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Clavipectoral Fascia
The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major. It occupies the interval between the pectoralis minor and subclavius, and protects the axillary vein and artery, and axillary nerve. Traced upward, it splits to enclose the subclavius, and its two layers are attached to the clavicle, one in front of and the other behind the muscle; the deep layer fuses with the deep cervical fascia and with the sheath of the axillary vessels. Medially, it blends with the fascia covering the first two intercostal spaces, and is attached also to the first rib medial to the origin of the subclavius. Laterally, it is very thick and dense, and is attached to the coracoid process. The portion extending from the first rib to the coracoid process is often whiter and denser than the rest, and is sometimes called the costocoracoid membrane. Below this. it is thin, and at the upper ...
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Fascia
A fascia (; : fasciae or fascias; adjective fascial; ) is a generic term for macroscopic membranous bodily structures. Fasciae are classified as superficial, visceral or deep, and further designated according to their anatomical location. The knowledge of fascial structures is essential in surgery, as they create borders for infectious processes (for example Psoas abscess) and haematoma. An increase in pressure may result in a compartment syndrome, where a prompt fasciotomy may be necessary. For this reason, profound descriptions of fascial structures are available in anatomical literature from the 19th century. Function Fasciae were traditionally thought of as passive structures that transmit mechanical tension generated by muscular activities or external forces throughout the body. An important function of muscle fasciae is to reduce friction of muscular force. In doing so, fasciae provide a supportive and movable wrapping for nerves and blood vessels as they pass thro ...
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Intercostal Spaces
The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Structures in intercostal space * several kinds of intercostal muscle * intercostal arteries and intercostal veins * intercostal lymph nodes * intercostal nerves Order of components Muscles There are 3 muscular layers in each intercostal space, consisting of the external intercostal muscle, the internal intercostal muscle, and the thinner innermost intercostal muscle. These muscles help to move the ribs during breathing. Neurovascular bundles Neurovascular bundles are located between the internal intercostal muscle and the innermost intercostal muscle. The neurovascular bundle has a strict order of vein-artery-nerve (VAN), from top to bottom. This neurovascular bundle runs high in the intercostal space, and the smaller collateral neurovascular bundle runs just superior ...
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Suspensory Ligament Of Axilla
The suspensory ligament of axilla, or Gerdy's ligament, is a suspensory ligament that connects the clavipectoral fascia to the axillary fascia. This union shapes the axilla The axilla (: axillae or axillas; also known as the armpit, underarm or oxter) is the area on the human body directly under the shoulder joint. It includes the axillary space, an anatomical space within the shoulder girdle between the arm a ... (underarm). References Ligaments of the upper limb Axillas {{Ligament-stub ...
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Lateral Pectoral Nerve
The lateral pectoral nerve (also known as the lateral anterior thoracic nerve) arises from the lateral cord of the brachial plexus, and through it from the C5-7. It passes across the axillary artery and vein, pierces the clavipectoral (coracoclavicular) fascia, and enters the deep surface of the pectoralis major to innervate it. Function The lateral pectoral nerve provides motor innervation to the pectoralis major muscle. Although this nerve is described as mostly motor, it also has been considered to carry proprioceptive and nociceptive fibers. It arises either from the lateral cord or directly from the anterior divisions of the upper and middle trunks of the brachial plexus. This is unlike the medial pectoral nerve, which derives from the medial cord (or directly from the anterior division of the lower trunk). It splits into four to seven branches that pierce the clavipectoral fascia to innervate the entire pectoralis major or its superior portion. The medial and latera ...
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Thoracoacromial Artery
The thoracoacromial artery (acromiothoracic artery; thoracic axis) is a short trunk that arises from the second part of the axillary artery, its origin being generally overlapped by the upper edge of the pectoralis minor. Structure Projecting forward to the upper border of the Pectoralis minor, it pierces the coracoclavicular fascia The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major. It occupies the interval between the pectoralis minor and subclavius, and pr ... and divides into four branches—pectoral, acromial, clavicular, and deltoid. Additional images File:Gray523.png, The axillary artery and its branches. References External links * * * - "Pectoral Region: Thoracoacromial Artery and its Branches" * - "The axillary artery and its major branches shown in relation to major landmarks." {{Authority control Arteries of the upper limb ...
