THE INTERNAL ANATOMY OF THE MEDIAN NERVE IN THE REGION OF THE ELBOW

被引:32
作者
GUNTHER, SF
DIPASQUALE, D
MARTIN, R
机构
[1] Departments of Orthopaedic Surgery, the Washington Hospital Center, George Washington University, Washington, DC
[2] Anatomical Teaching Laboratory, the Uniformed Services University of Health Sciences, Bethesda, Md
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 04期
关键词
D O I
10.1016/0363-5023(92)90310-L
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The internal anatomy of the median nerve in the region of the elbow has been studied by microdissection in 20 cadavers. Gross branching patterns were studied in an additional 14 cadavers. There are four major branches or branch groups: I to pronator teres, II to flexor carpi radialis, flexor digitorum superficialis, and palmaris longus; III to the anterior interosseous nerve; and IV to flexor digitorum superficialis. Three of these could be traced proximally within the main trunk of the median nerve, the average being I - 10 cm; III - 7.5 cm; IV - 2 cm. This information should have clinical applications in repair and grafting of the median nerve near the elbow and in understanding clinical nerve compression syndromes.
引用
收藏
页码:648 / 656
页数:9
相关论文
共 6 条
  • [1] Linell, The distribution of nerves in the upper limb, with reference to variabilities and their clinical significance, J Anat London, 55, pp. 79-112, (1921)
  • [2] Sunderland, Ray, Metrical and non-metrical features of the muscular branches of the median nerve, J Comp Neurol, 85, pp. 191-203, (1946)
  • [3] Sunderland, Nerves and nerve injuries, (1978)
  • [4] Sunderland, The intraneural topography of the radial, median, and ulnar nerves, Brain, 68, pp. 243-298, (1945)
  • [5] Jabaley, Wallace, Heckler, Internal topography of major nerves of the forearm and hand: a current view, J Hand Surg, 5, pp. 1-18, (1980)
  • [6] Blair, Joos, The innervation of the flexor carpi radialis: an interfascicular dissection, Arch Neurol, 39, pp. 647-649, (1982)