Anatomical considerations for nerve transfer in axillary nerve injury.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
13 Jan 2024
Historique:
received: 04 08 2023
accepted: 11 01 2024
medline: 14 1 2024
pubmed: 14 1 2024
entrez: 13 1 2024
Statut: epublish

Résumé

This study investigated the anatomical details of the axillary and radial nerves in 50 upper limbs from 29 adult formalin-embalmed cadavers, and ten fresh upper limbs. The focus was on understanding the course, division, and ramifications of these nerves to improve treatment of shoulder dysfunction caused by axillary nerve damage. The axillary nerve divided anteriorly and posteriorly before passing the quadrangular space in all specimens, with specific distances to the first ramifications. It was found that the deltoid muscle's clavicular and acromial parts were always innervated by the anterior division of the axillary nerve, whereas the spinous part was variably innervated. The longest and thickest branches of the radial nerve to the triceps muscles were identified, with no statistically significant differences in fiber numbers among triceps branches. The study concludes that nerve transfer to the anterior division of the axillary nerve can restore the deltoid muscle in about 86% of shoulders, and the teres minor muscle can be restored by nerve transfer to the posterior division. The medial head branch and long head branch of radial nerve were identified as the best donor options.

Identifiants

pubmed: 38218996
doi: 10.1038/s41598-024-51923-w
pii: 10.1038/s41598-024-51923-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1262

Informations de copyright

© 2024. The Author(s).

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Auteurs

Soo-Jung Kim (SJ)

Department of Anatomy, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Department of Medicine, The Graduate School Yonsei University, Seoul, Republic of Korea.

Jong-Ho Bang (JH)

Surgical Anatomy Education Center, Yonsei University College of Medicine, Seoul, Republic of Korea.

Hee-Jun Yang (HJ)

Department of Anatomy, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
The Youth Clinic, Bucheon-si, Gyeonggi-do, Republic of Korea.

Seong-Hwan Moon (SH)

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Yun-Rak Choi (YR)

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Hye-Yeon Lee (HY)

Department of Anatomy, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. leehy@yuhs.ac.

Classifications MeSH