scholarly journals Accessory coracobrachialis muscle with two bellies and abnormal insertion - case report

2016 ◽  
Vol 45 (2) ◽  
pp. 155
Author(s):  
George Paraskevas ◽  
Konstantinos Koutsouflianiotis ◽  
Kalliopi Iliou ◽  
Theodosis Bitsis ◽  
Panagiotis Kitsoulis
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Upper Limb ◽  
Brachial Artery ◽  
Morphological Variability ◽  
Vascular Compression ◽  
Embryological Development ◽  
Middle Region ◽  
Usual Site ◽  
Left Humerus

<p><strong>Objective</strong>. In the current study a brief review is presented of the coracobrachialis muscle’s morphological variability, action, embryological development and clinical significance. <strong>Case report</strong>. We report a case of a left-sided coracobrachialis muscle consisting of two bellies. The deep belly inserts into the usual site in the middle area of the anteromedial aspect of the left humerus, whereas the superficial belly inserts through a muscular slip into the brachial fascia and the medial intermuscular septum, forming a musculo-aponeurotic tunnel in the middle region of the left arm, for the passage of the median nerve, brachial artery and veins, medial antebrachial cutaneous nerve and ulnar nerve. <strong>Conclusion</strong>. Awareness of such a muscle variant should be kept in mind by physicians and surgeons during interpretation of neural and vascular disorders of the upper limb, since such a variant may potentially lead to entrapment neuropathy and/or vascular compression, predisposing to neurovascular disorders, as well as during preparation of that muscle in cases of utilizing it as a graft in reconstruction of defects.</p>

scholarly journals A study on supracondylar spur (process) of humerus - a case report

2014 ◽  
Vol 03 (02) ◽  
pp. 081-083
Author(s):  
M. Mahima Sophia ◽  
Kalpana R.
Keyword(s):  
Case Report ◽  
General Population ◽  
Median Nerve ◽  
Brachial Artery ◽  
Anatomic Variation ◽  
Image Interpretation ◽  
Medial Epicondyle ◽  
Medial Aspect ◽  
Left Humerus

AbstractThe supracondylar spur of humerus is one of the rare anatomic variation of distal end of humerus. The overall incidence is 0.3-2.7 % of the general population, here the authors report a case of supracondylar spur of humerus that was observed during a study of 100 humeri. The spur was found in the antero-medial aspect of the left humerus, 5.4 cm above the medial epicondyle. It was triangular in shape and measured about 0.8 cm in length and was directed medially and forwards. The spur was 6.5 cm above the tip of the trochlea and 23.6 cm inferior to the highest point of head of humerus. A knowledge of this anatomic variation is essentially important for clinicians, surgeons and anaesthetists, as this spur if associated with Struthers' ligament will lead to a compression of the median nerve and the brachial artery. A knowledge of this variation is also important for the radiologists during image interpretation.

scholarly journals Acute Upper Limb Ischemia Due to Delayed Presentation of a Brachial Artery Pseudoaneurysm Post-Venipuncture

2019 ◽  
Vol 54 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Adele H. H. Lee ◽  
Sara D. Qi ◽  
Nathaniel Chiang
Keyword(s):  
Median Nerve ◽  
Upper Limb ◽  
Brachial Artery ◽  
Limb Ischemia ◽  
High Morbidity ◽  
Delayed Presentation ◽  
Artery Pseudoaneurysm ◽  
Hand Ischemia ◽  
Iatrogenic Trauma ◽  
Median Nerve Neuropathy

Brachial artery pseudoaneurysms (BAPs) are rare but could lead to complications of high morbidity. We report a case of a BAP presenting with hand ischemia and median nerve neuropathy nearly a decade after the inciting iatrogenic trauma, successfully treated with excision and direct repair. This report highlights that untreated pseudoaneurysms can be indolent and present late with both symptoms of embolization and local compression.

scholarly journals Unusual Variation of the Biceps Brachii with Possible Median Nerve Entrapment

2015 ◽  
Vol 116 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Danylo Yershov ◽  
Radovan Hudák
Keyword(s):  
Medical Students ◽  
Median Nerve ◽  
Upper Limb ◽  
Brachial Artery ◽  
Biceps Brachii ◽  
Coracoid Process ◽  
Unexpected Result ◽  
Clinical Perspective ◽  
Anterior Compartment ◽  
The Third

