SlideShare uma empresa Scribd logo
1 de 26
Baixar para ler offline
1
AXILLA
Maj Rishi Pokhrel
Department of anatomy
NAIHSwww.slideshare.net
INTRODUCTION
• ‘Truncated pyramidal’
space between upper
part of arm and chest
wall
• Has 4 walls, apex, base
Axilla
4
SP DEPT OF ANATOMY AFMC 5
Axilla
Axilla
8
Apex
•Truncated
•Directed upwards and medially
•Communicates with neck via cervico axillary canal
•Formation
• ant – clavicle
• post – sup border of scapula
• medial – outer border 1st rib
SP DEPT OF ANATOMY AFMC 9
cervico axillary canal
10
Structures passing through apex
• Axillary vessels
• Cords of BP
• Long thoracic N
• LN efferents
11
Base
•Concavity directed below
•Boundaries
• Ant : anterior axillary fold
• Post: posterior axillary fold
• Medial: Chest wall
• Lateral: arm
•Formed by: skin, superficial fasciae, & deep fascia
•Deep fascia: axillary fascia extending between Pectoralis Major
(ant fold) and Lat Dorsi & Teres Major (post fold)
•Supported by Suspensory lig of Axilla
12
Anterior wall
Formed of
• clavicle
• Pectoralis major &
minor
• Subclavius
• Clavipectoral fascia
• Suspensory
ligament of
axilla
Axilla
14
Post wall
–Formed by
• Subscapularis
• Teres major
• Lattisimus dorsi
SP DEPT OF ANATOMY AFMC 15
subscapularis
teres major
lattisimus dorsi
• Upper 4 ribs with
intercostal muscles
• Serratus ant (upper
portion) with fascia
• Long thoracic nerve
deep to fascia
• Intercostobrachial
nerve pierce medial
wall
Medial wall
17
• Bicipital groove of
humerus with
• Teres Major
• Lattisimus dorsi
• Pectoralis major
• Long head of biceps
• Short head of
biceps
• Coracobrachialis
Lateral wall
18
Contents
• Axillary artery and branches
• Axillary vein & tributaries
• Brachial Plexus cords &
branches
• Long Thoracic nerve
• Intercostobrachial N
• Axillary fat
• Areolar tissue
• Axillary LN
• Axillary tail of breast
SP DEPT OF ANATOMY AFMC 19
Axillary vein
SP DEPT OF ANATOMY AFMC 20
Axillary artery
Axilla
22
Axillary lymph nodes
• 20-30 in number, embedded in the fibro fatty tissue of Axilla
• Drain
• Lateral part of breast
• Superficial lymphatic vessels from thoraco lumbar
region above level of umbilicus
• Whole of upper limb except lateral side of arm, forearm,
hand.
SP DEPT OF ANATOMY AFMC 23
Axilla
25
Axillary lymph nodes
• ANTERIOR; (pectoral) along medial wall with Lateral
Thoracic vein
• POSTERIOR: (Subscapular ) along medial wall with
Subscapular vein
• LATERAL: along medial side of axillary vein
• CENTRAL: in Centre of Axillary fat, Related to
Intercostobrachial N
• APICAL: at apex of Axilla
• INFRACLAVICULAR: on Clavipectoral fascia in
deltopectoral groove
26
?

Mais conteúdo relacionado

Mais procurados (20)

Mediastinum
MediastinumMediastinum
Mediastinum
 
Axillary artery and axillary vein
Axillary artery and axillary veinAxillary artery and axillary vein
Axillary artery and axillary vein
 
The ribs
The ribsThe ribs
The ribs
 
Brachial artery,radial & ulnar artery,plamar arches
Brachial artery,radial & ulnar artery,plamar archesBrachial artery,radial & ulnar artery,plamar arches
Brachial artery,radial & ulnar artery,plamar arches
 
Femoral artery
Femoral arteryFemoral artery
Femoral artery
 
Thigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - AnatomyThigh - Ant.Compartment - Anatomy
Thigh - Ant.Compartment - Anatomy
 
Rectus sheath
Rectus sheathRectus sheath
Rectus sheath
 
3.medial side of the thigh
3.medial side of the thigh3.medial side of the thigh
3.medial side of the thigh
 
Posterior abdominal wall
Posterior abdominal wallPosterior abdominal wall
Posterior abdominal wall
 
Humerus Bone and attachments
Humerus Bone and attachments Humerus Bone and attachments
Humerus Bone and attachments
 
