Axillary Arch (Of Langer): Incidence, Innervation, Importance

Pai M, Dr. Mangala M Pai and -, Dr. Rajanigandha and Prabhu V, Dr. Latha and Shetty, Dr. Prakash and K, Dr. Narayana (2006) Axillary Arch (Of Langer): Incidence, Innervation, Importance. [Journal (On-line/Unpaginated)]

Full text available as:



The present study was planned to find out the incidence of accessory muscle arches in the axilla of 68 upper limb (38 right and 30 left) dissections. Langer’s arch was observed in one right limb out of the 68 limbs, total incidence was 1.47%. The arch extended from the latissimus dorsi to the fascia covering the biceps brachii. The incidence is low in South Indian population (Dravidians) compared to the various other populations reported in literature. A branch from the lateral cord of brachial plexus supplied it in contrast with the previous reports. The surgical significance of this muscle is reviewed

Item Type:Journal (On-line/Unpaginated)
Keywords:Axilla, Accessory muscles, Biceps, Lymphadenectomy, Neurovascular bundle
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:5002
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:16 Jul 2006
Last Modified:11 Mar 2011 08:56

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. Brash JC. Cunninghams’ text book of Anatomy. 9th edition, Oxford University Press, London;1951,pp 479.

2. Salmons. Muscle. In: Grays’ anatomy. Eds: Churchill Livingstones, London, 1995; pp 836-837.

3. Kasai T, Chiba S. True nature of the muscular arch of the axilla and its nerve supply. Kaibogaku Zasshi 1977;25:657-669.

4. Clarys JP, Barbaix E, Van Rompaey H, Caboor D, Van Roy P. The muscular arch of the axilla revisited: its possible role in the thoracic outlet and shoulder instability syndromes. Man Ther 1996;1(3):133-139.

5. Serpell JW, Baun M. Significance of ‘Langer’s axillary arch’ in axillary dissection. Aust N Z J Surg 1991;61(4):310-312.

6. Takafuje T, IgarashiJ, Kanbayashi T, Yokoyama T, Moriya A, Azuma S, Sato Y. The muscular arch of the axilla and its nerve supply in Japanese adults. Kaibogaku Zasshi 1991;66(6):511-523.

7. Sachatello CR. The axillopectoral muscle (Langer’s axillary arch): a cause of axillary vein obstruction. Surgery 1977;81(5):610-612.

8. Miguel M, Llusa M, Ortiz JC, Porta N, Lorente M, Gotzens V. The axillo pectoral muscle (of Langer): report of three cases. Surg Radiol Anat 2001;23(5):341-343.

9. Petrasek AJ, Semple JL, McCready DR. The surgical and oncological significance of the axillary arch during axillary lymphadenectomy. Can J Surg 1997;40(1):44-47.

10. Suzuma T, Sakurai T, Yoshimura G, Umemura T, ShimizuY, Yang GF, Okamura Y. Magnetic resonance axillography for preoperative diagnosis of the axillopectoral muscle (Langer’s axillary arch): a case report. Breast Cancer 2003;10(3):281-283.


Repository Staff Only: item control page