Axillary sheath

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Axillary sheath
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Axillary artery and its branches - anterior view of right upper limb and thorax (axillary sheath not labeled, but region is visible)
Anatomical terminology

The axillary sheath is a fibrous sheath that encloses the axillary artery and the three cords of the brachial plexus to form the neurovascular bundle. [1] [2] [3] It is surrounded by the axillary fat. [1] [2] It is an extension of the prevertebral fascia of the deep cervical fascia [ citation needed ] and is continuous with the carotid sheath at the venous angle. [4]

A brachial plexus nerve block can be achieved by injecting anaesthetic into this area. [5] [6]

Related Research Articles

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The long thoracic nerve is a branch of the brachial plexus derived from cervical nerves C5-C7 that innervates the serratus anterior muscle.

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<span class="mw-page-title-main">Medial pectoral nerve</span>

The medial pectoral nerve is (typically) a branch of the medial cord of the brachial plexus and is derived from spinal nerve roots C8-T1. It provides motor innervation to the pectoralis minor muscle, and the lower half of the pectoralis major muscle. It runs along the inferior border of the pectoralis minor muscle.

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The supraspinous ligament, also known as the supraspinal ligament, is a ligament found along the vertebral column.

<span class="mw-page-title-main">Lower subscapular nerve</span>

The lower subscapular nerve, also known as the inferior subscapular nerve, is the third branch of the posterior cord of the brachial plexus. It innervates the inferior portion of the subscapularis muscle and the teres major muscle.

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<span class="mw-page-title-main">Brachial plexus block</span>

Brachial plexus block is a regional anesthesia technique that is sometimes employed as an alternative or as an adjunct to general anesthesia for surgery of the upper extremity. This technique involves the injection of local anesthetic agents in close proximity to the brachial plexus, temporarily blocking the sensation and ability to move the upper extremity. The subject can remain awake during the ensuing surgical procedure, or they can be sedated or even fully anesthetized if necessary.

References

PD-icon.svgThis article incorporates text in the public domain from page 586 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Grant's Atlas of Anatomy - 13th edition. p. 511.
  2. 1 2 Last's Anatomuy, 9th Edt
  3. Wilbourn, ASA J. (2005-01-01), Dyck, Peter J.; Thomas, P. K. (eds.), "Chapter 55 - Brachial Plexus Lesions", Peripheral Neuropathy (Fourth Edition), Philadelphia: W.B. Saunders, pp. 1339–1373, doi:10.1016/b978-0-7216-9491-7.50058-2, ISBN   978-0-7216-9491-7 , retrieved 2020-10-19
  4. Fessler, Richard G.; Kim, Daniel H. (2012-01-01), Quiñones-Hinojosa, Alfredo (ed.), "Chapter 191 - Surgical Approaches to the Cervicothoracic Junction", Schmidek and Sweet Operative Neurosurgical Techniques (Sixth Edition), Philadelphia: W.B. Saunders, pp. 2177–2191, ISBN   978-1-4160-6839-6 , retrieved 2021-01-12
  5. Ay; Akinci, M.; Sayin, M.; Bektas, U.; Tekdemir, I.; Elhan, A. (2007). "The axillary sheath and single-injection axillary block". Clinical Anatomy. 20 (1): 57–63. doi:10.1002/ca.20270. PMID   16372345. S2CID   38028448.
  6. Suresh, Santhanam; Polaner, David M.; Coté, Charles J. (2019-01-01), Coté, Charles J.; Lerman, Jerrold; Anderson, Brian J. (eds.), "42 - Regional Anesthesia", A Practice of Anesthesia for Infants and Children (Sixth Edition), Philadelphia: Content Repository Only!, pp. 941–987.e9, ISBN   978-0-323-42974-0 , retrieved 2020-10-19