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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Autores principales: 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
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000300040
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spelling 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
institution Scielo Chile
collection Scielo Chile
language English
topic Brachial plexus
Topography
Peripheral nerve injuries
Upper limb
spellingShingle 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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