The Branching and Innervation Pattern of the Radial Nerve in the Forearm: Clarifying the Literature and Understanding Variations and Their Clinical Implications
| Autor: | Rebecca S. Lufler, Joshua J. Stefanik, F. Kip Sawyer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Abductor Pollicis Longus
030506 rehabilitation Clinical Biochemistry Brachioradialis Article order of innervation 03 medical and health sciences 0302 clinical medicine Extensor Carpi Radialis Brevis Forearm medicine Extensor Carpi Ulnaris forearm 030223 otorhinolaryngology superficial branch of radial nerve Radial nerve lcsh:R5-920 business.industry Anatomy musculoskeletal system body regions radial nerve Posterior interosseous nerve medicine.anatomical_structure posterior interosseous nerve Extensor Carpi Radialis Longus variation 0305 other medical science business lcsh:Medicine (General) |
| Zdroj: | Diagnostics Volume 10 Issue 6 Diagnostics, Vol 10, Iss 366, p 366 (2020) |
| ISSN: | 2075-4418 |
| Popis: | Background: This study attempted to clarify the innervation pattern of the muscles of the distal arm and posterior forearm through cadaveric dissection. Methods: Thirty-five cadavers were dissected to expose the radial nerve in the forearm. Each muscular branch of the nerve was identified and their length and distance along the nerve were recorded. These values were used to determine the typical branching and motor entry orders. Results: The typical branching order was brachialis, brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, supinator, extensor digitorum, extensor carpi ulnaris, abductor pollicis longus, extensor digiti minimi, extensor pollicis brevis, extensor pollicis longus and extensor indicis. Notably, the radial nerve often innervated brachialis (60%), and its superficial branch often innervated extensor carpi radialis brevis (25.7%). Conclusions: The radial nerve exhibits significant variability in the posterior forearm. However, there is enough consistency to identify an archetypal pattern and order of innervation. These findings may also need to be considered when planning surgical approaches to the distal arm, elbow and proximal forearm to prevent an undue loss of motor function. The review of the literature yielded multiple studies employing inconsistent metrics and terminology to define order or innervation. |
| Databáze: | OpenAIRE |
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