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Axilla and Brachial Plexus
Axilla and Brachial Plexus
17
Medical
Graduate
02/06/2013

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Cards

Term
What structures make up the following borders of the axilla?
Posterior
Medial
Lateral
Anterior
Definition
Posterior - Subscapularis muscle, teres major, latissimus dorsi
Medial - Serratus anterior, 1st-4thribs and the associated intercostal muscles
Lateral - Intertubular groove of the humerus
Anterior - Pectoralis major, pectoralis minor
Term
When does the subclavian artery become the axillary artery?
Definition
When cross 1st rib
Term
When does the axillary artery become the brachial artery?
Definition
When reaches inferior border of the teres major muscle
Term
What are the 6 branches of the axillary artery?
Definition
Superior thoracic, thoracoacromial, lateral thoracic
Term
What is the arrangement of the axillary lymph nodes?
Definition
Apical, central, lateral, anterior, posterior
Term
What is the common side effect that can occur after removing the axillary lymph nodes?
Definition
Lymphadema of the arm on the side where the lymph nodes were removed (non-pitting edema of the arm)
Term
What ventral rami form the brachial plexus?
Definition
C5-T1
Term
Label the divisions of the brachial plexus:
Definition
RTDCB
Term
What is the name of the structure that enters the axilla through the cervicoaxillary canal bound to the axillary blood vessels?
Definition
Brachial plexus
Term
What is the mnemonic used for the branches of the posterior cord?
Definition
U and L – Upper subscapular nerve, lower subscapular nerve
T – Thoracodorsal nerve (C6-C8)
R – Radial nerve
A – Axillary nerve (C5 and C6)
Term
What type of palsy is caused by an injury to the superior part of the brachial plexus, and what is the associated clinical picture?
Definition
Erb-Duchenne Palsy: shoulder dystocia
Clinical signs: Waiter’s tip = adducted shoulder, medially rotated arm, extended elbow
Injury to C5 and C6
Weakness of deltoid, biceps, brachialis
Term
What type of palsy is caused by an injury to the inferior part of the brachial plexus, and what is the associated clinical picture?
Definition
Klumpke palsy: C8 and T1 roots
Affect median and ulnar nerve – intrinsic muscles of hand
Claw hand
Extension of metacarpalphalangeal, flexion at interphalangeal joints, sometimes wrist flexion as well
Term
What are the 6 branches of the axillary artery?
Definition
Superior thoracic, thoracoacromial, lateral thoracic, anterior circumflex, posterior circumflex, subscapular
Term
What are the branches of the subscapular artery?
Definition
Circumflex, thoracodorsal
Term
What are the 3 branches of the lateral cord of the brachial plexus?
Definition
Lateral pectoral, musculocutaneous, median
Term
What are the 5 branches of the medial cord of the brachial plexus?
Definition
Median, ulnar, medial pectoral, medial brachial cutaneous, medial antebrachial cutaneous
Term
What are the 5 branches of the posterior cord of the brachial plexus?
Definition
ULTRA – Upper and lower subscapular, thoracodorsal, axillary, radial
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