Tubbs R S, Oakes W J, Blount J P, Elton S, Salter G, Grabb P A
Department of Pediatric Neurosurgery, The Children's Hospital of Alabama, 35233, USA.
J Neurosurg. 2001 Dec;95(6):998-1000. doi: 10.3171/jns.2001.95.6.0998.
The proximal segment of the axillary nerve (ANp) is often difficult to identify without extensive dissection deep into the axilla. The present study was performed to find reliable surgical landmarks for this nerve.
Thirty dissections of human cadavers were performed to determine the relationships between the ANp and specific anatomical structures. The authors found that the ANp is consistently located within an anatomical triangle constructed by lines passing between the coracobrachialis and pectoralis minor muscles and the axillary artery. In addition, the ANp was routinely found 4 cm distal to the coracoid process of the scapula.
These findings should assist the surgeon in locating the ANp during brachial plexus reconstruction.
在不深入腋窝进行广泛解剖的情况下，腋神经近端（ANp）通常难以识别。本研究旨在寻找该神经可靠的手术标志。
对30具人体尸体进行解剖，以确定ANp与特定解剖结构之间的关系。作者发现，ANp始终位于由肱二头肌短头和胸小肌之间的连线以及腋动脉所构成的解剖三角内。此外，通常在肩胛骨喙突远端4厘米处可找到ANp。
这些发现应有助于外科医生在臂丛神经重建过程中定位ANp。
