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DPT 1st Semester
Dr. Saadia Khattak (PT)
 Axilla
 Walls of axilla
 Contents of axilla
 Axillary lymph nodes
 The axilla or armpit is pyramid-shaped space between upper part of arm
and side of chest
 It has ;
◦ An apex
◦ A base
◦ 4 walls- anterior, posterior, medial & lateral.
 Placed obliquely
 Apex directed upwards & medially towards root of neck
 Base directed downward
 It forms an important
passage for nerves, blood
and lymph vessels as they
travel from root of neck to
upper limb
 Apex
 Base
 Anterior wall
 Posterior wall
 Medial wall
 Lateral wall
 It is directed upward into root of neck
 Bounded in front by clavicle
 Behind is upper border of scapula
 Medially is outer border of 1st rib
 The axillary artery and brachial plexus enter the axilla through this canal
 Directed downward
 Formed by skin & fascia
 Bounded in front by anterior axillary fold (lower border of pectoralis
major)
 Behind by posterior axillary fold ( tendon of latissimus dorsi)
 Medially by chest wall
 Pectoralis major
 Subclavius
 Pectoralis minor
 Subscapularis
 Lattismus dorsi
 Teres major
 Upper 4-5 ribs
 Intercostal spaces covered by
serratus anterior muscle
 It is very narrow as anterior
& posterior wall converge
on it
 Coracobrachialis
 Short head of Biceps muscle
 Upper part of shaft of
humerus
 Axillary artery and its branches
 Axillary vein and its branches
 Brachial plexus
 Axillary lymph nodes
 Axillary fats in which the other contents are embedded
 20-30 in number
 Drain from lateral quadrant of breast, thoracoabdominal wall above
umbilicus and vessels from upper limb
 Arranged in 6 groups
1. Anterior group
2. Posterior group
3. Lateral group
4. Central group
5. Infrapectoral group
6. Apical group
 Lie along lower border of pectoralis minor behind the major
 Receive lymph vessels from;
 Lateral quadrant of breast
 Upper half of anterior trunk above umbilicus
 Lie in front of subscapularis muscle
 Receive lymph vessels from back as far as the iliac crests
 Lie along medial side of axillary vein
 Receive most vessels from upper limb
 Lie in center of axilla in axillary fats
 Receive lymph from above 3 groups
 Not strictly axillary nodes as lie outside
 Lie between deltoid and pectoralis major
 Receive vessels from lateral sides of hand, forearm and arm
 Lie at the apex at lateral border of 1st rib
 Receive efferents from other nodes
THE AXILLA.pptx

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THE AXILLA.pptx

  • 1.
  • 2.
  • 3. DPT 1st Semester Dr. Saadia Khattak (PT)
  • 4.  Axilla  Walls of axilla  Contents of axilla  Axillary lymph nodes
  • 5.  The axilla or armpit is pyramid-shaped space between upper part of arm and side of chest  It has ; ◦ An apex ◦ A base ◦ 4 walls- anterior, posterior, medial & lateral.  Placed obliquely  Apex directed upwards & medially towards root of neck  Base directed downward
  • 6.  It forms an important passage for nerves, blood and lymph vessels as they travel from root of neck to upper limb
  • 7.
  • 8.
  • 9.  Apex  Base  Anterior wall  Posterior wall  Medial wall  Lateral wall
  • 10.  It is directed upward into root of neck  Bounded in front by clavicle  Behind is upper border of scapula  Medially is outer border of 1st rib  The axillary artery and brachial plexus enter the axilla through this canal
  • 11.  Directed downward  Formed by skin & fascia  Bounded in front by anterior axillary fold (lower border of pectoralis major)  Behind by posterior axillary fold ( tendon of latissimus dorsi)  Medially by chest wall
  • 12.
  • 13.  Pectoralis major  Subclavius  Pectoralis minor
  • 14.  Subscapularis  Lattismus dorsi  Teres major
  • 15.  Upper 4-5 ribs  Intercostal spaces covered by serratus anterior muscle
  • 16.  It is very narrow as anterior & posterior wall converge on it  Coracobrachialis  Short head of Biceps muscle  Upper part of shaft of humerus
  • 17.
  • 18.  Axillary artery and its branches  Axillary vein and its branches  Brachial plexus  Axillary lymph nodes  Axillary fats in which the other contents are embedded
  • 19.
  • 20.  20-30 in number  Drain from lateral quadrant of breast, thoracoabdominal wall above umbilicus and vessels from upper limb  Arranged in 6 groups 1. Anterior group 2. Posterior group 3. Lateral group 4. Central group 5. Infrapectoral group 6. Apical group
  • 21.
  • 22.  Lie along lower border of pectoralis minor behind the major  Receive lymph vessels from;  Lateral quadrant of breast  Upper half of anterior trunk above umbilicus
  • 23.  Lie in front of subscapularis muscle  Receive lymph vessels from back as far as the iliac crests
  • 24.  Lie along medial side of axillary vein  Receive most vessels from upper limb
  • 25.
  • 26.  Lie in center of axilla in axillary fats  Receive lymph from above 3 groups
  • 27.  Not strictly axillary nodes as lie outside  Lie between deltoid and pectoralis major  Receive vessels from lateral sides of hand, forearm and arm
  • 28.  Lie at the apex at lateral border of 1st rib  Receive efferents from other nodes