Borders and important elements Flashcards
Borders of the mammary region
1.superior: 3rd rib
2.Inferior: 5th or 7th rib
3.Lateral: Anterior axillary line
4.Medial:STERNAL LINE
5.deep: fascia pectoralis
Layers
1.The skin
2.The adipous conjunctive tissue
3.The mammary gland
Mammary region arteries and veins
- INTernal thoracic
- lateral thoracic
- Thoracoromial
- intercostal
Lymphatic system of mammary region
Superficial 1.Papillar plexus 2.Subdermal plexus Deep 1.main pathway (subpectoral) 2.Auxiliar pathway
Anterior wall of Rectus sheath
1.5 apponeurosis
1 External oblique
Anterior layer of internal oblique
Posterior wall of Rectus sheath
1.5 apponeurosis
1. Transversus abdominis
Posterior layer (Lamina) of Internal oblique
It disappears at the end of the rectus abdominis
In the inferior 1/3rd of the rectus abdominis muscle
what happens to the Rectus sheat?
The posterior layer is replaced by fascia transversalis. and we will have only anterior layer: 1.trransversus abdomins 2.Internal oblique 3.External oblique
Inguinal canal is
- men
- women
1.Men
a passage between peritoneal cavity and scrotum
2.Women
a passage between peritoneal cavity and pubis.
Walls of the inguinal canal
- Anterior wall= aponeurosis of the external oblique muscle.
- Superior wall=Inferior margin of transverse abdominal muscle and Internal oblique muscle
- Inferior wall=Inguinal ligament and Lacunar ligament
- posterior wall=Fascia transversalis (weakest wall)
The inguinal triangle (Hesselbach) Borders
1.Superior Inferior margins of Transversus abdominis and internal oblique. 2.Inferior: 1.Inguinal ligament 3.Medial: Lateral margin of the rectus sheath
Inguinal canal in male and female
in male Contains:
SPERMATIC CORD
Ductus defernes and deferens artery and testicular artery and cremasteric artery
Genital branch of the genitofemoral artery
In female:
Round ligament of the uterus
Genital branch of the genitoemroal nerve.
The most important thing to know is
In male:Spermatic cord
in Female: Round ligament of the uterus
The spaces(lacunae) is situated
At the base of the thigh
between the anterior margin of the coxal bone and the inguinal ligament.
The vascular lacuna
borders
Elements
1.Medial: lacunar ligament
2.Lateral: iliopectineal arch
3.Anterior:Inguinal ligament
4.Posterior: Pectineal ligament.
Through the vascular lacuna pass:
Femoral vein Medially
Femoral artery laterally
Femoral branch of the genitofemoral nerve anteriorly
The neuromuscular lacuna
Borders
Nerves and muscles
Medial: Iliopectinial arch Anterior:The inguinal ligament Posterior: anterior margin of the coxal bone descend 1.Ilipopsoas muscle 2.Femoral nerve 3.lateral cutaneous femoral nerve
The weak spots of the abdominal wall
- Linea alba
- The umbilical region
- The semilunar line
- The lumbar triangle
- The lumbar tetragon
The main bundle of the axilla
- Axillary artery and vein
- Brachial plexus
- Central and apical lymphatic nodes