AXILLA
AXILLA
AXILLA
Axillary vein
Lymph nodes
C7 Cords (3)
C8 Lateral
T1 Medial
Trunks Posterior
Superior
Middle
Inferior
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Course Outline
Branches
Infrascapular
Suprascapular Lateral pectoral n.
Dorsal Scapular n. Musculocutaneous n.
Long Thoracic n.
Median n.
Suprascapular n.
Medial pectoral n.
Subclavian n.
Medial cutaneous n. of arm
Ulnar n.
Upper subscapular n.
Lower subscapular n.
Thoracodorsal n.
Axillary n.
Radial n.
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Course Outline
Nerve Damage
Ulnarnerve
Median nerve
Radial nerve
lateral wall
intertubercular groove, humerus
subscapularis
pectoral fascia
clavipectoral fascia
bounded by:
anterior : anterior axillary fold
posterior : posterior axillary fold
medial : external thoracic wall
lateral : medial aspect, upper arm
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Axilla: Borders
apex
interval between the:
clavicle
1st rib
Musculocutaneous
Anterior Lateral
C5 Superior Posterior
Trunk Median
C6
C7 Middle Anterior
Medial Medial cutaneous n’s.
Trunk Posterior
Medial pectoral
Ulnar
C8
T1 Inferior Anterior Posterior Radial
Trunk Posterior
Axillary
Thoracodorsal
Subscapulars
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Axilla: Contents
Branches
Suprascapular
Dorsal Scapular n. Branches from the
Roots
Long Thoracic n.
Infrascapular
Musculocutaneous n. Branches from
Median n., lateral head Lateral Cord
Lateral pectoral n.
Ulnar n.
Thoracodorsal n.
Axillary n.
Radial n.
lost of sensation:
medial arm & forearm
ulnar aspect of the hand
anhydrosis
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Specific Nerve Palsy
Median Nerve Palsy
loss of the ability to abduct & oppose
the thumb due to thenar muscles
paralysis
Sensory loss in the thumb, index
finger, long finger, & the radial aspect
of the ring finger
Weakness in forearm pronation, wrist
& finger flexion
“Ape hand” deformity
Property of Axel L. Elises, MD, FPSGS, FPALES, FPCS, PATOS
Specific Nerve Palsy
Ulnar Nerve Palsy
“Claw hand” deformity
Radial Nerve Palsy
“Wrist drop” deformity