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Axillary Nerve

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Description

Illustration of the Axillary nerve[1]
The axillary nerve[2]
Schematic drawing of the axillary nerve as it exits the quadrangular space (asterisk symbol) en route to the deltoid muscle[3]

Alternative Names

  • Circumflex nerve
  • Circumflex humeral nerve
  • Posterior circumflex nerve
  • Nervus axillaris
  • Deltoid nerve (historical/rare)

Overview

  • Nerve roots: C5, C6.
  • Sensory functions: innervates the skin over the lower deltoid (‘regimental badge area’)
  • Motor functions

Anatomic Course

  • Formed within the axilla of the upper limb
  • Direct continuation of the posterior cord of the brachial plexus
    • Contains nerve roots fro C5, C6
  • In the axilla, located posterior to axillary artery, anterior to subscapularis
  • Exits axilla at the inferior border of subscapularis via quadrangular space
    • Often accompanied by circumflex humeral artery and vein
  • Then passes medially to the surgical neck of the humerus
    • Here, it divides into 3 terminal branches

Posterior Terminal Branch

  • Motor innervation to posterior aspect of deltoid muscle and teres minor
  • Sensory innervation of skin over inferior deltoid (via upper lateral cutaneous nerve of the arm)

Anterior Terminal Branch

  • Wraps around the surgical neck of the humerus
  • Provides motor innervation to anterior aspect of deltoid
  • Cutaneous branches of the anterior, anterolateral should

Articular Branch

  • Supplies the glenohumeral joint

Quadrangular Space

  • Anatomic gap in which the axillary nerve is transmitted from the anterior axilla to the poster shoulder and arm
  • Superior: inferior aspect of teres minor
  • Inferior: superior aspect of teres major
  • Lateral: surgical neck of humerus
  • Medial: long head of triceps brachii
  • Anterior: subscapularis

Motor Functions

Sensory: Superior Lateral Cutaneous Nerve of the Arm

  • Delivered via its posterior terminal branch
  • Continues as upper lateral cutaneous nerve of the arm (after terminal branch to teres minor)
  • Often called the regimental badge area (skin over the inferior portion of the deltoid)

Clinical Significance


See Also


References

  1. Image courtesy of https://step1.medbullets.com/
  2. Orellana-Donoso, Mathias, et al. "Neural entrapments associated with musculoskeletal anatomical variations of the upper limb: Literature review." Translational Research in Anatomy 22 (2021): 100094.
  3. Thimjon, Connor, et al. "C6 and not C5 nerve fibers more commonly contribute most to deltoid muscle innervation: anatomical study with application to better diagnosing cervical nerve injuries." Neurosurgical Review 45.3 (2022): 2401-2406.
Created by:
John Kiel on 13 October 2024 17:10:26
Authors:
Last edited:
26 May 2026 16:20:27
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