The biceps brachii is one of three muscles of the anterior compartment of arm. Variations of the biceps brachii are not rare. The most frequent is the existence of a third head called the humeral head by Le Double (1897) (Rodríguez-Vázquez et al., 1999). Our article is based on the unexpected result of a routine dissection class held for medical students. Dissection was performed according to the guidelines accepted by the anatomy department (Seichert, 1999). We describe a third (accessory) head of the biceps brachii. In addition of two regular heads, the third head originated together with the short head from the coracoid process and had three insertions on the humerus after enfolding the median nerve and the brachial artery. This particular variation is important from a clinical perspective as the third head may cause entrapment syndrome of the median nerve and hypoperfusion of the upper limb due to compression of the brachial artery.

scholarly journals Neurofibrolipoma of the dorsum of hand: a case report

2017 ◽  
Vol 4 (9) ◽  
pp. 3180
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Jayaganesh Parthasarathy
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Median Nerve ◽  
Upper Limb ◽  
Benign Lesion ◽  
Fibrolipomatous Hamartoma

Neurofibrolipoma, also called fibrolipomatous hamartoma, is a rare benign lesion which commonly involves the upper limb and its nerves with the median nerve being frequently involved. It also affects other nerves such as the ulnar, radial and brachial plexus.

scholarly journals Anomalous superficial ulnar artery based flap

2014 ◽  
Vol 47 (01) ◽  
pp. 124-126 ◽  
Author(s):  
C. V. Ramani ◽  
Girish K. Kundagulwar ◽  
Jaiswal Dushyanth ◽  
Yadav S. Prabha
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Vascular Anomalies ◽  
Pedicle Flap ◽  
Arterial Variations ◽  
Main Vessel ◽  
Upper Third ◽  
Superficial Ulnar Artery

ABSTRACTUpper limb shows a large number of arterial variations. This case report describes the presence of additional superficial ulnar artery which was used to raise a pedicle flap to cover an arm defect thus avoided using the main vessel of the forearm - radial or ulnar artery. Vascular anomalies occurring in the arm and forearm tend to increase the likelihood of damaging the superficial anomalous arteries during surgery. Superficial ulnar or radial arteries have been described to originate from the upper third of the brachial artery; here we report the origin of the anomalous superficial ulnar artery originating from the brachial artery at the level of elbow with the concomitant presence of normal deep radial and ulnar arteries.

scholarly journals Anatomical Variation of the Brachial Plexus: An Ancillary Nerve of the Middle Trunk Communicating with the Radix of the Median Nerve

2017 ◽  
Vol 8 (1) ◽  
pp. 68-71
Author(s):  
Minh Huynh ◽  
Stewart Spence ◽  
Johnny W Huang
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Median Nerve ◽  
Upper Limb ◽  
Anatomical Variation ◽  
Anatomical Variant ◽  
Iatrogenic Injuries ◽  
Communicating Branch ◽  
Anterior Division

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. 

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.

Traumatic brachial artery injury successfully treated with a stent-graft: A case report

2021 ◽  
pp. 021849232110198
Author(s):  
Yohei Kawatani ◽  
Takeshi Mochizuki ◽  
Takaki Hori
Keyword(s):  
Computed Tomography ◽  
Blood Flow ◽  
Case Report ◽  
Brachial Artery ◽  
Stent Grafts ◽  
Upper Arm ◽  
Imaging Guidance ◽  
Artery Injury ◽  
Enhanced Computed Tomography ◽  
Left Humerus

There are few reports on brachial artery injury treated with stent-grafts. A 69-year-old man presented with a crush injury to the left upper arm. Enhanced computed tomography revealed left humerus fracture and disruption of the blood flow of the brachial artery along with paresis of the forearm. Following external fixation of the fracture, we performed endovascular therapy for brachial artery injury. Using real-time ultrasound imaging guidance, the injured lesion was crossed by the wire, and Viabahn endoprosthesis was placed in the left brachial artery. Hemostasis was achieved, and blood flow to the forearm was restored. Subsequently, the paresis improved.

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