scholarly journals Absence of musculocutaneous nerve and accessory head of biceps brachii: a case report

2005 ◽  
Vol 38 (02) ◽  
pp. 114-146
Author(s):  
L Arora ◽  
R Dhingra
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Upper Limb ◽  
Biceps Brachii ◽  
Musculocutaneous Nerve ◽  
Nerve Supply ◽  
Biceps Brachii Muscle ◽  
Nerve Roots ◽  
Lateral Cutaneous Nerve ◽  
The Right

ABSTRACTDuring dissection of a 55-year-old female cadaver, we observed that three nerve roots contributed to the formation of Median nerve in her right upper limb. Along with this variation, absence of Musculocutaneous nerve was noticed. The muscles of front of arm i.e. Biceps Brachii, Brachialis and Coracobrachialis received their nerve supply from Median nerve. The Lateral cutaneous nerve of forearm was derived from Median nerve. Also an accessory head of Biceps Brachii muscle was present in the right arm of the same cadaver. It is extremely important to be aware of these variations while planning a surgery in the region of axilla or arm as these nerves are more liable to be injured during operations.

scholarly journals Unilateral variant motor innervations of flexure muscles of arm

2010 ◽  
Vol 01 (01) ◽  
pp. 51-53 ◽  
Author(s):  
A S Yogesh ◽  
M Joshi ◽  
V K Chimurkar ◽  
R R Marathe
Keyword(s):  
Median Nerve ◽  
Biceps Brachii ◽  
Musculocutaneous Nerve ◽  
Cutaneous Nerve ◽  
Lateral Cord ◽  
Separate Branch ◽  
Male Cadaver ◽  
Lateral Cutaneous Nerve ◽  
Muscular Branch ◽  
The Right

ABSTRACTThe musculocutaneous nerve usually branches out from the lateral cord of brachial plexus. It innervates the corcobrachialis, biceps brachii and brachialis muscles and continues as the lateral cutaneous nerve of forearm without exhibiting any communication with the median nerve or any other nerve. We report unilateral variation in motor innervations of the left arm in a 58-year-old male cadaver. The musculocutaneous nerve was found to be absent. A muscular branch of the median nerve was supplying the coracobrachialis muscle. In the middle of arm, the median nerve was found to be branching out, bifurcating and supplying the long and short head of biceps. The median nerve was found to be giving a separate branch, which supplied the brachialis muscle and continued as the lateral cutaneous nerve of forearm. The right sided structures were found to be normal. Surgeons should keep such variations in mind while performing arm surgeries.

A rare variation in the formation of the lower trunk of the brachial plexus its embryological basis and clinical importance - a case report

2012 ◽  
Vol 6 (4) ◽  
pp. 49-52
Author(s):  
N Satyanarayana ◽  
R Guha ◽  
P Sunitha ◽  
GN Reddy ◽  
G Praveen ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Clinical Importance ◽  
Medical Sciences ◽  
Nerve Roots ◽  
Rare Variation ◽  
Lower Trunk ◽  
Male Cadaver ◽  
The Right

Brachial plexus is the plexus of nerves, that supplies the upper limb.Variations in the branches of brachial plexus are common but variations in the roots and trunks are very rare. Here, we report one of the such rare variations in the formations of the lower trunk of the brachial plexus in the right upper limb of a male cadaver. In the present case the lower trunk was formed by the union of ventral rami of C7,C8 and T1 nerve roots. The middle trunk was absent. Upper trunk formation was normal. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 49-52 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6727

scholarly journals Additional head of biceps brachii: a cadaveric study

2020 ◽  
Vol 8 (4) ◽  
pp. 1237
Author(s):  
Seema Gupta ◽  
Anshu Soni ◽  
Hitant Vohra
Keyword(s):  
Indian Population ◽  
Biceps Brachii ◽  
Nerve Supply ◽  
Biceps Brachii Muscle ◽  
Upper Limbs ◽  
Anterior Compartment ◽  
The Third ◽  
The Common ◽  
The Right ◽  
Radial Tuberosity

