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Extra resources for Grant's Dissector, Edition: Fifteenth, North American Edition
19. Transect the infraspinatus muscle about 5 cm lateral to the medial border of the scapula (FIG. 5). 20. Use blunt dissection to loosen from the infraspinous fossa—the portion of the infraspinatus muscle that is distal to the transection. Reflect it laterally. indd 26 21. Now follow the suprascapular artery and the suprascapular nerve inferiorly. Observe that they reach the infraspinatus muscle by coursing deep (anterior) to the spine of the scapula (FIG. 5). 22. The suprascapular artery contributes to the collateral circulation of the scapular region.
Reflect it laterally. Leave it attached to the humerus. 18. Identify the suprascapular artery and nerve that lie on the posterior surface of the scapula. Follow the artery and nerve superiorly. Observe that the suprascapular artery passes superior to the superior transverse scapular ligament and the suprascapular nerve passes inferior to it (FIG. 5). This relationship can be remembered by use of a mnemonic device: Army (artery) goes over the bridge; Navy (nerve) goes under the bridge. The “bridge” is the superior transverse scapular ligament.
6). 2. Use the handle of a forceps to scoop the fat out of several compartments between suspensory ligaments. These areas between suspensory ligaments once contained lobes of functional glandular tissue. 3. Make a parasagittal (superior to inferior) cut through the nipple that divides the breast into a medial half and a lateral half (FIG. 6). 4. On the cut edge of the breast, use a probe to dissect through the fat deep to the nipple. Confine your search area to within 3-cm deep to the areola. Find and clean one of the 15 to 20 lactiferous ducts that converge on the nipple.