Slides of Anatomy Please note: These slides are Dr. Maher Hadidi’s slides of spring 2016 and were edited by the Premed Academic Team to fit the slides of spring 2019. 1
Axilla Pyramidal space between side of the chest and upper part of the arm Apex A passageway for blood vessels, lymph vessels and nerves between root of the neck and the upper limb 1R Lateral wall Has: • Apex • Base • 4 walls Dr. Maher Hadidi Spring 2019 Dr. Maher Hadidi, University of Jordan 2
Axilla Apex At root of the neck. Borders: Anterior Clavicle Posterior Scapula Medial 1st Rib Dr. Maher Hadidi Superior view Spring 2019 Dr. Maher Hadidi, University of Jordan 3
Axilla Base Form by skin, superficial fascia and deep fascia . It contains numerous sweat glands and coarse hair. Dr. Maher Hadidi Base of axilla Spring 2019 Dr. Maher Hadidi, University of Jordan 4
Walls of Axilla Dr. Maher Hadidi Four walls: 1.Anterior wall 2.Posterior wall 3.Medial wall 4.Lateral wall Spring 2019 Dr. Maher Hadidi, University of Jordan 5
Contents of Axilla 1. Axillary artery. Dr. Maher Hadidi 2. Axillary vein. 3. Axillary sheath. 4. Axillary lymph nodes. 5. Axillary fat. 6. Brachial plexus of nerves. Spring 2019 Dr. Maher Hadidi, University of Jordan 6
Dr. Maher Hadidi 7 Spring 2016 Dr. Maher Hadidi, University of Jordan 10
Axillary artery Continuation of the subclavian artery. • Begins at the outer border of the first rib. • Ends at lower border of T. major. • Continue as brachial artery. Crossed by pectoralis minor, dividing it into 3 parts. Each part gives branches according to its number. Located inside axillary sheath and related directly to cords of brachial plexus throughout its course. Spring 2019 Dr. Maher Hadidi, University of Jordan 8
Dr. Maher Hadidi 9
Arteriogram of the Axillary & Brachial arteries Spring 2019 Dr. Maher Hadidi, University of Jordan 10
Superficial Veins Both Upper and Lower limb are similar in having two superficial veins to drain their superficial structures. In the upper limb: •Cephalic vein Lateral •Basilic vein Medial Both ends into the axillary vein. Both connected by the median cubital vein anterior to elbow joint. •This vein commonly used to give fluids or to Dr. Maher Hadidi obtain blood sample. Spring 2019 Dr. Maher Hadidi, University of Jordan 11
Axillary Vein Begins by the union of the basilic vein& veins of the brachial artery at lower border of teres major. Passes upward medial to axillary a. Ends At outer border of the 1st rib to continue as the subclavian v. Receives cephalic vein at its end. Spring 2019 Dr. Maher Hadidi, University of Jordan 12
Lymph nodes of the axilla Arrange in groups to drain body parts 13 Spring 2019 Dr. Maher Hadidi, University of Jordan
Spring 2019 14
Please notice the following definitions: Fossa ةرفح : Shallow depression (trench). Fissure قش : Narrow slit between adjacent bones. We sincerely apologize for the mixing up that happened between them in the first slides uploaded, thank you for your consideration. Spring 2019 15
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