scholarly journals Palmar Digital Neuropathy With Anatomical Variation of Median Nerve: Usefulness of Orthodromic Technique: A Case Report

2019 ◽  
Vol 43 (3) ◽  
pp. 341-346
Author(s):  
Jun Soo Noh ◽  
Jong Woong Park ◽  
Hee-Kyu Kwon
2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Joseph Alo Nwafor ◽  
Obinna Onwe Uchewa ◽  
Amaobi Jude Egwu ◽  
Godwin Ikechukwu Nwajagu

There was no direct relationship between its formation and the axillary artery. Hence, it may be not be readily compromised. The site of MN formation was in proximal relation to the insertion of the coracobrahialis. This is clinically important as it may give a reinforced innervation to the muscle and proprioceptive impulses to medial fibres of the brachialis muscle. Conversely, the MN may be compressed by the tendon of the coracobrahialis, affecting its sympathetic filaments to the brachial artery. Furthermore, when present, it may be severed during reconstructive surgeries around the mid arm as the medial intermuscular septum fades out above the insertion of the coracobrachialis muscle. This report highlights the presence of a significant anatomical variation of the median nerve with regards to its site of formation, roots morphology and distribution, as well as its arterial relations for proper planning of surgeries.Key Words: Median nerve, arterial relations, right upper extremity, Morphology.


2017 ◽  
Vol 8 (1) ◽  
pp. 68-71
Author(s):  
Minh Huynh ◽  
Stewart Spence ◽  
Johnny W Huang

Purpose: Variations in brachial plexus anatomy are common. As such, the knowledge of variations is essential for surgeons and anesthesiologists to decrease the risk of iatrogenic injuries. Moreover, brachial plexus variations often co-exist with aberrant vasculature. The median nerve is formed from contributions by the lateral and medial cords. This case report details a unique variant in the formation of the median nerve. Methods: The anatomical variant presented was identified during an upper-limb dissection of an adult cadaver.Results: The anatomical variant presented demonstrates a bifurcation of the middle trunk of the brachial plexus that coalesces to the radix of the median nerve. Although prior studies have demonstrated median nerve brachial plexus variations, the aforementioned variant arises directly from the middle trunk and communicates directly with the median nerve, while previously mentioned variants often connect to the medial or lateral cords. Conclusion: The communicating branch between the anterior division of the middle trunk and radix of the median nerve represents a unique and uncommon anatomical variation. 


2015 ◽  
Vol 04 (01) ◽  
pp. 043-045
Author(s):  
Gyata Mehta ◽  
Varsha Mokhasi

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.


Morphologie ◽  
2021 ◽  
Author(s):  
G. Cançado de Morais Ribeiro ◽  
J. Damaceno Emiliano ◽  
Á. Campolina Fonseca ◽  
L. de Oliveira Botelho ◽  
L. Couto Castro ◽  
...  

2014 ◽  
Vol 86 (9) ◽  
Author(s):  
Łukasz Ulatowski ◽  
Anna Kaniewska

AbstractThe study presented a case of a patient with a neurilemoma of the median nerve. It presented as a six centemeters tumor, at the level of the proximal one third of the arm with only mild paraesthesias within frst to third ray of the hand. MRI showed the relationship of the tumor and the median nerve, and allowed for the preliminary diagnose of a benign peripheral neural sheath tumor (neurilemoma or neurofibroma). During the first operation the tumor has not been excised, because nerve reconstruction technique was not available. During the second procedure excision of the tumor has been performed without resection of the median nerve trunk with no postoperative deficiencies. The paper provides a detailed description of a surgical procedure. The presented case, like current publications shows that peripheral neural sheath tumor may be usually excised without resection of the nerve trunk, although the possibility of nerve fascicles injury or the need to excise them in the case of neurofibroma clearly suggest that these type of operations should be carried out in centers with microsurgical facilities.


2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Jorge Barraza‐Silva ◽  
Roberto Berebichez‐Fridman ◽  
Lilia Edith Corona‐Cobian ◽  
Laura Montserrat Bernal‐López ◽  
Raúl Álvarez‐San Martín

2020 ◽  
Vol 47 (3) ◽  
pp. 236-238 ◽  
Author(s):  
Mohammad Ghorbani ◽  
Maziar Azar ◽  
Hamidreza Shojaei

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