Spinal accessory nerve in a trapezius-splitting surgical approach.

Abstract:

:To elucidate the safe limits for muscle-splitting incisions of the trapezius muscle, 25 cadaver shoulders were studied. To describe the position of the nerve distances were expressed as a percentage of the distance from the tips of the vertebral spinous processes to the lateral tip of the acromion. The spinal accessory nerve was found to run a vertical course medial and parallel to the vertebral border of the scapula. Three to six nerve branches (average 3.8) also ran a vertical course lying between 33% to 50% of the distance from the tips of the vertebral spinous processes to the lateral tip of the acromion. The most lateral branch lay an average at 44% distance and never beyond 50%. Muscle-splitting incisions are relatively safe in the lateral 50% of the muscle. In the medial half they are to be avoided or pursued with great caution.

journal_name

J Shoulder Elbow Surg

authors

Jobe CM,Kropp WE,Wood VE

doi

10.1016/s1058-2746(05)80007-2

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

206-8

issue

3

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(05)80007-2

journal_volume

5

pub_type

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