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Subclavian steal syndrome (SSS), also called subclavian steal steno-occlusive disease, is a medical condition characterized by retrograde (reversed) blood flow in the vertebral artery or the internal thoracic artery. This reversal occurs due to proximal stenosis (narrowing) or occlusion of the subclavian artery.
The internal thoracic artery (ITA), also known as the internal mammary artery, is an artery that supplies the anterior chest wall and the breasts. [1] It is a paired artery, with one running along each side of the sternum , to continue after its bifurcation as the superior epigastric and musculophrenic arteries .
The parasternal lymph nodes (or sternal glands) are placed at the anterior ends of the intercostal spaces, by the side of the internal thoracic artery.. They derive afferents from the mamma; from the deeper structures of the anterior abdominal wall above the level of the umbilicus; from the upper surface of the liver through a small group of glands which lie behind the xiphoid process; and ...
The joint receives arterial supply via branches of the internal thoracic artery and the suprascapular artery. It is innervated via the medial supraclavicular nerve (superficially), and the nerve to subclavius (deeply).
Neck pain, although felt in the neck, can be caused by numerous other spinal problems. Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves emanating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back.
Conservative treatment of craniocervical instability includes physical therapy [10] [11] and the use of a cervical collar to keep the neck stable. Prolotherapy, including with stem cells, is a treatment option, but there is no scientific evidence supporting the success of this approach. [12] [verification needed]
As it crosses the neck of the first rib it lies medial to the anterior division of the first thoracic nerve, and lateral to the first thoracic ganglion of the sympathetic trunk. In the first intercostal space, it gives off a branch which is distributed in a manner similar to the distribution of the aortic intercostals.
Pectoralis minor syndrome (PMS) is a condition related to thoracic outlet syndrome (TOS) that results from the pectoralis minor muscle being too tight. [1] PMS results from the brachial plexus being compressed under the pectoralis minor [2] while TOS involves compression of the bundle above the clavicle. In most patients, the nerves are ...