Operative Surgery and Topographic AnatomyInternational Students — Lesson 2

Topographic anatomy of the shoulder girdle and shoulder. Features of the structure of the scapular, subclavian, deltoid, axillary region and shoulder joint. Scapular circle of collateral circulation. Features of the structure of the anterior and posterior surface of the shoulder. Formation and structure of the brachial plexus. Pathways for the spread of the inflammatory process in the area of the shoulder girdle and shoulder. Incisions for phlegmon, puncture of the shoulder joint, arthrotomy.


  1. Topographic anatomy of the scapular region. Bone-fascial beds. Vessels and nerves.
  2. Topographic anatomy of the deltoid region.
  3. Topographic anatomy of the shoulder joint. Joint capsule, its weak points. Blood supply and innervation. Puncture of the shoulder joint.
  4. Topographic anatomy of the axillary region. Axillary fossa. Anterior wall, clavicular-thoracic, thoracic, sub-thoracic triangles. Back wall, three- and four-sided holes. The contents of the cavity: lymph nodes, neurovascular bundle.
  5. Surgical anatomy of the axillary artery. Exposing and bandaging it. Ways of development of collateral circulation.
  6. Topographic anatomy of the brachial plexus, formation and structure. Clinical signs of a high lesion of the branches of the brachial plexus.
  7. Topographic anatomy of the shoulder. Fascial beds and their clinical significance.
  8. Topography of neurovascular formations in the upper, middle and lower thirds of the shoulder. Exposure of the radial nerve in the middle third of the shoulder.
  9. Cellular spaces and intermuscular spaces of the upper arm and shoulder. Anatomical ways of spreading inflammatory processes. Incisions with phlegmon.
  10. Puncture of the shoulder joint.


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