AXILLARY NERVE POSITION IN THE ANTEROSUPERIOR APPROACH OF THE SHOULDER: A CADAVERIC STUDY

被引:7
作者
Ikemoto, Roberto Yukio [1 ]
Prata Nascimento, Luis Gustavo [1 ]
Bueno, Rogerio Serpone [1 ]
Oliveira Almeida, Luiz Henrique [1 ]
Strose, Eric [1 ]
Murachovsky, Joel [1 ]
机构
[1] ABC, Fac Med, Santo Andre, SP, Brazil
来源
ACTA ORTOPEDICA BRASILEIRA | 2015年 / 23卷 / 01期
关键词
Shoulder/surgery; Anatomy; regional; Humerus; Cadaver;
D O I
10.1590/1413-78522015230100960
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:26 / 28
页数:3
相关论文
共 19 条
[1]   The internal topography of the axillary nerve: An anatomic and histologic study as it relates to microsurgery [J].
Aszmann, OC ;
Dellon, AL .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1996, 12 (06) :359-363
[2]   The posterior branch of the axillary nerve: An anatomic study [J].
Ball, CM ;
Steger, T ;
Galatz, LM ;
Yamaguchi, K .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (08) :1497-1501
[3]  
Bono CM, 2000, CLIN ORTHOP RELAT R, P259
[4]   THE AXILLARY NERVE AND ITS RELATIONSHIP TO COMMON SPORTS MEDICINE SHOULDER PROCEDURES [J].
BRYAN, WJ ;
SCHAUDER, K ;
TULLOS, HS .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1986, 14 (02) :113-116
[5]  
Burkhead W Z Jr, 1992, J Shoulder Elbow Surg, V1, P31, DOI 10.1016/S1058-2746(09)80014-1
[6]   Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study [J].
Cetik, Ozgur ;
Uslu, Murad ;
Acar, Halil Ibrahim ;
Comert, Ayhan ;
Tekdemir, Ibrahim ;
Cift, Hakan .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (11) :2395-2399
[7]  
Copeland SA, 2003, TECH SHOULDER ELBOW, V4, P199
[8]  
Duval M J, 1993, Orthop Rev, V22, P1023
[9]  
Ferreira AA, 1989, REV BRAS ORTOP, V24, P176
[10]  
Flatow E L, 1992, Orthop Rev, V21, P503