Document Detail


The relevance of the anatomical basis of fracture for the subsequent treatment of the anterior humeral circumflex artery and the axillary nerve.
MedLine Citation:
PMID:  22198360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures.
METHODS: Thirty cadavers were included. The distances of both the anterior humeral circumflex artery and the axillary nerve from body landmarks were measured using Vernier calipers.
RESULTS: The mean distance between the inferior border of the medial acromion and the superior border of the anterior humeral circumflex artery was 5.1 ± 0.2 cm (range, 4.6-5.5 cm); the mean distance between the prominence of the lesser tuberosity and the superior border of the anterior humeral circumflex artery was 2.5 ± 0.2 cm (range, 2.0-3.0 cm); the mean distance between the anterior-inferior border of the acromion and the superior border of the axillary nerve was 6.3 ± 0.5 cm (range, 5.2-7.0 cm).
CONCLUSIONS: The artery is located approximately 5.1 cm below the inferior border of the medial acromion and 2.5 cm below the prominence of the lesser tuberosity, and the nerve was located approximately 6.3 cm below the anterio-inferior border of the acromion and 3.5 cm below the prominence of the greater tuberosity. The reduction manoeuvres should be conducted with extreme care in this region.
Authors:
Yun-Feng Chen; Nai-Feng Zhu; Chang-Qing Zhang; Lei Wang; Hai-Feng Wei; Ye Lu
Publication Detail:
Type:  Journal Article     Date:  2011-12-24
Journal Detail:
Title:  International orthopaedics     Volume:  36     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-26     Completed Date:  2012-07-19     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  783-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Shanghai Sixth People's Hospital, Jiaotong University, Shanghai, China. drchenyunfeng@yahoo.cn
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Axilla / innervation*
Cadaver
Female
Fracture Fixation / adverse effects,  methods*
Humans
Humeral Fractures / pathology,  surgery*
Humerus / blood supply*
Intraoperative Complications / etiology,  prevention & control
Male
Middle Aged
Peripheral Nerve Injuries / etiology,  prevention & control
Comments/Corrections

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