{"id":832,"date":"2017-08-31T06:37:27","date_gmt":"2017-08-31T06:37:27","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=832"},"modified":"2017-08-31T06:39:59","modified_gmt":"2017-08-31T06:39:59","slug":"ijar-2017-296","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-296","title":{"rendered":"IJAR.2017.296"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"http:\/\/www.ijmhr.org\/ijar.5.3\/IJAR.2017.296.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-5-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 3.2 (August 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04242-4246<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.296<\/h3>\n<h3 style=\"text-align: justify;\">STUDY OF VARIATIONS IN THE ORIGIN OF AXILLARY NERVE FROM THE POSTERIOR CORD OF BRACHIAL PLEXUS AND ITS CLINICAL IMPORTANCE<\/h3>\n<p style=\"text-align: justify;\"><strong>Suman Tiwari *<sup>1<\/sup>, Jyothi N Nayak <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1 <\/sup>Associate Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Tutor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for correspondence: <\/strong>Dr. Suman Tiwari, Associate Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Hosakote, Bangalore-562114, Karnataka, India.\u00a0 <strong>E-Mail:<\/strong> sumanravi80@gmail.com<em>\u00a0<\/em><\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background<\/strong>: Axillary nerve, one of the terminal branches of posterior cord of brachial plexus is more prone for iatrogenic injuries. Lack of proper anatomical knowledge and variations of axillary nerve leads to an increased risk of nerve injuries. The present study describes the origin of axillary nerve, its distance of origin from anteromedial aspect of coracoid process, posterolateral aspect of acromion process, and its termination.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and<\/strong> <strong>Methods:<\/strong> 50 brachial plexuses from 25 adult embalmed human cadavers of both the sexes were studied by dissection method at the Department of Anatomy, MVJ Medical College, Bangalore.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> In 41(82%) specimens, axillary nerve originated from the posterior cord of brachial plexus and in\u00a0\u00a0 9(18%) specimens axillary nerve originated as a common trunk along with thoracodorsal &amp; lower subscapular or thoracodorsal, upper &amp; lower subscapular, or only with lower subscapular nerve from the posterior cord of brachial plexus. The mean distance of origin of axillary nerve from the anteromedial aspect of coracoid process and posterolateral aspect of acromion process is 3.67cm &amp; 6.43cm respectively. The axillary nerve terminated into anterior and posterior divisions within quadrangular space in all the specimens.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong>\u00a0 Knowledge of variations of axillary nerve is of immense significance to clinicians, anaesthetists and orthopaedic surgeons during surgical exploration of neck, axilla and upper arm, fracture of surgical neck of humerus, shoulder dislocation and infraclavicular brachial plexus block.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong>: Axillary nerve, Acromion process, Coracoid process, Thoracodorsal, Lower subscapular.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Standring S. Gray\u2019s anatomy. Pectoral girdle, Shoulder region, Axilla. The Anatomical basis of clinical practice. 40<sup>th<\/sup> , London: Elsevier Churchill Livingstone; 2008:821-22.<\/li>\n<li style=\"text-align: justify;\">Marios Loukas, Joanna Grabska, Shane Tubbs, Nihal Apaydin, Robert Jordan. Mapping the axillary nerve within the deltoid muscle. Surgical and Radiologic Anatomy. 2009;31(3):43-47.<\/li>\n<li style=\"text-align: justify;\">Gurushantappa PK, Kuppasad S. Anatomy of Axillary Nerve and Its Clinical Importance: A Cadaveric Study. Journal of Clinical and Diagnostic Research. 2015;9(3):AC13-AC17.<\/li>\n<li style=\"text-align: justify;\">Darji A, Chauhan H, Khatri H, Aterkar S, Pensi CA. Variations in Branching Pattern of Brachial Plexus: A Cadaveric study. Int Journal of Biomedical and Advance Research. 2013;4(3):174-178.<\/li>\n<li style=\"text-align: justify;\">Bhosale SM, Mallashetty NS. Study of variations in the origin and distance of origin of axillary nerve of the posterior cord of brachial plexus. Int J Cur Res Rev. 2014;6(15):41-44.<\/li>\n<li style=\"text-align: justify;\">Rastogi R, Budhiraja V, Bansal K. Posterior Cord of Brachial Plexus and Its Branches: Anatomical Variations and Clinical Implication. Hindwai Publishing Corporation ISRN Anatomy. 2012;2013:1-3.<\/li>\n<li style=\"text-align: justify;\">Gaur S, Katariya SK, Vaishnani H, Wani IN, Bondre KV et al. A cadaveric study of variation of posterior cord of brachial plexus. Int J Biol Med Res. 2012;3(3):2214-2217.<\/li>\n<li style=\"text-align: justify;\">Chaudhary P, Singla R, Kalsey G, Arora K. Branching pattern of the posterior cord of brachial plexus: A cadaveric study. Journal of Clinical and Diagnostic Research<em>. <\/em>2011;5(4):787\u2013790.<\/li>\n<li style=\"text-align: justify;\">Tubbs RS, Oakes PAC, \u00a0Blount JP, \u00a0Salter G, et al. Surgical landmarks for the proximal portion of the axillary nerve. Journal of Neurosurgery. 2001;95(6):998-1000.<\/li>\n<li style=\"text-align: justify;\">Uz A, Apaydin N, Rozkut M, Fihan A. The anatomic branch pattern of the axillary nerve. Journal of Shoulder &amp; Elbow Surgery. 2007;16(2):240-44.<\/li>\n<li style=\"text-align: justify;\">Burkhead WZ, Scheinberg RR, Box G. Surgical anatomy of the axillary nerve. J Shoulder Elbow Surg. 1992;1:31-36.<\/li>\n<li style=\"text-align: justify;\">Cetik O, Uslu M, Acar HI, Comert A, Tekdemir I et al. Is there a safe area for the axillary nerve in the deltoid muscle? Journal of Bone and Joint Surgery. 2006<em>; 88<\/em>-A.<\/li>\n<li style=\"text-align: justify;\">Muthoka JM, Sinkeet SR, Shahbal SH, Matakwa LC, Ogeng\u2019o JA. Variations in branching of the posterior cord of brachial plexus in a Kenyan population. Journal of Brachial Plexus and Peripheral Nerve Injury. 2011;6:1<\/li>\n<li style=\"text-align: justify;\">Apaydin N, Tubbs RS, Loukas M, Dupare F. Review of the surgical Anatomy of the axillary nerve and the anatomic basis of its iatrogenic and traumatic injury. Surg &amp; Radiol Anat. 2010; 32(3): 193-201.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Suman Tiwari, Jyothi N Nayak. STUDY OF VARIATIONS IN THE ORIGIN OF AXILLARY NERVE FROM THE POSTERIOR CORD OF BRACHIAL PLEXUS AND ITS CLINICAL IMPORTANCE. Int J Anat Res 2017;5(3.2):4242-4246. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.296 \u00a0\n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 3.2 (August 2017) Page No.:\u00a04242-4246 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.296 STUDY OF VARIATIONS IN THE ORIGIN OF AXILLARY NERVE FROM THE POSTERIOR CORD OF BRACHIAL PLEXUS AND ITS CLINICAL IMPORTANCE Suman Tiwari *1, Jyothi N Nayak 2. *1 Associate Professor, Department of Anatomy, MVJ Medical College &amp; Research Hospital, Bangalore, India. 2<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-296\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/832"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=832"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/832\/revisions"}],"predecessor-version":[{"id":833,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/832\/revisions\/833"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}