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Pectoral Region and Axilla
Medical School Gross Anatomy
50
Anatomy
Graduate
08/27/2011

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Cards

Term
What is the function and enervation of the Pectoralis Major?
Definition
Function is the adduction and medial rotation of the arm

Enervated by the lateral and medial Pectoralis Nerve
Term
What is the function and enervation of the Pectoralis Minor Nerve
Definition
Function: Depress scapula. However if Scapula is fixed then it elevates ribs makeing it a muscle that can help in respiration (inward)

Enervated by the Medial Pectoralis Nerve
Term
What is the function and enervation of the Serratus Anterior?
Definition
Function: Protract the scapula and elevate the glenoid fossa.

Enervation: The long thoracic nerve
Term
What is the glenoid fossa?
Definition
Point of articulation for the humerus on the scapula
Term
What is the function and enervation of the Deltoid Muscle?
Definition
Function: Abduction of the arm

Enervation: Axillary Nerve
Term
What is the function and Enervation of the Latissimus Dorsi?
Definition
Function: extension of the arm

enervation: Thoracodorsal Nerve
Term
What are the borders of the Deltopectoral Triangle?
Definition
Deltoid muscle laterally, Pectoralis Major muscle inferiorely, and clavicle superiorely
Term
What is contained within the Deltopectoral triangle?
Definition
Cephalic Vein, Lateral Pectoral Nerve, Thoracromial artery, and Coracoid process of the scapula.
Term
What is the Coracoid process?
Definition
Hook-like projection on the anterior surface of the scapula. Hook points laterally and is the site of insertion for the Pectoralis Minor
Term
What are the muscular boundaries of the axilla?
Definition
The muscular boundaries of the axilla are:

Anterior: Pectoralis Major
Posterior: Subscapularis
Medial: Serratus anterior
Lateral: Latissiumus Dorsi and Teres Major
Term
What are the bony boundaries of the axilla?
Definition
Anterior: Clavicle
Posterior: Scapula
Medial: Ribs
Lateral: Humerus
Term
What are the general contents of the axilla?
Definition
Brachial Plexus
Axillary Lymph Nodes
Axillary Vein and Artery
Term
What lymphnodes drain the medial hand and forearm?
Definition
Cubital nodes
Term
[image]
Identify the lymphnodes
Definition
1 Parasternal Lymphnodes
2 Pectoral (anterior) Axillary Lymphnodes
3 Subdiaphragmatic Lymphnodes
Term
What lymphnodes drain the lateral forearm and arm?
Definition
Infraclavicular (Deltopectoral) lymphnodes
Term
Which lymphnodes drain the medial arm, the cubital nodes, and the deep upper extremity?
Definition
Brachial (Lateral) Axillary nodes
Term
Lateral drainage of the lymphnodes in the upper extremity follow which vein?
Definition
Cephalic vein
Term
Medial lymphatic drainage of the upper extremity follows which vein?
Definition
Basilic Vein
Term
Which nodes drain the mammary gland (mostly), anterior thoracic wall, and anterior abdominal wall above the umbilicus?
Definition
Pectoral (anterior) lymphnodes
Term
Which nodes drain deep and superficial back above the illiac crest?
Definition
Subscapular (Posterior) lymphnodes
Term
[image]
Identify the lymphnodes
Definition
1 Deltopectoral (infraclavicular) Lymphnodes
2 Brachial (Lateral) Lymphnodes
3 Cubital Nodes
Term
[image]
Identify the arteries
Definition
1. Superior Thoracic
2. Thoracoacromial
3. Lateral Thoracic
4. Subscapular Artery
5. Supscapular Circumflex
6. Thoracodorsal
7. Anterior Humeral Circumflex
8. Posterior Humeral Circumflex
9. Subclavian Artery
10. Axillary Artery
11. Brachial Artery
Term
What is the first branch coming off of the subclavian artery?
Definition
Transverse Cervical Artery
Term
What is the second branch coming off of the subclavian artery?
Definition
Suprascapular Artery
Term
Anterior divisions of the Brachial Plexus enervate what kind of muscles?
Definition
Flexors
Term
Posterior Division of the Brachial Plexus enervate which muscles?
Definition
Extensors
Term
The axillary nerve originates from which spinal nerves?
Definition
C5 and C6
Term
The Musculocutaneous nerve comes from which cord?
Definition
Lateral
Term
The Median nerve comes from which cords?
Definition
Lateral and Medial Cord
Term
The Ulnar Nerve comes from which cord?
Definition
Medial
Term
The lateral cord comes from which trunks?
Definition
Upper and middle trunk
Term
The posterior cord comes from which trunks?
Definition
Upper, middle, and lower trunks
Term
The Medial cord comes from which trunk?
Definition
Lower Trunk
Term
The Dorsal Scapular nerve originates from where?
Definition
C5
Term
The Suprascapular Nerve originates from where?
Definition
Upper trunk
Term
The lateral pectoralis nerve originates from where?
Definition
Lateral Cord
Term
The upper subscapular nerve originates from where?
Definition
Posterior cord
Term
The thoracodorsal nerve originates from where?
Definition
Posterior cord
Term
The Axillary and Radial nerves originate from which cord?
Definition
Posterior Cord
Term
The Lower Subscapular Nerve originates from where?
Definition
Posterior Cord
Term
The long thoracic nerve originates from where?
Definition
C5. C6. and C7
Term
Where does the Medial Pectoralis Nerve come from?
Definition
Medial cord
Term
Where does the Medial brachial cutaneous nerve originate from?
Definition
Medial Cord
Term
Where does the Medial Antebrachial Cutaneous nerve originate from?
Definition
Medial Cord
Term
What type of fibers do nerves that are purely cutaneous NOT contain?
Definition
General Somatic Efferent fibers
Term
[image]
Identify the nerves associated with the Dermatomes
Definition
Orange: Supraclavicular Nerve
Grey: Axillary Nerve
Red: Radial Nerve
Brown: Medial Brachial Cutaneous Nerve
Purple: Medial Antebrachial Cutaneuous Nerve
Green: Lateral Brachial Cutaneous Nerve
Yellow: Median Nerve
Blue: Ulnar Nerve
Term
Which nerve does the tip of the thumb, middle finger, and little finger test respectively?
Definition
Thumb: C6
Middle Finger: C7
Little Finger: C8
Term
The Brachial Plexus involves which cervical ganglion?
Definition
Middle and Inferior ganglions only, not superior
Term
What are the two causes of Thoracic Outlet Syndrome?
Definition
Damage to the scalene muscles (resulting in obstructive scar tissue)

If the cervical rib comes down and attaches to the first rib
Term
What is Thoracic Outlet Syndrome?
Definition
Obstruction or Pathway issues resulting in compression of the subclavian artery or stress to the Brachial Plexus.

Clinically present with hand problems first (C8 and T1 tend to get compressed first).

Ask patient to lift arm, if shooting pains developes this is a sign of Thoracic Outlet syndrome
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