Axillary nerve
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| Nerve: Axillary nerve | |
|---|---|
| Brachial plexus. (Axillary nerve is visible in gray near center.) | |
| The suprascapular, axillary, and radial nerves. (Axillary labeled at upper right.) | |
| Latin | nervus axillaris |
| Gray's | subject #210 934 |
| Innervates | deltoid, teres minor, axilla |
| From | posterior cord (C5, C6) |
| Dorlands / Elsevier | n_05/12565259 |
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The axillary nerve is a nerve of the human body, that comes off the posterior cord of the brachial plexus at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein.
Muscular and sensory innervation
It supplies two muscles, deltoid (a muscle of the shoulder), and teres minor (one of the rotator cuff muscles).
The axillary nerve also carries sensory information from the shoulder joint, as well as the skin covering the inferior region of the deltoid muscle (which is innervated by the Superior Lateral Cutaneous Nerve branch of the Axillary nerve).
When the axillary nerve splits off from the posterior cord, the continuation of the cord is the radial nerve.
Branches
It lies at first behind the axillary artery, and in front of the Subscapularis, and passes downward to the lower border of that muscle.
It then winds backward, in company with the posterior humeral circumflex artery, through a quadrilateral space bounded above by the Teres Minor, below by the Teres major, medially by the long head of the Triceps brachii, and laterally by the surgical neck of the humerus, and divides into an anterior and a posterior branch.
- The anterior branch (upper branch) winds around the surgical neck of the humerus, beneath the Deltoideus, with the posterior humeral circumflex vessels, as far as the anterior border of that muscle, supplying it, and giving off a few small cutaneous branches, which pierce the muscle and ramify in the skin covering its lower part.
- The posterior branch (lower branch) supplies the Teres minor and the posterior part of the Deltoideus; upon the branch to the Teres minor an oval enlargement (pseudoganglion) usually exists. The posterior branch then pierces the deep fascia and is continued as the lateral brachial cutaneous nerve, which sweeps around the posterior border of the Deltoideus and supplies the skin over the lower two-thirds of the posterior part of this muscle, as well as that covering the long head of the Triceps brachii.
The trunk of the axillary nerve gives off an articular filament which enters the shoulder-joint below the Subscapularis.
Injury
The axillary nerve may be injured in anterior dislocations of the shoulder joint, compression of the axilla with a crutch or fracture of the surgical neck of the humerus. Injury to the nerve results in: -
1. Paralysis of the teres minor and deltoid muscles. Abduction of the shoulder is impaired.
2. Loss of sensation over a small part of the lateral upper arm
Additional images
External links
- Duke Orthopedics axillary_nerve
- Axillary+nerve at eMedicine Dictionary
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
Nerves of upper limbs (primarily): the brachial plexus (C5-T1) | |
|---|---|
| Supraclavicular | root (dorsal scapular, long thoracic) - upper trunk (suprascapular, to the subclavius) |
| Infraclavicular: lateral cord | lateral pectoral
musculocutaneous (lateral cutaneous of forearm) median/lateral root: anterior interosseous - palmar - recurrent - common palmar digital (proper palmar digital) |
| Infraclavicular: medial cord | medial pectoral
cutaneous: medial cutaneous of forearm • medial cutaneous of arm ulnar: muscular - palmar - dorsal (dorsal digital nerves) - superficial (common palmar digital, proper palmar digital) - deep median/medial root: see above |
| Infraclavicular: posterior cord | subscapular (upper, lower) • thoracodorsal
axillary (superior lateral cutaneous of arm) radial: muscular - cutaneous (posterior of arm, inferior lateral of arm, posterior of forearm) - superficial (dorsal digital nerves) - deep (posterior interosseous) |
| Other | cutaneous innervation of the upper limbs |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

