Axilla and brachial plexus Flashcards
What forms the anterior border of your axilla
Pectoralis major and minor, suspensory ligament of the axilla, subclavius, clavicle
What forms the base of the axilla
Axillary fascia
What forms the posterior border of the axilla
latissmus dorsi,
What forms the medial wall of the axilla
Serratus anterior
What forms the apex of the axilla
posterior border the superior border of the scapula, anterior border the clavicle, medial border 1st rib. How things get in and out of the limb.
What are the nerve roots the form the brachial plexus
C4-T2. Mostly C5 to T1
What point of the nervous system does the brachial plexus start
Anterior rami of spinal nerves- which have comes from spinal nerves which are formed from dorsal and ventral roots and rootlets.
What are the five segments of the brachial plexus
Roots, trunks, divisions, cords, terminal branches
Describe the roots from most superior to inferior
C5 and C6 join, C7 solo, C8 and T1 join
Describe the trunks from superior to inferior
Superior, middle and inferior
Describe the divisions from superior to inferior
Each of the three trunks gives off two division and anterior and posterior. The three posterior divisions join. The two most superior anterior divisions join and the most inferior anterior division is by itself
Describe the cords
Three. Lateral, posterior and medial in relation to the brachial artery. Formed by the divisions joining.
Describe the terminal branches
Each cord gives off two branches but the lateral and medial cords together form one terminal branch so total branches are 5. Musculocutaneous, axillary, radial, median, ulnar
What does musculocutneous nerve supply
All the anterior compartment muscles of the arm. Then becomes lateral cutaneous nerve and supplies lateral skin of forearm.
What does the median nerve supply
Most of the muscles in the anterior compartment of the forearm and thumb side muscles of hand also cutaneous lateral side of hand
What does the ulnar nerve supply
Supplies the muscles in the forearm that the median nerve doesn’t. Supplies most hand muscles. Cutaneous little finger and half fourth finger
What does the axillary nerve supply
Teres minor, deltoid and cutaneous distribution over shoulder (turns into superior lateral cutanous nerve of the arm.
What does the radial nerve supply
Supplies all the posterior compartment muscles of arm and forearm.
Elaborate cutaneous distributionmiddle posterior surface of arm and forearm. Most of back of hand not finger tips or fifth finger.
Mnemonic for remembering arterial supply to axillary region
Sixties (supreme thoracic) Teens (thoracoacromial) Love (lateral thoracic) Sex (Subscapular) And (Anterior circumflex humeral) Pot (posterior circumflex humeral)
Branches off the thoracoacromial artery
TEENS- cadavers are dead people
Clavicular, acromial, deltoid, pectoral
Branches off the sub scapular artery
SEX (is a big deal, big trunk!) end in STD
S- scapula circumflex
TD - thoraco-dorsal branch