“Triceps Brachii Muscle Response to Neurostimulation of the Radial Nerve during Axillary Plexus Blockade: Clinical, Anatomical and Histological Correlation”

2020 ◽  
Vol 33 (4) ◽  
pp. 578-584
Author(s):  
Carlos Ruiz ◽  
Víctor Varela ◽  
Xavier Sala‐Blanch ◽  
Adriana Martínez ◽  
Miguel A. Reina
Author(s):  
Shveta Swami ◽  
Virendra Budhiraja ◽  
Deepak Sharma ◽  
Rimpi Gupta ◽  
Swati Bansal

Abstract Introduction Triceps brachii muscle is the only muscle of posterior compartment of arm, consisting of three heads—long, lateral, and medial. Radial nerve and profunda brachii artery run in the radial groove that separate lateral and medial head. Evolutionarily, triceps has many subheads which either fused or disappeared. Therefore, the knowledge of muscle is essential anthropologically and clinically, and this study aims to study the anatomical variations of triceps brachii muscle. Case Report In the present case, during routine dissections of undergraduate MBBS students, a fourth head of origin of triceps brachii muscle was seen in a male cadaver in the right arm. The variation was seen only unilaterally in cadaver. The origin was tendinous arising from the posteromedial aspect of upper part of the shaft of the humerus close to the surgical neck above the radial groove. This tendon was arching over the neurovascular bundle containing radial nerve and profunda brachii artery. Discussion and Conclusion The variations of triceps brachii muscles are mentioned in literature but are uncommon and if tendinous fourth head is present over the neurovascular bundles, it may lead to compression syndrome. Hence, these variations are of great importance to the radiologists, surgeons, and orthopaedicians while dealing with posterior compartment of arm.


2021 ◽  
pp. 69-71
Author(s):  
Giridhar Dasegowda ◽  
Seema Shimoga Rangappa

All three heads of the triceps brachii are classically described as being innervated by the radial nerve in the textbooks. Some clinical observations of traumatic injuries of the axillary nerve with associated paralysis of the long head of triceps and cadaveric studies have suggested that the axillary nerve may innervate the long head of triceps. During routine dissection to undergraduate M.B.B.S students, we found axillary nerve giving a motor branch to long head of triceps brachii on right side, in an adult male cadaver aged about 60 years. We conducted extensive literature search to analyse the previous studies reporting such variations and the studies conducted on the radial nerve or triceps brachii innervation pattern. This variation is clinically important for surgeons, orthopedicians and anaesthetist while performing surgeries and pain management therapies on the upper limb.


2010 ◽  
Vol 43 (14) ◽  
pp. 2844-2847 ◽  
Author(s):  
Norihide Sugisaki ◽  
Taku Wakahara ◽  
Naokazu Miyamoto ◽  
Koichiro Murata ◽  
Hiroaki Kanehisa ◽  
...  

2013 ◽  
Vol 26 (05) ◽  
pp. 366-371 ◽  
Author(s):  
G. Loprete ◽  
V. Musella ◽  
D. Britti ◽  
J. M. Vilar ◽  
G. Spinella

SummaryThe aim of this study was to describe the cross-sectional area and mean echogenicity of the main tendons of the shoulder and elbow joints in adult German Shepherd dogs and to determine the effects of sex, weight, and age on these parameters. No previous publications in the veterinary literature have reported information regarding quantitative ultrasonographic tendon measurements in dogs.Thirty German Shepherd dogs were examined: 13 males and 17 females. The cross-sectional area was significantly higher in males than in females (p <0.05) for the distal tendon of the triceps brachii muscle and the tendons of the flexor carpi ulnaris and common digital extensor muscles. The influence of sex on mean echogenicity was not significant. According to age, mean echogenicity was higher in older dogs, while the cross-sectional areas were similar in the two groups. Cross-sectional area and mean echogenicity of the tendons showed a direct increase with an increase in body weight. The data gained from this study can help support the clinician to discriminate between normal and pathological conditions.


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