scholarly journals Anatomical Variations of the Musculocutaneous and Median Nerves: A Case Report

Folia Medica ◽  
2019 ◽  
Vol 61 (2) ◽  
pp. 327-331 ◽  
Author(s):  
Marzieh Darvishi ◽  
Ardeshir Moayeri
Keyword(s):  
Median Nerve ◽  
Biceps Brachii ◽  
Anatomical Variations ◽  
Musculocutaneous Nerve ◽  
Upper Extremities ◽  
Terminal Branch ◽  
Lateral Cord ◽  
Pectoralis Minor ◽  
Male Cadaver ◽  
The Right

Abstract The musculocutaneous nerve is a large terminal branch of the lateral cord of the brachial plexus. It passes under the pectoralis minor and penetrates the coracobrachialis muscle, descending between the biceps brachii and brachialis muscles in the arm. After dissection in upper extremities in a 28-year-old male cadaver, the median and musculocutaneous nerve were found to have variations on the right side where the musculocutaneous nerve formed communications with the median nerve. The median nerve innervated muscles of the front of the arm in this cadaver. In addition, the musculocutaneous nerve did not pierce the coracobrachialis muscle on the right side. Knowledge of these variations is extremely important when planning a surgery in the region of axilla.

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.

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 A CADAVERIC STUDY ON THE ANATOMICAL VARIATIONS OF THE MUSCULOCUTANEOUS NERVE IN RELATION WITH MEDIAN NERVE AND CORACOBRACHIALIS MUSCLE

2018 ◽  
Vol 26 (2) ◽  
Author(s):  
Alok Tripathi ◽  
Hina Kausar ◽  
Saurabh Arora ◽  
Satyam Khare ◽  
Shilpi Jain ◽  
...  
Keyword(s):  
Median Nerve ◽  
Biceps Brachii ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Musculocutaneous Nerve ◽  
Cadaveric Study ◽  
Lateral Side ◽  
Medical College ◽  
Lateral Cord ◽  
Human Cadavers

Introduction: Musculocutaneous nerve is derived from the lateral cord of brachial plexus and supplies the muscles of the arm. Initially the nerve accompanies the lateral side of third part of axillary artery and then pierces the coracobrachialis muscle after supplying it, passes downwards and laterally in between biceps brachii and brachialis sending branches to both and continues as lateral cutaneous nerve of the forearm. Variations of musculocutaneous nerve is important for surgeons, orthopedic surgeons and traumatologists, so a detailed cadaveric study of musculocutaneous nerve was done to observe the variations. Material & Methods: Musculocutaneous nerve was studied in 50 human cadavers (30 males and 20 females) of age group 40-60 years at Department of Anatomy, Subharti Medical College, Meerut, India. Results: Musculocutaneous nerve was present in all the cases and was piercing the coracobrachialis muscle. In 4% of the cases, the nerve was rejoining the median nerve after piercing the coracobrachialis.

scholarly journals Cadaveric Study of Anatomical Variations in the Musculocutaneous Nerve and in the Median Nerve

2019 ◽  
Vol 36 (02) ◽  
pp. 122-125
Author(s):  
Abhilasha Priya ◽  
Chandni Gupta ◽  
Antony Sylvan D'souza
Keyword(s):  
Brachial Plexus ◽  
Median Nerve ◽  
Peripheral Nerves ◽  
Anatomical Variations ◽  
Musculocutaneous Nerve ◽  
Branching Pattern ◽  
Kasturba Medical College ◽  
Upper Limbs ◽  
Medical College ◽  
Lateral Cord

Introduction The musculocutaneous nerve and the median nerve are branches from the lateral cord of the brachial plexus with a root value of C5, C6, and C7. The medial root of the median nerve is a branch of the medial cord. The present study aims at observing any variations in these peripheral nerves, so that this knowledge can be utilized by surgeons, anesthesiologists, and orthopedicians during surgical procedures and nerve block. Materials and Methods The present study was carried on 30 adult embalmed cadavers (60 upper limbs) in the department of anatomy of the Kasturba Medical College , Manipal, India. The infraclavicular part of the brachial plexus was dissected, and any anatomical variations in the formation and in the branching pattern of the musculocutaneous nerve and of the median nerve were noted and photographs were taken. Results The median nerve was noted to be formed from 3 roots in 8 out of 60 dissected upper limbs (13.33%). The musculocutaneous nerve was absent in 5% of the dissected limbs, and communications between these 2 nerves were noted in 13.33% of the dissected limbs. Conclusions Noted variations of the nerves may be of help to surgeons operating in the axillas and in the arms.

scholarly journals Variation in the area of distribution of the lateral pectoral nerve and a communicating branch between musculocutaneous and median nerve : A case report

