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46 Cards in this Set

  • Front
  • Back
Skin Over Acromion Dermatome
C4
Skin over lower deltoid muscle Dermatome
C5
Tip of Thumb Dermatome
C6
Tip of Index finger or middle finger Dermatome
C7
Tip of little finger Dermatome
C8
Skin over medial side of elbow dermatome
T1
Skin in axilla dermatome
T2
C4: Supraclavicular or Infraclavicular?
Supraclavicular
Describe cutaneous nerves
nerves which supply certain areas of skin

contain sensory fibers from one or more spinal cord segments, and can also contain sympathetic motor fibers from the autonomic nervous system to smooth muscle and glands within the skin.
Describe the Apex of the Axilla
(cervico-axillary canal):
Clavicle, scapula, and rib 1
Describe the Base of the Axilla
(axillary fossa):
Skin, subcutaneous tissue, axillary fascia
4 Walls of the Axilla
Anterior
Posterior
Medial
Lateral
What is the Cervicoaxillary Canal?
superior opening to axilla at apex
Describe the Posterior Wall of the Axilla:
Scapula and subscapularis m.
Describe the Lateral Wall of the Axilla:
Bicipital groove of the humerus
Describe the Medial Wall of the Axilla:
Ribs 1-4, intercostal mm, and serratus anterior m.
Describe the Anterior Wall of the Axilla:
Pectoralis major and minor mm.
What is the Axillary Sheath?
Continuation of prevertebral fascia that surrounds contents in proximal axilla.
What are the contents of the Axillary Sheath?
Axillary Artery and Vein, Median Nerve, Medial Cord, Posterior Cord, Lateral Cord
What are the contents of the Axilla?
Axillary fat

Axillary artery and branches

Axillary vein and tributaries

Lymph nodes and lymphatic vessels

Brachial plexus cords and branches
Describe the Axillary Artery
Continuation of subclavian artery from lateral border of rib 1 to inferior border of teres major m.
Divided into 3 parts relative to the pectoralis minor m.
Part 1 of the Axillary Artery?
(1 branch medial to pectoralis minor m.)
Superior thoracic artery
Part 2 of the Axillary Artery?
(2 branches posterior to pectoralis minor m.)
1. Thoracoacromial artery (clavicular, acromial, deltoid, pectoral branches)
2. Lateral thoracic artery
Part 3 of the Axillary Artery?
(3 branches lateral to pectoralis minor m.)
1. Subscapular artery
a. Circumflex scapular artery
b. Thoracodorsal artery
2. Anterior circumflex humeral artery
3. Posterior circumflex humeral artery
Superior thoracic artery route?
to 1st and 2nd intercostal space and serratus anterior muscle
Thoracoacromial artery route?
pierces costocoracoid membrane; clavicular, acromial, deltoir, and pectoral branches. (can be very variable)
Lateral thoracic artery route?
to pectoralis major and minor muscles, breast
Subscapular artery route?
scapular circumflex artery thru triangular space
Anterior humeral circumflex artery route?
ascending branch to shoulder
Posterior humeral circumflex artery route?
thru quadrangular space (larger of the two)
Describe the Axillary Vein
Formed by union of brachial veins (vena comitantes) and basilic vein at inferior border of teres major muscle

Becomes subclavian vein at lateral border of rib 1.
Describe the Brachial Plexus Formation
Formed by ventral rami of C5-T1 spinal nerves.

Mixed nerves containing somatic motor and sensory fibers plus post-synaptic sympathetic fibers from cervical ganglia.
What are the Divisions of the Brachial Plexus?
Subdivided into:
Roots (5)
Trunks (3)
Divisions (3)
Cords (3)
Terminal branches (6)
Nerves Branching off the Posterior Cord?
USS: Upper Subscapular (C5, C6)
TD: Thoracodorsal (C6, C7, C8)
LSS: Lower Subscapular (C5, C6)
Nerves Branching off the Medial Cord?
MP: Medial Pectoral (C8, T1)
MBC: Medial Brachial Cutaneous (C8, T1)
MAC: Medial Antebrachial Cutaneous (C8, T1)
Nerves Branching off the Lateral Cord?
LP: Lateral Pectoral Nerve (C5, C6, C7)
The only cutaneous branches coming off the Brachial Plexus:
MBC: Medial Brachial Cutaneous (C8, T1)
MAC: Medial Antebrachial Cutaneous (C8, T1)
MAC supplies?
skin on medial side of the forearm
Part of Brachial Plexus in the PCT:
Roots, Trunks, and Divisions ( and nerves that branch off them)
Part of Brachial Plexus in the Axilla:
Cords, and Terminal Branches ( and nerves that branch off them)
Name the Terminal Branches of the Brachial Plexus
Musculocutaneous Nerve, Median Nerve (2), Ulnar Nerve, Axillary Nerve, Radial Nerve
Briefly Describe Musculocutaneous Nerve Function
(C5,6,7) Innervates anterior arm muscles.
Briefly Describe Median Nerve Function
(C6,7,8,T1) Innervates anterior forearm muscles (except 1½) and intrinsic thumb muscles.
Briefly Describe Ulnar Nerve Function
[(C7) C8,T1] Innervates 1½ anterior forearm muscles and intrinsic finger muscles.
Describe Axillary Nerve Function
(C5,6) Innervates deltoid and teres minor muscles.
plus upper lateral brachial cutaneous nerve
Briefly Describe Radial Nerve Function
(C5,6,7,8,T1) Innervates posterior arm and forearm muscles.