de la scapula.","insertion":"Facette supérieure du tubercule majeur de l'humérus.","innervation":"Nerf suprascapulaire (C5–C6).","vascularisation":"Artère suprascapulaire.","action":"Initie l'abduction (0–15°) ; coiffe des rotateurs : coapte la tête humérale. Tendon le plus souvent lésé de la coiffe."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-infra-epineux","fma":"FMA32547","nom":"Infra-épineux","nomLatin":"Musculus infraspinatus","region":"Épaule","couche":"muscles","fiche":{"origine":"Fosse infra-épineuse de la scapula.","insertion":"Facette moyenne du tubercule majeur de l'humérus.","innervation":"Nerf suprascapulaire (C5–C6).","vascularisation":"Artères suprascapulaire et circonflexe de la scapula.","action":"Rotation latérale du bras ; coiffe des rotateurs."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-petit-rond","fma":"FMA32553","nom":"Petit rond","nomLatin":"Musculus teres minor","region":"Épaule","couche":"muscles","fiche":{"origine":"Partie supérieure du bord latéral de la scapula (face postérieure).","insertion":"Facette inférieure du tubercule majeur de l'humérus.","innervation":"Nerf axillaire (C5–C6).","vascularisation":"Artère circonflexe de la scapula.","action":"Rotation latérale du bras ; coiffe des rotateurs."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-grand-rond","fma":"FMA32551","nom":"Grand rond","nomLatin":"Musculus teres major","region":"Épaule","couche":"muscles","fiche":{"origine":"Angle inférieur de la scapula (face postérieure).","insertion":"Lèvre médiale du sillon intertuberculaire de l'humérus.","innervation":"Nerf subscapulaire inférieur (C5–C7).","vascularisation":"Artère circonflexe de la scapula, artère thoraco-dorsale.","action":"Adduction, extension et rotation médiale du bras. Limite les espaces axillaires (quadrilatère et triangle huméro-tricipital)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-subscapulaire","fma":"FMA13414","nom":"Subscapulaire","nomLatin":"Musculus subscapularis","region":"Épaule","couche":"muscles","fiche":{"origine":"Fosse subscapulaire (face costale de la scapula).","insertion":"Tubercule mineur de l'humérus.","innervation":"Nerfs subscapulaires supérieur et inférieur (C5–C6).","vascularisation":"Artère subscapulaire.","action":"Rotation médiale du bras ; seul muscle antérieur de la coiffe des rotateurs."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-coracobrachial","fma":"FMA37665","nom":"Coracobrachial","nomLatin":"Musculus coracobrachialis","region":"Bras","couche":"muscles","fiche":{"origine":"Processus coracoïde (avec le chef court du biceps).","insertion":"Face médiale de la diaphyse humérale (tiers moyen).","innervation":"Nerf musculo-cutané (C5–C7), qui le perfore.","vascularisation":"Artère brachiale.","action":"Flexion et adduction du bras."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-biceps-brachial","fma":null,"nom":"Biceps brachial","nomLatin":"Musculus biceps brachii","region":"Bras","couche":"muscles","fiche":{"origine":"Chef long : tubercule supra-glénoïdal (tendon intra-articulaire, sillon intertuberculaire). Chef court : processus coracoïde.","insertion":"Tubérosité radiale ; expansion aponévrotique (lacertus fibrosus) vers le fascia antébrachial médial.","innervation":"Nerf musculo-cutané (C5–C6).","vascularisation":"Artère brachiale.","action":"Supinateur le plus puissant et fléchisseur du coude ; accessoirement fléchisseur de l'épaule. Réflexe bicipital : C5."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-brachial","fma":"FMA37668","nom":"Brachial","nomLatin":"Musculus brachialis","region":"Bras","couche":"muscles","fiche":{"origine":"Moitié distale de la face antérieure de l'humérus.","insertion":"Tubérosité de l'ulna et processus coronoïde.","innervation":"Nerf musculo-cutané (C5–C6) ; petit contingent du nerf radial pour sa partie latérale.","vascularisation":"Artère brachiale, artère récurrente radiale.","action":"Fléchisseur pur du coude, quelle que soit la position de l'avant-bras."