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TOS can involve only part of the hand (as in the pinky and adjacent half of the ring finger), all of the hand, or the inner aspect of the forearm and upper arm. Pain can also be in the side of the neck, the pectoral area below the clavicle, the armpit/axillary area, and the upper back (i.e., the trapezius and rhomboid area).
The axillary artery is accompanied by the axillary vein, [2] which lies medial to the artery, along its length. In the axilla, the axillary artery is surrounded by the brachial plexus. [2] The second part of the axillary artery is the reference for the locational descriptions of the cords in the brachial plexus.
The easily palpated axillary artery thus serves as a reliable anatomical landmark for this block, and the injection of local anesthetic close to this artery frequently leads to a good block of the brachial plexus. The axillary block is commonly performed due to its ease of performance and relatively high success rate. [4]
The traditional treatment for thrombosis is the same as for a lower extremity DVT, and involves systemic anticoagulation to prevent a pulmonary embolus. [10] Some have also recommended thrombolysis with catheter directed alteplase or mechanical thrombectomy with a large bore catheter and manual aspiration providing definitive intervention with an endovascular approach. [11]
It is often the source of referred cardiac pain. The intercostobrachial nerve is sometimes divided in axillary node clearance (ANC), such as that done for breast cancer surgery which requires the removal of the axillary nodes. Sensation to the cutaneous region supplied by the nerve is affected.
Injury of axillary nerve (axillary neuropathy) is a condition that can be associated with a surgical neck of the humerus fracture. It can also be associated with a dislocated shoulder [ 1 ] or with traction injury to the nerve, which may be caused by over-aggressive stretching or blunt trauma that does not result in fracture or dislocation. [ 2 ]
Vascular steal, neurologic consequences of axillary block anesthesia or patient positioning, carpal tunnel syndrome or other peripheral nerve compression, postoperative pain and functional deficit due to surgical trauma or venous hypertension, and postoperative swelling are all included in the differential diagnosis of IMN. [8]
Axillary nerve palsy is a neurological condition in which the axillary (also called circumflex) nerve has been damaged by shoulder dislocation. It can cause weak deltoid and sensory loss below the shoulder. [1] Since this is a problem with just one nerve, it is a type of Peripheral neuropathy called mononeuropathy. [2]