The Axillary Region Flashcards

(36 cards)

0
Q

Where does the left subclavian artery arise from?

A

The aorta

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1
Q

Where does the right subclavian artery arise from?

A

The brachiocephalic trunk

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2
Q

When does the subclavian become the axillary artery?

A

When it crosses the lateral edge of the first rib.

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3
Q

What arises from the axillary artery at the humeral surgical neck?

A

Posterior and anterior circumflex humeral arteries

Subscapular artery

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4
Q

When does the axillary become the brachial artery?

A

At the teres major muscle

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5
Q

Which artery supplies the posterior of the arm and stops at the elbow? Travels in the radial groove?

A

Profunda brachii

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6
Q

Which nerve does the brachial artery run posteriorly to?

A

The median nerve

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7
Q

Which digits does the radial artery supply?

A

The thumb and lateral index finger

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8
Q

What is Volkmann’s contracture?

A

A result of occlusion of the brachial artery.

Resulting ischaemia causes flexors to be short and fibrotic, leading to uncontrolled flexion of the hand

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9
Q

Name of the cords of the brachial plexus?

A

Lateral, posterior and medial cords

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10
Q

Names of the trunks of the brachial plexus?

A

Superior, middle and inferior trunks

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11
Q

What are the different parts of the brachial plexus called?

A

Roots, trunks, divisions, cords, terminal branches

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12
Q

Roots of the musculocutaneous nerve?

A

C5 and C6

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13
Q

Roots of the median nerve?

A

C6, C7, C8, T1

All but C5

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14
Q

Roots of the ulnar nerve?

A

C8, T1, often C7

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15
Q

Roots of the axillary nerve?

16
Q

Roots of the radial nerve?

17
Q

Musculocutaneous motor functions?

A

Muscles of anterior compartment of arm (biceps brachii, coracobrachialis and brachialis)

18
Q

Sensory innervation of musculocutaneous?

A

Skin of lateral forearm

19
Q

Motor function of median nerve?

A

Muscles of anterior forearm compartment

5 intrinsic muscles in thenar half of palm

20
Q

Motor function of ulnar nerve?

A
Flexor carpi ulnaris
Ulnar half of flexor digitorum profundus
Hypothenar muscles
Medial two lumbricals
Adductor pollicis
Interossei of the hand
21
Q

Sensory function of median nerve?

A

Lateral three and a half fingers on the palmar surface of the hand and lateral half of the palm

22
Q

Sensory function of ulnar nerve?

A

Skin of medial half of the palm

Skin of medial one and a half fingers (baby and ring) (both sides)

23
Q

Motor function of radial nerve?

A

Triceps brachii

Majority of extensor muscles in forearm

24
Sensory functions of radial nerve
Most of the skin on the posterior forearm Dorsal surface of the lateral side of the palm Lateral three and a half digits
25
Sensory function of the axillary nerve?
Regimental badge area
26
Motor functions of the axillary nerve?
Teres minor and deltoid muscle - both abductors of the arm at the shoulder
27
What is the apex of the axilla formed by?
Lateral border of the first rib Superior border of the scapula Posterior border of the clavicle
28
What is the lateral wall of the axilla formed by?
Intertubercular groove of the humerus | Tendon of long head of biceps brachii
29
What is the medial wall formed by?
Serratus anterior and the thoracic wall
30
Anterior wall?
Pec major and minor | Subclavius muscles
31
Posterior wall?
Subscapularis Teres major Latissiumus dorsi
32
Give the contents of the axilla
Axillary artery and vein Biceps brachii and coracobrachialis Axillary lymph nodes
33
What is the pathology of thoracic outlet syndrome?
The vessels and nerves may become compressed at the apex of the axilla - there is a narrow gap between the clavicle, first rib and scapula.
34
What are causes of thoracic outlet syndrome?
Trauma eg fractured clavicle | Repetitive actions
35
What does thoracic outlet syndrome present with?
Pain Parasthesia Muscle weakness Discolouration