Anatomy and quantitation of the subscapular nerves

R. Shane Tubbs, Marios Loukas, Kameron Shahid, Tanya Judge, Jeremy Pinyard, Mohammadali Mohajel Shoja, John B. Slappey, William C. McEvoy, W. Jerry Oakes

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Information regarding branches of the brachial plexus can be of utility to the surgeon for neurotization procedures following injury. Sixty-two adult cadaveric upper extremities were dissected and the subscapular nerves identified and measured. The upper subscapular nerve originated from the posterior cord in 97% of the cases and in 3% of the cases directly from the axillary nerve. The upper subscapular nerve originated as a single nerve in 90.3% of the cases, as two independent nerve trunks in 8% of the cases and as three independent nerve trunks in 1.6% of the cases. The thoracodorsal nerve originated from the posterior cord in 98.5% of the cases and in 1.5% of the cases directly from the proximal segment of the radial nerve. The thoracodorsal nerve always originated as a single nerve from the brachial plexus. The lower subscapular nerve originated from the posterior cord in 79% of the cases and in 21% of the cases directly from the proximal segment of the axillary nerve. The lower subscapular nerve originated as a single nerve in 93.6% of the cases and as two independent nerve trunks in 6.4% of the cases. The mean length of the lower subscapular nerve from its origin until it provided its branch into the subscapularis muscle was 3.5 cm and the mean distance from this branch until its termination into the teres major muscle was 6 cm. The mean diameter of this nerve was 1.9 mm. The mean length of the upper subscapular nerve from its origin to its termination into the subscapularis muscle was 5 cm and the mean diameter of the nerve was 2.3 mm. The mean length of the thoracodorsal nerve from its origin to its termination into the latissimus dorsi muscle was 13.7 cm. The mean diameter of this nerve was 2.6 mm. Our hopes are that these data will prove useful to the surgeon in surgical planning for potential neurotization procedures of the brachial plexus.

Original languageEnglish (US)
Pages (from-to)656-659
Number of pages4
JournalClinical Anatomy
Volume20
Issue number6
DOIs
StatePublished - Sep 13 2007
Externally publishedYes

Fingerprint

Brachial Plexus
Anatomy
Nerve Transfer
Muscles
Rotator Cuff
Radial Nerve
Superficial Back Muscles
Upper Extremity
Wounds and Injuries
Surgeons

Keywords

  • Anatomy
  • Brachial plexus
  • Peripheral nerve
  • Posterior cord
  • Variation

ASJC Scopus subject areas

  • Anatomy
  • Histology

Cite this

Tubbs, R. S., Loukas, M., Shahid, K., Judge, T., Pinyard, J., Mohajel Shoja, M., ... Oakes, W. J. (2007). Anatomy and quantitation of the subscapular nerves. Clinical Anatomy, 20(6), 656-659. https://doi.org/10.1002/ca.20478

Anatomy and quantitation of the subscapular nerves. / Tubbs, R. Shane; Loukas, Marios; Shahid, Kameron; Judge, Tanya; Pinyard, Jeremy; Mohajel Shoja, Mohammadali; Slappey, John B.; McEvoy, William C.; Oakes, W. Jerry.

In: Clinical Anatomy, Vol. 20, No. 6, 13.09.2007, p. 656-659.

Research output: Contribution to journalArticle

Tubbs, RS, Loukas, M, Shahid, K, Judge, T, Pinyard, J, Mohajel Shoja, M, Slappey, JB, McEvoy, WC & Oakes, WJ 2007, 'Anatomy and quantitation of the subscapular nerves', Clinical Anatomy, vol. 20, no. 6, pp. 656-659. https://doi.org/10.1002/ca.20478
Tubbs RS, Loukas M, Shahid K, Judge T, Pinyard J, Mohajel Shoja M et al. Anatomy and quantitation of the subscapular nerves. Clinical Anatomy. 2007 Sep 13;20(6):656-659. https://doi.org/10.1002/ca.20478
Tubbs, R. Shane ; Loukas, Marios ; Shahid, Kameron ; Judge, Tanya ; Pinyard, Jeremy ; Mohajel Shoja, Mohammadali ; Slappey, John B. ; McEvoy, William C. ; Oakes, W. Jerry. / Anatomy and quantitation of the subscapular nerves. In: Clinical Anatomy. 2007 ; Vol. 20, No. 6. pp. 656-659.
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abstract = "Information regarding branches of the brachial plexus can be of utility to the surgeon for neurotization procedures following injury. Sixty-two adult cadaveric upper extremities were dissected and the subscapular nerves identified and measured. The upper subscapular nerve originated from the posterior cord in 97{\%} of the cases and in 3{\%} of the cases directly from the axillary nerve. The upper subscapular nerve originated as a single nerve in 90.3{\%} of the cases, as two independent nerve trunks in 8{\%} of the cases and as three independent nerve trunks in 1.6{\%} of the cases. The thoracodorsal nerve originated from the posterior cord in 98.5{\%} of the cases and in 1.5{\%} of the cases directly from the proximal segment of the radial nerve. The thoracodorsal nerve always originated as a single nerve from the brachial plexus. The lower subscapular nerve originated from the posterior cord in 79{\%} of the cases and in 21{\%} of the cases directly from the proximal segment of the axillary nerve. The lower subscapular nerve originated as a single nerve in 93.6{\%} of the cases and as two independent nerve trunks in 6.4{\%} of the cases. The mean length of the lower subscapular nerve from its origin until it provided its branch into the subscapularis muscle was 3.5 cm and the mean distance from this branch until its termination into the teres major muscle was 6 cm. The mean diameter of this nerve was 1.9 mm. The mean length of the upper subscapular nerve from its origin to its termination into the subscapularis muscle was 5 cm and the mean diameter of the nerve was 2.3 mm. The mean length of the thoracodorsal nerve from its origin to its termination into the latissimus dorsi muscle was 13.7 cm. The mean diameter of this nerve was 2.6 mm. Our hopes are that these data will prove useful to the surgeon in surgical planning for potential neurotization procedures of the brachial plexus.",
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