The axillary nerve is a major peripheral nerve of the upper limb. In this article, we shall look at the anatomy of the axillary nerve – its anatomical course, motor and sensory functions, and any clinical correlations.
Sensory Functions. The sensory component of the axillary nerve is delivered via its posterior terminal branch. After the posterior terminal branch of the axillary nerve has innervated the teres minor, it continues as the upper lateral cutaneous nerve of the arm.
The axillary nerve and posterior circumflex humeral artery and vein pass through the quadrangular space. These structures can be compressed as a result of trauma, muscle hypertrophy or space occupying lesion; resulting in weakness of the deltoid and teres minor. This is particularly common in athletes who perform overhead activities.
Motor functions – the deltoid and teres minor muscles will be affected, rendering the patient unable to abduct the affected limb. Sensory functions – the upper lateral cutaneous nerve of arm will be affected, resulting in loss of sensation over the inferior deltoid (‘regimental badge area’).
Sensory functions - the upper lateral cutaneous nerve of arm will be affected, resulting in loss of sensation over the inferior deltoid (‘regimental badge area’).
In a patient with axillary nerve damage, sensation at the regimental badge area may be impaired or absent. The patient may also report paraesthesia (pins and needles) in the distribution of the axillary nerve.
The axillary nerve then passes medially to the surgical neck of the humerus, where it divides into three terminal branches: Posterior terminal branch – provides motor innervation to the posterior aspect of the deltoid muscle and teres minor.
Axillary artery (Arteria axillaris) The axillary artery is a large muscular vessel that travels through the axilla. It is responsible for carrying oxygen-rich blood to the upper limb, as well as to parts of the musculocutaneous system of the scapula and upper lateral thorax .
Superior thoracic artery. The superior (highest) thoracic artery is the first branch of the axillary artery. It is given off proximal to the outer border of the anterior scalene muscle. It forms part of the arterial supply to the pectoral muscles .
As it passes through the axilla, the artery is divided into three parts by pectoralis minor, as the muscle travels superolaterally from its origin at the 3rd, 4th and 5th ribs to its insertion on the medial aspect of the coracoid process. Conveniently, each segment gives off a corresponding number of branches.
Lateral thoracic arter y. The other branch of the second part of the axillary artery is the lateral thoracic artery. It travels inferomedially along the inferior margin of pectoralis minor muscle . The lateral thoracic artery carries oxygenated blood for the structures of the thoracic wall: serratus anterior.
Thoracoacromial artery. The second part of the axillary artery gives rise to two vessels. The thoracoacromial (acromiothoracic) artery is a primary trunk that gives rise to four other arteries.
As a result of this attachment, the axillary artery is more easily palpated in the concavity of the axilla when the arm is adducted (close to the midline of the body) and the suspensory ligaments are relaxed, than when it is abducted (away from the midline of the body) and the suspensory ligaments are taut.
One branch leaves the first segment above, two branches from the second segment beneath and three branches leave the third segment below (all relative to pectoralis minor). While exiting the axilla, the axillary artery changes its name at the lower border of teres major and continues in the arm as the brachial artery .
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus ( upper trunk, posterior division, posterior cord) 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 ...
Function. The axillary nerve supplies three muscles in the arm: deltoid (a muscle of the shoulder), triceps (long head) and teres minor (one of the rotator cuff muscles). The axillary nerve also carries sensory information from the shoulder joint.
(Axillary nerve is visible in gray near center.) The suprascapular, axillary, and radial nerves. (Axillary labeled at upper right.) The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus ( upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) ...
The axillary nerve may be injured in anterior-inferior dislocations of the shoulder joint, compression of the axilla with a crutch or fracture of the surgical neck of the humerus . An example of injury to the axillary nerve includes axillary nerve palsy. Injury to the nerve results in:
The posterior cord of the brachial plexus splits inferiorly to the glenohumeral joint giving rise to the axillary nerve which wraps around the surgical neck of the humerus, and the radial nerve which wraps around the humerus anteriorly and descends along its lateral border.
The nerve 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 from anterior to posterior around the neck of the humerus, in company with the posterior humeral circumflex artery, through the quadrangular space (bounded above by the teres minor, ...
The posterior branch (lower branch) supplies the teres minor and the posterior part of the deltoid. The posterior branch pierces the deep fascia and continues as the superior (or upper) lateral cutaneous nerve of arm, which sweeps around the posterior border of the deltoid and supplies the skin over the lower two-thirds of the posterior part ...
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus (upper trunk, posterior division, posterior cord) 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 to innervate the deltoid and teres minor.
The nerve 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 from anterior to posterior around the neck of the humerus, in company with the posterior humeral circumflex artery, through the quadrangular space (bounded above by the teres minor, below by the teres major, medially by the long head of the triceps brachii, and laterally by t…
The axillary nerve supplies two muscles in the arm: 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. It also innervates the skin covering the inferior region of the deltoid muscle, known as the regimental badge area. This is innervated by the superior lateral cutaneous nerve branch of the axillary nerve.
The axillary nerve may be injured in anterior-inferior dislocations of the shoulder joint, compression of the axilla with a crutch or fracture of the surgical neck of the humerus. An example of injury to the axillary nerve includes axillary nerve palsy. Injury to the nerve results in:
• Paralysis of the teres minor muscle and deltoid muscle, resulting in loss of abduction of arm (from 15-90 degrees), weak flexion, extension, and rotation of shoulder. Paralysis of deltoid and teres …
• Axillary nerve dysfunction
• Axillary nerve at the Duke University Health System's Orthopedics program