Anatomy of Diaphragm
Anatomy of DiaphragmAnatomy of Diaphragm
Anatomy of Diaphragm
 
mediastinum
mediastinummediastinum
mediastinum
 
Thigh
ThighThigh
Thigh
 
Diaphragm Anatomy
Diaphragm AnatomyDiaphragm Anatomy
Diaphragm Anatomy
 
Gluteal region
Gluteal regionGluteal region
Gluteal region
 
azygos system
azygos  systemazygos  system
azygos system
 
Anatomy of posterior compartment of the arm
Anatomy of  posterior compartment of the armAnatomy of  posterior compartment of the arm
Anatomy of posterior compartment of the arm
 
1. pericardium
1. pericardium1. pericardium
1. pericardium
 
Cubital fossa
Cubital fossaCubital fossa
Cubital fossa
 
Muscles of the forearm
Muscles of the forearmMuscles of the forearm
Muscles of the forearm
 

Semelhante a Axilla

Semelhante a Axilla (20)

Axilla.pptx
Axilla.pptxAxilla.pptx
Axilla.pptx
 
Regions & Muscles of arm.pptx
Regions & Muscles of arm.pptxRegions & Muscles of arm.pptx
Regions & Muscles of arm.pptx
 
4-AXILLA.ppt
4-AXILLA.ppt4-AXILLA.ppt
4-AXILLA.ppt
 
4-AXILLA.ppt
4-AXILLA.ppt4-AXILLA.ppt
4-AXILLA.ppt
 
The axilla
The axillaThe axilla
The axilla
 
Surgical anatomy of anterior abdominal wall and inguinal
Surgical anatomy of anterior abdominal wall and inguinalSurgical anatomy of anterior abdominal wall and inguinal
Surgical anatomy of anterior abdominal wall and inguinal
 
Axilla
AxillaAxilla
Axilla
 
Axilla - 1.pptx
Axilla - 1.pptxAxilla - 1.pptx
Axilla - 1.pptx
 
Anatomi Respirasi_RDA_Update.pptx
Anatomi Respirasi_RDA_Update.pptxAnatomi Respirasi_RDA_Update.pptx
Anatomi Respirasi_RDA_Update.pptx
 
Axilla
AxillaAxilla
Axilla
 
Axilla - Dr.K.S.Ravi
Axilla - Dr.K.S.RaviAxilla - Dr.K.S.Ravi
Axilla - Dr.K.S.Ravi
 
Posterior abdominal wall and hernia
Posterior abdominal wall and herniaPosterior abdominal wall and hernia
Posterior abdominal wall and hernia
 
Axilla Anatomy full complete anatomy of axilla.pptx
Axilla Anatomy full complete anatomy of axilla.pptxAxilla Anatomy full complete anatomy of axilla.pptx
Axilla Anatomy full complete anatomy of axilla.pptx
 
Axillary fossa_12.7.23.pptx
Axillary fossa_12.7.23.pptxAxillary fossa_12.7.23.pptx
Axillary fossa_12.7.23.pptx
 
Anterior abdominal wall
Anterior abdominal wallAnterior abdominal wall
Anterior abdominal wall
 
anteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdfanteriorabdo is bestminalwall-200822131803.pdf
anteriorabdo is bestminalwall-200822131803.pdf
 
Ischio rectal fossa
Ischio rectal fossaIschio rectal fossa
Ischio rectal fossa
 
210 upper limb rs
210 upper limb rs210 upper limb rs
210 upper limb rs
 
210 upper limb rs updated
210 upper limb rs updated210 upper limb rs updated
210 upper limb rs updated
 
anterior abdominal wall.pptx
anterior abdominal wall.pptxanterior abdominal wall.pptx
anterior abdominal wall.pptx
 

Mais de Nepalese army institute of health sciences

Mais de Nepalese army institute of health sciences (20)

Introduction upper limb
Introduction upper limbIntroduction upper limb
Introduction upper limb
 
Lymphoid tissue
Lymphoid tissueLymphoid tissue
Lymphoid tissue
 
Anatomy of Rectum
Anatomy of RectumAnatomy of Rectum
Anatomy of Rectum
 
Muscles
MusclesMuscles
Muscles
 
Joints and movements
Joints  and movementsJoints  and movements
Joints and movements
 
Cell & tissue nursing
Cell & tissue nursingCell & tissue nursing
Cell & tissue nursing
 
General concepts of anatomy for nursing
General concepts of anatomy for nursingGeneral concepts of anatomy for nursing
General concepts of anatomy for nursing
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
 
