AXILLARY NERVE SUPPLYING MOTOR BRANCH TO LONG HEAD OF TRICEPS BRACHII MUSCLE: A CASE REPORT AND REVIEW OF LITERATURE

Author:

Dasegowda Giridhar1,Rangappa Seema Shimoga2

Affiliation:

1. Research Assistant, Department of Anatomy, ESIC MC & PGIMSR, Rajajinagar, Bengaluru, India.

2. HOD, Department of Anatomy, ESIC MC & PGIMSR, Rajajinagar, Bengaluru, India.

Abstract

All three heads of the triceps brachii are classically described as being innervated by the radial nerve in the textbooks. Some clinical observations of traumatic injuries of the axillary nerve with associated paralysis of the long head of triceps and cadaveric studies have suggested that the axillary nerve may innervate the long head of triceps. During routine dissection to undergraduate M.B.B.S students, we found axillary nerve giving a motor branch to long head of triceps brachii on right side, in an adult male cadaver aged about 60 years. We conducted extensive literature search to analyse the previous studies reporting such variations and the studies conducted on the radial nerve or triceps brachii innervation pattern. This variation is clinically important for surgeons, orthopedicians and anaesthetist while performing surgeries and pain management therapies on the upper limb.

Publisher

World Wide Journals

Reference20 articles.

1. Standring S. 2008. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 40 Ed. New York: Churchill. Livingstone, Elsevier.

2. Ball CM, Steger T, Galatz LM, Yamaguchi K, The posterior branch of the axillary nerve: an anatomic study. J Bone Joint Surg. 2003, 85; 1497- 1501.

3. Nanjundaiah K, Jayadevaiah SM, Chowdapurkar S. Long head of triceps supplied by axillary nerve, a case Report, International Journal of Anatomical Variations (2012) 5: 35–37.

4. Erhardt AJ, Futterman B. Variations in the Innervation of the Long Head of the Triceps Brachii: A Cadaveric Investigation. Clin Orthop Relat Res. 2017 Jan;475(1):247-250.

5. Al-Meshal O, Gilbert A. Triceps innervation pattern: implications for triceps nerve to deltoid nerve transfer. Biomed Res Int.2013.

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