Neuroanatomy of the brachial plexus: normal and variant anatomy of its formation

被引:58
作者
Johnson, Elizabeth O. [1 ]
Vekris, Marios [2 ]
Demesticha, Theano [3 ]
Soucacos, Panayotis N. [4 ]
机构
[1] Univ Athens, Sch Med, Dept Anat, Athens, Greece
[2] Univ Ioannina, Sch Med, Dept Orthopaed Surg, GR-45110 Ioannina, Greece
[3] Metropolitan Hosp, Dept Anesthesiol, Athens, Greece
[4] Univ Athens, Sch Med, Dept Orthopaed Surg, GR-11527 Athens, Greece
关键词
Brachial plexus; Microanatomy; Anatomical variations; Spinal nerve; Neural architecture; CERVICAL NERVE; INTERSEGMENTAL ANASTOMOSES; SPINAL ROOTLETS; ULTRASOUND; ANESTHESIA; SONOGRAPHY; POSTERIOR; FIBERS; MUSCLE; ROOTS;
D O I
10.1007/s00276-010-0646-0
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
The brachial plexus is the complex network of nerves, extending from the neck to the axilla, which supplies motor, sensory, and sympathetic fibers to the upper extremity. Typically, it is formed by the union of the ventral primary rami of the spinal nerves, C5-C8 & T1, the so-called "roots" of the brachial plexus. By examining the neural architecture of the brachial plexus, the most constant arrangement of nerve fibers can be delineated, and the most predominate variations in the neural architecture defined. A thorough understanding of the neuroanatomy of the brachial plexus, with an appreciation of the possible anatomic variations that may occur is necessary for effective clinical practice.
引用
收藏
页码:291 / 297
页数:7
相关论文
共 55 条
[1]   Case report: Limitation of local anesthetic spread during ultrasound-guided interscalene block. Description of an anatomic variant with clinical correlation [J].
Abrahams, Matthew S. ;
Panzer, Oliver ;
Atchabahian, Arthur ;
Horn, Jean-Louis ;
Brown, Anthony R. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2008, 33 (04) :357-359
[3]  
Bergman R.A., 1988, Compendium of human anatomic variation: text, atlas, and world literature
[4]  
BERTHOLD CH, 1977, ACTA PHYSIOL SCAND, P43
[5]   The bifid axillary artery [J].
Bigeleisen, PE .
JOURNAL OF CLINICAL ANESTHESIA, 2004, 16 (03) :224-225
[6]  
BONNEL F, 1984, Microsurgery, V5, P107, DOI 10.1002/micr.1920050302
[7]  
BOYER P, 1981, NEUROCHIRURGIE, V27, P191
[9]  
Carpenter MB., 1983, HUMAN NEUROANATOMY, V8th
[10]   The sheath of the brachial plexus - Fact or Fiction? [J].
Cornish, Philip B. ;
Leaper, Christopher .
ANESTHESIOLOGY, 2006, 105 (03) :563-565