Axillary Artery and Brachial Plexus Flashcards
palpable bones of the humerus
greater tubercle of humerus
lateral epicondyle of humerus
medial epicondyle of humerus
proximal end of humerus contains
head and anatomical neck
surgical neck
greater and lesser tubercles
shaft of humerus contains
deltoid tuberosity
radial groove
distal aspect of humerus
medial and lateral epicondyles
capitulum
trochlea
coronoid fossa
olecranan fossa
what is the axilla
the pyramidal space inferior to the glenohumeral joint
contents of the axilla
axillary artery and its branches
axillary vein and tributaries
axillary lymph nodes
brachial plexus
how many sets of lymph nodes
5 sets
most drains into the humeral and central nodes
what is the brachial plexus and its divisions
a union of central rami of c5-c8 and t1 nerve roots
divided into roots, trunks, divisions, cords, branches
what is the brachial plexus and its divisons
union of central rami of c5-c8 and t1 nerve roots
divided into roots, trunks, divisions, cords, branches
components of the brachial plexus
roots C5-T1
trunks (superior, middle and inferior)
divisions (anterior and posterior)
cords (posterior, medial, lateral)
branches (5 total)
what nerves branch off the roots
dorsal scapular nerve (c5)
long thoracic nerve (c5-c7)
unnamed muscular branches to deep cervical muscles
what are the trunks that form after the roots?
superior (upper) trunk: C5 and C6
middle trunk: C7
Inferior (lower) trunk: C8 and T1
what do the roots pass between
anterior and middle scalene muscles
what are the nerves that branch off of the trunks
suprascapular (C5 and C6)
nerve to subslavius (C5 and C6)
- subclavius muscle
what are the divisions that the trunks divide into
anterior - supply anterior (flexor) compartment in the arm and forearm
posterior - supply posterior (extensor) comparement in arm and forearm
the anterior and posterior divisions form 3 cords
lateral cord
posterior cord
medial cord
there are 5 terminal branches of the brachial plexus
musculocutanesous, axillary, radial, median, ulnar
posterior cord contains what nerves
upper subscapular nerve
lower subscapular nerve
thoracodorsal nerve
nerves of medial cord
medial cutanesous nerve of the arm -sensory to medial arm
medial cutaneous nerve of forearm - sensory to medial forearm
medial pectoral nerve
nerve of lateral cord
lateral pectoral nerve
muscles innervated by musculocutaneous nerve
biceps, brachialis, coracobrachialis
muscles innervated by axillary nerve
deltoid and teres minor
muscles innervated by radial nerve
triceps/anconeus
extensor compartment in forearm
muscles innervated by ulnar nerve
flexor carpi ulnaris
medial part of flexor digitorum profundus
hypothenar muscles
dorsal and palmar interossei
3 and 4 lumbricals
adductor pollicis
muscles innervated by the median nerve
most of flexor compartment in forearm (exceptions with the ulnar nerve)
most thenar muscles
1st and 2nd lumbricals
movements at the elbow joint
flexion of elbow
extension of elbow
muscles of the anterior arm
biceps (short head and long head)
coracobrachialis
brachialis
what is the distal continuations of the axillary artery
the brachial artery
axillary artery - 1st part location
located between the lateral border of the 1st rib and the medial border of the pectoralis minor
axillary artery - 1st part branch
only 1 branch - superior thoracic artery
supplies the first and second intercostal spaces
axillary artery - 2nd part
lies posterior to the pec minor
2 branches - thoracromial trunk and lateral thoracic artery
thoracoacromial trunk supplies
the shoulder and pectoral muscles
the lateral thoracic artery supplies
the serratus anterior
axillary artery - 3rd part
lateral border of pec minor to the inferior border of teres major
3 branches
3 branches of axillary artery 3rd part
- subscapular a
anterior humeral circumflex
posterior humeral circumflex
subscapular artery branches to
circumflex scapular (participates in anastomosis around shoulder)
thoracodorsal (supplies latissimus dorsi)
anterior humeral circumflex branches to
anastomoses with posterior humeral circumflex
posterior humeral circumflex supplies
supplies deltoid, teres major and minor and long head of the triceps
the posterior division of the brachial plexus suppies…
posterior - supply posterior (extensor) comparement in arm and forearm
the anterior division of the brachial plexus supplies…
anterior - supply anterior (flexor) compartment in the arm and forearm
how is the lateral cord formed
anterior divisions of the superior and middle trunks combine
how is the posterior cord formed
by the posterior divisions of all 3 trunks (superior, middle, inferior trunks)
how is the medial cord formed
by the anterior division of the posterior cord