Upper Limb Anatomy and Axilla Overview
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Questions and Answers

Where does the axillary artery begin?

  • At the lateral border of the first rib (correct)
  • At the inferior margin of the teres major muscle
  • At the bicipital groove of the humerus
  • At the medial wall of the upper thoracic wall
  • What separates the three parts of the axillary artery?

  • The pectoralis minor muscle (correct)
  • The serratus anterior muscle
  • The subclavian artery
  • The latissimus dorsi muscle
  • Which muscles are located in the axilla along with the axillary artery?

  • Serratus anterior and pectoralis major muscles
  • Biceps and coracobrachialis muscles (correct)
  • Latissimus dorsi and rhomboid muscles
  • Deltoid and triceps muscles
  • At what point does the axillary artery transition into the brachial artery?

    <p>At the inferior margin of the teres major muscle</p> Signup and view all the answers

    Which component is NOT found in the contents of the axilla?

    <p>Subclavian nerve</p> Signup and view all the answers

    Which structure forms the medial margin of the inlet of the axilla?

    <p>First rib</p> Signup and view all the answers

    Which muscle forms the anterior axillary fold?

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

    What is the continuation of the subclavian artery at the lateral border of the first rib?

    <p>Axillary artery</p> Signup and view all the answers

    Which vein does the cephalic vein end in?

    <p>Axillary vein</p> Signup and view all the answers

    Which artery originates from the third part of the axillary artery?

    <p>Subscapular artery</p> Signup and view all the answers

    What is the primary shape of the axilla?

    <p>Pyramidal</p> Signup and view all the answers

    Which structure is NOT part of the anterior wall of the axilla?

    <p>Latissimus dorsi</p> Signup and view all the answers

    Which margin does the first rib form in relation to the axillary inlet?

    <p>Medial margin</p> Signup and view all the answers

    What major function does the axilla serve?

    <p>To transmit vessels and nerves</p> Signup and view all the answers

    Which structure represents the base of the axilla?

    <p>Floor</p> Signup and view all the answers

    Who is responsible for presenting the axilla lecture?

    <p>Dr. Naser El Sawy</p> Signup and view all the answers

    What forms the posterior margin of the axillary inlet?

    <p>Superior border of the scapula</p> Signup and view all the answers

    Which component is not included in the content of the axilla?

    <p>Muscles of the forearm</p> Signup and view all the answers

    Which muscles contribute to the formation of the anterior wall of the axilla?

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

    What forms the medial wall of the axilla?

    <p>Upper thoracic wall</p> Signup and view all the answers

    Which structure is NOT part of the lateral wall of the axilla?

    <p>Serratus anterior muscle</p> Signup and view all the answers

    Which muscles form the lower border of the posterior wall of the axilla?

    <p>Latissimus dorsi and teres major</p> Signup and view all the answers

    What structures make up the floor (base) of the axilla?

    <p>Skin and fascia (axillary fascia)</p> Signup and view all the answers

    Which structure defines the inlet (apex) of the axilla?

    <p>First rib and clavicle</p> Signup and view all the answers

    Which muscle is NOT part of the posterior wall of the axilla?

    <p>Serratus anterior</p> Signup and view all the answers

    Which muscle primarily forms the anterior axillary fold?

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

    Which artery is the largest branch of the axillary artery?

    <p>Subscapular artery</p> Signup and view all the answers

    Where does the axillary vein begin?

    <p>At the lower margin of the teres major muscle</p> Signup and view all the answers

    Which arteries pass anterior and posterior to the surgical neck of the humerus?

    <p>Anterior and posterior circumflex humeral arteries</p> Signup and view all the answers

    What forms the axillary vein?

    <p>The continuation of the basilic vein</p> Signup and view all the answers

    Which artery penetrates the clavipectoral fascia?

    <p>Thoraco-acromial artery</p> Signup and view all the answers

    What is the termination point of the axillary vein?

    <p>At the lateral border of the first rib</p> Signup and view all the answers

    Which artery supplies the shoulder joint?