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-triceps-brachial","fma":null,"nom":"Triceps brachial","nomLatin":"Musculus triceps brachii","region":"Bras","couche":"muscles","fiche":{"origine":"Chef long : tubercule infra-glénoïdal. Chef latéral : face postérieure de l'humérus au-dessus du sillon radial. Chef médial : face postérieure sous le sillon radial.","insertion":"Olécrâne de l'ulna.","innervation":"Nerf radial (C6–C8).","vascularisation":"Artère brachiale profonde, artères collatérales ulnaires.","action":"Extenseur du coude ; le chef long participe à l'extension et à l'adduction de l'épaule. Réflexe tricipital : C7."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-ancone","fma":"FMA37705","nom":"Anconé","nomLatin":"Musculus anconeus","region":"Coude","couche":"muscles","fiche":{"origine":"Face postérieure de l'épicondyle latéral.","insertion":"Face latérale de l'olécrâne et face postérieure de l'ulna.","innervation":"Nerf radial (C7–C8).","vascularisation":"Artère interosseuse récurrente.","action":"Extension accessoire du coude ; stabilise l'articulation."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-rond-pronateur","fma":null,"nom":"Rond pronateur","nomLatin":"Musculus pronator teres","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Chef huméral : épicondyle médial (tendon commun des fléchisseurs). Chef ulnaire : processus coronoïde.","insertion":"Face latérale du radius (tiers moyen).","innervation":"Nerf médian (C6–C7), qui passe entre ses deux chefs.","vascularisation":"Artères ulnaire et récurrente ulnaire antérieure.","action":"Pronation de l'avant-bras ; flexion accessoire du coude."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-flechisseur-radial-carpe","fma":"FMA38460","nom":"Fléchisseur radial du carpe","nomLatin":"Musculus flexor carpi radialis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle médial (tendon commun des fléchisseurs).","insertion":"Base du 2e métacarpien (face palmaire).","innervation":"Nerf médian (C6–C7).","vascularisation":"Artère radiale.","action":"Flexion et abduction (inclinaison radiale) du poignet. Son tendon est le repère de l'artère radiale au poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-long-palmaire","fma":"FMA38463","nom":"Long palmaire","nomLatin":"Musculus palmaris longus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle médial.","insertion":"Rétinaculum des fléchisseurs et aponévrose palmaire.","innervation":"Nerf médian (C7–C8).","vascularisation":"Artère ulnaire.","action":"Fléchisseur accessoire du poignet ; tend l'aponévrose palmaire. Absent chez environ 15 % des sujets."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-flechisseur-ulnaire-carpe","fma":null,"nom":"Fléchisseur ulnaire du carpe","nomLatin":"Musculus flexor carpi ulnaris","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Chef huméral : épicondyle médial. Chef ulnaire : olécrâne et bord postérieur de l'ulna.","insertion":"Pisiforme, puis hamulus de l'hamatum et base du 5e métacarpien (ligaments piso-hamatum et piso-métacarpien).","innervation":"Nerf ulnaire (C7–T1), qui passe entre ses deux chefs.","vascularisation":"Artère ulnaire.","action":"Flexion et adduction (inclinaison ulnaire) du poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-flechisseur-superficiel-doigts","fma":"FMA38470","nom":"Fléchisseur superficiel des doigts","nomLatin":"Musculus flexor digitorum superficialis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Chef huméro-ulnaire : épicondyle médial et processus coronoïde. Chef radial : bord antérieur du radius.","insertion":"Faces latérales des phalanges moyennes des doigts II à V (tendons perforés).","innervation":"Nerf médian (C7–T1).","vascularisation":"Artères ulnaire et radiale.","action":"Flexion des interphalangiennes proximales, puis des métacarpo-phalangiennes et du poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-flechisseur-profond-doigts","fma":"FMA38479","nom":"Fléchisseur profond des doigts","nomLatin":"Musculus flexor digitorum profundus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Faces antérieure et médiale de l'ulna, membrane interosseuse.","insertion":"Bases des phalanges distales des doigts II à V (tendons perforants).","innervation":"Double : nerf médian (nerf interosseux antérieur) pour les chefs des doigts II–III ; nerf ulnaire pour les doigts