FREE BOOKS

Author's List




PREV.   NEXT  
|<   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77  
78   79   80   81   82   83   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   >>   >|  
e of the cervical and axillary regions, together with their line of union beneath the clavicle, c*, Plate 12, R, Plate 11, which serves to divide them surgically. In the neck, the subclavian artery, B, Plate 11, is seen to be separated from the subclavian vein, A, by the breadth of the anterior scalenus muscle, D, as the vessels arch over the first rib, F. In this region of the course of the vessels, the brachial plexus of nerves, C, ranges along the outer border of the artery, B, and is separated by the artery from the vein, A, as all three structures pass beneath the clavicle, R, and the subclavius muscle, E. From this latter point the vessels and nerves take the name axillary, and in this axillary region the relative position of the nerves and vessels to each other and to the adjacent organs is somewhat changed. For now in the axillary region the vein, a, is in direct contact with the artery, b, on the forepart and somewhat to the inner side of which the vein lies; while the nerves, D, d, Plate 12, embrace the artery in a mesh or plexus of chords, from which it is often difficult to extricate it, for the purpose of ligaturing, in the dead subject, much less the living. The axillary plexus of nerves well merits the name, for I have not found it in any two bodies assuming a similar order or arrangement. Perhaps the order in which branches spring from the brachial plexus that is most constantly met with is the one represented at D, Plate 12, where we find, on the outer border of B, the axillary artery, a nervous chord, d, giving off a thoracic branch to pass behind H, the lesser pectoral muscle, while the main chord itself, d, soon divides into two branches, one the musculo-cutaneous, e, which pierces G, the coraco-brachialis muscle, and the other which forms one of the roots of the median nerve, h. Following that order of the nerves as they are shown in Plate 12, they may be enumerated from without inwards as follows:--the external or musculo-cutaneous, e; the two roots of the median, h; the ulnar, f; the musculo-spiral, g; the circumflex, i; close to which are seen the origins of the internal cutaneous, the nerve of Wrisberg, some thoracic branches, and posteriorly the subscapular nerve not seen in this view of the parts. The branches which come off from the axillary artery are very variable both as to number and place of origin, but in general will be found certain branches which answer to the names thoracic, sub
PREV.   NEXT  
|<   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77  
78   79   80   81   82   83   84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   >>   >|  



Top keywords:

artery

 

axillary

 

nerves

 
branches
 
vessels
 

muscle

 

plexus

 

cutaneous

 
musculo
 

thoracic


region
 

border

 

clavicle

 

beneath

 

median

 

separated

 

subclavian

 

brachial

 
pierces
 

nervous


lesser

 

pectoral

 

branch

 

divides

 

coraco

 

giving

 

represented

 

variable

 

posteriorly

 

subscapular


number

 

answer

 
origin
 

general

 

Wrisberg

 

inwards

 

enumerated

 
Following
 
external
 

origins


internal

 
circumflex
 

spiral

 

constantly

 
brachialis
 
ranges
 

structures

 

subclavius

 

relative

 

position