Anatomy 3 test 1 Flashcards
What is the upper limb?
Upper limb is the most movable part for a human being.
Upper limb
4 parts
shoulder
arm
forearm
hand
between the shoulder and arm
connection shoulder
between arm and forearm
elbow
between forearm and hand
wrist
shoulder
3 parts
pectoral region
scapular region
lateral superscapular region
hand
3 parts
palm
dorsum
fingers
pectoral (shoulder) girdle
bones
scapula
clavicle
forearm bones
ulna
radius
arm bone
humerous
hand bones
carpus
metacarpus
phalanges
joints
connection shoulder
glenohumeral joint
joints
elbow
elbow joint
proximal radioulnar joint
joint
wrist
wrist joint
distal radioulnar joint
Similarities between upper and lower limbs
Bony Girdle
upper=pectoral girdle and free part
lower=pelvic girdle and free part
Axial bones
bones of head
bones of neck
bones of trunk
superior appendicular bone
pectoral girdle + free part
inferior appendicular bone
pelvic girdle + free part
pectoral girdle connects to
manubrium
pelvic girdle connects to
sacrum
proximal to distal
number of bones
increasing
proximal to distal
size of bones
decreasing
most proximal upper limb bone
humerous
most proximal lower limb bone
femur
2nd proximal lower limb bone
tibia and fibula
2nd proximal upper limb bone
radius and ulna
number of wrist bones
8
number of ankle bones
7
hand # of metacarpals
5
foot # of metatarsals
5
phalanges of hand
14
phalanges of foot
14
the iliac bones connect to the sacrum in a ____ but less ______ way than the connection between the pectoral girdle to manubrium
strong: movable
The scapulas of both sides don’t ______ but are _______.
connect: move
The iliac bones do _______ but are _______.
connect; immovable
The radius and ulna both articulate with the _______
humerous
What phalanges are most movable?
hand
Upper limb is _______; whereas the lower limb is _______.
flexable: stronger
The joint between the superior appendicular skeleton and axial skeleton is?
sternoclavicular joint
shoulder fixing muscles
axioappendicular muscles
Clavicle
parts
shaft
medial (sternal) end
lateral (acromial) end
Clavicle
enlarged end
medial
Clavicle
flat end
lateral
Clavicle
medial end articulates
manubrum
SC joint
Clavicle
lateral articulation
acromion of the scapula Acromioclavicular joint (AC joint)
Clavicle
superior surface is under
skin, subcutaneous n., platysma
Clavicle
inferior surface
rough due to attachements
Clavicle
conoid tubercle gives attachment
conoid ligament
Clavicle
trapezoid line gives attachment to
trapezoid lig.
Clavicle
What are the inferior ligaments know collectively?
coracoclavicular ligaments
Clavicle
subclavian groove
attachment of subclavius m
Clavicle
area for costoclavicular lig attachment
costoclavicular lig
Clavicle functions (3)
- Strut
- Canal
- Spring
Strut
definition
spacer from manubrium to upper limb for range of motion
canal
location
between clavicle,
scapula, and
1 st rib
Cervicoaxillary canal
Spring
function
decreases shock or impact from upper limb to axial skeleton
Scapula
location
posterolateral aspect of the thorax
Scapula
4 fossas
supraspinous
infraspinous
subscapular
glenoid fossas
Scapula
2 angles
superior
inferior
Scapula
3 borders
medial (vertebral)
lateral (axillary)
superior
Scapula
1 distinct feature
spine
Scapula
1 distinct feature of the spine
crest of spine
Scapula
2 processes
acromion
coracoid
Scapula
2 notches
suprascapular notch/ suprascapular foramen
spinoglenoid notch
Scapula
2 tubercles
supraglenoid tubercle
infraglenoid tubercle
Scapula
Glenoid fossa=
Glenoid cavity
The glenohumeral goint is the connection of
head of the humerous
glenoid cavity/ fossa
Scapula
flat expansion of the spine
acromion process
Scapula
Coracoid process provides attachment for
coracoiclavicular ligaments
Scapula
Suprascapular notch location
lateral third of superior border
Scapula
suprascapular notch crossed by a lig=
suprascapular foramen
Scapula
movement on thoracic wall by “imaginary joint”
scapulothoracic joint
Humerous
description
non-specific
largest bone in upper limb
Humerous
articulation
