{"id":3465,"date":"2020-12-29T12:42:23","date_gmt":"2020-12-29T11:42:23","guid":{"rendered":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/axilla\/"},"modified":"2021-12-11T10:52:00","modified_gmt":"2021-12-11T08:52:00","slug":"axilla","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/axilla\/","title":{"rendered":"Axilla"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"intro\">The axilla (also known as the armpit, or underarm) is the part below the shoulder, connecting and allowing the passage of major vessels and nerves to and from the upper limb.<\/div><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-medium\"><a href=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla.png\" target=\"_blank\" title=\"Axilla\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-300x300.png\" alt=\"\" class=\"wp-image-3698\" srcset=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-300x300.png 300w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-1024x1024.png 1024w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-150x150.png 150w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-768x768.png 768w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-1536x1536.png 1536w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-2048x2048.png 2048w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla-50x50.png 50w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/anterior-axilla.png 1600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 1. The axilla<\/strong> <strong>(anterior view)<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-medium\"><a href=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2.png\" target=\"_blank\" title=\"Axilla\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-300x300.png\" alt=\"\" class=\"wp-image-3694\" srcset=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-300x300.png 300w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-1024x1024.png 1024w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-150x150.png 150w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-768x768.png 768w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-1536x1536.png 1536w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-2048x2048.png 2048w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2-50x50.png 50w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/01\/axilla-2.png 1600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 2. The axilla (posterior view)<\/strong><\/figcaption><\/figure><\/div>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<p class=\"wp-block-paragraph\">The axilla is found inferior to the <strong>glenohumeral joint<\/strong> and superior to the <strong>axillary fascia<\/strong>, serving as a communication between the arm, pectoral, deltoid, and scapular regions, thorax, and neck.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depending on the position of the arm, the axilla can be exposed with the <strong>axillary fossa<\/strong> (the concave part found inferiorly and covered by hairy skin) clearly visible if the arm is abducted, or hidden if the arm is adducted.<\/li><li>The <strong>anterior <\/strong>and <strong>posterior axillary folds<\/strong> mark the outer boundaries of the axillary fossa; they are clearly visible and palpable. <ul><li>The anterior fold is formed by the lateral edge of the pectoralis major muscle, and is more superior in position than the inferior one<\/li><li>The posterior fold is formed by the lateral edges of the latissimus dorsi and teres major muscles.<\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Boundaries<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">The fossa is bound by 4 walls, a roof, and a floor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Anterior wall<\/strong><ul><li>Pectoralis muscles<\/li><li>Clavipectoral fascia<\/li><li>Subclavius muscle<\/li><\/ul><\/li><li><strong>Posterior wall<\/strong><ul><li>Subscapularis muscle<\/li><li>Teres major muscle<\/li><li>Latissimus dorsi muscle<\/li><li>The long head of the triceps brachii muscle<\/li><\/ul><\/li><li><strong>Medial wall<\/strong><ul><li>Ribs I-IV and their intercostal muscles<\/li><li>Serratus anterior muscle<\/li><\/ul><\/li><li><strong>Lateral wall<\/strong><ul><li>Humerus (intertubercular sulcus)<\/li><\/ul><\/li><li><strong>Roof<\/strong> (also known as the <strong>axillary inlet<\/strong>)<ul><li>1st rib<\/li><li>Clavicle<\/li><li>Superior edge of the scapula<\/li><li>The apex of the inlet is formed by the medial aspect of the coracoid process of the scapula<\/li><\/ul><\/li><li><strong>Floor<\/strong> (also known as the <strong>base<\/strong>, <strong>axillary outlet<\/strong>, or <strong>axillary fossa<\/strong>)<ul><li>The skin, subcutaneous tissue, and fascia of the axilla (on the medial part), and opening into the arm (on the lateral part)<\/li><li>Bound by the anterior and posterior axillary folds<\/li><\/ul><\/li><\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-medium\"><a href=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/02\/axillary-fossa.png\" target=\"_blank\" title=\"Axilla\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/02\/axillary-fossa-300x300.png\" alt=\"\" class=\"wp-image-4214\" srcset=\"https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/02\/axillary-fossa-300x300.png 300w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/02\/axillary-fossa-150x150.png 150w, https:\/\/meddists.com\/learn\/wp-content\/uploads\/2021\/02\/axillary-fossa-50x50.png 50w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption><strong>Figure 3. Schematic drawing of the axilla<\/strong><\/figcaption><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Contents<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<ul class=\"wp-block-list\"><li>Axillary artery and its branches<\/li><li>Axillary vein and its branches<\/li><li>The cords and branches of the brachial plexus<\/li><li>Intercostobrachial nerve<\/li><li>Axillary lymph nodes and vessels<\/li><li>Adipose and loose connective tissue<\/li><li>The axillary process of the breast<\/li><li>Proximal parts of the biceps bracii and coracobrachialis muscles<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Detailed information<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<ul class=\"wp-block-list\"><li>The <strong>axillary artery<\/strong> is formed as the subclavian artery passes rib I to enter the axilla through its roof. Within the axilla, it is found posterior to the axillary vein.<\/li><li>Similarly, the <strong>axillary vein<\/strong> becomes the subclavian vein as it exits the axilla. Within it, the axillary vein is the most anterior vessel.<ul><li>The <strong>cephalic vein<\/strong> ascends from the arm and passes along the deltopectoral groove, reaching the midclavicular line, and then pierces the clavipectoral fascia, to join the axillary vein, at the clavipectoral triangle (described below).<\/li><\/ul><\/li><li>The <strong>trunks of the brachial plexus<\/strong> lie posterior to the axillary artery, except for the inferior trunk (which forms the medial cord within the fossa) which passes inferiorly to it.<\/li><li>The <strong>axillary artery<\/strong> and <strong>brachial plexus<\/strong> are engulfed by the <strong>axillary sheath<\/strong>, an extension of the prevertebral fascia. The <strong>axillary vein<\/strong> and <strong>lymphatics <\/strong>are not contained within the sheath (to allow for their expansion in case of increased venous and lymphatic pressure).