scholarly journals Ultrasonographic reference values for the deep branch of the radial nerve at the arcade of Frohse

2018 ◽  
Vol 21 (3) ◽  
pp. 225-231 ◽  
Author(s):  
Arash Babaei-Ghazani ◽  
Peyman Roomizadeh ◽  
Golshan Sanaei ◽  
Saeideh Najarzadeh-Mehdikhani ◽  
Kimia Habibi ◽  
...  
Keyword(s):  
Reference Values ◽  
Radial Nerve ◽  
Deep Branch ◽  
Arcade Of Frohse

scholarly journals Morphological Classification of Arch of Frohse and Its Implication in Compression of Deep Branch of Radial Nerve

2021 ◽  
Vol 10 (31) ◽  
pp. 2412-2415
Author(s):  
Syed Rehan Hafiz Daimi ◽  
Srinivasa Rao Bolla ◽  
Moizuddin Jawaduddin Khwaja ◽  
Sanket Dadarao Hiware ◽  
Shajiya Sarwar Moosa ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Inferior Margin ◽  
Deep Branch ◽  
Supinator Muscle ◽  
Essential Components ◽  
Arcade Of Frohse ◽  
Tunnel Syndrome ◽  
Supinator Syndrome ◽  
Superior Margin ◽  
Radial Tunnel Syndrome

BACKGROUND Arcade of Frohse (AF) is a tendinous superior margin of superficial layer of supinator muscle which was first described by Frohse and Frankel in 1908. Since then it has been studied by many authors and held accountable as one of the essential components for compression of deep branch of radial nerve (DBRN) which leads to radial tunnel syndrome. Considering AF as an important element of compression, we made an attempt to classify it on the basis of its shape and to find out if any particular shape has a predominant role in compression of the nerve. We also observed the structure of superior and inferior margin of the supinator muscle. METHODS This study was conducted among 80 (70 males and 10 females) formalin fixed upper limbs present in the Department of Anatomy. The limbs were maintained in supine with slightly flexed position and dissection was performed to expose the supinator muscle. The proximal and distal borders of supinator muscles were examined meticulously with the help of magnified lens. The morphometric measurements were taken with the help of a digital caliper. RESULTS The FA is classified into four categories as loop, high arc, low arch and linear shaped. The most frequent shape observed was arch shaped (high and low arch) about 66%, followed by loop shaped (30%) and least was linear shaped (2.5%). On the basis of structure, the proximal and distal margin of supinator muscle was reported to be tendinous in majority of the cases. The distance of the AF from the fixed reproducible anatomical landmark like inter epicondylar line (IEL) was measured and the average distance found was 3.36 cm. CONCLUSIONS Knowledge of different shapes would aid surgeons and radiologists for better approach towards diagnosis and management of supinator syndrome. The morphometric finding can be useful for surgeons to locate the superior margin of supinator (AF) in surgical procedures for decompression of DBRN in supinator syndrome. KEY WORDS Arcade of Frohse, Inter Epicondylar Line, Supinator Muscle, Deep Branch of Radial Nerve and Radial Tunnel Syndrome

scholarly journals Paralysis of deep branch of the radial nerve caused by cartilaginous extostosis of the radial head: A case report.

1988 ◽  
Vol 36 (4) ◽  
pp. 1484-1487
Author(s):  
Tsuyoshi Matsuura ◽  
Kozaburo Umeda ◽  
Saburo Yamamoto ◽  
Masaaki Kawasaki ◽  
Kenichiro Mizokami ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Head ◽  
Radial Nerve ◽  
Deep Branch

Evaluation of the supinator muscle and deep branch of the radial nerve: impact on nerve compression

2020 ◽  
Vol 42 (8) ◽  
pp. 927-933
Author(s):  
İ. Yağmurhan Gilan ◽  
V. Bennu Gilan ◽  
A. Hakan Öztürk
Keyword(s):  
Radial Nerve ◽  
Nerve Compression ◽  
Deep Branch ◽  
Supinator Muscle

Sural/radial nerve amplitude ratio: Reference values in healthy subjects

2005 ◽  
Vol 32 (5) ◽  
pp. 613-618 ◽  
Author(s):  
Berno U. H. Overbeek ◽  
Nens van Alfen ◽  
Jose A. Bor ◽  
Machiel J. Zwarts
Keyword(s):  
Reference Values ◽  
Radial Nerve ◽  
Healthy Subjects ◽  
Amplitude Ratio

scholarly journals Topographical, anatomical and neurosurgical aspects of "end-to-side" nerve repair

2021 ◽  
Vol 23 (1) ◽  
pp. 121-128
Author(s):  
A. Y. Nisht ◽  
Nikolay F. Fomin ◽  
Vladimir P. Orlov
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Lateral Surface ◽  
Peripheral Nerves ◽  
Radial Nerve ◽  
Surgical Techniques ◽  
Nerve Fibers ◽  
Individual Variability ◽  
Motor Branch ◽  
Deep Branch

The article presents the results of a comprehensive anatomical and experimental study of individual variability in the structure and topography of motor branches of peripheral nerves in relation to the justification of methods for selective reinnervation of tissues by the "end-to-side" neurorrhaphy. It was found that relatively longer branches of peripheral nerves with a small number of connecting inter-arm collaterals characteristic of narrow and long limbs create conditions for less traumatic mobilization of motor branches. In cases with relatively wide and short extremities mobilization of peripheral nerves is complicated by the presence of a large number of collateral branches and intra-trunk connections, which are often damaged when separate bundles that make up the mobilized branches of the donor or recipient nerve are isolated from the main nerve trunk. It has been shown that potential recipient nerves should be motor branches of peripheral nerves, the preservation of which is of fundamental importance for the function of the corresponding segment of the limb. To create conditions conducive to selective reinnervation of functionally significant muscle groups of the upper limb, we have developed, justified from anatomical positions, and tested in an experiment on anatomical material methods for connecting the distal motor branches of peripheral nerves by the "end-to-side" neurorrhaphy. The main idea of accelerated recovery of the thumb opposition in injuries of the median nerve is to reinnervate the muscles of the elevation of the I finger due to nerve fibers that are part of the deep branch of the ulnar nerve. For this purpose, surgical techniques have been developed for connecting the recurrent motor branch of the damaged median nerve mobilized at the level of the wrist with the edges of a surgically formed perineurium defect on the lateral surface of the bundles that make up the deep branch of the ulnar nerve. In another clinical situation, in patients with radial nerve injuries, for the muscle reinnervation, а method is proposed for neurotisation of the deep motor branch of the radial nerve by the end-to-side suture to the lateral surface of the median nerve. We assume that performing the "end-to-side" nerve suture at the level of the base of the hand in the cases of proximal damage to the median nerve will reduce the time of reinnervation of the muscles of the thumb elevation by 400450 days. Transposition of the deep branch of the damaged at the proximal level radial nerve with "end-to-side" neurorrhaphy to the median nerve by 250300 days (based on the total length of the shoulder and forearm, which is about 50 cm and the rate of regeneration of nerve fibers 1 mm per day). Accordingly, with higher injuries (brachial plexus), the gain in the time of reinnervation of the distal segments will be even greater. In our opinion, the results can be used as a basis for further clinical research on the development of methods for selective tissue reinnervation in cases with isolated injuries of the peripheral nerves.

Sign in / Sign up

Export Citation Format

Share Document