Surgical Approaches
Upper Limb Summary
| Region | Approach | Eponym | Muscular (Nerve) | Muscular(Nerve) | Structures at Risk |
|---|---|---|---|---|---|
| Shoulder | Anterior | Henry | Deltoid (Axilary) | Pectoralis major (medial / Iareral pectoral) |
Musculocutaneous n. Cephalic v. |
| Lateral |
Deltoid (splitting) (axillary) | Deltoid (splitting) (axillary) | Axillary n. | ||
| Posterior | Infraspinatus (suprascapular) | Teres minor (axillary) | Axillary n. Posterior circumflex humeral a. |
||
| Proximal Humerus | Anterolateral | Deltoid (axillary) |
Pectoralis major (medial / lateral pectoral) | Axillary n. Anterior circumflex humeral a. |
|
| Distal humerus | Anterolateral |
Triceps (radial) Brachialis (musculocutaneous) |
Brachioradialis (radial) | Radial n. | |
| Lateral | Triceps (radial) | Brachioradialis (radial) | Radial n. | ||
| Posterior | Triceps (radial) | Radial n. | |||
| Elbow | Anterolateral | Henry | Brachialis (musculocutaneous) Pronator teres (median) |
Brachioradialis (radial) | Lateral Antebrachial Cutaneous n. Radial n. |
| Posterolateral | Kocher | Anconeus (radial) | ECU (PIN) | PIN | |
| Medial | Brachialis (musculocutaneous) | Triceps (radial) Pronator teres (median n.) |
Ulnar n. | ||
| Forearm | Anterior | Henry | Brachioradialis (radial) | Pronator Teres / FCR (median) | PIN |
| Dorsal | Thompson | ECRB (radial) | ED/EPL (PIN) | PIN | |
| Ulnar | ECU (PIN) | FCU (ulnar) | Ulnar n. and a. | ||
| Wrist | Dorsal | Third compartment (PIN) | Fourth compartment (PIN) | ||
| Scaphoid | Volar | Russe | FCR or through sheath (median) | Radial a. | |
| Dorsolateral | Matti | 1st compartment (PIN) | 3rd compartment (PIN) | Superior radial n. Radial a. |
