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Axilla

From Wikipedia, the free encyclopedia
Area of the human body beneath the joint between arm and torso
This article is about the anatomical body part. For the 5th century BCE Roman consul, seeGaius Servilius Axilla.
"Underarm" and "Underarms" redirect here. For other uses, seeUnderarm (disambiguation).
Axilla
Human axilla
Details
ArteryAxillary artery
VeinAxillary vein
NerveAxillary nerve,medial cord,posterior cord,lateral cord
LymphAxillary lymph nodes
Identifiers
Latinaxilla
MeSHD001365
TA98A01.1.00.021
TA2140
FMA24864
Anatomical terminology

Theaxilla (pl.:axillae oraxillas; also known as thearmpit,underarm oroxter) is the area on thehuman body directly under theshoulder joint. It includes theaxillary space, ananatomical space within theshoulder girdle between thearm and thethoracic cage, bounded superiorly by the imaginaryplane between the superior borders of thefirst rib,clavicle andscapula (above which are considered part of theneck), medially by theserratus anterior muscle andthoracolumbar fascia, anteriorly by thepectoral muscles and posteriorly by thesubscapularis,teres major andlatissimus dorsi muscle.

The soft skin covering the lateral axilla contains manyhair andsweat glands. In humans, the formation ofbody odor happens mostly in the axilla.[1] These odorant substances have been suggested by some to serve aspheromones, which play a role related tomate selection, although this is a controversial topic within the scientific community.[2] The underarms seem more important than thepubic area for emitting body odor, which may be related to humanbipedalism.[3]

Structure

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Boundaries

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Anatomically, the boundaries of theaxilla are:

superiorly: by the outer border offirst rib, superior border ofscapula, and posterior border ofclavicle[4]
medially:serratus anterior[5] and by theribcageanteriorly: by thepectoralis major,minor,[6] andsubclavius[5]

posteriorly: by thesubscapularis above, andteres major andlatissimus dorsi below[5]

laterally: by thehumerus and the surrounding muscles of the arm(coracobrachialis andbiceps brachii)[7]
floor/base: by the skin[4] (visible surface of axilla)

The lower posterior boundary is called theposterior axillary fold and this is a compound structure consisting of thelatissimus dorsi andteres major muscles.[8] It can descend after weight loss.[9]

The anterior boundary is called theanterior axillary fold and this is rounded in shape and formed by the lower border of thepectoralis major. Some sources also include thepectoralis minor.[8] It can elongate after weight loss.[9]

The contents of the axilla include theaxillary vein andartery, as well as thebrachial plexus,lymph nodes and fat.The axilla is the space between the side of thethorax and the upper arm.

Contents

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Anatomy of the axilla
  • Superficial muscles of the chest and front of the arm.
    Superficial muscles of the chest and front of the arm.
  • Axillary artery and its branches - anterior view of right upper limb and thorax.
    Axillary artery and its branches - anterior view of right upper limb and thorax.
  • The veins of the right axilla, viewed from in front.
    The veins of the right axilla, viewed from in front.
  • The right brachial plexus (infraclavicular portion) in the axillary fossa; viewed from below and in front.
    The right brachial plexus (infraclavicular portion) in the axillary fossa; viewed from below and in front.
  • The left side of the thorax.
    The left side of the thorax.
  • Axilla
    Axilla
  • Axilla
    Axilla
  • Axilla
    Axilla
  • Axilla
    Axilla
  • Axilla
    Axilla
  • Axilla
    Axilla
  • Axilla
    Axilla

Society and culture

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The term "underarm" typically refers to the outer surface of the axilla. However, the terms are sometimes used interchangeably in casual contexts. Colloquially,underarm refers to the hollow beneath the junction of the arm and shoulder.[10]

Tickling

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Main article:Tickling

The underarm is a ticklish area due to the number of nerves it contains. Most people find this area to be particularly unpleasant whentickled.[citation needed]

Underarm hair

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Main article:Underarm hair

Underarm hair usually grows in the underarms of bothfemales andmales, beginning inadolescence.

In some modernWestern cultures, it is common for older women to remove underarm hair. Some view this practice as anaesthetic matter, while others view its removal for health-related concerns.[11] As underarm hair grows quickly, removal must be performed frequently, or stubble will appear in the axilla.

In most culture and scenes, women retain their underarm hair for a variety of reasons, from subversion to egalitarianism to comfort or for hygienic reason.[12] Conversely but uncommonly, some men choose to remove their underarm hair for aesthetic reasons or to reducefriction insports such asswimming.

