Entrapment of the Subscapular Artery between the Radial Nerve and the Posterior Wall of the Axilla: An Anatomical Variation with Clinical Significance

Authors

  • Dimitra Daskalopoulou Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens; Department of Plastic and Reconstructive Surgery, Naval Hospital Athens, Athens, Greece
  • Dimosthenis Chrysikos Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • Alexandros Samolis Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • George Tsakotos Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • Amir Shihada Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • Maria Piagkou Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
  • Theodore Troupis Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece

DOI:

https://doi.org/10.5644/ama2006-124.435

Keywords:

Subscapular Artery, Artery Entrapment, Kinking of Artery, Radial Nerve, Reconstructive Surgery

Abstract

Objective. The subscapular artery vascularizes a substantial region of the thoracic wall, and the significance of its distribution is well depicted in the diversity of reconstructive procedures that rely on its blood supply. The aim of this study is to present an uncommon anatomical variation of the artery and discuss the clinical implications of its presence.

Case Report. This case report depicts a rare variant of compression and the kinking of the subscapular artery by the radial nerve on the posterior wall of the axilla that was encountered during dissection of a male cadaver of Greek origin.

Conclusion. The use of autologous tissues in the reconstruction of defects and treatment of lymphedema is expanding, so the need to establish safer surgical dissections is also becoming more apparent. The case of entrapment of the subscapular artery by the radial nerve is extremely rare, however, utiliz- ing tissues perfused by this artery for reconstructive purposes could potentially be futile and unsuccessful due to the inadequate blood supply or vessel thrombosis. Hence, the surgeon should adapt the treatment plan according to preoperative findings, as the presence of anatomical variants should always be suspected.

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Published

2024-08-31

How to Cite

Daskalopoulou, D., Chrysikos, D., Samolis, A., Tsakotos, G., Shihada, A., Piagkou, M., & Troupis, T. (2024). Entrapment of the Subscapular Artery between the Radial Nerve and the Posterior Wall of the Axilla: An Anatomical Variation with Clinical Significance. Acta Medica Academica, 53(2), 188–192. https://doi.org/10.5644/ama2006-124.435

Issue

Section

Clinical Medicine

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