Anatomical variations of the deltoid artery: relevance to the deltopectoral approach to the shoulder.

2.50
Hdl Handle:
http://hdl.handle.net/11287/597183
Title:
Anatomical variations of the deltoid artery: relevance to the deltopectoral approach to the shoulder.
Authors:
Bunker, Timothy; Cosker, T D A; Dunkerley, Sarah; Kitson, Jeff; Smith, Christopher D.
Abstract:
Despite the expansion of arthroscopic surgery of the shoulder, the open deltopectoral approach to the shoulder is still frequently used, for example in fracture fixation and shoulder replacement. However, it is sometimes accompanied by unexpected bleeding. The cephalic vein is the landmark for the deltopectoral interval, yet its intimate relationship with the deltoid artery, and the anatomical variations in that structure, have not previously been documented. In this study the vascular anatomy encountered during 100 consecutive elective deltopectoral approaches was recorded and the common variants described. Two common variants of the deltoid artery were encountered. In type I (71%) it crosses the interval and tunnels into the deltoid muscle without encountering the cephalic vein. However, in type II (21%) it crosses the interval, reaches the cephalic vein and then runs down, medial to and behind it, giving off several small arterial branches that return back across the interval to the pectoralis major. Several minor variations were also seen (8%). These variations in the deltoid artery have not previously been described and may lead to confusion and unexpected bleeding during this standard anterior surgical approach to the shoulder.
Citation:
Anatomical variations of the deltoid artery: relevance to the deltopectoral approach to the shoulder. 2013, 95-B (5):657-9 Bone Joint J
Publisher:
Bone and Joint Society
Journal:
The bone & joint journal
Issue Date:
May-2013
URI:
http://hdl.handle.net/11287/597183
DOI:
10.1302/0301-620X.95B5.31408
PubMed ID:
23632676
Additional Links:
http://bjj.boneandjoint.org.uk/cgi/pmidlookup?view=long&pmid=23632676
Type:
Journal Article
Language:
en
ISSN:
2049-4408
Appears in Collections:
General Trauma & Orthopaedics; pre-2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorBunker, Timothyen
dc.contributor.authorCosker, T D Aen
dc.contributor.authorDunkerley, Sarahen
dc.contributor.authorKitson, Jeffen
dc.contributor.authorSmith, Christopher D.en
dc.date.accessioned2016-02-25T11:46:24Zen
dc.date.available2016-02-25T11:46:24Zen
dc.date.issued2013-05en
dc.identifier.citationAnatomical variations of the deltoid artery: relevance to the deltopectoral approach to the shoulder. 2013, 95-B (5):657-9 Bone Joint Jen
dc.identifier.issn2049-4408en
dc.identifier.pmid23632676en
dc.identifier.doi10.1302/0301-620X.95B5.31408en
dc.identifier.urihttp://hdl.handle.net/11287/597183en
dc.description.abstractDespite the expansion of arthroscopic surgery of the shoulder, the open deltopectoral approach to the shoulder is still frequently used, for example in fracture fixation and shoulder replacement. However, it is sometimes accompanied by unexpected bleeding. The cephalic vein is the landmark for the deltopectoral interval, yet its intimate relationship with the deltoid artery, and the anatomical variations in that structure, have not previously been documented. In this study the vascular anatomy encountered during 100 consecutive elective deltopectoral approaches was recorded and the common variants described. Two common variants of the deltoid artery were encountered. In type I (71%) it crosses the interval and tunnels into the deltoid muscle without encountering the cephalic vein. However, in type II (21%) it crosses the interval, reaches the cephalic vein and then runs down, medial to and behind it, giving off several small arterial branches that return back across the interval to the pectoralis major. Several minor variations were also seen (8%). These variations in the deltoid artery have not previously been described and may lead to confusion and unexpected bleeding during this standard anterior surgical approach to the shoulder.en
dc.language.isoenen
dc.publisherBone and Joint Societyen
dc.relation.urlhttp://bjj.boneandjoint.org.uk/cgi/pmidlookup?view=long&pmid=23632676en
dc.rightsArchived with thanks to The bone & joint journalen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleAnatomical variations of the deltoid artery: relevance to the deltopectoral approach to the shoulder.en
dc.typeJournal Articleen
dc.identifier.journalThe bone & joint journalen
dc.type.versionPublisheden

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