  • Shaved underarm
    Shaved underarm
  • Normal underarm
    Normal underarm

Clinical significance

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Like other flexion surfaces of large joints (groin,popliteal fossa,cubital fossa and essentially the anterior part of theneck), it is an area where blood vessels and nerves pass relatively superficially, and with an increased amount oflymph nodes.

Lymphogenic spread of breast cancer

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Breast cancer typically spreads via lymphatic vessels to thelymph nodes found in the axilla.[13]

Axillary intertrigo

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Excessiveperspiration without adequate air circulation can result in axillaryintertrigo. Intertrigo is an inflammatoryskin condition of skin folds exposed to friction or maceration in the presence of heat and moisture.[14] Intertrigo is worsened by infection, usually fungal (Candida yeast species), but also bacterial or viral; warm, wet underarms promote those growths. The condition results in rash-like symptoms,pustules, or chronic itching or burning in the underarm.[14] Intertrigo (in any site) has no racial or sexual predilection.[14] Axillary intertrigo is common among those who work in hot environments where air circulation is restricted by necessary clothing or safety equipment.[15]

See also

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Notes

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  1. ^Turkington, Carol; Dover, Jeffrey S. (2007).The encyclopedia of skin and skin disorders (3rd ed.). New York: Facts on File. p. 363.ISBN 978-0-8160-6403-8.
  2. ^Drea, Christine M. (February 2015). "D'scent of man: A comparative survey of primate chemosignaling in relation to sex".Hormones and Behavior.68:117–133.doi:10.1016/j.yhbeh.2014.08.001.PMID 25118943.S2CID 2973690.
  3. ^The Oxford Handbook of Evolutionary Psychology, Edited by Robin Dunbar and Louise Barret, Oxford University Press, 2007, Chapter 22 Body odours and body odour preferences in humans by Claus Wedekind
  4. ^ab"Anaesthesia UK :AnaesthesiaUK: Applied anatomy for upper limb blocks". Archived from the original on 2008-10-16. Retrieved2007-12-23.
  5. ^abc"LAB #4 PECTORAL REGION & Introduction to the Axilla". Retrieved2007-12-23.
  6. ^"Dissector Answers - Axilla and Arm". Archived fromthe original on 2007-12-10. Retrieved2007-12-23.
  7. ^Stingl, Josef; et al. (2012).Regional Anatomy. Prague: Galén. p. 95.ISBN 978-80-7262-931-2.
  8. ^ablesson3axilla at The Anatomy Lesson by Wesley Norman (Georgetown University)
  9. ^abHurwitz, D.; Neavin, T. (2007). "Body Contouring of the Arms and Brachioplasty".Handchirurgie · Mikrochirurgie · Plastische Chirurgie.39 (3):168–72.doi:10.1055/s-2007-965236.PMID 17602378.
  10. ^"Definition of armpit - Merriam-Webster Online Dictionary".Archived from the original on 15 December 2007. Retrieved2007-12-23.
  11. ^Lanzalaco, Anthony; Vanoosthuyze, Kristina; Swaile, David; et al. (2016)."A comparative clinical study of different hair removal procedures and their impact on axillary odor reduction in men".Journal of Cosmetic Dermatology.5 (1):58–65.doi:10.1111/jocd.12197.PMC 4793925.PMID 26663394.
  12. ^"The new feminist armpit hair revolution: half-statement, half-ornament".Guardian News & Media. 24 June 2019. Retrieved2021-06-22.
  13. ^Bertozzi, Serena; Cedolini, Carla; Londero, Ambrogio P.; Baita, Barbara; Giacomuzzi, Francesco; Capobianco, Decio; Tortelli, Marta; Uzzau, Alessandro; Mariuzzi, Laura; Risaliti, Andrea (January 2019)."Sentinel lymph node biopsy in patients affected by breast ductal carcinoma in situ with and without microinvasion: Retrospective observational study".Medicine.98 (1): e13831.doi:10.1097/MD.0000000000013831.ISSN 1536-5964.PMC 6344146.PMID 30608397.
  14. ^abcSelden, SamuelIntertrigo. emedicine, WebMD. March 9, 2007. Accessed May 21, 2009.
  15. ^Gardner, Stephanie S (14 June 2020)."Intertrigo".WebMD. RetrievedJune 22, 2021.

External links

[edit]
Look upaxilla in Wiktionary, the free dictionary.
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