clinical anatomy of the axilla and brachial plexus Flashcards
Axilla
This is a pyramid shaped space between the upper arm and thorax
where are the anterior boundaries
pectoralis major and minor
whats in the posterior fold
teres major ,latissimus dorsi , subscapularis
medial boundary
serratus anterior ,ribs
lateral boundary
intertubercular groove of humerus
Serratus anterior function
It rotates the scapula upward to allow lifting arm above 90 degrees and protracts the scapula
Serratus anterior innervation
long thoracic nerve (C5 ,6,7 )
function of the pectoralis major
Flexion ,adduction and medial rotation of the arm
Pectoralis major innervation
medial and lateral pectoral nerves
Pectoralis minor function
pulls tip of shoulder down
pectoralis minor innervation
medial pectoral nerve
Subscapularis function
medial rotation of the arm
Subscapularis innervation
upper and lower subscapular nerves
Teres major function
medial rotation ,adduction and extension o the arm
Teres major innervation
Lower subscapular nerve
latissimus dorsi function
meidal rotation ,adduction and extension of the arm
latissimus dorsi innervation
Thoracodosral nerve
whats in the triangular space of the posterior scapular
circumflex scapular artery
whats in the quadrangular space of the scapular spaces
axillary nerve
posterior humeral circumflex artery
whats in the triangular interval
radial nerve
deep brachial artery
Subclavian artery ; 1st part (medial to scalene )
Vertebral
Internal Thoracic
Thyrocervical trunk
what forms part of the thyrocervical trunk
Transverse cervical
Suprascapular
Inferior thyroid
2nd part of the subclavian artery
Costocervical
3rd part of the subclavian artery
Dorsal scapular
what is the axillary artery and where does it begin
It is the continuation of the subclavian artery and it begins at the lateral border of the 1st rib
Proximal part of the axillary artery
superior thoracic
Posterior part of the axillary artery
Thoraco-acaromial
Lateral Thoracic
Distal part of the axillary artery
subscapular
posterior and anterior circumflex humeral
What forms the axillary vein
the basilic vein and the paired brachial veins
What vein does the axillary vein receive
cephalic
Axillary sheath
surrounds the arteries , veins ,nerves and lymphatics
It can be used for brachial plexus blocks
Anterior nodes (pectoral )
receive lymph from anterior and thoracic wall and breast
Posterior Nodes (Scapular )
Receive lymph from posterior thoracic wall .back and posterior shoulder
Lateral Nodes (humeral)
receive lymph from the medial aspect of the upper limb accompanying the basilic vein
Central nodes
Receive lymph from anterior ,lateral and posterior groups
Apical Nodes
Receive lymph from all other axillary nodes