Axilla and Pectoral Region Flashcards

1
Q

osteological structures of pectoral region

A
clavicles 
sternum 
ribs 
scapula 
humerus
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2
Q

three parts of the sternum

A

manubrium
body
xiphoid

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3
Q

where do the ribs articulate?

A

thoracic vertebrae and some sternum

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4
Q

which ribs are atypical?

A

1, 2, 11, 12

1 and 2 are shorter than regular ribs and 11 and 12 are floating

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5
Q

which ribs are the true ribs?

A

1-7

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6
Q

which ribs are false ribs?

A

8-10

they merge with the cartilage of 7 then merge with sternum

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7
Q

point to your jugular notch

A

on sternum, top middle

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8
Q

sternal angle

A

where the second rib attaches

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9
Q

bilateral glandular structures found in both males and females

A

breast

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10
Q

modified sweat glands of the breast are called

A

mammary glands

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11
Q

where does the breast rest?

A

on the pectoral fascia (above the pectoralis major)

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12
Q

potential space between breast and pectoral fascia is the

A

retromammary space

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13
Q

what nerves innervate the breast?

A

4th-6th intercostal nerves

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14
Q

what attaches the breast tissue to the dermis of the skin?

A

suspensory ligaments

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15
Q

where do the mammary gland lobules converge?

A

the nipple

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16
Q

what arteries supply the breasts?

A

mammary branches from anterior intercostal, lateral thoracic and internal thoracic arteries

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17
Q

what veins drain the breast?

A

axillary vein via thoracic vein and medial mammary veins

some drainage to internal thoracic vein via intercostal veins

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18
Q

why is lymphatic drainage of the breast particularly clinically relevant?

A

due to high amounts of breast cancers and its role in their metastasis

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19
Q

what lymphatic drainage is used for the nipple. areola, and lactiferous lobules?

A

subareolar lymph nodes

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20
Q

greater than 75% of lymph from the breast is drained by what?

A

axillary lymph nodes (pectoral, central, apical)

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21
Q

what drains the remaining lymph (last 25%) of the breast?

A

parasternal and abdominal lymph nodes

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22
Q

what innervation exists at the breast tissue?

A

anterior and lateral branches of 4-6th intercostal nerves

also some supraclavicular nerve branches

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23
Q

what does the fascia of the pectoral region consist of?

A

superficial and deep layers that define borders, invest muscles and create potential spaces

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24
Q

superficial fascia of the pectoral region is composted of

A

platysma
supraclavicular nerves
anterior and lateral branches of intercostal nerves

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25
Q

what composes the deltopectoral triangle?

A

deltoid, pectoralis major, and middle clavicle
cephalic vein
deltopectoral lymph nodes
deltoid branch of thoracoacromial artery

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26
Q

what’s the function of the clavipectoral fascia?

A

invests subclavius and pectoralis major
attaches clavicle and anterior thoracic wall
perched by lateral pectoral nerves, cephalic vein, and thoracoacromial artery
becomes suspensory ligament of axilla

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27
Q

what are the muscles of the pectoral region?

A

pectoralis major
subclavius
pectoralis major
serratus anterior

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28
Q

proximal attachments of pectoralis major

A

clavicular and sternocostal attachment

anterior surface of medial 1/2 of clavicle
ant. surface of sternum and superior 6 costal cartilages

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29
Q

distal attachment of pectoralis major

A

lateral lip of intertuburcular sulcus

30
Q

actions of pectoralis major

A

adducts and medial rotation of humerus
draws scapula anteriorly and inferiorly (via clavicle)
flexes humerus (clavicular portion)
sternal person extended humors while it is flexed

31
Q

blood supply of pectoralis major

A

pectoral branch of throacoacromial arterial trunk

32
Q

innervation of pectoralis major

A

lateral and medial pectoral nerves (C5, C6 clavicular portion, C7, C8, T1 sternocostal portion)

33
Q

origin of pectoralis minor

A

3rd-5th ribs, near costal cartilage

34
Q

insertion of pectoralis minor

A

coracoid process of scapula

35
Q

actions of pectoralis minor

A

stabilizes scapula by pulling it anteriorly and inferably against posterior thoracic wall

