Axilla Anatomy

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Questions and Answers

A 65-year-old man is brought to the ER with multiple stab wounds to his back. Physical examination shows a puncture wound in the anterior axillary fold. The patient presents with weakness in flexion, adduction, and medial rotation of his arm. Which muscle is most likely cut in this injury?

  • Teres minor
  • Pectoralis major (correct)
  • Serratus anterior
  • Pectoralis minor

Which of the following best describes the axilla's location?

  • Between the upper part of the arm and the side of the chest (correct)
  • Between the upper part of the leg and the side of the chest
  • Between the lower part of the arm and the side of the back
  • Between the upper part of the leg and the side of the abdomen

The cervico-axillary canal is another name for which part of the axilla?

  • Posterior Wall
  • Base
  • Medial Wall
  • Apex (correct)

Which of the following structures forms the anterior boundary of the axilla's apex?

<p>Clavicle (B)</p> Signup and view all the answers

Which muscle primarily forms the anterior axillary fold?

<p>Pectoralis major (A)</p> Signup and view all the answers

Which of the following muscles is NOT part of the posterior wall of the axilla?

<p>Subclavius (B)</p> Signup and view all the answers

What structures primarily form the medial wall of the axilla?

<p>Serratus anterior and upper ribs (A)</p> Signup and view all the answers

Which of the following structures contributes to the lateral wall of the axilla?

<p>Bicipital groove of the humerus (C)</p> Signup and view all the answers

Which of the following best describes the shape of the axilla?

<p>Pyramid-shaped (A)</p> Signup and view all the answers

What major function does the axilla serve in relation to neurovascular structures?

<p>Transmits structures between the neck and upper limbs (B)</p> Signup and view all the answers

The base of the axilla is also known as the:

<p>Outlet (D)</p> Signup and view all the answers

Which structure forms the base of the axilla?

<p>Axillary fascia and skin of the armpit (A)</p> Signup and view all the answers

Besides the axillary artery and vein, which of the following is a key component found within the contents of the axilla?

<p>Cord and branches of brachial plexus (C)</p> Signup and view all the answers

The posterior axillary fold is formed by which two muscles?

<p>Teres major and latissimus dorsi (B)</p> Signup and view all the answers

What type of tissue is also found in the axilla along with neurovascular structures?

<p>Adipose tissue (B)</p> Signup and view all the answers

Flashcards

Axilla Definition

The axilla is a pyramid-shaped space located between the upper part of the arm and the side of the chest. It transmits major neurovascular structures between the neck and upper limbs.

Axilla Apex

The apex of the axilla, also known as the cervico-axillary canal, is directed upward, towards the neck.

Apex Boundaries

The boundaries of the axilla's apex are the clavicle (anteriorly), the upper border of the scapula (posteriorly), and the outer border of the first rib (medially).

Axilla Base

The base of the axilla is formed by the axillary fascia and the skin of the armpit.

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Anterior Wall

The anterior wall of the axilla includes the pectoralis major and minor muscles, the subclavius muscle, and the clavipectoral fascia.

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Posterior Wall

The posterior wall of the axilla is formed by the scapula, subscapularis, teres major, and latissimus dorsi muscles.

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Medial Wall

The medial wall of the axilla is formed by the serratus anterior muscle and the upper 4-5 ribs with their intercostal muscles.

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Lateral Wall

The lateral wall of the axilla includes the bicipital groove of the humerus, the biceps brachii, and the coracobrachialis muscles.

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Axilla Contents

The contents of the axilla include the cords and branches of the brachial plexus, axillary fat, the axillary artery and its branches, the axillary vein and its tributaries, and axillary lymph nodes.

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Anterior Axillary Fold

The anterior axillary fold is formed by the pectoralis major muscle.

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Posterior Axillary Fold

The posterior axillary fold is formed by the teres major and latissimus dorsi muscles.

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Study Notes

  • The axilla is a pyramid-shaped space located between the upper arm and the side of the chest.
  • The axilla transmits major neurovascular structures between the neck and upper limbs.

Anatomy of the Axilla

  • The axilla can be described as a 4-sided pyramid that connects to the neck via an inlet and opens to the armpit or outlet.

Apex

  • It is directed upward, toward the neck.
  • The apex is also called the cervico-axillary canal.
  • Anterior boundary: Clavicle
  • Posterior boundary: Upper border of the scapula
  • Medial boundary: Outer border of the first rib

Base

  • The base is formed by the axillary fascia and the skin of the armpit.

Posterior Wall

  • Includes the scapula, subscapularis, teres major, and latissimus dorsi muscles.
  • The posterior axillary fold is formed by the teres major and latissimus dorsi.

Anterior Wall

  • Includes the pectoralis major and minor, subclavius muscles, and clavipectoral fascia.
  • The anterior axillary fold is formed by the pectoralis major.

Medial Wall

  • Consists of the serratus anterior muscle and the upper 4-5 ribs, along with the intercostal muscles.

Lateral Wall

  • Includes the bicipital groove of the humerus, biceps brachii, and coracobrachialis muscles.

Contents of the Axilla

  • Cords and branches of the brachial plexus
  • Axillary fat
  • Axillary artery and its branches
  • Axillary vein and its tributaries
  • Axillary lymph nodes
  • Breast/axillary tail

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