Surgical anatomy of the axillary nerve branches to the deltoid muscle.
Variations in the innervation of the posterior deltoid muscle by the anterior branch of the axillary nerve have been reported. The objective of this study is to clarify the anatomy of the axillary nerve branches to the deltoid muscle. One hundred and twenty-nine arms (68 right and 61 left) from 88 embalmed cadavers (83 male and 46 female) were included in the study. The anterior and posterior branches of the axillary nerve were identified and their lengths were measured from the point of emergence from the axillary nerve to their terminations in the deltoid muscle. In all cases, the axillary nerves split into two branches (anterior and posterior) within the quadrangular space and none split within the deltoid muscle. In all specimens, the anterior and middle parts of the deltoid muscle received their nerve supplies from the anterior branch of the axillary nerve. The posterior part of the deltoid muscle was supplied only by the anterior branch of the axillary nerve in 2.3% of the specimens, from the posterior branch in 8.5%, and from both branches in 89.1%. There were two sub-branches of the anterior branch in 4.7% of the specimens. The anterior branch of the axillary nerve supplied not only the anterior and middle parts of the deltoid muscle but also the posterior part in most cases (91.5%).
Institute of Orthopaedics, Lerdsin General Hospital, Bangkok, Thailand.
Somsak
S
Leechavengvongs
Tanawit
T
Teerawutthichaikit
Kiat
K
Witoonchart
Chairoj
C
Uerpairojkit
Kanchai
K
Malungpaishrope
Sunikom
S
Suppauksorn
Boonsong
B
Chareonwat
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla; D001917:Brachial Plexus / Q000033:anatomy & histology*; D002102:Cadaver; D057645:Deltoid Muscle / Q000294:innervation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult
C5, C6 brachial plexus injury; branches of the axillary nerve; nerve transfer to axillary nerve; reinnervation of deltoid muscle