superior-scapula at glenohumeral joint
inferior-radius and ulna at elbow
Humerous superior portion (1)
head
Humerous
tuberosity 1
deltiod tuberosity
Humerous
1 _______ and 1______
capitulum
trochlea
Humerous
2 necks
anatomical
surgical
Humerous
2 tubercles
greater
lesser
Humerous
2 grooves
intertubecular groove
spiral (radial) groove
Humerous
2 crests
crest of greater tubercle
crest of lesser tubercle
Humerous
2 epicondyles
medial
lateral
Humerous
2 supracondylar ridges
medial
lateral
Humerous
3 surfaces
anteromedial
anterolateral
posterior
Humerous
3 fossas
radial
coronoid
olecranon
Humerous
head shape
half-round
Humerous
deltoid tuberosity attaches
deltoid m
Humerous
capitulum=
joint surface for head of radius
Humerous
trochlea=
joint surface for trochlear notch of ulna
Humerous
anatomical neck attaches
capsule of glenohumeral joint
Humerous
easy fracture point
surgical neck
Humerous
intertubercular groove is for
tendon of biceps m.
Humerous
spiral (radial) groove is for
radial n.
deep artery of the arm
Humerous
spiral (radial ) groove two side attachments
medial head
lateral head
triceps brachii
Humerous
radial fossa holds
head of radius
Humerous
coronoid fossa holds
coronoid process
Humerous
place for recieving the olecronon during full extension of elbow
olecranon fossa
Ulna
non-specific description
located medially
longer of the two forearm bones
Ulna
specialized for
articulation with humerous
Ulna
features
1 of what structures
head
supinator fossa
styloid process of ulna
ulnar tuberosity
Ulna
2 processes
olecranon
coronoid
Ulna
2 notches
troclear
radial
Ulna
3 borders
anterior
posterior
interosseous
Ulna
3 surfaces
anterior
posterior
medial
Ulna
supinator crest
location and attachment
under radial crest
supinator m.
Ulna
supinator fossa
attachment
supinator m.
Ulna
ulnar tuberosity
attachment
brachialis m.
Ulna
olecrenon process and coronoid process belong to
trochlear notch
Ulna
olecrenon process and coronoid process
act like
jaws of a wrench to hold trochlea of humerus
Ulna
olecrenon process and coronoid process and ulnar tuberosity allow
elbow joint to do flexion and extension
Ulna
radial notch recieves
head of the radius
Ulna
styloid process
location
head of ulna
Ulna
does not reach inferiorly
wrist joint (radiocarpal joint)
Radius
non-specific description
lateral
shorter of the two forarm bones
Radius
specialized for
articulation with carpal bones
Radius
features
1 of each (6 structures)
head neck radial tuberosity anterior oblique line ulnar notch styloid process of radius
Radius
2 areas for articulation
scaphoid articulation area
lunate articulation area
Radius
3 borders
anterior
posterior
interosseous (medial)
Radius
3 surfaces
anterior
posterior
lateral
Radius
head
shape and articulation
concave
- capitulum of humerus
- radial notch of ulna
Radius
Styloid process= _____than styloid process of ulna
longer
Radius
ulnar notch
shape and articulation
concavity
head of ulna
Carpals
number
8
Carpals
proximal row
scaphoid
lunate
triquetrum
pisiform
Carpals
distal row
trapezium
trapezoid
capitate
hamate w/ hook of hamate
Carpals
Scaphoid shape
boat
Carpals
lunate shape
moon
Carpals
triquetrum shape
pyramidal
Carpals
pisiform shape
small, pea shaped
Carpals
trapezium shape
four sided
Carpals
trapezoid shape
wedge
Carpals
capitate shape
largest
head shaped
Carpals
hamate shape
wedge
with a hook called hook of hamate
Carpals
proximal row articulates
proximal-radius
distal-proximal surface of distal row
Carpals
distal row articulates
proximal-distal surface of proximal row
distal- metacarpals
Metacarpals
number
5
Metacarpals
features
base,
shaft,
head
Metacarpals
articulates
carpal bones
proximal phalanges
Metacarpals
articulates
forms
knuckles at phalange joint
Phalanges
number of bones per digit
3
proximal
middle
distal
Phalanges
exception
1st digit
Phalanges
smaller from
proximal to distal
Phalanges
structures
base
head
shaft
Phalanges
distal end becomes
flat
Superficial structure from superficial to deep
skin
subcutanreous tissue (fascia)
