Chapter 5: Axilla Flashcards
Site of Axilla
Pyramidal region, situated between the upper side of the chest wall and the upper part of the medial side of the arm.
Axilla boundries
Four sided pyramid having an apex, a base or floor, and four walls (anterior, posterior, lateral, and medial).
Apex (cervico-Axillary canal)
Triangular interval directed upwards and medially towards the root of the neck communicating it with the Axilla and through it the Axillary vessels and nerves enter from the neck.
The apex is bounded by?
- Outer border of the first rib.
- Superior border of the scapula posteriorly.
- Posterior surface of the clavicle.
Anterior pectoral wall
- Superficial layer.
- Deep layer.
Anterior pectoral wall superficial layer
Formed of Pectoralis major muscle.
Anterior pectoral wall deep layer
The Axillary septum formed above downwards by:
1. Subclavius muscle
2. Clavipectoral fascia
3. Pectoralis minor muscle
4. Syspensory ligament of the Axilla, attached below the Axillary fascia (deep fascia in the base of the Axilla).
Anterior wall of Axilla
Lower border of the anterior wall and is formed by the twisted lower border of Pectoralis major.
Posterior ( subscapular) wall
Formed from above downwards by:
1. Subscapularis (lateral part).
2. Teres major.
3. Lattismus dorsi muscle.
Posterior fold of Axilla
Lower border of the posterior wall and is formed by teres major and Lattismus dorsi muscles.
Lies at a lower level than the anterior fold as the anterior wall os longer than the posterior wall.
Lateral (humeral) wall: narrowest wall
Formed by:
1. Bicipital groove of humerus.
2. Short head of biceps.
3. Coracobrachialis muscles.
Medial (costal) wall
- Upper four ribs and their corresponding inter coastal muscles.
- Upper part of Serratus anterior.
Base (floor) looks downward
Formed by:
1. Skin (rich in hairs, sweat, and sebaceous glands).
2. Superficial fascia.
3. Deep (Axillary) fascia: receives the attachment of suspensory ligament of the Axilla.
Contents of the Axilla
- Vessels.
- Nerves.
- Lymph nodes.
- Special contents.
Axilla Vessels
- Axillary artery and it’s branches.
- Axillary vein and it’s tributaries.
Axilla Nerves
- Cords of brachial plexus and their branches.
- Long thoracic nerve.
- Intercostobrachial nerve (lateral cutaneous branch of the 2nd thoracic nerve).
Axilla lymph nodes
Five groups of lymph nodes:
1. Anterior
2. Posterior
3. Lateral
4. Central
5. Apical
Axilla special contents
- Tail of mammary gland.
- Axillary fat and loose areolar tissue.
Where does the Axillary artery begin?
At the outer border of the first rib as continuation of the subclavian artery.
Where does the Axillary artery end?
At the lower border of the teres major muscle (lower limit of the Axilla), where it becomes the brachial artery.