Innervation of the interphalangeal joint of the thumb: anatomical study

2018 ◽  
Vol 43 (6) ◽  
pp. 631-634 ◽  
Author(s):  
Ezequiel E. Zaidenberg ◽  
Dante Palumbo ◽  
Ezequiel Martinez ◽  
Martin Pastrana ◽  
Efrain Farias Cisneros ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Sensory Nerve ◽  
Anatomical Study ◽  
Joint Capsule ◽  
Interphalangeal Joint ◽  
Consistent Pattern ◽  
Nerve Branch ◽  
Anatomical Basis

We dissected 30 cadaveric thumb interphalangeal joints to delineate the sensory nerve anatomy of its capsule. Four articular branches supplying the interphalangeal joint capsule of the thumb were found in all specimens. Ulnar and radial proper digital nerves provide one palmar capsular nerve branch on their respective sides. Of the two dorsal branches of the radial nerve at the dorsum of the thumb, we observed that each nerve provided one branch to the interphalangeal dorsal capsule. Our findings demonstrate a consistent pattern of innervation and may provide the anatomical basis to the treating surgeon for an effective and safe denervation of the interphalangeal joint of the thumb.

Ultrastructure of sensory nerve endings in monkey (Macaca fascicularis) knee joint capsule

1984 ◽  
Vol 2 (2) ◽  
pp. 169-176 ◽  
Author(s):  
Zdenek Halata ◽  
Marie A. Badalamente ◽  
Roger Dee ◽  
Michael Propper
Keyword(s):  
Knee Joint ◽  
Macaca Fascicularis ◽  
Sensory Nerve ◽  
Joint Capsule ◽  
Nerve Endings ◽  
Sensory Nerve Endings

scholarly journals Median to radial nerve transfer after traumatic radial nerve avulsion in a pediatric patient

2019 ◽  
Vol 24 (2) ◽  
pp. 209-214 ◽  
Author(s):  
Ellen L. Larson ◽  
Katherine B. Santosa ◽  
Susan E. Mackinnon ◽  
Alison K. Snyder-Warwick
Keyword(s):  
Pediatric Patient ◽  
Radial Nerve ◽  
Sensory Nerve ◽  
Nerve Transfer ◽  
Orthopedic Procedures ◽  
Pronator Teres ◽  
Nerve Transfers ◽  
Muscle Groups ◽  
Flexor Digitorum ◽  
Extensor Carpi Radialis

This case report describes an isolated radial nerve avulsion in a pediatric patient, treated by combination sensory and motor median to radial nerve transfers. After traumatic avulsion of the proximal radial nerve, a 12-year-old male patient underwent end-to-end transfer of median nerve branches to flexor carpi radialis and flexor digitorum superficialis to the posterior interosseous nerve and extensor carpi radialis nerve, respectively. He underwent end-to-side sensory transfer of the superficial radial sensory to the median sensory nerve. Pronator teres to extensor carpi radialis brevis tendon transfer was simultaneously performed to power short-term wrist extension. Within months after surgery, the patient had regained 9–10/10 sensation in the hand and forearm. In the following months and years, he regained dexterity, independent fine-finger and thumb motions, and 4–5/5 strength in all extensors except the abductor pollicis longus muscle. He grew 25 cm without extremity deformity or need for secondary orthopedic procedures. In appropriate adult and pediatric patients with proximal radial nerve injuries, nerve transfers have advantages over tendon transfers, including restored independent fine finger motions, regained sensation, and reinnervation of multiple muscle groups with minimal donor sacrifice.

scholarly journals Anatomical study of the transfer of flexor digitorum superficialis nerve branch of median nerve to restore wrist extension and forearm pronation

2019 ◽  
Vol 17 (3) ◽  
Author(s):  
Edie Benedito Caetano ◽  
Luiz Angelo Vieira ◽  
Cristina Schmitt Cavalheiro ◽  
Marcel Henrique Arcuri ◽  
Rodrigo Guerra Sabongi
Keyword(s):  
Median Nerve ◽  
Anatomical Study ◽  
Flexor Digitorum Superficialis ◽  
Nerve Branch ◽  
Wrist Extension ◽  
Flexor Digitorum

Delayed Transfer of the Extensor Carpi Radialis Brevis Branch of the Radial Nerve to the Anterior Interosseous Nerve for Restoration of Thumb and Index Finger Flexion: Case Report

2020 ◽  
Vol 81 (06) ◽  
pp. 571-574
Author(s):  
Renan Salomão ◽  
Jairo Porfírio de Oliveira ◽  
Carolina Fernandes Junger ◽  
Luiz Cezar Soares Ricardo ◽  
Carlos Roberto de Lima ◽  
...  
Keyword(s):  
Median Nerve ◽  
Radial Nerve ◽  
Spontaneous Recovery ◽  
Index Finger ◽  
Upper Extremities ◽  
Nerve Branch ◽  
Finger Flexion ◽  
Anterior Interosseous Nerve ◽  
Extensor Carpi Radialis ◽  
High Median