deep fascia
muscle
Deep fascia of upper limb
function
invest and seperate the muscles
Deep fascia of upper limb
pectoral fascia
attachments
clavicle and sternum
Deep fascia of upper limb
pectoral fascia
covers
pectoralis major
Deep fascia of upper limb
Clavipectoral fascia
attachments
sup-clavicle
inferior-axillary fascia
Deep fascia of upper limb
Clavipectoral fascia
covers
subclavian m
pectoralis minor
Deep fascia of upper limb
Clavipectoral fascia
divisions
costocoracoid fascia
suspensory ligament of the axilla
Deep fascia of upper limb
Clavipectoral fascia
costocoracoid fascia
location
between pectoralis minor and
subclavius m
Deep fascia of upper limb
Clavipectoral fascia
suspensory ligament of the axilla
location
below pectoralis minor
connecting with axillary fascia
Deep fascia of upper limb
Axillary fascia
connects and covers
with pectoralis major m
covers axilla
Deep fascia of upper limb
Deltoid fascia
covers
deltoid m.
acromion
scapular spine
Deep fascia of upper limb
deltoid fascia
continuous with
pectoral fascia anteriorly
infraspinous fascia posteriorly
Deep fascia of upper limb
supraspinous fascia
infraspinous fascia
covers
supra-supraspinatus m.
infra-infraspinatus m
Deep fascia of upper limb
Brachial fascia
covers and continuous with
arm (like a sleeve)
continuous with
deltoid fascia
pectoral fascia
axillary fascia superiorly
antebrachial fascia- inferiorly
Deep fascia of upper limb
Brachial fascia
attaches
epicondyles of the humerus
olecrenon of ulna
Deep fascia of upper limb
Medial and Lateral intermuscular septa
origin-insertion
origin-brachial fascia
insertion- two epicondylar ridges of humerus
Deep fascia of upper limb
Medial and Lateral intermuscular septa
divides arm into
anterior (flexor) fascial compartment
posterior (extensor) fascial compartment
Deep fascia of upper limb
Antebrachial fascia
encloses
muscles of the forearm
Deep fascia of upper limb
extensor retinaculum
location
posteriorly on the distal part of the forearm
Deep fascia of upper limb
palmer carpal ligament
location
anteriorly on the distal part of the forearm
Deep fascia of upper limb
flexor retinaculum (transverse carpal ligament)
location
anterior and deep to the palmer carpal lig.
Deep fascia of upper limb
palmar fascia
2 parts
palmar aponeurosis
superficial transverse metacarpal ligament
Deep fascia of upper limb
palmar fascia
central part
palmar aponeurosis
Deep fascia of upper limb
palmar fascia
continuous with tendon of palmaris longus m.
palmar aponeurosis
Deep fascia of upper limb
palmar fascia
distal part of palmar aponeurosis
fibrous (tendon) sheaths of the digits
Deep fascia of upper limb
palmar fascia
what crosses the sheaths of the digits
Superficial transverse metacarpal ligament
Cutaneous Nerves of the Upper Limb
Suprascapular nerves
(C3,C4)
Cutaneous Nerves of the Upper Limb
Superclavicular nn
supplies
clavicle
superolateral aspect of pectoralis major m area
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the arm
(C5-C8)
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the arm
supplies
posterior skin of arm
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the arm
branch of
radial n
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the forearm
(C5-C8)
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the forearm
supplies
posterior skin of the forearm
Cutaneous Nerves of the Upper Limb
posterior cutaneous nerve of the forearm
branch of
radial n
Cutaneous Nerves of the Upper Limb
superior lateral cutaneous nerve of the arm
(C5-C6)
Cutaneous Nerves of the Upper Limb
superior lateral cutaneous nerve of the arm
supplies
deltoid skin
Cutaneous Nerves of the Upper Limb
superior lateral cutaneous nerve of the arm
branch of
terminal branch of axillary
Cutaneous Nerves of the Upper Limb
inferior lateral cutaneous nerve of the arm
(C5-C6)
Cutaneous Nerves of the Upper Limb
inferior lateral cutaneous nerve of the arm
supplies
inferolateral of arm
Cutaneous Nerves of the Upper Limb
inferior lateral cutaneous nerve of the arm
branch of
radial n.