2015 ◽  
Vol 05 (04) ◽  
pp. 088-091
Author(s):  
Divia Paul A. ◽  
Manisha Rajanand Gaikwad
Keyword(s):  
Median Nerve ◽  
Biceps Brachii ◽  
Clinical Importance ◽  
Lateral Cord ◽  
Pectoral Nerve ◽  
Communicating Branch ◽  
Additional Branch ◽  
Before And After ◽  
Male Cadaver ◽  
Indian Male

AbstractVariations in the distribution of the lateral cord and its branches in the infraclavicular part of the brachial plexus are common and significant to the neurologists, surgeons, anaesthetists and the anatomists [1]. The present case describes a rare variation of the lateral pectoral nerve giving an additional branch to supply biceps brachii muscle and ends by joining inferior collateral branch of brachial artery. Also it was observed that the musculo cutaneous nerve received communicating branches from the median nerve before and after piercing the coracobrachialismuscle. The above observations were observed during routine dissection of a 55 year old Indian male cadaver. The musculocutaneous nerve, lateral pectoral nerve and its branches were identified and protected. The clinical importance of the variation is discussed.

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 A rare variation of formation of median nerve - a case report.

2015 ◽  
Vol 04 (02) ◽  
pp. 110-113
Author(s):  
Monica Diana S. ◽  
Ramesh Kumar Subramanian ◽  
Senthil Kumar S.
Keyword(s):  
Median Nerve ◽  
Lateral Root ◽  
Medial Epicondyle ◽  
Normal Pattern ◽  
Rare Variation ◽  
Medical College ◽  
Lateral Cord ◽  
Male Cadaver ◽  
Muscle Nerve ◽  
The Right

AbstractMany variations have been reported regarding formation of the brachial plexus and its branches. Here the authors report a rare variation pertaining to lateral cord of median nerve. During routine dissection, at Sri Ramachandra Medical College and Hospital, Chennai, in the department of anatomy, in a male cadaver in the right upper limb, the authors found an additional lateral root from lateral cord joining the medial root to form the median nerve. Musculocutaneous nerve did not pierce the coracobrachialis muscle instead it gave a direct branch to the muscle. Nerve supply to biceps and brachialis were of normal pattern. The musculo cutaneous nerve communicated with the median nerve before supplying other muscles. Median nerve was medial throughout the arm but about 7 cm above the level of medial epicondyle it crossed the brachial artery from medial to lateral. Morphometry of the nerves were studied by measurements. Knowledge of these variations and measurements will be helpful during surgical and anaesthetic procedures in the axilla.

scholarly journals Musculocutaneous nerve as a branch from median nerve: A case report

2021 ◽  
Vol 8 (10) ◽  
pp. 26-28
Author(s):  
Tahani Almatrafi ◽  
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Brachial Plexus ◽  
Median Nerve ◽  
Normal Individual ◽  
Musculocutaneous Nerve ◽  
Terminal Branch ◽  
King Saud University ◽  
Lateral Cord ◽  
Small Branch

The brachial plexus is the most variable part of the peripheral nervous system. The Musculocutaneous nerve is a terminal branch of the lateral cord of the brachial plexus in a normal individual. It is not uncommon for variations in the origin, branching termination, and connection patterns. During routine dissection in the Anatomy Department, College of Medicine, King Saud University, we found the lateral cord after giving a small branch to the coracobrachialis muscle join the medial root of the medial cord to form the median nerve. Knowledge of these variations is essential for anatomists, orthopedics, neurologists, and anesthesiologists.

scholarly journals Anatomic Variation of the Median Nerve Associated with an Anomalous Muscle of the Forearm

Folia Medica ◽  
2017 ◽  
Vol 59 (1) ◽  
pp. 106-109 ◽  
Author(s):  
Atoni Dogood Atoni ◽  
Charles Aidemise Oyinbo
Keyword(s):  
Median Nerve ◽  
Anatomic Variation ◽  
Anatomical Variations ◽  
Clinical Situation ◽  
Flexor Digitorum Profundus ◽  
Anomalous Muscle ◽  
Clinical Presentations ◽  
Male Cadaver ◽  
The Right ◽  
Flexor Digitorum

Abstract Documented anatomical variations are important not only for the study of the subject of anatomy, but also in clinical situation. This knowledge would aid surgeons in planning a preoperative strategy for surgical procedures and reconstructive surgery. The right forearm of a 35-year-old embalmed male cadaver present a splitting of the median nerve in the proximal 1/3 of the forearm to form medial and lateral divisions that accommodate an anomalous muscle. The split median nerve reunites at the distal 1/3 and continues as a single nerve. The anomalous muscle arises by muscle fibers from flexor digitorum superficialis and inserted by tendon into flexor digitorum profundus. There was no such variation in the left forearm. The knowledge of such anatomical variations is important to clinicians and surgeons in interpreting atypical clinical presentations and avoiding unusual injury during surgery.

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.

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