Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions
Brachial plexus neuropathies are common complaints among patients seen at orthopedic clinics. The causes range from traumatic to occupational factors and symptoms include paresthesia, paresis, and functional disability of the upper limb. Treatment can be surgical or conservative, but detailed knowle...
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Sociedad Chilena de Anatomía
2016
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oai:scielo:S0717-950220160003000402016-11-17Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb PositionsAlves dos Santos,DanielIatecola,AmiltonDias Vecina,Cesar AdrianoCaldeira,Eduardo JoseNoboro Isayama,RicardoChacon,Erivelto LuisAlves,Marianna CarlaPalomari,Evanisi TeresaSalete Viotto,Maria JoseRodrigues da Cunha,Marcelo Brachial plexus Topography Peripheral nerve injuries Upper limb Brachial plexus neuropathies are common complaints among patients seen at orthopedic clinics. The causes range from traumatic to occupational factors and symptoms include paresthesia, paresis, and functional disability of the upper limb. Treatment can be surgical or conservative, but detailed knowledge of the brachial plexus is required in both cases to avoid iatrogenic injuries and to facilitate anesthetic block, preventing possible vascular punctures. Therefore, the objective of this study was to evaluate the topography of the infraclavicular brachial plexus fascicles in different upper limb positions adopted during some clinical procedures. A formalin-preserved, adult, male cadaver was used. The infraclavicular and axillary regions were dissected and the distance of the brachial plexus fascicles from adjacent bone structures was measured. No anatomical variation in the formation of the brachial plexus was observed. The metric relationships between the brachial plexus and adjacent bone prominences differed depending on the degree of shoulder abduction. Detailed knowledge of the infraclavicular topography of neurovascular structures helps with the diagnosis and especially with the choice of conservative or surgical treatment of brachial plexus neuropathies.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.3 20162016-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300040en10.4067/S0717-95022016000300040 |
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Scielo Chile |
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Scielo Chile |
language |
English |
topic |
Brachial plexus Topography Peripheral nerve injuries Upper limb |
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Brachial plexus Topography Peripheral nerve injuries Upper limb Alves dos Santos,Daniel Iatecola,Amilton Dias Vecina,Cesar Adriano Caldeira,Eduardo Jose Noboro Isayama,Ricardo Chacon,Erivelto Luis Alves,Marianna Carla Palomari,Evanisi Teresa Salete Viotto,Maria Jose Rodrigues da Cunha,Marcelo Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
description |
Brachial plexus neuropathies are common complaints among patients seen at orthopedic clinics. The causes range from traumatic to occupational factors and symptoms include paresthesia, paresis, and functional disability of the upper limb. Treatment can be surgical or conservative, but detailed knowledge of the brachial plexus is required in both cases to avoid iatrogenic injuries and to facilitate anesthetic block, preventing possible vascular punctures. Therefore, the objective of this study was to evaluate the topography of the infraclavicular brachial plexus fascicles in different upper limb positions adopted during some clinical procedures. A formalin-preserved, adult, male cadaver was used. The infraclavicular and axillary regions were dissected and the distance of the brachial plexus fascicles from adjacent bone structures was measured. No anatomical variation in the formation of the brachial plexus was observed. The metric relationships between the brachial plexus and adjacent bone prominences differed depending on the degree of shoulder abduction. Detailed knowledge of the infraclavicular topography of neurovascular structures helps with the diagnosis and especially with the choice of conservative or surgical treatment of brachial plexus neuropathies. |
author |
Alves dos Santos,Daniel Iatecola,Amilton Dias Vecina,Cesar Adriano Caldeira,Eduardo Jose Noboro Isayama,Ricardo Chacon,Erivelto Luis Alves,Marianna Carla Palomari,Evanisi Teresa Salete Viotto,Maria Jose Rodrigues da Cunha,Marcelo |
author_facet |
Alves dos Santos,Daniel Iatecola,Amilton Dias Vecina,Cesar Adriano Caldeira,Eduardo Jose Noboro Isayama,Ricardo Chacon,Erivelto Luis Alves,Marianna Carla Palomari,Evanisi Teresa Salete Viotto,Maria Jose Rodrigues da Cunha,Marcelo |
author_sort |
Alves dos Santos,Daniel |
title |
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
title_short |
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
title_full |
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
title_fullStr |
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
title_full_unstemmed |
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions |
title_sort |
infraclavicular topography of the brachial plexus fascicles in different upper limb positions |
publisher |
Sociedad Chilena de Anatomía |
publishDate |
2016 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300040 |
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