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Axillary arch and its implications in axillary dissection--review
1Department of Breast and General Surgery, Cheltenham General Hospital, Cheltenham.
International Journal of Clinical Practice
|February 24, 2001
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.
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:
- 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.
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