复旦大学：《局部解剖学 Regional Anatomy》教学课件（英文）Part 2 - Axillary region Anterior region of the arm

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University af Regional Anatomy Part2·Axi/ ary region Anterior region of the arm INTERNATIONAL EDITION Hongqi zhang(张红旗) Dissector Dept. of Anatomy Histology Embryology 3email:zhanghg58@126.com Office: Rm. 308 of building 9 Telephone:54237151-9308;18016064287 /qi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University 1 Regional Anatomy Part 2 - Axillary region Anterior region of the arm Hongqi Zhang (张红旗 ) Dept. of Anatomy,Histology & Embryology Email: zhanghq58@126.com Office: Rm.308 of Building 9. Telephone: 54237151-9308; 18016064287

Com Dissection of the ant. pectoral region 3 Identify cephalic vein in deltopectoral groove medial pectoral n. anterolateral pectoral n which originated from cord of brachial plexus Deltopectoral supraclavicular n. groove of internal thoracic a Sup. blood vessels and nerve of anteriolateral thoracic region

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Dissection of the ant. pectoral region 3 Identify cephalic vein in deltopectoral groove. medial pectoral n. & anterolateral pectoral n. which originated from cord of brachial plexus 2 Sup. blood vessels and nerve of anteriolateral thoracic region Deltopectoral groove

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Lateral pectoral nerve Starting point high Thoracoacromial artery Starting point high Pectoralis minor Startin Medial pectoral Point Lateral thoracic artery lower oral fas Attention! Starting point of lat. pectoral n is higher, but the med. pectral n low Copy versit

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Starting point high Starting point high Starting Point lower . Attention! Starting point of lat. pectoral n.is higher, but the med.pectral n low

Col Sagittal section of ant. pectoral region Clavicle Axillary a Axillary Subclavius Cephalic v at pectoral n clavipectoral fascia Pectoralis major- thoracoacromial a Pectoralis ming匚 Intercostal m Suspensory lig erratum anterior of breast Anteri Posterior Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Clavicle Pectoralis major Pectoralis minor Axillary a Axillary v 1th rib Subclavius thoracoacromial a Cephalic v. serratus anterior Intercostal m clavipectoral fascia Suspensory lig of breast Lat.pectoral n. Sagittal section of ant. pectoral region Anterior Posterior 4

Blood supply Department of Anatomy-Fudan University Perforating brs of int Internal thoracic artery Pectoral branch of thoracoacromial arter pectoralis major muscle thoracic a & 3d -7th Apical axillary nodes intercostal aa. & lat. brs Central axillary nodes Secretory lobules lat pectoral a Lateral thoracic artery Suspensory ligaments Nerve innervation: Lateralaxillarynodes Lactiferous ducts Pectoral axillary nodes Lat. ant cutaneous brs Lactiferous sinuses Retromammary space 2nd-6th intercostal n Axllary process supraclavicular nn Parasternal nodes Lymphatic and part of the breast into axilla ant pectoral n Vein drainage the breast parastemally Int thoracic v, axillary of the breast into the abdomen v, azygus v or hemiazygos v Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Blood supply: Perforating brs of int. thoracic a & 3rd -7th intercostal aa.&. lat. brs of lat.pectoral a. Nerve innervation: Lat.& ant.cutaneous brs of 2nd - 6th intercostal n & supraclavicular nn & ant.pectoral n. Vein drainage: Int.thoracic v.,axillary v.,azygus v or hemiazygus v

ony Right- honoo partment of△ naton Cuts for reflection of pectoralis major minor muscle Deltopectoral triangle EN Subclavius m Coracoid process Pectoralis major m Clavicular head Cut ends of Sternocostal head pectoralis major m Pectoralis minor m Serratus anterior m intercostal muscles Copy Right- Hongqi ZHANG-Department of Anatomy-Fiidan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Cuts for reflection of pectoralis major & minor muscle 6

Col n/versity Incision of Ant pectoral region the upper limb Attention: Position Scarification cutter point direction Copy Right- Hongqi ZHANG-Department of Anatom

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Incision of Ant.pectoral region & the upper limb Attention: Position,Scarification, cutter point direction 7

Copy Rig, n/versity The key points of axilla PoSition boundaries Four walls two orifices ◆ Main contents Axillary artery its branches Axillary vein its tributaries Brachial plexus n. its branches ymph nodes groups Adipose tissue Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University The key points of axilla Position & boundaries Four walls & two orifices Main contents Axillary artery & its branches Axillary vein & its tributaries Brachial plexus n.& its branches Lymph nodes groups Adipose tissue

Copy Riaht. Honda ZH neon Position of the axillary fossa The roof The floor The 4 walls The contents Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Position of the axillary fossa The roof The floor The 4 walls The contents

Copy F Constitution of the axillary fossa The roof of axilla-triangle Sup. border of clavicle Lat border of 1st rib Sup. border of scapula The floor of axilla Skin sup fascia Axillary fascia Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University

Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University Copy Right- Hongqi ZHANG-Department of Anatomy-Fudan University The roof of axilla-triangle Sup.border of clavicle Lat.border of 1st rib Sup.border of scapula The floor of axilla Skin & sup.fascia Axillary fascia Constitution of the axillary fossa