IV–V.","vascularisation":"Artères ulnaire et interosseuse antérieure.","action":"Seul fléchisseur des interphalangiennes distales ; fléchit aussi les autres articulations des doigts et le poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-long-flechisseur-pouce","fma":"FMA38482","nom":"Long fléchisseur du pouce","nomLatin":"Musculus flexor pollicis longus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Face antérieure du radius et membrane interosseuse.","insertion":"Base de la phalange distale du pouce.","innervation":"Nerf interosseux antérieur (branche du nerf médian, C7–C8).","vascularisation":"Artère interosseuse antérieure.","action":"Flexion de l'interphalangienne du pouce (et accessoirement de la métacarpo-phalangienne)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-carre-pronateur","fma":"FMA38454","nom":"Carré pronateur","nomLatin":"Musculus pronator quadratus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Quart distal de la face antérieure de l'ulna.","insertion":"Quart distal de la face antérieure du radius.","innervation":"Nerf interosseux antérieur (nerf médian, C7–C8).","vascularisation":"Artère interosseuse antérieure.","action":"Pronateur principal (initie la pronation) ; maintient la cohésion radio-ulnaire distale."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-brachioradial","fma":"FMA38486","nom":"Brachioradial","nomLatin":"Musculus brachioradialis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Crête supra-épicondylaire latérale de l'humérus (deux tiers proximaux).","insertion":"Processus styloïde du radius.","innervation":"Nerf radial (C5–C6).","vascularisation":"Artère récurrente radiale.","action":"Fléchisseur du coude, surtout en position intermédiaire (avant-bras en semi-pronation). Réflexe stylo-radial : C6."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-long-extenseur-radial-carpe","fma":"FMA38495","nom":"Long extenseur radial du carpe","nomLatin":"Musculus extensor carpi radialis longus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Crête supra-épicondylaire latérale (tiers distal).","insertion":"Base du 2e métacarpien (face dorsale).","innervation":"Nerf radial (C6–C7).","vascularisation":"Artère récurrente radiale.","action":"Extension et abduction du poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-court-extenseur-radial-carpe","fma":"FMA38498","nom":"Court extenseur radial du carpe","nomLatin":"Musculus extensor carpi radialis brevis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle latéral (tendon commun des extenseurs).","insertion":"Base du 3e métacarpien (face dorsale).","innervation":"Branche profonde du nerf radial (C7–C8).","vascularisation":"Artère radiale.","action":"Extension et abduction du poignet. Impliqué dans l'épicondylite latérale (« tennis elbow »)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-extenseur-doigts","fma":"FMA38501","nom":"Extenseur des doigts","nomLatin":"Musculus extensor digitorum","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle latéral (tendon commun des extenseurs).","insertion":"Expansions dorsales des doigts II à V (phalanges moyennes et distales).","innervation":"Nerf interosseux postérieur (branche profonde du nerf radial, C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension des doigts II à V (surtout des métacarpo-phalangiennes) et du poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-extenseur-petit-doigt","fma":"FMA38504","nom":"Extenseur du petit doigt","nomLatin":"Musculus extensor digiti minimi","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle latéral.","insertion":"Expansion dorsale du 5e doigt.","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension du petit doigt."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-extenseur-ulnaire-carpe","fma":"FMA38507","nom":"Extenseur ulnaire du carpe","nomLatin":"Musculus extensor carpi ulnaris","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Chef huméral : épicondyle latéral. Chef ulnaire : bord postérieur de l'ulna.","insertion":"Base du 5e métacarpien (face dorsale).","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension et adduction (inclinaison ulnaire) du poignet."