Anatomic variation of the spinal origins of lateral and medial pectoral nerves.

Lateral and medial pectoral nerves are distributed to the pectoralis major and minor muscles. The purpose of this study was to identify the spinal origins of lateral and medial pectoral nerves and to evaluate the participating amounts of each spinal nerve composing both pectoral nerves. Two types of spinal origins appeared in lateral pectoral nerves. The first type was composed of nerve fibers from C5, C6, and C7 with a frequency of 50.0% and the second type was composed of nerve fibers from C6 and C7 at a frequency of 50.0%. Regarding the average participating diameter to the lateral pectoral nerve, C7 was the thickest with a value of 1.60 +/- 0.35 mm (mean +/- SD), next was C6 at 0.83 +/- 0.18 mm, and C5 was the third at 0.42 +/- 0.24 mm. Three types of spinal origin appeared in the medial pectoral nerve. The first type was comprised of nerve fibers from C8 and T1 in 73.3% of cases. The second type was comprised of C8 only in 23.4% of cases, and the third type was comprised of T1 only in 3.3% of cases. The average participating diameter was 0.71 +/- 0.22 mm from C8 and 0.52 +/- 0.17 mm from T1. These results show that the spinal origins of the both pectoral nerves were various. Participating amounts of the lateral pectoral nerve appeared sequentially in the order of C7, C6, and C5. In the medial pectoral nerve, C8 participated more amounts than T1. 2007 Wiley-Liss, Inc