Upper Limb 1 Flashcards
What is the axilla?
Pyramidal space below the shoulder joint
Provides passage way for vessels and nerves
Has an apex, base and 4 walls
What forms the anterior wall of the axilla?
Pectoralis major and pectoralis minor muscle
What forms the posterior wall of the axilla?
Subscapularis, teres major and latissimus dorsi
What forms the medial wall of the axilla?
Thoracic wall and serratus anterior muscle
What forms the lateral wall of the axilla?
Intertubercular sulcus of the humerus
What makes up the apex of the axilla?
Lateral border of first rib, superior border of scapula and posterior border of clavicle
What are the contents of the axilla?
Axillary artery, axillary vein, brachial plexus, axillary lymph nodes, and biceps brachii + coracobrachialis
What is the axillary artery a continuation of?
Subclavian artery
At what anatomical point does the axillary artery begin?
Lateral border of the 1st rib
When does the axillary artery change to the brachial artery?
Inferior border of teres major
When are axillary lymph nodes enlarged?
Infection of upper limb and malignant processes involving breast tissue
What ventral rami make up the brachial plexus?
C5 to T1
What is the nerve roots of the upper, middle and lower trunk of the brachial plexus?
Upper - C5 and C6
Middle - Continuation of C7
Lower - C8 and T1
What is the sub-divisions of the brachial plexus?
5 roots
3 trunks
3 anterior and 3 posterior divisions
3 cords
Terminal branches
What are the cords of brachial plexus named after?
Their position in relation to axillary artery in the axilla
What does injury to the upper trunk of brachial plexus cause?
Erb’s palsy - waiters tip appearance
Medial rotation of the arm with wrist flexion
Caused by hyperextension injury if head from shoulder
What does injury of the lower trunk of brachial plexus cause?
Klumpke’s palsy
Mainly affects intrinsic muscles of hand, flexor muscles of wrist and flexor muscles of fingers
What are the 5 main terminal branches of the cords of brachial plexus?
Axillary nerve
Radial nerve
Musculocutaneous nerve
Ulnar nerve
Median nerve
What nerves come from the posterior cord of the branchial plexus?
Axillary and radial nerves
What nerve comes from the lateral cord of the brachial plexus?
Musculocutaneous
Median nerve from lateral and medial cord
What nerves come from the medial cord of the brachial plexus?
Ulnar and Median nerve
Median nerve from medial and lateral cord
What are the roots of the musculocutaneous nerve?
C5-7
What are the roots of the axillary nerve?
C5 and C6
What are the roots of the median nerve?
C6-T1
What are the roots of the radial nerve?
C5-T1
What are the roots of the ulnar nerve?
C8-T1
What artery is number 3?
Subclavian artery
What artery is number 6?
Axillary artery
What artery is number 7?
Brachial artery
What artery is number 9?
Radial artery
What artery is number 10?
Ulnar artery
What vein is number 10?
Cephalic vein
What vein is number 11?
Basilic vein
What is number 12?
Median cubital vein