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Multiple neurovascular variations in the upper limb – a rare case report

机译:上肢多处神经血管变异–罕见病例报告

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Variation in the nerves and vessels of upp er li mb are not u ncommon, but the presence of such multiple variations i n a same case is very rare. Here we report a rare case with mu ltiple variation s in left upper l imb noted i n a 56-year-old male cadaver. There was complete absence of muscu locutaneous nerve and i ts area was supplied by median nerve. A communicating branch was noted between the medial and lateral roots of med ian nerve overlyi ng the third part of axillary artery. A high origin of superficial u lnar artery was noted on the left side, which terminated in the p alm by formi ng incomplete superficial palmar arch. The brach ial artery continued as radial artery below the level of elbow which is also found to be superficial th roughout forearm and terminated in the palm by forming deep palmar arch. The common interosseous branch i n this case arose from the radi al artery just below the level of elbow. As this variation is concerned with anesthetic blocks and various surgical procedures, this case was studied and reported. A combination of these variations in a same case, to our knowledge, h as not been previously described in the available literature
机译:上肢神经和血管的变异并不常见,但在同一病例中出现这种多重变异的情况非常罕见。在这里,我们报道了在一个56岁的男性尸体中发现的左上肢多处变异的罕见情况。完全没有肌肉肌皮神经,其区域由正中神经提供。在腋神经第三部分上方的神经内侧和外侧根之间发现了一个连通分支。在左侧发现了尺骨浅动脉的高起源,其终止于掌侧,形成不完整的浅表掌弓。分支动脉在as骨水平以下继续作为radial动脉延伸,也被认为是前臂表面粗糙,并通过形成深手掌弓而终止于手掌。在这种情况下,常见的骨间分支来自the动脉,刚好位于肘部以下。由于这种变化与麻醉阻滞和各种外科手术有关,因此对该病例进行了研究和报道。据我们所知,在相同情况下,这些变化的组合h在现有文献中未曾描述过

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