Palmar Cutaneous Branch of Median Nerve: An Anatomical Study

SUMMARY: The purpose of this study was to determine the origin, frequency and anatomical variations of the palmar cutaneous branch of the median nerve (PCBMN) and its clinical implications in surgical procedures such as decompression of the carpal tunnel and volar approach to the wrist. Dissection o...

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Autores principales: Caetano,Edie Benedito, Vieira,Luiz Angelo, Sabongi,Rodrigo Guerra, Botelho,Caio Augusto Schlindwen, Junqueira,Francisco Meirelles, Marques,Marcos Felipe
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2018
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000200531
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spelling oai:scielo:S0717-950220180002005312019-09-16Palmar Cutaneous Branch of Median Nerve: An Anatomical StudyCaetano,Edie BeneditoVieira,Luiz AngeloSabongi,Rodrigo GuerraBotelho,Caio Augusto SchlindwenJunqueira,Francisco MeirellesMarques,Marcos Felipe Hand/Innervation Median nerve Cadaver Anatomy SUMMARY: The purpose of this study was to determine the origin, frequency and anatomical variations of the palmar cutaneous branch of the median nerve (PCBMN) and its clinical implications in surgical procedures such as decompression of the carpal tunnel and volar approach to the wrist. Dissection of 30 forearms from 18 adult male specimens (9 bilateral, 7 right limbs and 5 left limbs) were performed using 2.5X magnification loupe in order to better understand the PCBMN. Origin, number, length, positioning, anatomical relations and variations were recorded and analyzed. The PCBMN was identified in all dissected forearms, being the most distal branch of the median nerve in all forearms. The average origin was 4.8 cm (ranging 3.8 to 6.5 cm) proximal to the wrist flexion crease. Anatomical variations of the PCBMN are not rare and could endanger the nerve during surgical approach for the volar wrist and proximal palm. We did not find the PCBMN positioned ulnar to the fourth metacarpal axis as well as radial to the flexor carpi radialis tendon.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.36 n.2 20182018-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000200531en10.4067/S0717-95022018000200531
institution Scielo Chile
collection Scielo Chile
language English
topic Hand/Innervation
Median nerve
Cadaver
Anatomy
spellingShingle Hand/Innervation
Median nerve
Cadaver
Anatomy
Caetano,Edie Benedito
Vieira,Luiz Angelo
Sabongi,Rodrigo Guerra
Botelho,Caio Augusto Schlindwen
Junqueira,Francisco Meirelles
Marques,Marcos Felipe
Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
description SUMMARY: The purpose of this study was to determine the origin, frequency and anatomical variations of the palmar cutaneous branch of the median nerve (PCBMN) and its clinical implications in surgical procedures such as decompression of the carpal tunnel and volar approach to the wrist. Dissection of 30 forearms from 18 adult male specimens (9 bilateral, 7 right limbs and 5 left limbs) were performed using 2.5X magnification loupe in order to better understand the PCBMN. Origin, number, length, positioning, anatomical relations and variations were recorded and analyzed. The PCBMN was identified in all dissected forearms, being the most distal branch of the median nerve in all forearms. The average origin was 4.8 cm (ranging 3.8 to 6.5 cm) proximal to the wrist flexion crease. Anatomical variations of the PCBMN are not rare and could endanger the nerve during surgical approach for the volar wrist and proximal palm. We did not find the PCBMN positioned ulnar to the fourth metacarpal axis as well as radial to the flexor carpi radialis tendon.
author Caetano,Edie Benedito
Vieira,Luiz Angelo
Sabongi,Rodrigo Guerra
Botelho,Caio Augusto Schlindwen
Junqueira,Francisco Meirelles
Marques,Marcos Felipe
author_facet Caetano,Edie Benedito
Vieira,Luiz Angelo
Sabongi,Rodrigo Guerra
Botelho,Caio Augusto Schlindwen
Junqueira,Francisco Meirelles
Marques,Marcos Felipe
author_sort Caetano,Edie Benedito
title Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
title_short Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
title_full Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
title_fullStr Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
title_full_unstemmed Palmar Cutaneous Branch of Median Nerve: An Anatomical Study
title_sort palmar cutaneous branch of median nerve: an anatomical study
publisher Sociedad Chilena de Anatomía
publishDate 2018
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022018000200531
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