Human anatomy; Medicine -- Study and teaching; Palpation
133. =Axilla.=--The anterior border of the axilla, formed by the
pectoralis major, follows the line of the fifth rib. In counting the
ribs, or in tapping the chest, it is worth remembering that the highest
visible digitation of the serratus magnus is attached to the sixth rib.
The angle of the digitation is directed forwards, and corresponds to
the upper edge of the rib. The second visible digitation corresponds
to the seventh rib; the interval between these digitations, therefore,
corresponds to the sixth intercostal space--a convenient place for
tapping the chest. (38)
In the normal state no glands can be felt in the axilla.
134. =Axillary artery.=--When the arm is raised to a right angle with
the body, and the head of the humerus thereby depressed, the axillary
artery is plainly felt beating, and can be perfectly compressed on the
inner side of the coraco-brachialis. This muscle stands out in relief
along the humeral side of the axilla, and is the best guide to the
artery. A line drawn along its inner border--that is, down the middle
of the axilla--corresponds with the course of the artery.
The depth and form of the axilla alter in different positions of the
arm. In the arm raised and abducted the axilla becomes nearly flat;
hence this position is always adopted in operations.
In opening abscesses in the axilla, the incision should be made midway
between the borders, and the point of the knife introduced from above
downwards.
135. =Brachial artery.=--When the arm is extended and supinated, a line
drawn from the deepest part of the middle of the axilla down the inner
side of the biceps to the middle of the bend of the elbow, corresponds
with the course of the brachial artery. The artery can be felt and
compressed all the way down; but nowhere so effectually as midway,
where it lies on the tendon of the coraco-brachialis close to the
inner side of the humerus. The only direction to apply the pressure
effectually is outwards and a little backwards, else the artery will
slip off the bone.
The musculo-spiral nerve and superior profunda artery wind round
the back of the humerus about its middle, and come to the front of
the external condyloid ridge. Thus, for full three inches above the
condyles, there is nothing to interfere with operations on the back of
the bone, which is here broad and flat.
136. =Bend of elbow.=--At the bend of the elbow, the tendon of the
biceps can be plainly felt, as well as the pulsation of the brachial
artery close to its inner side, before dividing into the radial and
ulnar.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account