Cutaneous Nerves of the Upper Limb
lateral cutaneous nerve of the forearm
(C6-C7)
Cutaneous Nerves of the Upper Limb
lateral cutaneous nerve of the forearm
supplies
lateral skin of forearm
Cutaneous Nerves of the Upper Limb
lateral cutaneous nerve of the forearm
branch of
musculocutaneous n
Cutaneous Nerves of the Upper Limb
medial cutaneous nerve of the arm
(C8-T2)
Cutaneous Nerves of the Upper Limb
medial cutaneous nerve of the arm
supplies
medial skin of the arm
Cutaneous Nerves of the Upper Limb
medial cutaneous nerve of the arm
branch of
medial cord of the brachial plexus
Cutaneous Nerves of the Upper Limb
intercostobrachial N
(T2)
Cutaneous Nerves of the Upper Limb
intercostobrachial N
supplies
medial skin of arm
Cutaneous Nerves of the Upper Limb
intercostobrachial N
branch of
2nd intercostal n
Cutaneous Nerves of the Upper Limb
Medial cutaneous n of the forearm
(C8-T1)
Cutaneous Nerves of the Upper Limb
Medial cutaneous n of the forearm
supplies
anterior and medial skin of the forearm
Cutaneous Nerves of the Upper Limb
Medial cutaneous n of the forearm
branch of
medial cord of brachial plexus
Dermatome
Forester
cutaneous distribution by anatomical finding and clinical
Dermatome
Keegan and Garrett
development of cutaneous nerves
Superficial Veins of the Upper Limb
Main veins
cephalic
basilic
Superficial Veins of the Upper Limb
Main veins
origin
dorsal veinous network
Superficial Veins of the Upper Limb
dorsal venous network
location
dorsum of the hand
Superficial Veins of the Upper Limb
Cephalic vein
begins and travels where
dorsum of the hand
up the lateral side of the elbow
Superficial Veins of the Upper Limb
Cephalic vein
connects with
median cubical vein
Superficial Veins of the Upper Limb
median cubical vein
travels and joins
across the cubital fossa
joins the basilic vein
Where is the deltopectoral groove?
between the deltoid and pectoralis major
Superficial Veins of the Upper Limb
Cephalic vein trunk
travels from the basilic vein to
deltopectoral groove
clivipectoral triangle
Superficial Veins of the Upper Limb
Cephalic vein trunk
peirces
into costocoracoid membrane (fascia) to join the axillary vein
Superficial Veins of the Upper Limb
basilic vein
path
medial side of forearm
Superficial Veins of the Upper Limb
basilic vein
pierces
brachial fascia
Superficial Veins of the Upper Limb
basilic vein
runs parallel with
brachial artery
Superficial Lymphatic drainage of the Upper Limb
small lymph nodes enter into
cubital lymph nodes (medial to basilica v)
Superficial Lymphatic drainage of the Upper Limb
cubital lymph nodes (medial to basilica v)
terminate into
humeral (lateral) axillary lymph nodes
Superficial Lymphatic drainage of the Upper Limb
accompany cephalic v.
apical axillary lymph nodes
deltopectoral lymph nodes
What four muscles connect the anterior axial bones to the anterior appendicular bones?
