Anatomy · Upper Limb Nerves, Brachial Plexus and Lesions

Anatomically, which muscle acts as a landmark separating the axillary artery into its three parts, and what are the two cords that give rise to the median nerve?

  • A Coracobrachialis; lateral and medial cords
  • B Pectoralis minor; lateral and medial cords
  • C Subscapularis; posterior and medial cords
  • D Pectoralis major; lateral and posterior cords
Correct answer: B. Pectoralis minor; lateral and medial cords

Explanation

The pectoralis minor muscle, which inserts into the coracoid process, crosses the second part of the axillary artery and divides it into three parts: proximal to, behind, and distal to the muscle. This is a key surgical landmark. The median nerve is formed by contributions from both the lateral cord (C5, C6, C7) and medial cord (C8, T1), which combine in a V-shaped union anterior to the axillary artery to form the median nerve, classically visible in surgical diagrams as a letter 'M' shaped arrangement.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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