Female external genitalia & penis
Female external genitalia & penisFemale external genitalia & penis
Female external genitalia & penis
 
Cerebrum
CerebrumCerebrum
Cerebrum
 
Hepatic Portal vein and portocaval anatomosis
Hepatic Portal vein and portocaval anatomosisHepatic Portal vein and portocaval anatomosis
Hepatic Portal vein and portocaval anatomosis
 
Vessels of head, neck & face
Vessels of head, neck & faceVessels of head, neck & face
Vessels of head, neck & face
 
Brachial plexus
Brachial plexusBrachial plexus
Brachial plexus
 
Skin
SkinSkin
Skin
 
Muscle
MuscleMuscle
Muscle
 
Thoracic cavity & mediastinum
Thoracic cavity & mediastinumThoracic cavity & mediastinum
Thoracic cavity & mediastinum
 
Development & anomalies respiratory system embryology
Development & anomalies respiratory system embryologyDevelopment & anomalies respiratory system embryology
Development & anomalies respiratory system embryology
 
Connective tissue
Connective tissueConnective tissue
Connective tissue
 
Epithelium
EpitheliumEpithelium
Epithelium
 
Introduction
IntroductionIntroduction
Introduction
 

Último

Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 

Último (20)

Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 

Axilla

  • 1. 1 AXILLA Maj Rishi Pokhrel Department of anatomy NAIHSwww.slideshare.net
  • 2. INTRODUCTION • ‘Truncated pyramidal’ space between upper part of arm and chest wall • Has 4 walls, apex, base
  • 4. 4
  • 5. SP DEPT OF ANATOMY AFMC 5
  • 8. 8 Apex •Truncated •Directed upwards and medially •Communicates with neck via cervico axillary canal •Formation • ant – clavicle • post – sup border of scapula • medial – outer border 1st rib
  • 9. SP DEPT OF ANATOMY AFMC 9 cervico axillary canal
  • 10. 10 Structures passing through apex • Axillary vessels • Cords of BP • Long thoracic N • LN efferents
  • 11. 11 Base •Concavity directed below •Boundaries • Ant : anterior axillary fold • Post: posterior axillary fold • Medial: Chest wall • Lateral: arm •Formed by: skin, superficial fasciae, & deep fascia •Deep fascia: axillary fascia extending between Pectoralis Major (ant fold) and Lat Dorsi & Teres Major (post fold) •Supported by Suspensory lig of Axilla
  • 12. 12 Anterior wall Formed of • clavicle • Pectoralis major & minor • Subclavius • Clavipectoral fascia • Suspensory ligament of axilla
  • 14. 14 Post wall –Formed by • Subscapularis • Teres major • Lattisimus dorsi
  • 15. SP DEPT OF ANATOMY AFMC 15 subscapularis teres major lattisimus dorsi
  • 16. • Upper 4 ribs with intercostal muscles • Serratus ant (upper portion) with fascia • Long thoracic nerve deep to fascia • Intercostobrachial nerve pierce medial wall Medial wall
  • 17. 17 • Bicipital groove of humerus with • Teres Major • Lattisimus dorsi • Pectoralis major • Long head of biceps • Short head of biceps • Coracobrachialis Lateral wall
  • 18. 18 Contents • Axillary artery and branches • Axillary vein & tributaries • Brachial Plexus cords & branches • Long Thoracic nerve • Intercostobrachial N • Axillary fat • Areolar tissue • Axillary LN • Axillary tail of breast
  • 19. SP DEPT OF ANATOMY AFMC 19 Axillary vein
  • 20. SP DEPT OF ANATOMY AFMC 20 Axillary artery
  • 22. 22 Axillary lymph nodes • 20-30 in number, embedded in the fibro fatty tissue of Axilla • Drain • Lateral part of breast • Superficial lymphatic vessels from thoraco lumbar region above level of umbilicus • Whole of upper limb except lateral side of arm, forearm, hand.
  • 23. SP DEPT OF ANATOMY AFMC 23
  • 25. 25 Axillary lymph nodes • ANTERIOR; (pectoral) along medial wall with Lateral Thoracic vein • POSTERIOR: (Subscapular ) along medial wall with Subscapular vein • LATERAL: along medial side of axillary vein • CENTRAL: in Centre of Axillary fat, Related to Intercostobrachial N • APICAL: at apex of Axilla • INFRACLAVICULAR: on Clavipectoral fascia in deltopectoral groove
  • 26. 26 ?