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词条 Axilla
释义

  1. Structure

     Boundaries  Contents 

  2. Society and culture

     Tickling  Underarm hair 

  3. Clinical significance

     Lymphogenic spread of breast cancer  Axillary intertrigo 

  4. See also

  5. Notes

  6. External links

{{Redirect|Underarm|the bowling style in cricket|Underarm bowling}}{{Infobox anatomy
| Name = Axilla
| Latin = Axilla
| Caption =
| Image2 = Arm_pit_–_Juno.jpg
| Caption2 = Axilla
| Precursor =
| System =
| Artery = axillary artery
| Vein = axillary vein
| Nerve = axillary nerve, medial cord, posterior cord, lateral cord
| Lymph = axillary lymph nodes
}}

The axilla (also, armpit, underarm or oxter) is the area on the human body directly under the joint where the arm connects to the shoulder. It also provides the under-arm sweat gland.

In humans, the formation of body odor happens mostly in the axillary region.[1] These odorant substances serve as pheromones which play a role related to mating. The underarm regions seem more important than the genital region for body odor which may be related to human bipedalism.[2]

Structure

Boundaries

Anatomically, the boundaries of the axilla are:

superiorly: by the outer border of first rib, superior border of scapula, and posterior border of clavicle[3]
medially: serratus anterior[4] and by the ribcageanteriorly: by the pectoralis major, minor,[5] and subclavius[4]posteriorly: by the subscapularis above, and teres major and latissimus dorsi below[4]laterally: by the intertubercular sulcus[5] (coracobrachialis and the short head of the biceps brachii are in the axilla.)[4]
floor/base: by the skin[3] (visible surface of axilla)

The lower posterior boundary is called the posterior axillary fold and this is a compound structure consisting of the latissimus dorsi and teres major muscles.[6] It can descend after weight loss.[7]

The anterior boundary is called the anterior axillary fold and this is rounded in shape and formed by the lower border of the pectoralis major.

Some sources also include the pectoralis minor.[6] It can elongate after weight loss.[7]

The contents of the axilla include the axillary vein and artery, as well as the brachial plexus, lymph nodes and fat.

The axilla is the space between the side of the thorax and the upper arm.

Contents

  • Axillary artery and its branches
  • Axillary vein and its tributaries
  • Infraclavicular part of the brachial plexus
  • Long thoracic and intercostobrachial nerves
  • Five groups of axillary lymph nodes and the associated lymphatics
  • Axillary fat and areolar tissue in which the other contents are embedded
{{gallery|title=Anatomy of the axilla|lines=4|width=150
|Image:Gray410.png|Superficial muscles of the chest and front of the arm.
|Image:Gray523.png|Axillary artery and its branches - anterior view of right upper limb and thorax.
|Image:Gray576.png|The veins of the right axilla, viewed from in front.
|Image:Gray809.png|The right brachial plexus (infraclavicular portion) in the axillary fossa; viewed from below and in front.
|Image:Gray1215.png|The left side of the thorax.
|File:Slide6dj.JPG|Axilla
|File:Slide18d.JPG|Axilla
|File:Slide7bbbb.JPG|Axilla
|File:Slide5DDDD.JPG|Axilla
|File:Slide11DDD.JPG|Axilla
|File:Slide3EE.JPG|Axilla
|File:Slide10JJJ.JPG|Axilla
}}

Society and culture

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.[8]

The term oxter is used in the Scots language and in Ireland instead of "axilla".[9]

Tickling

{{Main|Tickling}}

The underarm can be a ticklish area, possibly due to the number of nerves it contains. Some people find this area to be particularly unpleasant when tickled.

Underarm hair

{{Main|Underarm hair}}

Underarm hair usually grows in the underarms of both females and males, beginning in adolescence.

In some modern Western cultures, it is common for women to remove underarm hair. Some view this practice as an aesthetic matter, while others view its removal for health-related concerns. As underarm hair grows quickly, shaving must be performed frequently, or stubble will appear in the axilla. In the Islamic tradition, underarm hair removal is a religious hygiene practice for both women and men. While most Muslims shave it, some pluck it, with products like wax, as it's more efficient to sustain longer periods without regrowing.

In the feminist movement, the hippie culture, and in the punk rock scene, some women retain their underarm hair for a variety of reasons, from subversion to egalitarianism to comfort.{{citation needed|date=April 2018}} Conversely but uncommonly, some men choose to remove their underarm hair for aesthetic reasons or to reduce friction in sports such as swimming.

