Where can the latissimus dorsi be palpated?

Where can the latissimus dorsi be palpated?

The anterior border of the latissimus dorsi muscle is located along a line between the posterior axillary fold and the iliac spine. In thin patients, the border of the muscle can be palpated in the direction from the humerus in an oblique line to the ribs.

What position is best for palpating axillary lymph nodes?

When performing a breast examination for the purpose of cancer screening, it is appropriate to include an evaluation of the supraclavicular and axillary nodal groups. Examination of the axilla is best performed with the patient sitting upright. The patient is asked to raise her arm.

Where are palpable lymph nodes located?

Most lymph channels and nodes reside deep within the body and are too small to be assessed by physical examination. However, superficial, larger nodes, close to or more than one centimeter in diameter-primarily located in the head and neck region, the axillae and the inguinal areas-can be palpated and assessed.

What motion does the latissimus dorsi do?

Latissimus dorsi works collaboratively with the teres major and pectoralis major to perform actions of the upper extremity. Together, these muscles will work to adduct, medially rotate and extend the arm at the glenohumeral joint.

Where are the latissimus dorsi?

The latissimus dorsi muscles are the largest muscles on the back. These two triangle-shaped muscles are found just below the shoulder blade on each side, extend along the spine, down to the pelvis, and across the width of the back.

How should normal lymph nodes feel on palpation?

A normal lymph node is small, approximately 3-7 mm, usually spool-shaped, smooth, sharply edged, elastic in consistency, not fused with the skin or underlying tissues and is not painful during palpation. A normal lymph node in the neck is barely perceptible. During palpation they feel like elastic marbles (8).

What do matted nodes feel like?

“Shotty” nodes refer to very small, scattered nodes that feel like shotgun pellets under the skin. This configuration is typically is found in cervical nodes of children with viral illnesses. The designation of a “matting” configuration of nodes describes the pattern of clustered, seemingly conjoined lymph nodes.

Why do we palpate lymph nodes?

Palpation of the lymph nodes provides information about the possible presence of a malignant or inflammatory process and the localization or generalization of that process.

What are lymph nodes attached to?

Lymph nodes are connected to each other by lymph channels called the lymphatics—small tubes (like blood vessels)—through which lymph fluid, as well as proteins and other substances, moves from one part of the body to another.

What is rubbery lymph node?

Lymph nodes that are smooth and relatively soft, but slightly enlarged, may be normal and reveal only hyperplasia when biopsied. Enlarged lymph nodes that have an irregular shape and a rubbery, hard consistency may be infiltrated by malignant cells. Tender nodes are suggestive of an inflammatory process.

How do you remember the latissimus dorsi?

The actions of the latissimus dorsi are easy to remember if you can remember that it’s the handcuff muscle. If you were being arrested and handcuffed (and I hope you never are), your arms would be medially rotated, a little bit extended and also adducting across the midline behind you.

How do you do the latissimus dorsi with palpation?

Latissimus Dorsi: Palpation The latissimus dorsi muscle is a real no brainer as it is so big that it is nearly impossible to miss it. Let your arm hang loose and then press it against your body. Hold the tension and feel with your other arm the latissimus dorsi, especially at the height of your upper arm.

Where is the latissimus dorsi muscle located in the body?

The latissimus dorsi muscle is found superficially in the lower two-thirds of the trunk, covering the serratus posterior muscles. The teres major muscle lies superior to latissimus dorsi. The adjoining fibers of these two muscles are united, but separated by a bursa towards their humeral attachments.

What are the pain patterns of latissimus dorsi X1?

1.1 Pain patterns. When trigger points are present in your latissimus, they can give you pain right at their location and send pain to other, seemingly unrelated areas of your body. The upper trigger point – X1, shown under “Attachment Points” – very often may give you a painful lower shoulder blade and mid back pain.

How do you remember the latissimus dorsi pectoralis major and teres major?

An easy way to remember the relation of the latissimus dorsi, pectoralis major and teres major muscles as they insert in the intertubercular sulcus is to use the following mnemonic: ‘ Lady between two majors ‘: The latissimus dorsi muscle is found superficially in the lower two-thirds of the trunk, covering the serratus posterior muscles .