Title of article :
Extensile approach to the anterolateral surface of the humerus and the radial nerve
Author/Authors :
Mekhail، نويسنده , , Anis O. and Checroun، نويسنده , , Anthony J. and Ebraheim، نويسنده , , Nabil A. and Jackson، نويسنده , , William T. and Yeasting، نويسنده , , Richard A.، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1999
Pages :
7
From page :
112
To page :
118
Abstract :
A proposed approach to the anterolateral surface of the humeral shaft that would allow for exploration of the radial nerve was studied in 30 cadaver arms. The incision starts proximally along the posterior border of the deltoid muscle and extends anteriorly and distally over the lateral border of the biceps muscle. A deep dissection is made in the internervous plane between the deltoid and the triceps muscles proximally and between the longitudinally split fibers of the brachialis muscle distally. The approach provides access to the anterolateral surface of the humerus up to the level of the axillary nerve and the posterior circumflex humeral vessels. The insertion of the deltoid muscle into the anterior border of the humerus is preserved and the radial nerve is protected by the triceps muscle proximally and by the retracted lateral protion of the brachialis muscle distally. The entire course of the radial nerve in the arm can be exposed. Proximally, the radial nerve can be exposed by elevating the lateral head of the triceps muscle from the humerus. Distally, the radial nerve can be exposed between the brachioradialis and the brachialis muscles. A plate can be applied on the anterolateral surface of the humerus without having to elevate the firmly attached anterior deltoid insertion.
Journal title :
Journal of Shoulder and Elbow Surgery
Serial Year :
1999
Journal title :
Journal of Shoulder and Elbow Surgery
Record number :
1864588
Link To Document :
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