Pectoralis major
Pectoralis Minor
subclavius m
serratia anterior m
What anterior axioappendicular muscles are in the deep of pectoralis major?
subcalvius
pectoralis minor
anterior axioappendicular muscles
pectoralis major
covers
most of the thorax and axilla
anterior axioappendicular muscles
pectoralis major
two heads
clavicular
sternocostal
anterior axioappendicular muscles
pectoralis major
deltopectoral groove
between pectoralis major and deltoid
anterior axioappendicular muscles
pectoralis major
deltopectoral triangle contains
groove
costocoracoid membrane
anterior axioappendicular muscles
pectoralis major
functions
adduct the arm
rotate the arm
clavicular head independant-flex the humerus
sternocostal head independant- pull back the humerus
anterior axioappendicular muscles
pectoralis major
test for strength
pt. abduct arm to 90 degrees,
pt. moves anteriorly against dr. resistance
dr. palpates the clavicular head
anterior axioappendicular muscles
pectoralis major
innervation
lateral pectoral n (C5-C7)
medial pectoral n. (C8-T1)
anterior axioappendicular muscles
pectoralis major
medial pectoral n.
penetrates
pectoralis minor m.
anterior axioappendicular muscles
pectoralis minor
shape
triangular
anterior axioappendicular muscles
pectoralis minor
attaches proximal
anterior end of 3rd-5th ribs
anterior axioappendicular muscles
pectoralis minor
apex (distal) attachment
coracoid process of scapula
anterior axioappendicular muscles
pectoralis minor
functions
fix the scapula if needed to catch
lift ribs to recieve more air
works as a band to hold big nerves and vessels
anterior axioappendicular muscles
pectoralis minor
innervation
medial pectoral n
C8-T1
anterior axioappendicular muscles
subclavius m.
shape
small, round
anterior axioappendicular muscles
subclavius m.
location
inferior to the clavicle w/ longitundinal position
anterior axioappendicular muscles
subclavius m.
attachment proximal
1st rib
anterior axioappendicular muscles
subclavius m.
distal attachment
middle third of clavicle
anterior axioappendicular muscles
subclavius m.
function
fixes clavicle if upper limb moves
protects subclevian vessels
anterior axioappendicular muscles
subclavius m.
innervation
nerve to subclavian m.
C5-C6
anterior axioappendicular muscles
serratus anterior m
shape
broad sheet muscles
looks like a saw
serratus=saw
anterior axioappendicular muscles
covers
lateral side of thorax and becomes medial all of axilla
anterior axioappendicular muscles
serratus anterior m
proximal attachment
1st-8th ribs
anterior axioappendicular muscles
serratus anterior m
distal attachment
anterior surface of the medial border of the scapula
anterior axioappendicular muscles
serratus anterior m
functions
protraction for scapula
rotation for scapula
fixation for scapula
anterior axioappendicular muscles
serratus anterior m
innervation
long thoracic n
C5-C7
anterior axioappendicular muscles
serratus anterior m
clinical
injury to long thoracic n.
muscle paralysis
scapula moves posterior and inferior away from thoracic wall
anterior axioappendicular muscles
serratus anterior m
deformation of scapula due to injury of long thoracis n.=
winged scapula
posterior axioappendicular and scapulohumeral muscles of upper limb
3 groups
- superficial posterior axioappendicular muscles
- deep posterior axioappendicular muscles
- scapulohumeral muscles
superficial posterior axioappendicular muscles
2 muscles
trapezius
latissimus dorsi
deep posterior axioappendicular muscles
3 muscles
levator scapulae
rhomboidus major
rhomboidus minor
scapulohumeral muscles
6 muscles
deltoid teres major supraspinatus infraspinatus teres minor subscapularis
Rotator cuff muscles
supraspinatus
infraspinatus
teres minor
subscapularis
superficial posterior axioappendicular muscles
Trapezius
shape
large, triangular
superficial posterior axioappendicular muscles
Trapezius
covers
posterior neck
posterior superior half of trunk
superficial posterior axioappendicular muscles
Trapezius
proximal attachment
superior nuchal line
EOP
nuchal lig
spinous process of C7-T12
superficial posterior axioappendicular muscles
Trapezius
distal attachment
