Anatomical variations of the cords of brachial plexus and the median nerve

2007 ◽  
Vol 20 (2) ◽  
pp. 150-156 ◽  
Author(s):  
S.K. Pandey ◽  
V.K. Shukla
2019 ◽  
Vol 36 (02) ◽  
pp. 122-125
Author(s):  
Abhilasha Priya ◽  
Chandni Gupta ◽  
Antony Sylvan D'souza

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.


1970 ◽  
Vol 6 (1) ◽  
pp. 896-905
Author(s):  
Edengenet Guday Demis ◽  
Asegedeche Bekele

Anatomical variations are clinically significant, but many are inadequately described or quantified. Variations in anatomy of the brachial plexus are important to surgeons and anesthesiologists performing surgical procedures in the neck, axilla and upper limb regions. It is also important for radiologists who interpret plain and computerized imaging and anatomists to teach anatomy. This study aimed to describe the anatomical variations of the terminal branches of brachial plexus on 20 Ethiopian cadavers. The cadavers were examined bilaterally for the terminal branches of brachial plexus. From the 40 sides studied for the terminal branches of the brachial plexus; 28 sides were found without variation, 10 sides were found with median nerve variation, 2 sides were found with musculocutaneous nerve variation and 2 sides were found with axillary nerve variation. We conclude that variation in the median nerve was more common than variations in other terminal branches.


2016 ◽  
Vol 5 (3) ◽  
pp. 208-212
Author(s):  
Virendra Budhiraja ◽  
Rakhi Rastogi

El cordón lateral y el nervio mediano se asocian a variaciones. Observamos variaciones simultáneas en la formación del cordón lateral y nervio mediano en treinta y dos cadáveres fijados en formol. En 29,6% de extremidades superiores el cordón lateral se formó por la división anterior del tronco superior solamente. En el 21,8% de estos casos la división anterior del tronco medio formó dos raíces adicionales para el nervio mediano y en 7,8% de los casos la división anterior del tronco medio se unió con la raíz medial del nervio mediano. En el 14% de las extremidades superiores no se formó la parte superior del tronco y el cordón lateral se formó por la unión de la división anterior de las raíces C5, C6 y C7. En 6.2% de esos casos donde no se formó la parte superior del tronco, el nervio mediano recibió una raíz adicional del cordón lateral. Creemos que el conocimiento previo de estas variaciones anatómicas es de interés para el anatomista y médico por igual. Los cirujanos que realizan procedimientos que implican neoplasias o reparar traumatismos necesitan ser conscientes de estas variaciones. Lateral cord and median nerve are associated with variations. We observed concurrent variations in the formation of lateral cord and median nerve in thirty two formalin fixed cadavers. In 29.6% upper limbs Lateral cord was formed by anterior division of upper trunk only. In 21.8% of these cases the anterior division of middle trunk formed two additional roots for the median nerve and in 7.8% cases anterior division of middle trunk joined with medial root of median nerve. In 14% upper limbs the upper trunk was not formed and the lateral cord was formed by union of anterior division of C5, C6 and C7 roots. In 6.2% of such cases where upper trunk was not formed, the median nerve received an additional root from lateral cord. We believe that prior knowledge of such anatomical variations is of interest to the anatomist and clinician alike. Surgeons who perform procedures involving neoplasms or repairing trauma need to be aware of these variations.


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.


2017 ◽  
Vol 76 (1) ◽  
pp. 38-43 ◽  
Author(s):  
C. N. Mat Taib ◽  
S. N.A. Hassan ◽  
N. Esa ◽  
M. A. Mohd Moklas ◽  
A. A. San

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