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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Spinal Nerves: Plexus II01:21

Spinal Nerves: Plexus II

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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
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Sites for measruring blood pressure01:21

Sites for measruring blood pressure

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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Updated: Sep 12, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Brachial plexus compression following a laterjet procedure.

George D Dounas1, Abdullah Ibrahim1, Arash Pour-Ahmadi1

  • 1Department of Plastic & Reconstructive Surgery, Flinders Medical Centre, 5042 South Australia, Australia.

JPRAS Open
|August 5, 2025
PubMed
Summary
This summary is machine-generated.

A rare complication of the Laterjet procedure, brachial plexus compression, occurred 7 months post-surgery. Releasing the pectoralis minor band is crucial for managing this nerve compression after shoulder instability surgery.

Keywords:
Brachial plexusLaterjetPectoralis minorShoulder instability

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Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Sports Medicine

Background:

  • The Laterjet procedure is a common surgical treatment for anterior shoulder instability.
  • Brachial plexus compression is a potential, though uncommon, complication following shoulder surgery.
  • Persistent pectoralis minor muscle remnants can cause iatrogenic nerve impingement.

Observation:

  • A 45-year-old male presented with symptoms of brachial plexus compression 7 months post-Laterjet procedure.
  • Clinical examination and investigations localized the compression to the medial and lateral cords of the brachial plexus.

Findings:

  • Intraoperative findings revealed a residual pectoralis minor band adhered to the transposed coracoid process.
  • This band was causing direct compression on the brachial plexus cords.

Implications:

  • This case underscores the critical importance of complete pectoralis minor muscle release during Laterjet procedures.
  • Understanding the incidence and mechanisms of brachial plexus compression post-Laterjet is crucial for effective management and prevention of this complication.