Atypical Origin of Lateral Pectoral Nerve: A Case Report

In the present case, two Lateral Pectoral Nerves (LPN) were in the right axilla. The upper branch, superior LPN arose from the proximal part of the axilla deep to the clavicle from the anterior division of the upper trunk. This branch descends medially and enters the deep surface of the pectoralis m...

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Main Authors: Bidyarani Devi Loitongbam, Anjulata Rai, Jyoti Arora, Harshika Khatri
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-01-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://www.jcdr.net/articles/PDF/20526/74890_CE[Ra1]_F(SHU)_PF1(SG_SS_SHU)_redo_PFA(OM)_PN(IS).pdf
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author Bidyarani Devi Loitongbam
Anjulata Rai
Jyoti Arora
Harshika Khatri
author_facet Bidyarani Devi Loitongbam
Anjulata Rai
Jyoti Arora
Harshika Khatri
author_sort Bidyarani Devi Loitongbam
collection DOAJ
description In the present case, two Lateral Pectoral Nerves (LPN) were in the right axilla. The upper branch, superior LPN arose from the proximal part of the axilla deep to the clavicle from the anterior division of the upper trunk. This branch descends medially and enters the deep surface of the pectoralis major muscle. A larger LPN is seen originating from the distal part of the right lateral root of the median nerve at the lower part of the axilla, medial to the third part of the right axillary artery. This inferior LPN is 2 cm long, descends medially, and joins with the Medial Pectoral Nerve (MPN) forming ansa pectoralis. The branches from the ansa pierce the pectoralis minor muscle and enter the pectoralis major muscle. It supplies both the pectoral muscles. LPN fibers passing from the Lateral Cord (LC) through the lateral root of median have not been reported yet. The LPN is the main nerve of pectoralis major muscle. A thorough understanding of Pectoral Nerve (PN) anatomy is a must for surgeons practicing mastectomies, breast augmentation surgery, axillary dissection, harvesting pectoralis major muscle island flap, and dealing with trauma and fracture of the shoulder.
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institution Kabale University
issn 2249-782X
0973-709X
language English
publishDate 2025-01-01
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series Journal of Clinical and Diagnostic Research
spelling doaj-art-c002af5c29f847d7ab1bc457d76188ed2025-01-24T11:42:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901010210.7860/JCDR/2025/74890.20526Atypical Origin of Lateral Pectoral Nerve: A Case ReportBidyarani Devi Loitongbam0Anjulata Rai1Jyoti Arora2Harshika Khatri3Professor, Department of Anatomy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.Professor, Department of Anatomy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.Director, Professor and Head, Department of Anatomy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.Senior Resident, Department of Anatomy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.In the present case, two Lateral Pectoral Nerves (LPN) were in the right axilla. The upper branch, superior LPN arose from the proximal part of the axilla deep to the clavicle from the anterior division of the upper trunk. This branch descends medially and enters the deep surface of the pectoralis major muscle. A larger LPN is seen originating from the distal part of the right lateral root of the median nerve at the lower part of the axilla, medial to the third part of the right axillary artery. This inferior LPN is 2 cm long, descends medially, and joins with the Medial Pectoral Nerve (MPN) forming ansa pectoralis. The branches from the ansa pierce the pectoralis minor muscle and enter the pectoralis major muscle. It supplies both the pectoral muscles. LPN fibers passing from the Lateral Cord (LC) through the lateral root of median have not been reported yet. The LPN is the main nerve of pectoralis major muscle. A thorough understanding of Pectoral Nerve (PN) anatomy is a must for surgeons practicing mastectomies, breast augmentation surgery, axillary dissection, harvesting pectoralis major muscle island flap, and dealing with trauma and fracture of the shoulder.https://www.jcdr.net/articles/PDF/20526/74890_CE[Ra1]_F(SHU)_PF1(SG_SS_SHU)_redo_PFA(OM)_PN(IS).pdfaxillabrachial plexusclaviclepectoralis muscle
spellingShingle Bidyarani Devi Loitongbam
Anjulata Rai
Jyoti Arora
Harshika Khatri
Atypical Origin of Lateral Pectoral Nerve: A Case Report
Journal of Clinical and Diagnostic Research
axilla
brachial plexus
clavicle
pectoralis muscle
title Atypical Origin of Lateral Pectoral Nerve: A Case Report
title_full Atypical Origin of Lateral Pectoral Nerve: A Case Report
title_fullStr Atypical Origin of Lateral Pectoral Nerve: A Case Report
title_full_unstemmed Atypical Origin of Lateral Pectoral Nerve: A Case Report
title_short Atypical Origin of Lateral Pectoral Nerve: A Case Report
title_sort atypical origin of lateral pectoral nerve a case report
topic axilla
brachial plexus
clavicle
pectoralis muscle
url https://www.jcdr.net/articles/PDF/20526/74890_CE[Ra1]_F(SHU)_PF1(SG_SS_SHU)_redo_PFA(OM)_PN(IS).pdf
work_keys_str_mv AT bidyaranideviloitongbam atypicaloriginoflateralpectoralnerveacasereport
AT anjulatarai atypicaloriginoflateralpectoralnerveacasereport
AT jyotiarora atypicaloriginoflateralpectoralnerveacasereport
AT harshikakhatri atypicaloriginoflateralpectoralnerveacasereport