Advanced Techniques in Musculoskeletal Surgery

Research Article Pages 66-69

Advanced Imaging of Pediatric Radial and Axillary Nerve Anatomy for Intraoperative Use

Authors: Jessica Koshinski, BS, Mark Mandel, BS, Max Cornell, BS, and Mark Seeley, MD

Abstract: Lateral percutaneous pin placement, intramedullary screw placement, and plate placement during surgical fixation of distal humeral fractures all risk iatrogenic injury to the radial nerve as it crosses from the posterior to anterior compartment at the level of the mid-humeral shaft. Current literature describing the “safe zone” to avoid damaging the radial nerve at this location focuses on adult vascular anatomy. Radial nerve anatomy changes throughout childhood, and determination of age specific safe zones will help minimize iatrogenic nerve palsy in the pediatric population. Axillary nerve anatomy was also assessed.

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