Morphology of the axillary nerve in an anteroinferior shoulder arthroscopy portal

John A. Nassar, Michael A. Wirth, Stephen S. Burkhart, Robert C. Schenck

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

An anteroinferior portal can be safely used in arthroscopic shoulder surgery but requires an in-depth knowledge of axillary nerve anatomy. The purpose of this report is to present the qualitative and spatial anatomy of the axillary nerve and to describe patterns of arborization that may affect safe anteroinferior arthroscopic portal placement. Measurements were taken in 42 embalmed cadaveric shoulders (20 male, 22 female). The distance from the acromioclavicular (AC) joint to the axillary nerve averaged 7.90 cm (range, 7.2 to 9.1 cm) in males and 6.37 cm (range, 5.2 to 8.1 cm) in females. We describe the axillary nerve index (distance of nerve from the AC joint/length of deltoid from AC joint) which can be used to predict the location of the axillary nerve along the anterior clavicular line (ACL). The axillary nerve index averaged 0.48 (range, 0.42 to 0.57) in males and 0.41 (range, 0.31 to 0.57) in females. Four types of morphology were noted in the axillary nerve: (1) main trunk with superior and inferior branches, (2) main trunk with superior branches, (3) main trunk with inferior branches, and (4) main trunk only. Our work supports the traditional operable safe zone for the axillary nerve.

Original languageEnglish (US)
Pages (from-to)600-605
Number of pages6
JournalArthroscopy
Volume13
Issue number5
DOIs
StatePublished - Oct 1997

Keywords

  • Anatomy
  • Arthroscopy
  • Axillary
  • Deltoid
  • Nerve
  • Portal

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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