Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions

Abstract Identification of the radial nerve is important during the posterior approach to a humerus fracture. During this procedure, the patient can be placed in the prone or lateral decubitus position depending on the surgeon’s preference. The distance from the radial nerve to the osseous structure...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sitthiphong Suwannaphisit, Wachirakorn Aonsong, Porames Suwanno, Chaiwat Chuaychoosakoon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e19527e8d2854e29aba1cb3ae208074d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e19527e8d2854e29aba1cb3ae208074d
record_format	dspace
spelling	oai:doaj.org-article:e19527e8d2854e29aba1cb3ae208074d2021-12-02T15:09:23ZLocation of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions10.1038/s41598-021-96458-62045-2322https://doaj.org/article/e19527e8d2854e29aba1cb3ae208074d2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96458-6https://doaj.org/toc/2045-2322Abstract Identification of the radial nerve is important during the posterior approach to a humerus fracture. During this procedure, the patient can be placed in the prone or lateral decubitus position depending on the surgeon’s preference. The distance from the radial nerve to the osseous structures will be different in each position. The purpose of this study was to identify the safety zones in various patient and elbow flexion positions. The distances from the olecranon to the center of the radial groove and intermuscular septum and lateral epicondyle to the lateral intermuscular septum were measured using a digital Vernier caliper. The measurements were performed with cadavers in the lateral decubitus and prone positions at different elbow flexion angles. The distance from where the radial nerve crossed the posterior aspect of the humerus measured from the upper part of the olecranon to the center of the radial nerve in both positions at different elbow flexion angles varied from a mean maximum distance of 130.00 mm with the elbow in full extension in the prone position to a minimum distance of 121.01 mm with the elbow in flexion at 120° in the lateral decubitus position. The mean distance of the radial nerve from the upper olecranon to the lateral intermuscular septum varied from 107.13 to 102.22 mm. The distance from the lateral epicondyle to the lateral edge of the radial nerve varied from 119.92 to 125.38 mm. There was not significant contrast in the position of the radial nerve with osseous landmarks concerning different degrees of flexion, except for 120°, which is not significant, as this flexion angle is rarely used.Sitthiphong SuwannaphisitWachirakorn AonsongPorames SuwannoChaiwat ChuaychoosakoonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sitthiphong Suwannaphisit Wachirakorn Aonsong Porames Suwanno Chaiwat Chuaychoosakoon Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
description	Abstract Identification of the radial nerve is important during the posterior approach to a humerus fracture. During this procedure, the patient can be placed in the prone or lateral decubitus position depending on the surgeon’s preference. The distance from the radial nerve to the osseous structures will be different in each position. The purpose of this study was to identify the safety zones in various patient and elbow flexion positions. The distances from the olecranon to the center of the radial groove and intermuscular septum and lateral epicondyle to the lateral intermuscular septum were measured using a digital Vernier caliper. The measurements were performed with cadavers in the lateral decubitus and prone positions at different elbow flexion angles. The distance from where the radial nerve crossed the posterior aspect of the humerus measured from the upper part of the olecranon to the center of the radial nerve in both positions at different elbow flexion angles varied from a mean maximum distance of 130.00 mm with the elbow in full extension in the prone position to a minimum distance of 121.01 mm with the elbow in flexion at 120° in the lateral decubitus position. The mean distance of the radial nerve from the upper olecranon to the lateral intermuscular septum varied from 107.13 to 102.22 mm. The distance from the lateral epicondyle to the lateral edge of the radial nerve varied from 119.92 to 125.38 mm. There was not significant contrast in the position of the radial nerve with osseous landmarks concerning different degrees of flexion, except for 120°, which is not significant, as this flexion angle is rarely used.
format	article
author	Sitthiphong Suwannaphisit Wachirakorn Aonsong Porames Suwanno Chaiwat Chuaychoosakoon
author_facet	Sitthiphong Suwannaphisit Wachirakorn Aonsong Porames Suwanno Chaiwat Chuaychoosakoon
author_sort	Sitthiphong Suwannaphisit
title	Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
title_short	Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
title_full	Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
title_fullStr	Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
title_full_unstemmed	Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
title_sort	location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/e19527e8d2854e29aba1cb3ae208074d
work_keys_str_mv	AT sitthiphongsuwannaphisit locationoftheradialnervealongthehumeralshaftbetweentheproneandlateraldecubituspositionsatdifferentelbowpositions AT wachirakornaonsong locationoftheradialnervealongthehumeralshaftbetweentheproneandlateraldecubituspositionsatdifferentelbowpositions AT poramessuwanno locationoftheradialnervealongthehumeralshaftbetweentheproneandlateraldecubituspositionsatdifferentelbowpositions AT chaiwatchuaychoosakoon locationoftheradialnervealongthehumeralshaftbetweentheproneandlateraldecubituspositionsatdifferentelbowpositions
_version_	1718387847213350912

Location of the radial nerve along the humeral shaft between the prone and lateral decubitus positions at different elbow positions

Ejemplares similares