Background: The biceps brachii is an important muscle of anterior compartment of arm. It shows frequent anatomic variability due to presence of supernumerary heads. Knowledge of the existence of the third head of biceps brachii is important for surgeons. Keeping this in mind a study was planned to see the incidence of additional head of biceps brachii in sample Indian population and to compare it with other racial groups.Methods: The study was carried out on 30 cadaveric upper limbs. The upper limbs were dissected and studied for the presence of additional head of biceps brachii. The attachment and nerve supply of the additional head was carefully observed, recorded and documented.Results: Out of 30 limbs which were dissected, additional head of biceps brachii was found only in two limbs. In both the cases the additional head was present only on the right side and arose from the anterior surface of humerus, superomedial to the origin of brachialis. The additional head fused with the common bulk of the muscle and was inserted into the radial tuberosity and bicipital aponeurosis. The extra heads of biceps brachii muscle received branches from musculocutaneous nerve.Conclusions: Biceps brachii is one of the commonest muscles showing variations. The additional head is not only of academic importance, but its knowledge also helps clinicians in managing fractures of humerus and nerve entrapment.

scholarly journals Third Head of the Biceps Brachii Muscle and a Communication between the Musculocutaneous and Median Nerves: A Case Report

2019 ◽  
Vol 36 (01) ◽  
pp. 051-054
Author(s):  
Caroline Dussin ◽  
Lucas Moyses ◽  
Sávio Siqueira
Keyword(s):  
Case Report ◽  
Biceps Brachii ◽  
Anatomical Variations ◽  
Clinical Implications ◽  
Biceps Brachii Muscle ◽  
Present Case Report ◽  
Communicating Branch ◽  
Brachialis Muscle ◽  
Male Cadaver ◽  
The Right

AbstractMany authors have reported and classified several anatomical variations between the musculocutaneous (Mc) and median (Me) nerves, regarding their origin, number, and proximity with the coracobrachialis muscle. There also are, in the scientific community, records classifying the origin of supernumerary heads of the biceps brachii muscle. However, the occurrence of both aforementioned variations in the same arm is very uncommon. During a routine dissection of the right upper limb of a male cadaver, a third head of the biceps brachii was found originating from the fibers of the brachialis muscle, as well as a communicating branch between the Mc and the Me nerves, in the same limb. The objective of the present case report is to describe these multiple variations found, relating them and discussing their relevant clinical implications.

scholarly journals Absence of the musculocutaneous nerve: a rare anatomical variation with possible clinical-surgical implications

2008 ◽  
Vol 126 (5) ◽  
pp. 288-290 ◽  
Author(s):  
José Humberto Tavares Guerreiro Fregnani ◽  
Maria Inez Marcondes Macéa ◽  
Celina Siqueira Barbosa Pereira ◽  
Mirna Duarte Barros ◽  
José Rafael Macéa
Keyword(s):  
Median Nerve ◽  
Lateral Surface ◽  
Biceps Brachii ◽  
Anatomical Variation ◽  
Musculocutaneous Nerve ◽  
The Third ◽  
Brachialis Muscle ◽  
Male Cadaver ◽  
The Right ◽  
Unknown Case

CONTEXT: The musculocutaneous nerve is one of the terminal branches of the lateral fasciculus of the brachial plexus, and is responsible for innervation of the flexor musculature of the elbow and for skin sensitivity on the lateral surface of the forearm. Its absence has been described previously, but its real prevalence is unknown. CASE REPORT: A case of absence of the musculocutaneous nerve that was observed during the dissection of the right arm of a male cadaver is described. The area of innervation was supplied by the median nerve. From this, three branches emerged: one to the coracobrachialis muscle, another to the biceps brachii muscle and the third to the brachialis muscle. This last branch continued as a lateral antebrachial cutaneous nerve. This is an anatomical variation that has clinical-surgical implications, considering that injury to the median nerve in this case would have caused unexpected paralysis of the flexor musculature of the elbow and hypoesthesia of the lateral surface of the forearm.

scholarly journals Musculocutaneous nerve substituting for the distal part of radial nerve: A case report and its embryological basis

2011 ◽  
Vol 02 (01) ◽  
pp. 074-076 ◽  
Author(s):  
AS Yogesh ◽  
RR Marathe ◽  
SV Pandit
Keyword(s):  
Upper Limb ◽  
Radial Nerve ◽  
Musculocutaneous Nerve ◽  
Cutaneous Nerve ◽  
Triceps Brachii ◽  
Deep Branch ◽  
Male Cadaver ◽  
Lateral Cutaneous Nerve ◽  
The Right ◽  
Extensor Carpi Radialis