lateral third of clavicle
acromion
spine of scapula
superficial posterior axioappendicular muscles
Trapezius
distal fibers
division
superior
middle
inferior
superficial posterior axioappendicular muscles
Trapezius
fiber function
superior-elevate scapula
middle- retracts the scapula
inferior- depresses the scapula
superior + inferior- rotate the scapula
superficial posterior axioappendicular muscles
Trapezius
innervation
Accessory N CN XI
C3-C4
superficial posterior axioappendicular muscles
Latissimus Dorsi
shape
large and broad triangular muscle
superficial posterior axioappendicular muscles
Latissimus Dorsi
covers
posterior aspect of back
superficial posterior axioappendicular muscles
Latissimus Dorsi
proximal attachment
spinous process of T7-T12
thoracolumbar fascia
iliac crest
inferior 3 or 4 ribs
superficial posterior axioappendicular muscles
Latissimus Dorsi
distal attachment
floor of the intertubercular groove of humerus
superficial posterior axioappendicular muscles
Latissimus Dorsi
function
extends humerus
rotates humerus medially
w/ pectoralis major—powerful adducts humerus
when climbing-raises the body
superficial posterior axioappendicular muscles
Latissimus Dorsi
innervation
tharcodorsal n (C6-8)
deep posterior axioappendicular muscles
levator scapulae
covered by
trapezius
SCM
deep posterior axioappendicular muscles
levator scapulae
proximal attachment
transverse process of C1-C4
deep posterior axioappendicular muscles
levator scapulae
distal attachment
superior part of medial border of scapula
deep posterior axioappendicular muscles
levator scapulae
function
elevates the scapula in combo with sup. trapezius
rotates the scapula in combo with rhomboid minor and pectoralis minor
extends the neck bilaterally
deep posterior axioappendicular muscles
levator scapulae
innervation
dorsal scapular n. C5
Cervical n. C3-4
deep posterior axioappendicular muscles
rhomboieus major
deep to
trapezius
deep posterior axioappendicular muscles
rhomboieus major
proximal attachment
Spinous of T2-T5
deep posterior axioappendicular muscles
rhomboieus major
distal attachment
medial border of scapula
deep posterior axioappendicular muscles
rhomboieus minor
proximal attachment
Spinous process C7-T1
deep posterior axioappendicular muscles
rhomboieus minor
distal attachment
superior third of medial scapula
deep posterior axioappendicular muscles
rhomboieus major + minor
function
retracts the scapula
rotates the scapula to tilt the glenoid cavity down
holds and fixes the scapula to the thorax if the serratus anterior m. contract and pull the scapula forward
deep posterior axioappendicular muscles
rhomboieus major + minor
innervation
dorsal scapular n. C4-C5
deep posterior axioappendicular muscles
rhomboieus major + major
clinical
injury to dorsal scapular n.=rhomboid mm paralyzed
then scapula will be located farther from the midline than normal side
Scapulohumeral muscles of the upper limb
What do these muscles connect?
the scapula with the humerus
Scapulohumeral muscles of the upper limb
deltoid
covers
shoulder–forms a round contour for shoulder
Scapulohumeral muscles of the upper limb
deltoid
3 parts
anterior
posterior
middle
Scapulohumeral muscles of the upper limb
deltoid
proximal attachment
lateral third of clavicle, acromion, and spine of scapula
Scapulohumeral muscles of the upper limb
deltoid
distal
deltoid tuberosity of humerus
Scapulohumeral muscles of the upper limb
deltoid
functions
abducts the arm when three parts work together
anterior part flexes the arm and rotates it medially
posterior part extends the arm and rotates it laterally
Scapulohumeral muscles of the upper limb
deltoid
innervation
axillary n C5-C6
Scapulohumeral muscles of the upper limb
Teres Major
proximal attachment
posterior surface of inferior angle of scapula
Scapulohumeral muscles of the upper limb
Teres Major
distal
medial lip of intertubeculuar groove of humerus
Scapulohumeral muscles of the upper limb
Teres Major
function
adducts the arm
rotates the arm medially
Scapulohumeral muscles of the upper limb
Teres Major
innervation
lower subscapular n C5-C6
Rotator Cuff muscles (SITS)
forms what?
