FREE BOOKS

Author's List




PREV.   NEXT  
|<   27   28   29   30   31   32   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49   50   51  
52   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   >>   >|  
xact locality of the artery in this part of its course would be indicated by a finger's breadth external to the clavicular attachment of the sterno-mastoid muscle. The artery passes beneath the clavicle at the middle of this bone, a point which is indicated in most subjects by that cellular interval occurring between the clavicular origins of the deltoid and great pectoral muscles. The posterior cervical triangle, 9, 8, 7, Plate 4, in which the subclavian artery is situated, is again subdivided by the muscle omo-hyoid into two lesser regions, each of which assumes somewhat of a triangular shape. The lower one of these embraces the vessel, A, and those nerves of the brachial plexus, I, which are in contact with it. The posterior belly of the omo-hyoid muscle, K, and the anterior scalenus muscle, N, form the sides and apex of this lesser triangular space, while the horizontal clavicle forms its base. This region of the subclavian artery is well defined in the necks of most subjects, especially when the muscles are put in action. In lean but muscular bodies, it is possible to feel the projection of the anterior scalenus muscle under the skin, external to the sterno-mastoid. The form of the omo-hyoid is also to be distinguished in the like bodies. But in all subjects may be readily recognised that hollow which occurs above the clavicle, and between the trapezius, 8, and the sterno cleido-mastoid, 7 B, in the centre of which hollow the artery lies. The contents of the larger posterior cervical triangle, formed by B, the sterno-mastoid before; 9, the splenius; and 8, the trapezius behind, and by the clavicle below, are the following mentioned structures--viz., A, the subclavian artery, in the third part of its course, as it emerges from behind N, the scalenus anticus; L, the transversalis colli artery, a branch of the thyroid axis, which will be found to cross the subclavian vessel at this region; I, the brachial plexus of nerves, which lie external to and above the vessel; H, the external jugular vein, which sometimes, in conjunction with a plexus of veins coming from behind the trapezius muscle, entirely conceals the artery; M, the posterior scapular artery, a branch of the subclavian, given off from the vessel after it has passed from behind the scalenus muscle; O, numerous lymphatic glands; P, superficial descending branches of the cervical plexus of nerves; and Q, ascending superficial branches of the same plexus. Al
PREV.   NEXT  
|<   27   28   29   30   31   32   33   34   35   36   37   38   39   40   41   42   43   44   45   46   47   48   49   50   51  
52   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   >>   >|  



Top keywords:
artery
 

muscle

 
subclavian
 

plexus

 
posterior
 
mastoid
 
scalenus
 

vessel

 

clavicle

 

sterno


external

 

subjects

 

cervical

 

nerves

 

trapezius

 

anterior

 

triangle

 

region

 

branch

 

lesser


triangular

 

brachial

 

clavicular

 

superficial

 
muscles
 
hollow
 

branches

 

bodies

 

anticus

 

occurs


recognised

 
readily
 
splenius
 

contents

 

larger

 

formed

 

centre

 

emerges

 

structures

 
mentioned

cleido
 
conjunction
 

passed

 

scapular

 
numerous
 

lymphatic

 

ascending

 

descending

 

glands

 
conceals