The document describes the anatomy of the axillary artery and vein as well as the axillary lymph nodes. It discusses the origin, course, branches, and termination of the axillary artery. It also discusses the origin, tributaries, and termination of the axillary vein. Finally, it describes the five groups of axillary lymph nodes and their drainage areas.
The document describes the anatomy of the axillary artery and vein as well as the axillary lymph nodes. It discusses the origin, course, branches, and termination of the axillary artery. It also discusses the origin, tributaries, and termination of the axillary vein. Finally, it describes the five groups of axillary lymph nodes and their drainage areas.
The document describes the anatomy of the axillary artery and vein as well as the axillary lymph nodes. It discusses the origin, course, branches, and termination of the axillary artery. It also discusses the origin, tributaries, and termination of the axillary vein. Finally, it describes the five groups of axillary lymph nodes and their drainage areas.
The document describes the anatomy of the axillary artery and vein as well as the axillary lymph nodes. It discusses the origin, course, branches, and termination of the axillary artery. It also discusses the origin, tributaries, and termination of the axillary vein. Finally, it describes the five groups of axillary lymph nodes and their drainage areas.
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Dr Azza Kamal
ILOs By the end of this lecture, each student should be able to: 1. Describe the origin, course, termination , relations & branches of axillary artery. 2. Describe the origin, course, tributaries & termination of axillary vein. 3. Enumerate groups of axillary lymph nodes 4. Explain areas of drainage of each group of axillary L.N. Dr Azza Kamal
Axillary artery is the continuation of the subclavian artery. Starts at the outer border of the first rib . Ends at lower border of the teres major muscle where it continues as the brachial artery. Dr Azza Kamal
Axillary artery is a continuation of the subclavian artery. Starts at the outer border of the first rib . Ends at lower border of the teres major muscle where it continues as the brachial artery. Dr Azza Kamal
Dr Azza Kamal
Parts of Axillary Artery
Dr Azza Kamal
Pectoralis minor muscle crosses in front of the axillary artery and divides it into three parts.
Dr Azza Kamal
Axillary artery
1 2 3
Dr Azza Kamal
First part : Above pectoralis minor
Dr Azza Kamal
Branches of first part of axillary artery One branch superior thoracic artery
Ends at the outer border of first rib and continues as the
subclavian vein . medial to axillary artery Dr Azza Kamal
Axillary vein is
CEPHALIC VEIN
BASILIC VEIN Dr Azza Kamal
SUBCLAVIAN VEIN
AXILLARY VEIN BASILIC VEIN
Dr Azza Kamal
Axillary vein Cephalic vein
Basilic vein
Dr Azza Kamal
Tributaries of axillary vein
1. Tributaries corresponding to the branches of the axillary artery. 2. Cephalic vein. 3. Two venae comitantes of the brachial artery.
Dr Azza Kamal
CEPHALIC VEIN TRIBUTARIES CORRESPONDING TO BRANCHES OF AXILLARY ARTERY
TRIBUTARIES OF AXILLARY VEIN
BRACHIAL VEINS
Dr Azza Kamal
Axillary Lymph Nodes
Dr Azza Kamal
1/ anterior (pectoral) group. 2/ posterior (subscapular) group. 3/ lateral group. 4/ central group. 5/ apical (Infraclavicular) group .
Dr Azza Kamal
Anterior (pectoral) group at lower border of pectoralis minor Along lateral thoracic vessels
Posterior ( subscapular) group at lower border of subscapularis Along subscapular vessels
Lateral group
along the upper part of humerus in the center of axilla near its base
Central group
Apical group in the apex ofAzza Kamal axilla Dr
Central group Lateral group
in y ve lar pe Axil ct er us hu m or ali sm
Apical group
ino r
Anterior group
Posterior group Dr Azza Kamal
Anterior Group
1- Central & Lateral quadrants of the Breast
Dr Azza Kamal
2- Anterolateral wall of the trunk above umbilicus
Dr Azza Kamal
Posterior Group
1- Axillary tail of breast
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Posterior Group
Back as far as iliac crest
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Infraclavicular L.N.
Lateral group of Axillary L.N.
Lateral L.N.
Supratrochlear L.N.
Dr Azza Kamal
Apical Group
1- upper part of breast
+ It receives from All Other groups Dr Azza Kamal
*Anterolateral wall of the trunk *central & lateral part of breast
Anterior (pectoral) group Posterior subscapular) (subscapular) group central group apical group infraclavicular
*Back as far as the level of the iliac crests + axillary tail of breast *All upper limb except lateral side of fingers, hand, forearm and arm.
lateral group lateral side of fingers, hand, forearm and arm Dr Azza Kamal
Clinical Note
Dr Azza Kamal
Since axillary L.N. drain the upper limb, breast, anterior & posterior body walls above the level of umbilicus, therefore in any inflamation or malignancy in these areas, examination of
the axillary L. N. is necessary
Dr Azza Kamal
Dr Azza Kamal
The axillary artery gives the following branches , EXCEPT:
A. B. C. D. E. Suprascapular artery Superior thoracic artery Lateral thoracic artery Subscapular artery Thoraco-acromial artery
Dr Azza Kamal
The 3rd part of the axillary artery lies anterior to the following , EXCEPT: A. B. C. D. Subscapularis Teres major Latissimus dorsi Pectoralis major
Dr Azza Kamal
Lymphatics from central & lateral quadrants of the breast drain DIRECTLY into: A. B. C. D. E. Pectoral group of axillary L.N. Lateral group of axillary L.N. Posterior group of axillary L.N. Central group of axillary L.N. Apical group of axillary L.N. Dr Azza Kamal
