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Rare anatomical variation of the musculocutaneous nerve - case report a??

机译:肌肉皮肤神经的罕见解剖变异-病例报告

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The clinical and surgical importance of anatomical knowledge of the musculocutaneous nerve and its variations is due to the fact that one of the complications in many upper-limb surgical procedures involves injury to this nerve. During routine dissection of the right upper limb of a male cadaver, we observed an anatomical variation of this nerve. The musculocutaneous nerve originated in the lateral cord and continued laterally, passing under the coracobrachialis muscle and then continuing until its first branch to the biceps brachialis muscle. Just after this, it supplied another two branches, i.e. the lateral cutaneous nerve of the forearm and a branch to the brachialis muscle, and then it joined the median nerve. The median nerve followed the arm medially to the region of the cubital fossa and then gave rise to the anterior intermediate nerve of the forearm. The union between the musculocutaneous nerve and the median nerve occurred approximately at the midpoint of the arm and the median nerve. Given that either our example is not covered by the classifications found in the literature or that it fits into more than one variation proposed, without us finding something truly similar, we consider this variation to be rare.
机译:肌肉皮肤神经及其变体的解剖学知识在临床和外科中的重要性是由于以下事实:许多上肢外科手术中的并发症之一涉及对该神经的损伤。在对男性尸体的右上肢进行例行解剖时,我们观察到了该神经的解剖学变化。肌皮神经起源于侧索,并沿侧向延伸,经过臂肱肌下方,然后一直持续到其第一分支至肱二头肌。此后,它又提供了另外两个分支,即前臂的外侧皮肤神经和臂肱肌的一个分支,然后它连接了正中神经。正中神经跟随手臂向内侧到达肘窝区域,然后产生前臂的前中神经。肌皮神经和正中神经之间的结合大约发生在手臂和正中神经的中点。鉴于我们的示例未在文献中找到的分类中涵盖,或者它适用于所提议的多个变体,而我们没有找到真正相似的东西,因此我们认为这种变体很少见。

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