Anatomical Spaces of Clinical Importance in the Upper Limb Flashcards
What is an anatomical space and what makes them clinically relevant
- A space framed by bone, ligament and muscle.
- They are clinically relevant because tendons, nerves and vessels pass through them and can become impinged .
What is the location of interscalene groove
- Between the scalenus Medius and scalene anterior muscles.
The roots and trunks of which plexus emerges in the interscalene groove
- Brachial plexus
Where does anaesthesia need to be placed to anesthetize the entire brachial plexus.
- In the interscalene block
What is the location of the subacromial space
- Superior to the head of the humerus but inferior to the acromion.
What is contained within the subacromial space
- Supraspinatus tendon
- Subacromial bursa
What are some injuries that can occur in the subacromial space and what are some examples if these injuries
- Rotator cuff injuries:
> Rotator cuff tears
> Shoulder dislocation
> Tendon ruptures in older people
> Subacromial bursitis
What is the location of the suprascapular notch
- Notch at the top of the scapula
What is contents of the suprascapular notch
- Suprascapular nerve (passes through to supply supraspinatus and infraspinatus on the posterior aspect of the scapula)
What are the effects of impingement of the suprascapular nerve
- Wasting of the supraspinatus and infraspinatus muscles
- Shoulder pain
What is the location of the quadrangular/quadrilateral space
- Just under the shoulder joint
What are the boundaries of the quadrangular/ quadrilateral space
- Superiorly - Teres minor
- Inferiorly - Teres major
- Laterally - The shaft of the humerus
- Medially - The long head of the triceps brachii
What are the contents of the quadrilateral space
- The axillary nerve and posterior circumflex humeral artery
What type of injury puts the contents of the quadrangular/ quadrilateral space at risk
- Axillary nerve is at risk of damage during shoulder dislocation
What is the location and the boundaries of the (upper) triangular space
- Location: inferior-medial to quadrilateral space
- Boundaries:
- Laterally (long head of triceps brachii)
- Superiorly (Teres minor)
- Inferiorly (Teres major)
What are the contents of the triangular space
- Circumflex scapular artery (passes through)
What is the location and the boundaries of the triangular interval (aka lower triangular space)
- Location: Inferior to quadrilateral space
- Boundaries:
- Laterally - The lateral head of the triceps
- Medially - Long head of triceps brachii
- Superiorly - Teres Major
What is the location of the axilla
- Space between the upper arm and the side of the thorax