musculotendinous rotator cuff surrounding the glenohumeral joint
Rotator Cuff muscles (SITS)
supraspinatus
location
supraspinous fossa
Rotator Cuff muscles (SITS)
supraspinatus
function
initiates the abduction of the arm and assists deltoid
Rotator Cuff muscles (SITS)
supraspinatus
innervation
suprascapular n C4-C6
Rotator Cuff muscles (SITS)
infraspinatus
location
infraspinus fossa
Rotator Cuff muscles (SITS)
infraspinatus
function
rotates arm laterally
Rotator Cuff muscles (SITS)
infraspinatus
innervation
suprascapular n.C5-C6
Rotator Cuff muscles (SITS)
teres minor
function
rotates arm laterally
Rotator Cuff muscles (SITS)
teres minor
innervation
axillary n C5-C6
Rotator Cuff muscles (SITS)
subscapularis
function
rotates arm medially
adducts the arm
Rotator Cuff muscles (SITS)
subscapularis
innervation
upper and lower subscapular n. C5-C7
Axilla
location
at the junction of arm and thorax
inferior to the glenohumeral joint
superior to the axillary fascia
Why are people ticklish?
to protect the axilla
Axilla
features
apex
base
four walls
Axilla
Apex
AKA
cervicoaxillary canal
Axilla
Apex
passageway between
neck and the axilla
Axilla
Apex
bounded by
1st rib
clavicle
superior edge of scapula
Axilla
Base
formed by
skin
subcutaeous tissue
axillary deep fascia
Axilla
Base
AKA
axillary fossa
armpit
Axilla
Base
four edges
anterior axillary fold
posterior axillary fold
thoracic wall
medial aspect of arm
Axilla
anterior wall
formed by
pectoralis major
pectoralis minor
Axilla
anterior wall
inferior part
anterior axillary fold
Axilla
posterior wall
formed by
scapular bone
subscapularis m
teres major
latissimus dorsi
Axilla
posterior wall
inferior part
posterior axillary fold
Axilla
medial wall
formed by
thoracic wall (1st-4th rib) associated muscles serratus anterior
Axilla
lateral wall
formed by
intertubercular groove on the humerus
Axilla
contents
axillary blood vessles
lymphatic vessels and nodes
large nerves covered by axillary sheath
(All filled by axillary fat)
Axilla
arteries
main trunk
axillary artery
Axilla
arteries
axillary artery
ends
brachial artery at the inferior border of teres major
Axilla
arteries
axillary artery
covered by
pectoralis minor
Axilla
arteries
axillary artery
1st part branch
superior thoracic a
Axilla
arteries
axillary artery
2nd part branches
thoracoacromial a
lateral thoracic a
Axilla
arteries
axillary artery
3rd part branches
subscapular a
anterior circumflex humerus a
posterior circumflex humeral a
Axilla arteries axillary artery superior thoracic a arises
from axillary artery
inferior to the subclavius m
Axilla arteries axillary artery superior thoracic a supplies
subclavius m.
intercostal mm
1st and 2nd intercostal space
serratus anterior
Axilla arteries axillary artery thoracoacromial a pierces
costocoracoid membrane
Axilla arteries axillary artery thoracoacromial a four branches
acromial
deltoid
pectoral
clavicle
Axilla arteries axillary artery lateral thoracic a possible origins
thoracodorsal a
suprascapular a
subscapular a
Axilla arteries axillary artery lateral thoracic a supplies
pectoral mm
serratus mm
intercostal mm
breast
Axilla arteries axillary artery subscapular a size
large
Axilla arteries axillary artery subscapular a descends along with
subscapular m
Axilla arteries axillary artery subscapular a divides into
circumflex scapular artery
thoracodorsal a
Axilla arteries axillary artery subscapular a circumflex scapular a supplies
muscles on the dorsum of scapula
Axilla arteries axillary artery subscapular a thoracodorsal a supplies
latissimus dorsi
Axilla arteries axillary artery anterior circumflex humeral a goes between
coracobrachialis m
humerus bone
supplies shoulder
Axilla arteries axillary artery posterior circumflex humeral a accompanies
axillar n.
goes through quadrangular space