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Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures

Dissertation (MSc)--University of Pretoria, 2019.

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Other Authors: Van Schoor, Albert-Neels
Format: Thesis
Language:English
Published: University of Pretoria 2020
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access_status_str Open Access
author2 Van Schoor, Albert-Neels
author_browse Van Schoor, Albert-Neels
author_facet Van Schoor, Albert-Neels
collection Thesis
dc_rights_str_mv © 2020 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc)--University of Pretoria, 2019.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:37:11.932Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2020
publishDateRange 2020
publishDateSort 2020
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/76775 Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures Van Schoor, Albert-Neels u12075699@tuks.co.za Keough, Natalie Beytell, Levé UCTD axillary approach axilla axillary nerve radial nerve nerve transfer Health sciences theses SDG-03 SDG-03: Good health and well-being Health sciences theses SDG-09 SDG-09: Industry, innovation and infrastructure Health sciences theses SDG-17 SDG-17: Partnerships for the goals Dissertation (MSc)--University of Pretoria, 2019. Having detailed anatomical knowledge when performing surgeries, is crucial to ensure a successful outcome. This is especially true when undertaking relatively new procedures. Even though nerve transfers and nerve grafts have been performed on the different parts of the brachial plexus for some time, nerve transfer and grafting procedures involving the axillary and radial nerves using a newly proposed axillary approach has not yet been fully studied. This study provides some enlightenment to the anatomy surrounding the axillary approach, with special regard to the axillary and radial nerves and their branches. The axillae of 51 (26 female and 25 male) formalin fixed cadavers were bilaterally dissected using a simulation of the axillary approach, which has been described to gain access to the brachial plexus in a clinical setting. Following which, various distances between easily identifiable anatomical landmarks and relevant neurovascular structures were measured, and observations regarding the relationship of these structures to the landmarks were recorded. This study found that the axillary nerve and its anterior and posterior divisions, as well as the radial nerve with its nerve to the long head of triceps brachii muscle could be easily identified however, their proximal parts were situated fairly deep and therefore were difficult to expose. Methods such as the musculo-arterial triangle described by Bertelli et al., which was designed to aid in identification on localization of the axillary nerve was also assessed; it was found to be relatively successful, however more consistent landmarks might be considered. In conclusion this study found that the axillary approach may serve as a reliable and safe method to reach the axillary and radial nerves, as well as their branches, allowing for adequate exposure when considering a nerve transfer or graft. em2025 Anatomy MSc Unrestricted SDG-03: Good health and well-being SDG-09: Industry, innovation and infrastructure SDG-17: Partnerships for the goals 2020-11-04T15:09:50Z 2020-11-04T15:09:50Z 20/04/24 2019 Dissertation Beytell, L 2019, Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures, MSc Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/76775> A2020 http://hdl.handle.net/2263/76775 en © 2020 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
axillary approach
axilla
axillary nerve
radial nerve
nerve transfer
Health sciences theses SDG-03
SDG-03: Good health and well-being
Health sciences theses SDG-09
SDG-09: Industry, innovation and infrastructure
Health sciences theses SDG-17
SDG-17: Partnerships for the goals
Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title_full Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title_fullStr Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title_full_unstemmed Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title_short Anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
title_sort anatomical evaluation of the axillary approach to the axillary and radial nerves for nerve transfer or nerve grafting procedures
topic UCTD
axillary approach
axilla
axillary nerve
radial nerve
nerve transfer
Health sciences theses SDG-03
SDG-03: Good health and well-being
Health sciences theses SDG-09
SDG-09: Industry, innovation and infrastructure
Health sciences theses SDG-17
SDG-17: Partnerships for the goals
url http://hdl.handle.net/2263/76775