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Related Experiment Videos

Axillary arch and its implications in axillary dissection--review.

E D Babu1, A Khashaba

  • 1Department of Breast and General Surgery, Cheltenham General Hospital, Cheltenham.

International Journal of Clinical Practice
|February 24, 2001
PubMed
Summary

The axillary arch, a rare muscle variation, can complicate axillary dissections. Recognizing this anatomical anomaly is crucial for accurate lymph node staging and preventing surgical injury.

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Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Musculoskeletal System

Background:

  • The latissimus dorsi muscle is a large, flat muscle of the back.
  • An anomalous muscular slip, the axillary arch, can arise from the latissimus dorsi.
  • This anomaly is occasionally encountered during axillary dissection procedures.

Purpose of the Study:

  • To systematically review the incidence, clinical features, and management of the axillary arch.
  • To highlight the importance of recognizing this anomaly in surgical contexts.

Main Methods:

  • A systematic review of medical literature was conducted.
  • Literature search focused on publications from 1966 to 1999.

Main Results:

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  • The axillary arch is an infrequent finding during axillary dissections.
  • Its presence can lead to misinterpretation of lymph node staging.
  • Potential for injury to axillary vessels and brachial plexus exists if unrecognized.

    • Conclusions:

    • Recognition of the axillary arch is essential for surgeons performing axillary dissections.
    • Awareness prevents diagnostic confusion and iatrogenic injuries.
    • Proper identification aids in safe and effective surgical outcomes.