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Cephalic Vein
In human anatomy, the cephalic vein (also called the antecubital vein) is a superficial vein in the arm. It is the longest vein of the upper limb. It starts at the anatomical snuffbox from the radial end of the dorsal venous network of hand, and ascends along the radial (lateral) side of the arm before emptying into the axillary vein. At the elbow, it communicates with the basilic vein via the median cubital vein. Anatomy The cephalic vein is situated within the superficial fascia along the anterolateral surface of the biceps. Origin The cephalic vein forms at the roof of the anatomical snuffbox at the radial end of the dorsal venous network of hand. Course and relations From its origin, it ascends up the lateral aspect of the radius. Near the shoulder, the cephalic vein passes between the deltoid and pectoralis major muscles ( deltopectoral groove) through the clavipectoral triangle, where it empties into the axillary vein. Anastomoses It communicates wit ...
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Biceps Brachii
The biceps or biceps brachii (, "two-headed muscle of the arm") is a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join to form a single muscle belly which is attached to the upper forearm. While the long head of the biceps crosses both the shoulder and elbow joints, its main function is at the elbow where it flexes and supinates the forearm. Both these movements are used when opening a bottle with a corkscrew: first biceps screws in the cork (supination), then it pulls the cork out (flexion). Structure The biceps is one of three muscles in the anterior compartment of the upper arm, along with the brachialis muscle and the coracobrachialis muscle, with which the biceps shares a nerve supply. The biceps muscle has two heads, the short head and the long head, distinguished according to their origin at the coracoid process and supraglenoid tubercle of the scapula, respectively. ...
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Coracoid Process
The coracoid process (from Greek κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula (hence: coracoid, or "like a raven's beak"). Pointing laterally forward, it, together with the acromion, serves to stabilize the shoulder joint. It is palpable in the deltopectoral groove between the deltoid and pectoralis major muscles. Structure The coracoid process is a thick curved process attached by a broad base to the upper part of the neck of the scapula; it runs at first upward and medially; then, becoming smaller, it changes its direction, and projects forward and laterally. The component parts of the process are the base; angle; shaft; and apex of the coracoid process, respectively. The coracoglenoid notch is an indentation localized between the coracoid process and the glenoid. As the coracoid process projects laterally, it defines the subcoracoid space beneath. The ''ascending portion'', flattened from the fron ...
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Clavicle
The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately long that serves as a strut between the scapula, shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle. It is a palpable bone and, in people who have less fat in this region, the location of the bone is clearly visible. It receives its name from Latin ''clavicula'' 'little key' because the bone rotates along its axis like a key when the shoulder is Abduction (kinesiology), abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit. Structure The collarbone is a thin doubly curved long bone that connects the human arm, arm to the torso, trunk of the body. Located directly above the first rib, it ac ...
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Axillary Nerve
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus ( upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein to innervate the deltoid and teres minor. Structure The nerve lies at first behind the axillary artery, and in front of the subscapularis, and passes downward to the lower border of that muscle. It then winds from anterior to posterior around the neck of the humerus, in company with the posterior humeral circumflex artery, through the quadrangular space (bounded above by the teres minor, below by the teres major, medially by the long head of the triceps brachii, and laterally by the surgical neck of the humerus), and divides into an anterior, a posterior, and a collateral branch to the long head of the triceps brachii bra ...
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Axillary Artery
In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is called the subclavian artery. After passing the lower margin of teres major muscle, teres major it becomes the brachial artery. Structure The axillary artery is often referred to as having three parts, with these divisions based on its location relative to the pectoralis minor muscle, which is superficial to the artery. * First part – the part of the artery superior to the pectoralis minor * Second part – the part of the artery posterior to the pectoralis minor * Third part – the part of the artery inferior to the pectoralis minor. Relations The axillary artery is accompanied by the axillary vein, which lies medial to the artery, along its length. In the axilla, the axillary artery is surrounded by the brachial plexus. The second ...
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