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-supinateur","fma":"FMA38513","nom":"Supinateur","nomLatin":"Musculus supinator","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Épicondyle latéral, ligaments collatéral radial et annulaire, crête du muscle supinateur de l'ulna.","insertion":"Face latérale du tiers proximal du radius (s'enroule autour du col).","innervation":"Branche profonde du nerf radial (C6), qui le traverse (arcade de Fröhse).","vascularisation":"Artère interosseuse récurrente.","action":"Supination de l'avant-bras, seul quand le coude est en extension."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-long-abducteur-pouce","fma":"FMA38516","nom":"Long abducteur du pouce","nomLatin":"Musculus abductor pollicis longus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Faces postérieures de l'ulna et du radius, membrane interosseuse.","insertion":"Base du 1er métacarpien (face latérale).","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Abduction et extension du pouce ; abduction du poignet. Bord latéral de la tabatière anatomique (avec le court extenseur)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-court-extenseur-pouce","fma":"FMA38519","nom":"Court extenseur du pouce","nomLatin":"Musculus extensor pollicis brevis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Face postérieure du radius et membrane interosseuse.","insertion":"Base de la phalange proximale du pouce.","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension de la métacarpo-phalangienne du pouce. Bord latéral de la tabatière anatomique."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-long-extenseur-pouce","fma":"FMA38522","nom":"Long extenseur du pouce","nomLatin":"Musculus extensor pollicis longus","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Face postérieure de l'ulna (tiers moyen) et membrane interosseuse.","insertion":"Base de la phalange distale du pouce.","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension de l'interphalangienne du pouce. Son tendon contourne le tubercule dorsal du radius (Lister) et forme le bord médial de la tabatière anatomique."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-extenseur-index","fma":"FMA38525","nom":"Extenseur de l'index","nomLatin":"Musculus extensor indicis","region":"Avant-bras","couche":"muscles","fiche":{"origine":"Face postérieure de l'ulna (tiers distal) et membrane interosseuse.","insertion":"Expansion dorsale de l'index.","innervation":"Nerf interosseux postérieur (C7–C8).","vascularisation":"Artère interosseuse postérieure.","action":"Extension indépendante de l'index."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-court-abducteur-pouce","fma":"FMA37386","nom":"Court abducteur du pouce","nomLatin":"Musculus abductor pollicis brevis","region":"Main","couche":"muscles","fiche":{"origine":"Rétinaculum des fléchisseurs, tubercules du scaphoïde et du trapèze.","insertion":"Base de la phalange proximale du pouce (côté latéral).","innervation":"Branche thénarienne (récurrente) du nerf médian (C8–T1).","vascularisation":"Branche palmaire superficielle de l'artère radiale.","action":"Abduction du pouce (éminence thénar). Amyotrophie précoce dans le syndrome du canal carpien."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-court-flechisseur-pouce","fma":"FMA37388","nom":"Court fléchisseur du pouce","nomLatin":"Musculus flexor pollicis brevis","region":"Main","couche":"muscles","fiche":{"origine":"Chef superficiel : rétinaculum des fléchisseurs et trapèze. Chef profond : trapézoïde et capitatum.","insertion":"Base de la phalange proximale du pouce (sésamoïde latéral).","innervation":"Chef superficiel : nerf médian ; chef profond : branche profonde du nerf ulnaire.","vascularisation":"Branche palmaire superficielle de l'artère radiale.","action":"Flexion de la métacarpo-phalangienne du pouce."