Quadrilateral space syndrome: case report and review of the literature

Ann Vasc Surg. 2000 Nov;14(6):673-6. doi: 10.1007/s100169910120.


The quadrilateral space syndrome is defined as tenderness over the quadrilateral space and shoulder pain radiating to the arm, secondary to compression of the axillary nerve and posterior circumflex humeral artery in the quadrilateral space. The symptoms are aggravated by forced abduction and extrenal rotation of the arm. The diagnosis is clinical and is documented by arteriography or angio-MR imaging with dynamic maneuvers. A 30-year-old woman presenting with this syndrome is described here, the differential diagnosis discussed, and the literature reviewed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Angiography
  • Axilla / innervation*
  • Diagnosis, Differential
  • Female
  • Humans
  • Nerve Compression Syndromes / diagnostic imaging
  • Nerve Compression Syndromes / etiology*
  • Range of Motion, Articular / physiology
  • Shoulder / blood supply*
  • Shoulder / innervation
  • Shoulder Pain / diagnostic imaging
  • Shoulder Pain / etiology*
  • Syndrome