Medial brachial fascial compartment syndrome: anatomic basis of neuropathy after transaxillary arteriography.

Abstract:

:The authors reviewed their experience with 320 transaxillary arteriograms, as well as the English-language literature on neuropathy complicating transaxillary arteriography. Three of their patients had median and ulnar motor and sensory nerve injury, and six others had only sensory involvement. The occurrence or severity of nerve injury did not correlate well with the size or presence of an observable axillary or arm hematoma. Dissection of the axillae and arms of 25 human cadavers revealed a tough medial brachial fascial compartment (MBFC) outside a thin axillary sheath. The median and ulnar nerves were within the MBFC at an arterial puncture site just lateral to the anterior axillary fold. The radial and musculocutaneous nerves exited the MBFC more proximally. The different levels at which the major nerves of the brachial plexus exit the MBFC explain the anatomic distribution of the nerve injuries associated with compression by a hematoma after transaxillary arteriography.

journal_name

Radiology

journal_title

Radiology

authors

Smith DC,Mitchell DA,Peterson GW,Will AD,Mera SS,Smith LL

doi

10.1148/radiology.173.1.2675180

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

149-54

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

173

pub_type

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