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2. TOPOGRAPHIC ANATOMY AND OPERATIVE SURGERY OF SHOULDER GIRDLE: SUBCLAVIAN, AXILLARY, DELTOID, SCAPULAR REGIONS AND SHOULDER JOINT

Topics of the lesson: Surface landmarks, borders of regions, general descriptions of regions. Scapular region: bone base, layers, supraspinous fossa and infraspinous fossa; fascial-cellular formations and their relationship with neighboring regions; blood supply and innervation. Deltoid region: layers; fascial-cellular formations; vessels, nerves, synovial bags. Subclavian region: layers, fascial-cellular formations, blood supply and innervation. Axillary region: borders; the walls of the axillary fossa; neurovascular formations; lymph nodes and ways of lymph outflow; triangular and quadrilateral foramen; connection of the axillary fossa with the cellular space of neighboring regions. Shoulder joint: articular capsule, its weak points, ligament apparatus; blood supply and innervation of the joint; position of the humeral head at dislocations; arterial collateral regions of the shoulder joint.

2.1. Draw the borders of scapular regions in Fig. 2.1 and name them:

Fig. 2.1. Shoulder joint region

Superior_

_

_

Inferior_

_

_

Lateral_

_

_

Medial_

_

_

2.2. Using Fig. 2.2, name arteries, forming аscapular arterial ring and sign them on the Fig.:

Fig. 2.2. Arterial blood supply of scapular region

a) from the system of subclavian artery: 1__

_

2__

_

b) from the system of axillary artery:

3__

_

4__

_

2.3. How will collateral blood supply be carried out when there is a violation of blood flow through the axillary artery in case А, B and C (use Fig. 2.3)?

А. __

_

_

B. __

_

_

C. __

_

_

Which two from these zones are preferable for ligation of axillary artery?_

_

_

_

_

_

_

Fig. 2.3. Ways of collateral blood supply at the axillary artery ligation 2.4. List the layers of scapular region, marked in Fig. 2.4, in English and Latin.

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