The Axilla

Location and importance

Pyramid-shaped space between the upper part of the arm, and the side of the upper chest.

Provides passage for nerves, blood and lymph vessels from the root of the neck to the upper limb.

 

Note the boundaries:

  • Anterior axillary fold [D]
  • Posterior axillary fold [B]
  • Base formed by skin [C]
  • Lateral border [A] formed by humerus.
 

Boundaries

Apex:

  • Anterior: the lateral part of the clavicle.
  • Posterior: upper part of the scapula.
  • Medially: outer border of the first rib.
 
Walls:
  • Anterior: pectoralis major, minor and subclavius
  • Posterior: subscapularis, latissimus dorsi and teres major
  • Medial: upper 5 ribs and intercostal muscles covered by serratus anterior.
  • Lateral: biceps brachii and coracobrachialis.
 
Base:
  • Anterior: lower border of pectoralis major.
  • Posterior: tendons of latissimus dorsi and teres major muscle
  • Medial: chest wall
  • Floor: axillary fascia and skin stretching between the anterior and posterior walls.
 

CHAPTER 14: THE PECTORAL REGION AND THE AXILLA