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-opposant-pouce","fma":"FMA37390","nom":"Opposant du pouce","nomLatin":"Musculus opponens pollicis","region":"Main","couche":"muscles","fiche":{"origine":"Rétinaculum des fléchisseurs et tubercule du trapèze.","insertion":"Bord latéral du 1er métacarpien.","innervation":"Branche thénarienne du nerf médian (C8–T1).","vascularisation":"Branche palmaire superficielle de l'artère radiale.","action":"Opposition du pouce (antépulsion, rotation et flexion du 1er métacarpien)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-adducteur-pouce","fma":null,"nom":"Adducteur du pouce","nomLatin":"Musculus adductor pollicis","region":"Main","couche":"muscles","fiche":{"origine":"Chef oblique : capitatum et bases des 2e–3e métacarpiens. Chef transverse : diaphyse du 3e métacarpien.","insertion":"Base de la phalange proximale du pouce (sésamoïde médial).","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Arcade palmaire profonde.","action":"Adduction du pouce. Signe de Froment en cas de paralysie ulnaire."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-abducteur-petit-doigt","fma":"FMA37396","nom":"Abducteur du petit doigt","nomLatin":"Musculus abductor digiti minimi","region":"Main","couche":"muscles","fiche":{"origine":"Pisiforme et tendon du fléchisseur ulnaire du carpe.","insertion":"Base de la phalange proximale du 5e doigt (côté médial).","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Branche palmaire profonde de l'artère ulnaire.","action":"Abduction du petit doigt (éminence hypothénar)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-court-flechisseur-petit-doigt","fma":"FMA37398","nom":"Court fléchisseur du petit doigt","nomLatin":"Musculus flexor digiti minimi brevis","region":"Main","couche":"muscles","fiche":{"origine":"Hamulus de l'hamatum et rétinaculum des fléchisseurs.","insertion":"Base de la phalange proximale du 5e doigt.","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Branche palmaire profonde de l'artère ulnaire.","action":"Flexion de la métacarpo-phalangienne du petit doigt."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-opposant-petit-doigt","fma":"FMA37400","nom":"Opposant du petit doigt","nomLatin":"Musculus opponens digiti minimi","region":"Main","couche":"muscles","fiche":{"origine":"Hamulus de l'hamatum et rétinaculum des fléchisseurs.","insertion":"Bord médial du 5e métacarpien.","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Branche palmaire profonde de l'artère ulnaire.","action":"Porte le 5e métacarpien en avant et en dehors (opposition au pouce)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-lombricaux","fma":"FMA71318","nom":"Lombricaux","nomLatin":"Musculi lumbricales manus","region":"Main","couche":"muscles","fiche":{"origine":"Tendons du fléchisseur profond des doigts.","insertion":"Bord latéral des expansions dorsales des doigts II à V.","innervation":"Lombricaux 1 et 2 : nerf médian ; lombricaux 3 et 4 : nerf ulnaire (branche profonde).","vascularisation":"Arcades palmaires superficielle et profonde.","action":"Flexion des métacarpo-phalangiennes et extension des interphalangiennes."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-interosseux-dorsaux","fma":"FMA71319","nom":"Interosseux dorsaux","nomLatin":"Musculi interossei dorsales manus","region":"Main","couche":"muscles","fiche":{"origine":"Faces adjacentes des métacarpiens (deux chefs chacun).","insertion":"Bases des phalanges proximales et expansions dorsales des doigts II, III et IV.","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Arcade palmaire profonde, artères métacarpiennes dorsales.","action":"Abduction des doigts par rapport à l'axe du 3e doigt (« DAB ») ; flexion des MCP et extension des IP."},"zone":"membre-superieur-d","cote":"droit"},{"id":"m-interosseux-palmaires","fma":null,"nom":"Interosseux palmaires","nomLatin":"Musculi interossei palmares","region":"Main","couche":"muscles","fiche":{"origine":"Face palmaire des métacarpiens II, IV et V.","insertion":"Expansions dorsales des doigts II, IV et V.","innervation":"Branche profonde du nerf ulnaire (C8–T1).","vascularisation":"Arcade palmaire profonde.","action":"Adduction des doigts vers l'axe du 3e doigt (« PAD »)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"retinaculum-flechisseurs","fma":"FMA40120","nom":"Rétinaculum des fléchisseurs","nomLatin":"Retinaculum musculorum flexorum","region":"Poignet","couche":"muscles","sousType":"tendon","fiche":{"description":"Bande fibreuse tendue entre le scaphoïde et le trapèze (en dehors) et le pisiforme et l'hamatum (en dedans).","action":"Ferme en avant le canal carpien, où passent le nerf médian et les tendons des fléchisseurs des doigts et du long fléchisseur du pouce."