{{gallery
|File:Shaved arm pit.jpg|Shaved underarm
|File:Arm pit – Juno.jpg|Natural underarms
}}

Clinical significance

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

Lymphogenic spread of breast cancer

Breast cancer typically spreads via lymphatic vessels to the lymph nodes found in the axilla.

Axillary intertrigo

Excessive perspiration can result in axillary intertrigo. Intertrigo is an inflamed skin condition caused by heat, friction, and moisture.[10] A warm, wet underarm may accommodate the growth of pathogenic bacteria, yeasts, and fungi.[11] The condition is responsible for rash-like symptoms, pustules, or chronic itching or burning in the underarm.[10] Axillary intertrigo is common among those who work in hot environments.[11]

See also

{{Commons category|Armpits}}
  • Deodorant
  • Perspiration
  • Popliteal fossa or "knee pit"
  • Suspensory ligament of axilla

Notes

1. ^{{cite book| last=Turkington| first=Carol| last2=Dover| first2=Jeffrey S.| title=The encyclopedia of skin and skin disorders| year=2007| publisher=Facts on File|location=New York| isbn=978-0-8160-6403-8| pages=363| edition=3rd}}
2. ^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
3. ^{{cite web|url=http://www.anaesthesiauk.com/article.aspx?articleid=100359 |title=Anaesthesia UK :AnaesthesiaUK: Applied anatomy for upper limb blocks |accessdate=2007-12-23 |format= |work= |deadurl=yes |archiveurl=https://web.archive.org/web/20081016012019/http://www.anaesthesiauk.com/article.aspx?articleid=100359 |archivedate=2008-10-16 |df= }}
4. ^{{cite web |url=http://anatomy.iupui.edu/courses/gross-D501/Lab%20Instructions/Lab%204%20pectoral2%20%20region.htm |title=LAB #4 PECTORAL REGION & Introduction to the Axilla |accessdate=2007-12-23 |work=}}
5. ^{{cite web|url=http://anatomy.med.umich.edu/limbs/axilla_ans.html#2o |title=Dissector Answers - Axilla and Arm |accessdate=2007-12-23 |format= |work= |archiveurl=https://web.archive.org/web/20071210033208/http://anatomy.med.umich.edu/limbs/axilla_ans.html |archivedate=2007-12-10 |deadurl=yes |df= }}
6. ^{{NormanAnatomy|lesson3axilla}}
7. ^{{cite journal |doi=10.1055/s-2007-965236 |pmid=17602378 |title=Body Contouring of the Arms and Brachioplasty |journal=Handchirurgie · Mikrochirurgie · Plastische Chirurgie |volume=39 |issue=3 |pages=168–72 |year=2007 |last1=Hurwitz |first1=D. |last2=Neavin |first2=T. }}
8. ^{{cite web |url=http://www.m-w.com/dictionary/armpit |title=Definition of armpit - Merriam-Webster Online Dictionary |accessdate=2007-12-23 |format= |work=| archiveurl= https://web.archive.org/web/20071215090010/http://www.m-w.com/dictionary/armpit| archivedate= 15 December 2007 | deadurl= no}}
9. ^{{cite web |url=http://www.bbc.co.uk/voices/multilingual/scots.shtml |title=BBC - Voices - Multilingual Nation |accessdate=2007-12-23 |work=| archiveurl= https://web.archive.org/web/20071226163856/http://www.bbc.co.uk/voices/multilingual/scots.shtml| archivedate= 26 December 2007 | deadurl= no}}
10. ^Selden, Samuel, MD. Intertrigo. emedicine, WebMD. March 9, 2007. Accessed May 21, 2009.
11. ^[https://www.cdc.gov/niosh/topics/skin/occderm-slides/ocderm19.html Occupational Dermatoses - A Program for Physicians]. National Institute for Occupational Safety and Health. April 17, 2001. Accessed May 21, 2009.

External links

{{wiktionary|antiperspirant}}
  • Step by step Video dissection of the Human Axilla showing all relevant anatomy
  • 3D animated overview of axillary anatomy (rich media)
  • {{NormanAnatomy|lesson3axilla}}
  • {{NormanAnatomy|lesson3axillarywalls}}
{{Human anatomical features|state=collapsed}}{{Authority control}}

1 : Upper limb anatomy

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