    <p>Anterior and posterior circumflex humeral arteries</p> Signup and view all the answers

    Which artery is located at the inferior margin of the pectoralis minor muscle?

    <p>Lateral thoracic artery</p> Signup and view all the answers

    Study Notes

    Upper Limb Anatomy

    • The upper limb comprises the pectoral, scapular, arm, axilla, and forearm regions.
    • The bones of the upper limb include the clavicle, scapula, humerus, radius, and ulna, which support and form the structure of the limb.
    • The scapula is a flat, triangular bone that links the humerus to the clavicle, forming the shoulder.
    • The humerus is the long bone of the upper arm, connecting the scapula to the radius and ulna.
    • The radius and ulna are the forearm bones; the radius is on the thumb side, and the ulna is on the little finger side.
    • The hand consists of the wrist, palm, and fingers.

    The Axilla

    • The axilla is a pyramidal space between the upper chest and the upper arm.
    • It's a region of transition for major structures—vessels and nerves—entering and leaving the upper limb.
    • The anatomy of the axilla is crucial for understanding blood vessels, nerves, and lymphatics passing through the region.

    Axilla Boundaries

    • Apex (Axillary inlet): The apex of the axilla is defined by the lateral margin of rib one, the superior margin of the scapula, and the medial margin of the coracoid process.
    • Base (Floor): The base of the axilla is formed by the skin and fascia.
    • Anterior wall: Composed of the pectoralis major muscle, pectoralis minor muscle, subclavius muscle, and clavipectoral fascia.
    • Posterior wall: Formed by the scapula and muscles—subscapularis, teres major, and latissimus dorsi muscles.
    • Medial wall: The upper thoracic wall and the serratus anterior muscle form the medial wall.
    • Lateral wall: The lateral wall is formed by the bicipital groove of the humerus and the muscles connected to it.

    Axilla Contents

    • The axillary region contains vital nerves (brachial plexus cords), blood vessels (axillary artery and vein), and lymph nodes.
    • The brachial plexus cords are subdivided into five main nerves: medial, lateral, and posterior cords.
    • The axillary artery is an important part of the upper limb blood supply.
    • The axillary vein is responsible for draining blood from the upper limb.

    Axillary Artery

    • The axillary artery begins at the lateral border of the first rib and continues to the inferior border of the teres major muscle where it becomes the brachial artery.
    • The axillary artery has three distinct parts, delineated by the pectoralis minor muscle:
    • First part: Above the pectoralis minor muscle.
    • Second part: Posterior to the pectoralis minor muscle.
    • Third part: Below the pectoralis minor muscle.
    • The artery branches into multiple vessels supplying the upper limb structures.

    Axillary Vein

    • The axillary vein begins at the lower border of the teres major muscle, becoming a continuation of the basilic vein.
    • It subsequently runs through the axilla, medial and anterior to the axillary artery.
    • Tributaries from the upper limb and other structures join the axillary vein.
    • Eventually, it becomes the subclavian vein.

    Additional Information

    • The anterior axillary fold is formed by the pectoralis major muscle, and the posterior axillary fold is formed by the teres major and latissimus dorsi muscles.
    • The medial margin of the axillary inlet is formed by the first rib.
    • The cephalic vein ends in the axillary vein.
    • The subscapular artery, a primary vessel for the axillary artery, is its largest branch.
    • The subscapular artery runs along the inferior margin of the subscapularis muscle.

    References

    • Gray's Anatomy for Students, 3rd Edition, with STUDENT CONSULT Online Access Drake, Vogl & Mitchell 2014.

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    Lecture Upper Limb (Axilla) PDF

    Description

    This quiz covers the anatomy of the upper limb, including the pectoral region, scapula, arm, axilla, and forearm. Learn about the bones involved, specifically the clavicle, humerus, radius, and ulna, as well as the significance of the axilla in vascular and neural pathways. Test your knowledge on the structure and boundaries of the upper limb.

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