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-plexus-brachial","fma":null,"nom":"Plexus brachial","nomLatin":"Plexus brachialis","region":"Ceinture scapulaire","couche":"nerfs","fiche":{"origine":"Rameaux ventraux de C5 à T1.","description":"Racines → troncs supérieur (C5–C6), moyen (C7) et inférieur (C8–T1) → divisions antérieures et postérieures → faisceaux latéral, médial et postérieur (définis par rapport à l'artère axillaire). Passe entre les scalènes antérieur et moyen puis sous la clavicule.","territoire":"Innervation motrice et sensitive de tout le membre supérieur. Atteinte haute (C5–C6) : paralysie d'Erb ; basse (C8–T1) : paralysie de Klumpke."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-musculocutane","fma":null,"nom":"Nerf musculo-cutané","nomLatin":"Nervus musculocutaneus","region":"Bras","couche":"nerfs","fiche":{"origine":"Faisceau latéral (C5–C7).","description":"Perfore le coracobrachial, descend entre biceps et brachial, devient le nerf cutané latéral de l'avant-bras au coude.","territoire":"Moteur : coracobrachial, biceps brachial, brachial (loge antérieure du bras). Sensitif : face latérale de l'avant-bras."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-axillaire","fma":null,"nom":"Nerf axillaire","nomLatin":"Nervus axillaris","region":"Épaule","couche":"nerfs","fiche":{"origine":"Faisceau postérieur (C5–C6).","description":"Traverse l'espace axillaire latéral (quadrilatère) avec l'artère circonflexe humérale postérieure et contourne le col chirurgical de l'humérus.","territoire":"Moteur : deltoïde, petit rond. Sensitif : moignon de l'épaule (zone du « galon de sergent »). Lésé dans les fractures du col chirurgical et les luxations d'épaule."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-radial","fma":null,"nom":"Nerf radial","nomLatin":"Nervus radialis","region":"Bras","couche":"nerfs","fiche":{"origine":"Faisceau postérieur (C5–T1).","description":"Passe dans le triangle huméro-tricipital, longe le sillon du nerf radial avec l'artère brachiale profonde, puis se divise au coude en branche superficielle (sensitive) et branche profonde (nerf interosseux postérieur).","territoire":"Moteur : triceps, anconé, brachioradial, extenseurs du poignet et des doigts, supinateur, long abducteur du pouce (loges postérieures). Sensitif : face postérieure du bras et de l'avant-bras, dos de la main (moitié latérale). Lésion au bras : main tombante."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-median","fma":null,"nom":"Nerf médian","nomLatin":"Nervus medianus","region":"Avant-bras","couche":"nerfs","fiche":{"origine":"Racines latérale (faisceau latéral, C5–C7) et médiale (faisceau médial, C8–T1).","description":"Accompagne l'artère brachiale au bras, passe entre les deux chefs du rond pronateur, chemine entre fléchisseurs superficiel et profond, puis traverse le canal carpien. Donne le nerf interosseux antérieur.","territoire":"Moteur : loge antérieure de l'avant-bras (sauf fléchisseur ulnaire du carpe et moitié médiale du fléchisseur profond), muscles thénariens latéraux, lombricaux 1–2. Sensitif : face palmaire des 3 doigts et demi latéraux. Compression au poignet : syndrome du canal carpien."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-ulnaire","fma":null,"nom":"Nerf ulnaire","nomLatin":"Nervus ulnaris","region":"Avant-bras","couche":"nerfs","fiche":{"origine":"Faisceau médial (C8–T1).","description":"Passe derrière l'épicondyle médial (gouttière épitrochléo-olécrânienne), entre les deux chefs du fléchisseur ulnaire du carpe, puis dans le canal ulnaire (loge de Guyon) au poignet.","territoire":"Moteur : fléchisseur ulnaire du carpe, moitié médiale du fléchisseur profond, hypothénariens, interosseux, lombricaux 3–4, adducteur du pouce, chef profond du court fléchisseur. Sensitif : 1 doigt et demi médial. Lésion : griffe ulnaire, signe de Froment."