AbstractHigh median nerve injuries (HMNIs) are rare lesions involving the upper extremities and affect the median nerve from its origin to the emergence of the anterior interosseous nerve (AIN). Proximal reconstruction has long been considered the gold standard in treating HMNI, but thumb and index flexion and pinch and grip weakness are consistently not recovered. We report the surgical results of a patient affected by an HMNI with partial spontaneous recovery after a gunshot wound. AIN function was successfully restored in a delayed fashion by transferring the radial nerve branch to the extensor carpi radialis brevis to the AIN.

scholarly journals Echography-Guided Pinning for Prevention of Iatrogenic Injuries to the Radial Nerve during Fixation of Extra-articular Distal Radius Fracture: An Anatomical Study

2017 ◽  
Vol 06 (04) ◽  
pp. 336-339 ◽  
Author(s):  
Jérémie Bouillis ◽  
Mickaël Ropars ◽  
Stéphanie Lallouet
Keyword(s):  
Ultrasound Imaging ◽  
Radial Nerve ◽  
Operative Time ◽  
Anatomical Study ◽  
Percutaneous Surgery ◽  
Iatrogenic Injuries ◽  
Safety Distance ◽  
Superficial Branch ◽  
Single Operator ◽  
Average Operative Time

AbstractThis study assesses the usefulness and feasibility of an osteosynthesis of the lower end of the radius under ultrasound imaging to avoid the superficial branch of the radial nerve (SBRN). A single operator performed an initial echography of the wrist of 12 cadaveric upper limbs to identify the three main branches of the SBRN and the tendons. Then, three pins were placed according to Kapandji's procedure, avoiding the structures spotted under ultrasound imaging. After dissection, the safety distances for the branches of the SBRN, dorsal extensor tendons, and veins were measured, and injuries to these structures were noted. No lesion of the SBRN was found with an average safety distance of 8.1 for the third branch of the radial nerve (SR3) and 1.3 mm for the first and the second branches of the radial nerve (SR1–2). Three tendons were spiked. The average operative time was 38.3 minutes. Ultrasound secures percutaneous surgery to avoid the branches of the SBRN but requires a learning curve.

scholarly journals Anatomical basis of approaches to foramen magnum and lower clival meningiomas: comparison of retrosigmoid and transcondylar approaches

2003 ◽  
Vol 14 (6) ◽  
pp. 1-5 ◽  
Author(s):  
Agustinus Suhardja ◽  
Anne M. R. Agur ◽  
Michael D. Cusimano
Keyword(s):  
Anatomical Study ◽  
Foramen Magnum ◽  
The Other ◽  
Retrosigmoid Approach ◽  
Surface Areas ◽  
Anatomical Basis ◽  
Paired Student ◽  
The Mean ◽  
Lower Clivus ◽  
The Brain

Object Meningiomas of the lower clivus and foramen magnum are among the most challenging of all neurosurgical lesions. Debate continues regarding the most appropriate approach to this eloquent anatomical region. This anatomical study was undertaken to measure and compare the area of surgical exposures of the lower clivus achieved using the retrosigmoid and the extreme-lateral transcondylar (ELT) approaches. Methods Thirteen embalmed cadaveric heads were dissected bilaterally via the retrosigmoid approach on one side and the ELT approach on the other. The circumference of the area of exposure was delineated using beaded pins placed into the dura. After removal of the brain, the longest longitudinal and transverse axes of the pinned areas were measured and surface area calculated. The area of surgical exposure was also expressed as a percentage of the total area of the lower clivus. Normalized and adjusted surface areas were calculated using the bimastoid diameter. The areas of exposure were compared using the two-tailed paired Student t-test. The mean area of exposure required using the retrosigmoid approach was 19.8 ±14.7 mm2 (range 6–49 mm2) and that using the ELT approach was 27.8 ±22.8 mm2 (range 10–90 mm2). The mean percentage of the lower clivus exposed by the retrosigmoid approach was 14.9 ±3.6% (range 10–22%) and that exposed by the ELT approach was 20.5 ± 4.9% (range 10–25%). The ELT approach provided significantly greater area of operative exposure and allowed a significantly higher percentage of lower clivus and foramen magnum exposure than did the retrosigmoid approach (p <0.05). Normalized and adjusted surface areas, taking into consideration the bimastoid diameter, were also statistically significant in favor of the ELT approach. Conclusions The ELT approach provided a significantly greater area of exposure than did the retrosigmoid approach.

Sign in / Sign up

Export Citation Format

Share Document