scholarly journals Anatomical Variation of Superficial Branch of Radial Nerve in Gujrat Region

Hand Surgery ◽  
2004 ◽  
Vol 09 (02) ◽  
pp. 191-195 ◽  
Author(s):  
M. Tryfonidis ◽  
G. K. Jass ◽  
C. P. Charalambous ◽  
S. Jacob

We dissected 20 preserved Caucasian cadaveric upper limbs looking at the relation of the superficial branch of the radial nerve (SBRN) to the brachioradialis tendon. SBRN emerged from deep to superficial position by piercing the brachioradialis tendon near its dorsal border in four limbs. The resulting dorsal tendinous band compressed the nerve and prevented longitudinal gliding movement during ulnar flexion. This is likely to increase the risk of chronic compression neuropathy (Wartenberg's syndrome). In two of these four limbs, there was a communication between the SBRN and lateral cutaneous nerve of the forearm. No such communication was found in the remaining 16 forearms. This communication could contribute to the minimal area of sensory loss observed in Wartenberg's syndrome. We recommend that this anatomical anomaly is looked for and if present dealt with during surgical treatment of Wartenberg's syndrome, as it is likely to predispose to chronic compression neuropathy.


The present study aimed to correlate the clinical and surgical anatomy of the radial artery with the superficial branch of the radial nerve, looking for injuries to this nerve in the literature through surgery of the mentioned vessel. Thus, the present study consisted of observational and descriptive research. Eleven upper limbs and a digital caliper were used to measure the distance between the radial artery and the superficial branch of the radial nerve (vasculonervous bundle). Dissections of the anterior, posterior, lateral and medial sides of the arm, forearm, and hand were performed. The 11 cadaverous pieces belong to the Human Anatomy Laboratory of Universidade Brasil. For the development of the study, cadaveric pieces were used as a reference to measure the distance between the radial artery and the superficial branch of the radial nerve and, thus, analyzing in the literature the findings for anatomical and surgical correlation of the vasculonervous bundle. It is concluded that the middle and distal third of the forearm and the wrist are frequent sites of surgical procedures, whether percutaneous or open, where injury to the superficial branch of the radial nerve can occur and, generally, with undesirable and even disastrous results, therefore, the surgeon must be extremely careful in surgical procedures in the studied region, mainly vascular and in those so called percutaneous that expose to SBRN injuries. More work is suggested related to vascular events associated with SBRN injuries. Therefore, one must be aware of the possibility of occurrence, especially when these situations occur anatomical variation or even the lack of anatomical knowledge, which can be a determining factor for nerve damage.


2014 ◽  
Vol 32 (1) ◽  
pp. 29-31
Author(s):  
Mohd Nor Nurul Huda ◽  
Aye Aye San ◽  
Othman Fauziah

2017 ◽  
Vol 06 (04) ◽  
pp. 336-339 ◽  
Author(s):  
Jérémie Bouillis ◽  
Mickaël Ropars ◽  
Stéphanie Lallouet

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.


2013 ◽  
Vol 39 (2) ◽  
pp. 208-209 ◽  
Author(s):  
P. V. Vermaak ◽  
C. B. A. Lyons ◽  
O. J. H. Harley

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