36
Q

blood supply of pectoralis minor

A

pectoral branches of thoracoacromial arterial trunk

37
Q

innervation of pectoralis minor

A

medial pectoral nerve (C8, T1)

38
Q

origin of subclavius

A

junction of 1st rib and its costal cartilage

39
Q

insertion of subclavius

A

inferior surface of middle 1/3 of clavicle

40
Q

actions of subclavius

A

anchors and depresses clavicle

41
Q

blood supply of subclavius

A

clavicular branches of throacoacromial arterial trunk

42
Q

innervation of subclavius

A

nerve to subclavius (C5, C6)

43
Q

origin of serratus anterior

A

external surfaces of lateral parts of ribs 1-9

44
Q

insertion of serratus anterior

A

anterior surface of medial border of scapula

45
Q

actions of serratus anterior

A

protracts scapula
rotates scapula
holds scapula against thorax

46
Q

blood supply of serratus anterior

A

lateral thoracic artery

47
Q

innervation of serratus anterior

A

long thoracic nerve (C5, C6, C7)

48
Q

arteries of the pectoral shoulder and axillary regions

A

subclavian artery and axillary artery

49
Q

origin of subclavian artery

A

brachiocephalic trunk and aortic arch

50
Q

where does the subclavian artery arise?

A

posterior to sternocalvicular joint

51
Q

3 divisions of subclavian artery

A
  1. medial to anterior scalene muscle
  2. posterior to anterior scalene muscle
  3. lateral to anterior scalene muscle
52
Q

branches of medial part of subclavian artery

A

internal thoracic (mammary) artery
vertebral artery
thyrocervical arterial trunk

53
Q

branches of the thyrocervical arterial trunk

A

transverse cervical artery (superficial and deep branches)
inferior thyroid artery
ascending cervical artery
supra scapular artery

54
Q

cervicodorsal tunk

A

when the superficial and deep branches of transverse cervical arteries form an arterial trunk

55
Q

branches of posterior part of subclavian artery

A

costocervical arterial trunk composed of supreme intercostal artery and deep cervical artery

56
Q

Origin (arises from) dorsal scapular artery

A

May arise independently from the lateral part of the subclavian artery or from the transverse cervical artery of posterior part

57
Q

where does the subclavian become the axillary artery?

A

lateral border of first rib

58
Q

part 1 of axillary artery

A

super thoracic artery

59
Q

part 2 of axillary artery

A

thoracoacromial trunk

60
Q

part 3 of axillary artery

A

sub scapular artery
anterior circumflex humeral
posterior circumflex humeral

61
Q

branches of thoracoacromial trunk of axillary artery

A

pectoral branch, deltoid branch, acormial branch, clavicular branch

62
Q

branches of the sub scapular artery of the axillary artery

A

circumflex scapular

thoracic dorsal

63
Q

anastomoses of the arterial branches in pectoral region

A
supra scapular artery
dorsal scapular artery 
posterior intercostal arteries
circumflex scapular arteries
thoracodorsal artery
64
Q

axillary vein

A

drains the pectoral and axillary region, follows axillary artery, received blood from superficial and deep veins of arm and forearm

65
Q

branches of the axillary vein

A

deep brachial veins

superficial veins of arm and forearm

66
Q

superficial veins of arm or forearm

A
basilic veins (continue to axillary)
cephalic veins (drain to axillary before becoming subclavian)
67
Q

boundaries of axilla at apex

A

clavicle
scapula
1st rib

68
Q

boundaries of axilla at base

A

skin and superficial fascia
anterior axillary fold (pec. major)
posterior axillary fold (lats, teres major)
chest wall (serratus anterior)

69
Q

boundaries of axilla at anterior wall

A

(clavicle) (subclavius) pectoralis major pectoralis minor

70
Q

boundaries of axilla at posterior wall

A

scapula
subscapularis
latissimus dorsi
teres major

71
Q

boundaries of axilla laterally

A

inter tubercular sulcus
tendon of long head of biceps
coracobrachialis tendon

72
Q

3 contents of the axilla

A

axillary vein
axillary artery
brachial plexus