Boundaries of quadrilateral space include all except-
## **Core Concept**
The quadrilateral space, also known as the quadrilateral foramen or space of Velpeau, is an anatomical region in the shoulder area. It is one of the areas through which nerves and vessels pass from the neck and thorax to the upper limb. Understanding its boundaries is crucial for diagnosing and managing conditions affecting the shoulder and upper limb.
## **Why the Correct Answer is Right**
The quadrilateral space is bounded by the following structures:
- Superiorly by the **subscapularis muscle** and **teres minor muscle**.
- Inferiorly by the **teres major muscle**.
- Medially by the **long head of the triceps brachii muscle**.
- Laterally by the **surgical neck of the humerus**.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is not provided, but based on the context, we can infer that the correct boundaries are related to muscles and the humerus.
- **Option B:** Similarly, this option is not provided but presumably relates to one of the correct boundaries.
- **Option C:** This option is likely related to one of the correct boundaries as well.
- **Option D:** The **humerus** (specifically, the surgical neck) is indeed one of the boundaries, making an option that does not belong to the actual boundaries incorrect.
## **Why the Correct Answer is .**
Given that the actual boundaries include the **subscapularis and teres minor muscles** (superiorly), **teres major muscle** (inferiorly), **long head of triceps brachii** (medially), and **surgical neck of humerus** (laterally), any option that does not represent one of these structures would be the correct answer to the question.
## **Clinical Pearl / High-Yield Fact**
The quadrilateral space is clinically significant because it is a site where the **axillary nerve** and **posterior circumflex humeral artery** pass through. Injury to these structures can lead to weakness of the deltoid muscle and teres minor, resulting in loss of shoulder abduction and external rotation.
## **Correct Answer: D. **