ABSTRACTIn the present case, we have reported a unilateral variation of the radial and musculocutaneous nerves on the left side in a 64-year-old male cadaver. The radial nerve supplied all the heads of the triceps brachii muscle and gave cutaneous branches such as lower lateral cutaneous nerve of the arm and posterior cutaneous nerve of forearm. The radial nerve ended without continuing further. The musculocutaneous nerve supplied the brachioradialis, extensor carpi radialis longus and extensor carpi radialis brevis muscles. The musculocutaneous nerve divided terminally into two branches, superfi cial and deep. The deep branch of musculocutaneous nerve corresponded to usual deep branch of the radial nerve while the superfi cial branch of musculocutaneous nerve corresponded to usual superfi cial branch of the radial nerve. The dissection was continued to expose the entire brachial plexus from its origin and it was found to be normal. The structures on the right upper limb were found to be normal. Surgeons should keep such variations in mind while performing the surgeries of the upper limb.

scholarly journals Accessory head of biceps brachii muscle in North Indian cadavers

2015 ◽  
Vol 04 (01) ◽  
pp. 030-034
Author(s):  
Gurbachan Singh Gindha ◽  
Anand Kumar Sharma ◽  
Ratesh Kumar Munjal
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Biceps Brachii ◽  
Biceps Brachii Muscle ◽  
Formaldehyde Solution ◽  
Medical College ◽  
The Third ◽  
Long Head ◽  
The Right ◽  
Large Muscle

Abstract Background and aims : The biceps brachii is the large muscle of flexor compartment of arm. Normally it arises by two heads (long head and short head) and gets insertion in two parts (tendinous part and aponeurotic parts). The biceps brachii muscle is well known for variation in its origin. These variations can cause compression of brachial artery and median nerve which may pass deep to the accessory head of biceps brachii muscle, and can create problems for surgeons. So the surgeons should keep in mind such variations of biceps brachii muscle. The present study is to find out the variations in the origin of biceps brachii muscle. Material and methods: The present study was conducted in the department of anatomy of Gian Sagar Medical College, Ramnagar, Rajpura district Patiala (Punjab). In this study 32 human cadaveric limbs which were embalmed and fixed in 10% formaldehyde solution were used and these limbs were dissected and variations in origin of the biceps brachii muscle were noted. Results : Out of 32 limbs, 3 limbs (9.38%) were having three heads of biceps brachii muscle in its origin. The variations were found in the right limbs only. Conclusions : The knowledge of accessory head of biceps brachii muscle is important for the surgeons and troumatologists because there can be iatrogenic injury to the third head of biceps brachii muscle.

scholarly journals Indirect traumatic musculocutaneous nerve injury confused with static line injury: A case report

2021 ◽  
Vol 26 (3) ◽  
pp. 613-616
Author(s):  
Eun Jin Kim ◽  
Kyoung-Eun Kim
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Biceps Brachii ◽  
Musculoskeletal Injury ◽  
Musculocutaneous Nerve ◽  
Secondary Injury ◽  
Biceps Brachii Muscle ◽  
Upper Arm ◽  
Biceps Brachii Tendon ◽  
Indirect Injury

The musculocutaneous nerve is rarely injured because it is short and is located deep in the shoulder and arm. Damage is usually caused by direct injuries, including stabbing, explosion, and surgery in a war setting. Although indirect injury of the musculocutaneous nerve is extremely rare, it occurs in various situations. In military parachuting-related activities, musculoskeletal injury occurs most commonly, and static line injury is known as rupture of the biceps brachii tendon. However, musculocutaneous neuropathy can also result from secondary injury by the static line. The musculocutaneous nerve goes together with the biceps brachii muscle, and the musculocutaneous nerve could overstretch and compress within the coracobrachialis muscle where the nerve is relatively fixed due to the overloading of the upper arm with shoulder extension. This report focuses on the indirect musculocutaneous nerve injury with axonotmesis following an overloading event by the static line during military parachuting. In this case, some physicians may confuse nerve injury with static line injury, leading to delays in the diagnosis of neuropathy. If the biceps brachii muscle is damaged due to trauma, checking for the accompanying musculocutaneous nerve injury is necessary.

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