Medical Student Laboratory Guide

Lab 1 Superficial Back, Shoulder, And Anterior Chest

I. Osteology of the Upper Limb pp. 428-431 Have one or two people from your tank learn these on bones in the drawers, or the skeleton and then teach the whole tank II. Superficial Back pp. 13-15 Begin reflection of the skin in the region between the shoulder blades. Once you reach a depth where you see the muscle fibers of trapezius, continue cutting at this level and remove all fascia superficial to this plane. p. 16 it is not necessary to look for these cutaneous neurovascular bundles p. 17 identify all features p. 18 it is best to free trapezius by using your fingers rather than a scalpel. You may use scissors or a scalpel to cut its medial attachment p. 19 Identify the spinal accessory nerve. It is not necessary to distinguish the transverse cervical artery from the vein; both vessels have the same name. p. 20 p. 21 the dorsal scapular nerve and the deep branch of the transverse cervical artery may be very difficult to find III. Superficial Structures of Upper Limb, Shoulder and Axilla p. 442 the subacromial bursa may be difficult to appreciate, but you should be aware of its location and function p. 443 subscapularis will be seen next lab p. 444 the radial nerve will be seen next lab p. 445 the deep artery of the arm will be seen next lab IV. Shoulder Joint (use dissections from joint pot) Again, have one or two people learn this joint and teach the rest. pp. 493-494 ignore: conoid and trapezoid ligaments, and articular disc of acromioclavicular joint V. Anterior Chest: If you have time at the end of the lab turn your cadaver over and do the dissection of the pectoralis major and minor muscles. If time is running short, you may do this part of the dissection when you return to the lab to review and study on you own. This should be accomplished prior to next Tuesdays lab. pp. 64-66 ignore clavipectoral fascia, subclavius, and suspensory ligament of the axilla