Axilla Flashcards
the apex of the axilla is bordered by?
the clavicle, scapula and first rib
the base of the axilla is bordered by?
fascia and skin of the armpit
the medial wall of the axilla has?
the upper ribs and serratus anterior muscle
the anterior wall of the axilla has?
pectoralis major and pectoralis minor muscles
the posterior wall of the axilla has?
the scapula, subscapularis, teres major and latissimus dorsi muscles
the lateral wall of the axilla has?
the humerus
what are the contents of the axilla?
parts of the brachial plexus
axillary artery and its branches
axillary vein and its tributaries
*contains lymph nodes that drain into the breast
what are the roots of the the brachial plexus
C5, C6, C7, C8, T1
the roots combine to form the trunks of the plexus, what are the parts of the trunk?
upper/superior trunk - C5 &C6
Middle trunk= C7
Lower/inferior trunk= C8, T1
Trunks split into what? what does it contain?
trunks split into divisions that contain fibers that innervate in an anterior or posterior compartment
divisions form into what? name them and the roots they contain
lateral cord - C5, C6,C7
posterior cord C5-T1
medial cord- C8, T1
what are the five branches of the brachial plexus? what roots do they contain?
musculocutaneous (C5-C7) axillary (C5-C6) radial (C5-T1) median (C5-T1) ulnar (C8-T1)
Which of the five compartments will go to the anterior compartments?
musculocutaneous
median
ulnar
which of the five compartments will go to the posterior compartment?
axillary
radial
what is a branch of C5? What does it innervate?
Dorsal scapular: innervates the levator scapulae and rhomboid major and minor
long thoracic: has contributions from C6, C7 and innervates the serratus anterior
branch of the superior trunk? What does it innervate?
suprascapular (C5,C6) it innervates the supaspinatus and infraspinatus
branch of the lateral cord? what roots does it contain? what does it innervate
lateral pectoral (C5-C7) innervates the pectoralis major and minor muscles
branch of the posterior cord? what roots does it contain? what do they innervate
subscapular
upper (C5,C6) - innervates the subscapularis
middle (C6-C8)- also known as thoracodorsal- innervates the latissimus dorsi
lower (C5,C6)-subscapularis and teres major
branch of the medial cord? what doe they innervate? if they contain roots which roots do they contain
medial pectoral (C8, T1) innervates pectoralis minor
medial brachial which innervates the arm
and the medial antebrachial which innervates the forearm
which additional branches of the brachial plexus are in the posterior compartment?
dorsal scapular
suprascapular
long thoracic
subscapular (all three)
which additional branches of the brachial plexus are in the anterior compartment?
lateral and medial pectoral
1st part of the of the axillary artery?
superior/supreme thoracic
2nd part of the axillary artery has which two branches?
thoracoacromial trunk
lateral thoracic
3rd part of the axillary artery has which three branches?
subscapular- branches into circumflex scapular, thoracodorsal
anterior circumflex humeral
posterior circumflex humeral
what does the supreme thoracic supply?
1st and 2nd intercostal spaces
what does the thoracoacromial trunk supply
acromial, pectoral, clavicular, deltoid
what does the lateral thoracic artery supply
serratus anterior
what does both the anterior and posterior humeral circumflex supply?
deltoid muscle
what does the subscapular artery supply
its circumflex scapular branch supplies posterior scapular muscles.
its thoracodorsal branch supplies the latissimus dorsi
damage to the upper trunk of the brachial plexus would cause?
Erb-duchenne injury (difficulty moving the shoulder)
damage to the lower trunk of the brachial plexus would cause?
klumpke’s injury (difficulty with movement of the distal joints)
certain spinal cord levels cause movement at each joint. Damage to the shoulder region would effect which spinal roots?
C5, C6
certain spinal cord levels cause movement at each joint. Damage to the elbow would effect which spinal roots
C6,C7
certain spinal cord levels cause movement at each joint. Damage to the wrist would effect which roots?
C7,C8
certain spinal cord levels cause movement at each joint. Damage to the hand would effect which roots?
C8, T1
Damage to a root would cause
loss in dermatome, a strip of skin
damage to a terminal branch
loss in an irregularly shaped area