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The quadrangular space is a clinically important anatomic space in the arm as it provides the anterior regions of the axilla a passageway to the posterior regions. In the quadrangular space, the axillary nerve and the posterior humeral circumflex artery can be compressed or damaged due to space-occupying lesions or disruption in the anatomy due to trauma.
Quadrangular space syndrome: Shoulder muscle (rotator cuff) Specialty: Neurology: Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the ...
This space is in the posterior wall of the axilla. It is a quadrangular space bounded laterally by surgical neck of the humerus, medially by long head of triceps brachii and inferiorly by teres major. It is bounded superiorly by subscapularis in front, capsule of the shoulder joint in the middle, and behind by teres minor.
The nerve lies at first behind the axillary artery, [4] and in front of the subscapularis, [1] and passes downward to the lower border of that muscle.. It then winds from anterior to posterior around the neck of the humerus, in company with the posterior humeral circumflex artery, [2] through the quadrangular space (bounded above by the teres minor, below by the teres major, medially by the ...
This is known as collateral circulation. Exercise can promote it, but it also can be a natural consequence of severe clogging, and the body on its own, desperately seeks a way around it.
Injury most commonly occurs proximal to the quadrangular space. [3] Injury in this nerve causes paralysis (as always) to the muscles innervated by it, most importantly deltoid muscle. This muscle is the main abductor of the shoulder joint from 18 to 90 degrees (from 0 to 18 by supraspinatus). Injury can result in a reduction in shoulder ...
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
Shoulder problems, including pain, are common [20] and can relate to any of the structures within the shoulder. [21] The primary cause of shoulder pain is a rotator cuff tear. [20] The supraspinatus is most commonly involved in a rotator cuff tear, [22] but other parts of the rotator cuff may also be involved.
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