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-cutane-medial-avant-bras","fma":null,"nom":"Nerf cutané médial de l'avant-bras","nomLatin":"Nervus cutaneus antebrachii medialis","region":"Avant-bras","couche":"nerfs","fiche":{"origine":"Faisceau médial (C8–T1).","territoire":"Purement sensitif : peau de la face médiale de l'avant-bras. Accompagne la veine basilique."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-thoracique-long","fma":null,"nom":"Nerf thoracique long","nomLatin":"Nervus thoracicus longus","region":"Épaule","couche":"nerfs","fiche":{"origine":"Racines C5, C6, C7 (branche collatérale supra-claviculaire).","description":"Descend sur la face latérale du thorax, à la surface du dentelé antérieur.","territoire":"Moteur : dentelé antérieur. Lésion (curage axillaire, port de charges) : scapula alata."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-suprascapulaire","fma":null,"nom":"Nerf suprascapulaire","nomLatin":"Nervus suprascapularis","region":"Épaule","couche":"nerfs","fiche":{"origine":"Tronc supérieur (C5–C6).","description":"Passe sous le ligament transverse supérieur de la scapula (incisure scapulaire), puis contourne l'incisure spino-glénoïdale.","territoire":"Moteur : supra-épineux et infra-épineux. Sensitif : articulation gléno-humérale et acromio-claviculaire."},"zone":"membre-superieur-d","cote":"droit"},{"id":"n-thoracodorsal","fma":null,"nom":"Nerf thoraco-dorsal","nomLatin":"Nervus thoracodorsalis","region":"Épaule","couche":"nerfs","fiche":{"origine":"Faisceau postérieur (C6–C8).","description":"Descend sur la paroi postérieure de l'aisselle avec l'artère thoraco-dorsale.","territoire":"Moteur : grand dorsal."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-subclaviere","fma":"FMA3953","nom":"Artère subclavière","nomLatin":"Arteria subclavia","region":"Ceinture scapulaire","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"À droite : tronc brachio-céphalique ; à gauche : arc aortique.","description":"Passe entre les scalènes antérieur et moyen au-dessus de la 1re côte ; devient artère axillaire au bord latéral de la 1re côte.","territoire":"Branches : vertébrale, thoracique interne, tronc thyro-cervical, tronc costo-cervical, artère dorsale de la scapula."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-axillaire","fma":"FMA22655","nom":"Artère axillaire","nomLatin":"Arteria axillaris","region":"Épaule","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Suite de l'artère subclavière au bord latéral de la 1re côte.","description":"Divisée en 3 segments par le petit pectoral. Devient artère brachiale au bord inférieur du grand rond. Entourée par les faisceaux du plexus brachial.","territoire":"Branches : thoracique supérieure, thoraco-acromiale, thoracique latérale, subscapulaire, circonflexes humérales antérieure et postérieure."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-brachiale","fma":"FMA22691","nom":"Artère brachiale","nomLatin":"Arteria brachialis","region":"Bras","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Suite de l'artère axillaire au bord inférieur du grand rond.","description":"Chemine dans le sillon bicipital médial avec le nerf médian, qui la croise d'arrière en avant (de latéral à médial). Se divise au pli du coude en artères radiale et ulnaire.","territoire":"Branches : brachiale profonde, collatérales ulnaires supérieure et inférieure, branches musculaires. Site de prise de la tension artérielle."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-brachiale-profonde","fma":"FMA22696","nom":"Artère brachiale profonde","nomLatin":"Arteria profunda brachii","region":"Bras","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Face postérieure de l'artère brachiale, à la partie haute du bras.","description":"Accompagne le nerf radial dans le sillon du nerf radial.","territoire":"Triceps brachial ; se termine en artères collatérales moyenne et radiale (réseau articulaire du coude)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-radiale","fma":"FMA22733","nom":"Artère radiale","nomLatin":"Arteria radialis","region":"Avant-bras","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Branche de division latérale de l'artère brachiale au pli du coude.","description":"Descend sous le brachioradial, palpable au poignet en dehors du tendon du fléchisseur radial du carpe (pouls radial), passe dans la tabatière anatomique puis forme l'arcade palmaire profonde.","territoire":"Branches : récurrente radiale, palmaire superficielle, carpiennes ; artère principale du pouce. Site de ponction (gaz du sang, test d'Allen)."