Literature DB >> 26327791

Axillary nerve position in the anterosuperior approach of the shoulder: a cadaveric study.

Roberto Yukio Ikemoto1, Luis Gustavo Prata Nascimento1, Rogerio Serpone Bueno1, Luiz Henrique Oliveira Almeida1, Eric Strose1, Joel Murachovsky1.   

Abstract

OBJECTIVE: To determine the distance between the axillary nerve and the antero-lateral (AL) edge of the acromion, its anatomical variability and relationship to humeral length and body height.
METHODS: Twenty-two shoulders were dissected. The anterosuperior (AS) approach was used; the deltoid was detached from the acromion and the distance between the AL portion and the axillary nerve was measured and submitted to statistical analysis.
RESULTS: The distance varied from 4.3 to 6.4 cm (average 5.32 ± 0.60 cm). The axillary nerve distance increased as the humeral size (p<0.05) and the height of each cadaver increased. However, the correlation with the specimens height was not significant (p=0.24).
CONCLUSIONS: The distance between the acromion and the axillary nerve on the AS approach was 5.32 ± 0.60 cm in both shoulders, and increasing the humeral length there is also an increase in the axillary nerve distance. Level of Evidence IV, Case Series - Anatomic Study.

Entities:  

Keywords:  Anatomy, regional; Cadaver; Humerus; Shoulder/surgery

Year:  2015        PMID: 26327791      PMCID: PMC4544516          DOI: 10.1590/1413-78522015230100960

Source DB:  PubMed          Journal:  Acta Ortop Bras        ISSN: 1413-7852            Impact factor:   0.513


  11 in total

1.  Radial and axillary nerves. Anatomic considerations for humeral fixation.

Authors:  C M Bono; M G Grossman; N Hochwald; P Tornetta
Journal:  Clin Orthop Relat Res       Date:  2000-04       Impact factor: 4.176

2.  Applied anatomy of the axillary nerve for selective neurotization of the deltoid muscle.

Authors:  X Zhao; L K Hung; G M Zhang; J Lao
Journal:  Clin Orthop Relat Res       Date:  2001-09       Impact factor: 4.176

3.  The posterior branch of the axillary nerve: an anatomic study.

Authors:  Craig M Ball; Thomas Steger; Leesa M Galatz; Ken Yamaguchi
Journal:  J Bone Joint Surg Am       Date:  2003-08       Impact factor: 5.284

4.  Determining the relationship of the axillary nerve to the shoulder joint capsule from an arthroscopic perspective.

Authors:  Matthew R Price; Edward D Tillett; Robert D Acland; G Stephen Nettleton
Journal:  J Bone Joint Surg Am       Date:  2004-10       Impact factor: 5.284

5.  Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study.

Authors:  Ozgur Cetik; Murad Uslu; Halil Ibrahim Acar; Ayhan Comert; Ibrahim Tekdemir; Hakan Cift
Journal:  J Bone Joint Surg Am       Date:  2006-11       Impact factor: 5.284

6.  The internal topography of the axillary nerve: an anatomic and histologic study as it relates to microsurgery.

Authors:  O C Aszmann; A L Dellon
Journal:  J Reconstr Microsurg       Date:  1996-08       Impact factor: 2.873

7.  Surgical anatomy of the axillary nerve.

Authors:  W Z Burkhead; R R Scheinberg; G Box
Journal:  J Shoulder Elbow Surg       Date:  2009-02-02       Impact factor: 3.019

8.  Anatomy of the axillary nerve and its relation to inferior capsular shift.

Authors:  R Loomer; B Graham
Journal:  Clin Orthop Relat Res       Date:  1989-06       Impact factor: 4.176

9.  The axillary nerve and its relationship to common sports medicine shoulder procedures.

Authors:  W J Bryan; K Schauder; H S Tullos
Journal:  Am J Sports Med       Date:  1986 Mar-Apr       Impact factor: 6.202

10.  The anterior humeral circumflex vessels and the axillary nerve. An anatomic study.

Authors:  M J Duval; A W Parker; D Drez; M A Hinton
Journal:  Orthop Rev       Date:  1993-09
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  4 in total

1.  Re-definition of position and calculation of safe area for axillary nerve in deltoid muscle with its clinical relevance: a cadaveric study.

Authors:  Apurba Patra; Manjit Singh; Harsimarjit Kaur; Rajan Kumar Singla; Vishal Malhotra
Journal:  Anat Cell Biol       Date:  2018-06-27

2.  Unusual anatomic variant of the axillary nerve challenging the deltopectoral approach to the shoulder: a case report.

Authors:  Richard A Pizzo; Jeffrey Lynch; Donald M Adams; Richard S Yoon; Frank A Liporace
Journal:  Patient Saf Surg       Date:  2019-02-14

3.  MRI evaluation of axillary neurovascular bundle: Implications for minimally invasive proximal humerus fracture fixation.

Authors:  Eric B Wilkinson; Johnathan F Williams; Kyle D Paul; Jun Kit He; Justin R Hutto; Carl A Narducci; Gerald McGwin; Eugene W Brabston; Brent A Ponce
Journal:  JSES Int       Date:  2021-01-09

4.  Identifying the axillary nerve during shoulder surgery: an anatomic study using advanced imaging.

Authors:  Michael E Hachadorian; Brendon C Mitchell; Matthew Y Siow; Wilbur Wang; Tracey Bastrom; T Barrett Sullivan; Brady K Huang; Eric W Edmonds; William T Kent
Journal:  JSES Int       Date:  2020-07-25
  4 in total

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