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Blood vessels of the arm and shoulder

Learning objectives

After completing this study unit you will be able to:

  1. Identify the main arterial and venous structures that supply/drain the arm and shoulder.
  2. List their main branches and tributaries.
  3. Visualize the course of these vessels and anatomical relations that they form with one another.

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The arm and shoulder regions are supplied by a highly organized vascular network, primarily centered around the axillary artery and vein, which connect the subclavian vessels with those of the arm.

The axillary artery is a continuation of the subclavian artery; it gives rise to several branches which supply the pectoral/breast region, lateral thoracic wall, parts of the scapular/back region as well as all of the upper limb. These branches include the superior thoracic, thoracoacromial, lateral thoracic, subscapular and circumflex humeral arteries; the brachial artery is the direct continuation of the axillary artery once it enters the arm.

The axillary vein is formed by the union of the basilic and brachial veins, and broadly drains the same regions as those supplied by the axillary artery. It receives several other tributaries, namely the venae comitantes of the smaller branches of the axillary artery, as well as the cephalic vein.

This video tutorial will guide you through this topic in a comprehensive, yet easy to understand manner. Enjoy!

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Browse atlas

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Summary

Key facts about the vasculature of the arm and shoulder
Axillary artery Thoracoacromial artery (pectoralis major/minor, deltoid muscles; skin of clavipectoral region);
Subscapular artery
(deltoid, latissimus dorsi, [long head of] triceps brachii, subscapularis muscle, supra-/infraspinatus, serratus anterior muscles);
Superior thoracic artery
(pectoral, serratus anterior, subclavius muscles, upper intercostal muscles; skin of the thoracic wall)
Lateral thoracic artery
(axillary lymph nodes; breasts/anterior thoracic wall; serratus anterior, pectoralis major/minor, subscapularis muscles).
Anterior/posterior circumflex humeral arteries
(shoulder joint, proximal humerus, deltoid muscle)
Brachial artery Deep brachial artery (deltoid, triceps brachii, anconeus, brachialis, brachioradialis muscles);
Superior ulnar collateral artery
(triceps brachii muscle, elbow joint)
Inferior ulnar collateral artery
(brachialis, biceps brachii, coracobrachialis muscles)
Radial artery
(brachialis muscle, elbow joint, forearm/hand)
Ulnar artery
(elbow joint)
(Muscular branches (biceps brachii, brachialis, coracobrachialis muscles)
Axillary vein Basilic vein (medial aspect of arm/forearm)
Brachial veins
(deep structures of arm)
Cephalic vein
(lateral aspect of arm/forearm)
Subscapular vein

Lateral thoracic vein

Anterior/posterior circumflex humeral veins

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