Supraclavicular fossa

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Supraclavicular fossa
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Anterolateral view of head and neck (supraclavicular fossa labeled at center right)
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Front view of neck (supraclavicular fossa labeled at center right)
Details
Identifiers
Latin fossa supraclavicularis
TA98 A01.2.02.011
A01.2.02.008
TA2 238, 240
Anatomical terminology

The supraclavicular fossa is an indentation (fossa) immediately above the clavicle.

Contents

In terminologia anatomica, it is divided into fossa supraclavicularis major and fossa supraclavicularis minor

Fullness in the supraclavicular fossa can be a sign of upper extremity deep venous thrombosis.

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The supraclavicular nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the third and fourth cervical (spinal) nerves. It emerges from beneath the posterior border of the sternocleidomastoid muscle, then split into multiple branches. Together, these innervate the skin over the shoulder.

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The superficial lateral cervical lymph nodes are found along the course of the external jugular vein, between the inferior aspect of the parotid gland and the supraclavicular nodes. The nodes are intercalated along the course of the vessels draining the parotid nodes and the infraauricular nodes. These nodes drain into the supraclavicular nodes, and on to the jugular trunk, followed by the thoracic duct on the left or the right lymphatic duct.

In anatomy, a fossa is a depression or hollow usually in a bone, such as the hypophyseal fossa. Some examples include:

Ambesh maneuver is a technique that involves the simple external compression of internal jugular vein in supraclavicular fossa to prevent and diagnose misplacement of the subclavian vein catheter into the internal jugular vein (IJV). The subclavian vein is a big vessel that drains the blood from the hand, forearm and the upper arm into the right side of the heart through superior vena cava. The subclavian veins lie just behind the clavicle on each side and therefore known as subclavian vein.

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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 the 20th edition of Gray's Anatomy (1918)