PECTORAL REGION

SAKINA
Anatomy and Histology Dept.
Fac. of Medicine UNAIR
sakinahusen@yahoo.com

PECTORAL REGION
SURFACE ANATOMY:
ANTERIOR: Pectoralis major m.(male) & mammary gland (female)
POSTERIOR: Scapula

FASCIA:
SUPERFICIAL: Fat >>, vessels&nerves (cephalic v.), mammary gland
DEEP: continue to abdominal region
Pectoral fascia: clavicle to sternum, encloses pectoralis major m., continue to latissimus
dorsi form axillary fascia
Axillary fascia: as the base of axillary fossa, form suspensory lig.of axilla clavipectoral
fascia, continue to brachial fascia
Clavipectoral fascia: encloses pectoralis minor m.&subclavius m.,
Costocoracoid membrane: pierces by cephalic vein, thoracoacromial a., lateral pectoral
n.

Mammary gland
Extends from 2nd-6th ribs, Lateral
sternum to midaxillary line
Supported by suspensory lig.
(coopers), retromammary space
Modified sweat glands, consists of
lobulesducts&sinusnipple
Vascular supply: axillary artery,
internal thoracic, intercostals aa.
Innervation: intercostals nn.
Venous drainage: follow its arteries
Lymphatic drainage: mostly to Axillary
nodes

Anterior Pectoral region

Muscles:
Truncocingular:
pectoralis minor
Truncoextremital:
pectoralis major
sternocostal part
Cinguloextremital:
pectoralis major
clavicular part

Posterior pectoral region

Muscles:
Extrinsic superficial: Trapezius & latissimus dorsi
Extrinsic profundus: levator scapulae, rhomboidei minor et major
Intrinsic: mm. deltoideus, supraspinatus, infraspinatus, subscapularis, teres
minor et major.

Gateways in posterior scapular region

Triangular space/Hiatus axillaris
medialis: m. teres minor, m. teres
major and caput longum m. triceps
brachii
Quadrangular space/Hiatus axillaris
lateralis: m. teres minor, m. teres
major, caput longum m. triceps brachii
and collum chirurgicum humeri
Triangular interval: caput longum m.
triceps brachii, caput laterale m.
triceps brachii and m. teres major