The axillary sheath is a fibrous sheath that encloses the
axillary artery
In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is c ...
and the three cords of the
brachial plexus
The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
to form the
neurovascular bundle
A neurovascular bundle is a structure that binds nerves and veins (and in some cases arteries and lymphatics) with connective tissue so that they travel in tandem through the body.
Structure
There are two types of neurovascular bundles: superfici ...
.
It is surrounded by the
axillary fat.
[Last's Anatomuy, 9th Edt] It is an extension of the prevertebral fascia of the
deep cervical fascia
The deep cervical fascia (or fascia colli in older texts) lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its ...
and is continuous with the
carotid sheath
The carotid sheath is a condensation of the deep cervical fascia enveloping multiple vital neurovascular structures of the neck, including the common and internal carotid arteries, the internal jugular vein, the vagus nerve (CN X), and ansa c ...
at the
venous angle.
A
brachial plexus nerve block can be achieved by injecting anaesthetic into this area.
References
External links
*
Description at upstate.edu
Arteries of the upper limb
Fascia
Axillas
{{Portal bar, Anatomy