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-ulnaire","fma":"FMA22797","nom":"Artère ulnaire","nomLatin":"Arteria ulnaris","region":"Avant-bras","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Branche de division médiale de l'artère brachiale au pli du coude.","description":"Passe sous le rond pronateur, descend sous le fléchisseur ulnaire du carpe avec le nerf ulnaire, traverse le canal ulnaire et forme l'arcade palmaire superficielle.","territoire":"Branches : récurrentes ulnaires, artère interosseuse commune (→ interosseuses antérieure et postérieure), branches carpiennes."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-arcade-palmaire-superficielle","fma":null,"nom":"Arcade palmaire superficielle","nomLatin":"Arcus palmaris superficialis","region":"Main","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Terminaison de l'artère ulnaire, complétée par la branche palmaire superficielle de l'artère radiale.","description":"Située sous l'aponévrose palmaire, en avant des tendons fléchisseurs, plus distale que l'arcade profonde.","territoire":"Artères digitales palmaires communes puis propres des doigts."},"zone":"membre-superieur-d","cote":"droit"},{"id":"a-arcade-palmaire-profonde","fma":"FMA22839","nom":"Arcade palmaire profonde","nomLatin":"Arcus palmaris profundus","region":"Main","couche":"vaisseaux","sousType":"artere","fiche":{"origine":"Terminaison de l'artère radiale, complétée par la branche palmaire profonde de l'artère ulnaire.","description":"Située au contact des bases des métacarpiens, accompagnée de la branche profonde du nerf ulnaire.","territoire":"Artères métacarpiennes palmaires, branches perforantes."},"zone":"membre-superieur-d","cote":"droit"},{"id":"v-axillaire","fma":"FMA13330","nom":"Veine axillaire","nomLatin":"Vena axillaris","region":"Épaule","couche":"vaisseaux","sousType":"veine","fiche":{"origine":"Confluence des veines brachiales et de la veine basilique au bord inférieur du grand rond.","description":"Médiale à l'artère axillaire ; reçoit la veine céphalique ; devient veine subclavière au bord latéral de la 1re côte."},"zone":"membre-superieur-d","cote":"droit"},{"id":"v-cephalique","fma":"FMA13325","nom":"Veine céphalique","nomLatin":"Vena cephalica","region":"Bras","couche":"vaisseaux","sousType":"veine","fiche":{"origine":"Partie latérale du réseau veineux dorsal de la main.","description":"Veine superficielle du bord latéral de l'avant-bras et du bras ; passe dans le sillon delto-pectoral et se jette dans la veine axillaire après avoir traversé le fascia clavi-pectoral."},"zone":"membre-superieur-d","cote":"droit"},{"id":"v-basilique","fma":"FMA22909","nom":"Veine basilique","nomLatin":"Vena basilica","region":"Bras","couche":"vaisseaux","sousType":"veine","fiche":{"origine":"Partie médiale du réseau veineux dorsal de la main.","description":"Veine superficielle du bord médial ; perfore le fascia brachial au milieu du bras et rejoint les veines brachiales pour former la veine axillaire."},"zone":"membre-superieur-d","cote":"droit"},{"id":"v-mediane-coude","fma":"FMA22964","nom":"Veine médiane du coude","nomLatin":"Vena mediana cubiti","region":"Coude","couche":"vaisseaux","sousType":"veine","fiche":{"description":"Anastomose superficielle oblique entre veines céphalique et basilique au pli du coude, séparée de l'artère brachiale et du nerf médian par le lacertus fibrosus.","action":"Site de prédilection des prises de sang et des perfusions."},"zone":"membre-superieur-d","cote":"droit"},{"id":"v-brachiales","fma":"FMA22934","nom":"Veines brachiales","nomLatin":"Venae brachiales","region":"Bras","couche":"vaisseaux","sousType":"veine","fiche":{"origine":"Union des veines radiales et ulnaires au pli du coude.","description":"Veines profondes satellites (deux) de l'artère brachiale ; forment la veine axillaire avec la veine 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