<\/li><li>The <strong>intercostobrachial nerve<\/strong> pierces the medial wall, passing along the thoracic wall to supply the axio-appendicular muscles (serratus anterior and latissimus dorsi muscles).<\/li><li>The <strong>axillary process of the breast<\/strong> (also known as the <strong>axillary tail<\/strong>, or <strong>Spence&#8217;s tail<\/strong>) is a part of the breast that extends into the axilla.<\/li><li>The <strong>long thoracic nerve<\/strong> lies on the medial wall of the fossa on the serratus anterior muscle.<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_5\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Gateways<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_5\">\n\n\n<p class=\"wp-block-paragraph\">The axilla communicates with the surrounding structures through five main gateways that pierce its walls and boundaries:<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"pure-table\"><thead><tr><th>Gateway<\/th><th>Boundary<\/th><th>Structure<\/th><th>Contents<\/th><\/tr><\/thead><tbody><tr><td><strong>Clavipectoral triangle<\/strong><\/td><td>Anterior wall (of the axilla)<\/td><td>Pectoral region<\/td><td>Cephalic vein, thoracoacromial artery, lateral pectoral nerve<\/td><\/tr><tr><td><strong>Quadrangular space<\/strong><\/td><td>Posterior wall<\/td><td>Scapular and deltoid regions<\/td><td>Circumflex scapular artery and vein<\/td><\/tr><tr><td><strong>Triangular space<\/strong><\/td><td>Posterior wall<\/td><td>Scapular region<\/td><td>Posterior circumflex humeral artery and axillary nerve<\/td><\/tr><tr><td><strong>Triangular interval<\/strong><\/td><td>Lateral wall<\/td><td>Arm<\/td><td>Radial nerve<\/td><\/tr><tr><td><strong>Cervicoaxillary canal<\/strong><\/td><td>Roof<\/td><td>Root of the neck<\/td><td>Axillary artery and vein, brachial plexus, lymphatics<\/td><\/tr><\/tbody><\/table><figcaption><strong>Table 1. Gateways of the axilla<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_6\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Clavipectoral triangle<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_6\">\n\n\n<p class=\"wp-block-paragraph\">The clavipectoral triangle (also known as the <strong>deltopectoral triangle<\/strong>)  allows for the passage of the <strong>cephalic vein<\/strong>, <strong>thoracoacromial artery<\/strong>, and <strong>lateral pectoral nerve<\/strong>. The structures pass between the axilla and pectoral region through the anterior wall, piercing the clavipectoral fascia at the midclavicular line, inferior to the clavicle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The clavipectoral triangle is formed between the following structures:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pectoralis major muscle<\/li><li>Deltoid muscle<\/li><li>Clavicle<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_7\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Triangular space<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_7\">\n\n\n<p class=\"wp-block-paragraph\">The triangular space (also known as the <strong>medial axillary hiatus<\/strong> or <strong>omotricipital foramen<\/strong>) allows the passage of the <strong>circumflex scapular artery and vein<\/strong> between the axilla and pectoral region through the posterior wall. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The triangular space is formed between the following structures:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Medial edge of the long head of the triceps brachii muscle<\/li><li>Superior edge of the teres major muscle<\/li><li>Inferior edge of the subscapularis muscle<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_8\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Quadrangular space<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_8\">\n\n\n<p class=\"wp-block-paragraph\">The quadrangular space (also known as the <strong>lateral axillary hiatus<\/strong>) allows the passage of the <strong>posterior circumflex humeral artery<\/strong> and <strong>axillary nerve<\/strong> between the axilla and the scapular and deltoid regions through the posterior wall.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The quadrangular space is formed between the following structures:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Inferior edge of the subscapularis muscle<\/li><li>Superior edge of the teres major muscle<\/li><li>Lateral edge of the long head of the triceps brachii muscle<\/li><li>Humerus (surgical neck)<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_9\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Triangular interval<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_9\">\n\n\n<p class=\"wp-block-paragraph\">The triangular interval allows the passage of the <strong>radial nerve<\/strong> between the axilla and the posterior compartment of the arm through the lateral wall. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The triangular interval is formed between the following structures:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lateral edge of the long head of the triceps brachii muscle<\/li><li>Inferior edge of the teres major muscle<\/li><li>Humerus (shaft)<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_10\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Cervicoaxillary canal<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_10\">\n\n\n<p class=\"wp-block-paragraph\">The cervicoaxillary canal is essentially the roof of the axilla, allowing the passage of the <strong>axillary sheath<\/strong> (which contains the <strong>axillary artery<\/strong> and <strong>brachial plexus<\/strong>), axillary vein, and lymphatics, between the axilla and the root of the neck. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Since the cervicoaxillary canal is essentially the roof of the axilla, its borders are the same (1st rib, clavicle, superior edge of the scapula).<\/p>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Boundaries<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Contents<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Detailed information<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Gateways<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Clavipectoral triangle<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Triangular space<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Quadrangular space<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Triangular interval<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Cervicoaxillary canal<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Description The axilla is found inferior to the glenohumeral joint and superior to the axillary fascia, serving as a communication between the arm, pectoral, deltoid, and scapular regions, thorax, and neck. Depending on the position of the arm, the axilla can be exposed with the axillary fossa (the concave part found inferiorly and covered by [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3462,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3465","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Axilla &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/axilla\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/upper-limb\\\/axilla\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/upper-limb\\\/axilla\\\/\",\"name\":\"Axilla &#8211; 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