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Axilla/Brachial Plex
| Question | Answer |
|---|---|
| What is the attachment of the clavicular head of the pec major? | Anterior surface of clavicle |
| What is the attachment of the sternocostal head of the pec major? | Anterior surface of sternum and first 6 ribs |
| What is the insertion of the pec major? | Intertubercular groove |
| What is the innervation of pec major? | Medial and lateral pectoral nerves |
| What are the actions of pec major? | Flexion, adduction and medial rotation of the shoulder |
| What is the attachment of the pec minor? | Ribs 3-5 |
| What is the insertion of the pec minor? | Coracoid process of scapula |
| What is the innervation of pec minor? | Medial pectoral nerve |
| What is the action of pec minor? | Protacts the scapula |
| What is the attachment of subclavius? | 1st rib |
| What is the insertion of subclavius? | Clavicle |
| What is the innervation of subclavius? | The nerve to the subclavius |
| What is the action of subclavius? | Stabilisation of the clavicle |
| The separates the pec major from the pec minor and subclavius? | Clavipectoral fascia |
| What exits through the clavipectoral fascia? | Pectoral branch of acromiothoracic artery and lateral pectoral nerve |
| What enters trough the clavipectoral fascia? | The cephalic vein and lymphatics |
| What is the attachment of the serratus anterior? | Upper 8 ribs |
| What is the insertion of the serratus anterior? | Medial border of scapula |
| What is the innervation of the serratus anterior? | Long thoracic nerve |
| What are the upper extrinsic back muscles? | Trapezius, rhomboids and levator scapulae |
| What are the attachments of the trapezius? | From external occipital protuberence to T12 |
| What are the insertions of the trapezius? | Lateral clavicle, acromion and spine of scapula |
| What innervates the trapezius? | The spinal part of the accessory nerve |
| What are the functions of trapezius? | Retraction and lateral rotation of the scapula and abduction of the shoulder joint |
| Where does rhomboid major attach? | T2-T5 |
| Where does rhomboid major insert? | Medial scapula |
| Where does rhomboid minor attach? | C7 and T1 |
| Where does rhomboid minor insert? | Medial scapula |
| Where does levator scapulae attach? | C1-C4 |
| Where does levator scapulae insert? | Superior angle of scapula |
| What innervates the rhomboids and levator scapulae? | Dorsal scapular nerve of C5 |
| What are the actions of the rhomboids and levator scapulae? | Retraction and medial rotation of the scapula |
| What forms the apex of the axilla? | First rib, clavicle and scapula |
| What forms the anterior wall of the axilla? | Pec major, pec minor, subclavius and clavipectoral fascia |
| What forms the medial wall of the axilla? | Serratus anterior and thoracic wall |
| What forms the posterior wall of the axilla? | Latissumus dorsi |
| What is the attachment of the latissimus dorsi? | Pelvis, T7-S5 and scapula |
| What is the insertion of the latissimus dorsi? | Intertubercular groove |
| What innervates the latissimus dorsi? | Thoracondorsal nerve C6-C8 |
| What are the actions of the latissimus dorsi? | Extension, adduction and medial rotation of the shoulder |
| What are the contents of the axilla? | Axillary vessels, lymph nodes, brachial plexus and axillary tail of the breast |
| Where does the axillary artery begin? | Apex of axilla |
| Where does axillary artery end? | Inferior border of teres major |
| What is the first part of the axillary artery? | Superior thoracic |
| What is the second part of the axillary artery? | Acromio-thoracic and lateral thoracic |
| What is the third part of the axillary artery? | Subscapular, Anterior and Posterior circumflex humeral |
| What does the axillary vein continue? | The brachial and basilic vein |
| Which vein inserts into the axillary vein? | Cephalic Vein |
| What does the axillary vein continue as after passing the first rib? | Subclavian vein |
| What do the lymphatics start as? | Pectoral, Subscapular and humeral |
| What do the first lymphatic turn into? | Central |
| What do central lymphatics turn into? | Apical |
| What do apical lymphatics turn into? | Supraclavicular |
| What are the 5 sections of the brachial plexus? | Roots, Trunks, Divisions, Cords and Branches |
| What are the roots of the brachial plexus? | The anterior rami of C5, C6, C7, C8 and T1 |
| What are the 3 trunks of the brachial plexus? | Superior, Middle and Inferior |
| What roots form the superior trunk of the brachial plexus? | C5 and C6 |
| What are the branches of the superior trunk of the brachial plexus? | Subclavius and suprascapular |
| What roots form the middle trunk of the brachial plexus? | C7 |
| What roots form the inferior trunk of the brachial plexus? | C8 and T1 |
| What divisions does each trunk of the brachial plexus have? | Posterior and Anterior |
| What divisions form the lateral cord of the brachial plexus? | Anterior divisions of the superior and middle trunks |
| Which divisions form the posterior cord of the brachial plexus? | All posterior divisions of all trunks |
| Which divisions form the medial cord of the brachial plexus? | Anterior division of the inferior trunk |
| What are the terminal branches of the lateral cord? | 2LM - Lateral pectoral, lateral head of median and musculocutaneous |
| What are the terminal branches of the posterior cord? | STARS - Subscapular upper, Thoracondorsal, Axillary, Radial and Subscrapular lower |
| What are the terminal branches of the medial cord? | 4MU - Medial pectoral, Medial head of median, Medial cutaneous of arm, Medial Cutaneous of forearm and Ulnar |