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Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the axillary nerve is compressed at the quadrilateral space of the rotator cuff. Cause
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 ...
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.
The teres minor (Latin teres meaning 'rounded') is a narrow, elongated muscle of the rotator cuff.The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the greater tubercle of the humerus and the posterior surface of the joint capsule.
The true axilla is a conical space with its apex at the Cervico-axillary Canal, Base at the axillary fascia and skin of the armpit. When viewed in an axillary plane (axillary cut), it is more triangle with: Medial Wall: Serratus Anterior, Anterior Wall: pectoral muscles, Posterior Wall: subscapularis muscle, where the "apex" of the triangle is the humerus [4] [5]
The rotator interval is a triangular space in the shoulder that is functionally reinforced externally by the coracohumeral ligament and internally by the superior glenohumeral ligament, and traversed by the intra-articular biceps tendon. On imaging, it is defined by the coracoid process at its base, the supraspinatus tendon superiorly and the ...
The posterior humeral circumflex vessels or posterior circumflex humeral vessels are the posterior humeral circumflex artery and the posterior humeral circumflex vein which run through the quadrangular (or quadrilateral) space with the axillary nerve
The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections. [1] As an example, ultrasound-guided hip joint injection [16] can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical ...