The triangle of auscultation is a small gap in the muscles of the upper back near the lower angle of the scapula. It is bounded by trapezius, latissimus dorsi and the medial border of the scapula, with rhomboid major forming its floor in part. With little muscle in the way, breath sounds are heard clearly here.
| Location | Upper back, near the inferior angle of the scapula. |
|---|---|
| Boundaries |
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A thin area of the posterior chest wall useful for listening to the lungs and for surgical access.
Bending forward and folding the arms moves the scapulae apart and enlarges the triangle, making it easier to listen to the lower lobe of the lung. It is also used as an approach for thoracic paravertebral and rhomboid intercostal blocks and for limited thoracotomy incisions that spare major muscles.
Crackles or bronchial breathing from lower lobe pneumonia are best heard over the triangle of auscultation because little muscle lies between the chest wall and the stethoscope.
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