Pectoral Region Muscles- Pectoralis major, Pectoralis minor, subclavius. Fascia Clavipectoral fascia-Lies deep to pectoralis major muscle.

. Clavicle-Enclose subclavius-Enclose pectoralis minor-suspensory ligament-dome of the axillary fascia. Medially first rib, costo-clavicular ligament.Laterally- coracoid process and coraco clavicular ligament. Pierced- lateral pectoral nerve, cephalic vein, thoraco-acromial vessels,lymphatics.

Arrangement Breast- loose areolar tissues-pectoral fasciapectoralis major. Nerves- supraclavicular(cervical plexus C3,C4) anterior and lateral cutaneous of 2nd-6th intercostals nerves. Arterial superior thoracic, acromio thoracic, lateral thoracic (axillary). Internal thoracic (subclavian). Veins superficial internal thoracic, veins of neck. Deep Internal thoracic, axillary and posterior intercostal.

Pectoral Region

Muscles of scapula region Deltoid abduction at shoulder. Axillary nerve Supraspinatus- Initiates abduction. Suprascapula nerve. Infraspinatus- lateral rotator of the arm. Suprascapula nerve. Teres Minor- lateral rotator o the arm. Axillary nerve. Subscapularis medial rotator and adductor of arm. Upper and lower subscapular nerves. Teres major- medial rotator and adductor. Lower subscapular nerve.

Scapula Region

Scapula anastomosis Anastomosis occurs in subscapular, supraspinuous and infraspinuous fossae. Supra scapular Thyrocervical trunk- 1st part of subclavian. Deep branch of transverse cervical thyrocervical trunk. Circumflex scapular subscapular artery- 3rd part of axillary artery. They provide a collateral circulation through which blood can flow to the limb when distal part of subclavian and proximal part of axillary gets blocked.

Scapula Anastomosis

AxillaPyramidal shape space. Arm pit region. Anterior wall Pectoral muscles Posterior wall subscapularis, latissimusdorsi. Central wall Serratus anterior, ribs, intercostal spaces. Contents- Axillary artery, vein nd their branches and tributaries, cords and nerves of brachial plexus, lymphatics and lymph nodes.

Axilla

 Brachial plexus Plexus of nerves. Liable to get injured by open or closed injuries, obstetrical procedures, tumours and can get pressed by a cervical rib. 5 roots anterior primary rami of C5,6,7,8 and T1. Roots lie anterior and middle scalene muscles. C5+C6 upper trunk, C7 middle trunk, C8+T1 lower trunk. Trunks lie in the posterior triangle of neck. Each trunk has an anterior and a posterior division. Divisions lie behind the clavicle. Ant division of upper + middle lateral cord. Ant division of lower medial cord. Three posterior divisions posterior cord. Cords lie in the axilla.

Brachial plexus

 Lateral cord lateral pectoral, musculocutaneous, lateral root of median nerve. Medial cord medial cutaneous nerve of arm, medial cutaneous nerve of forearm, medial root of median nerve, ulnar nerve, medial pectoral. Posterior cord upper subscapular, thoracodorsal, lower subscapular, Axillary and radial. Roots- nerves to rhomboids, subclavius and serratus anterior. Trunks- nerve to suprascapular. Study the dermatomes, clinical problems of brachial plexus.