上肢的神经交流。尸体研究

Humberto Ferreira Arquez
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摘要

背景:臂丛末端分支在上肢水平神经之间的交通方面的解剖变化已经被报道过,这些交通是正中和肌肉皮神经,正中和尺神经,桡和尺神经(肱骨水平),但前臂水平的桡和尺神经之间的交通是非常罕见的。方法与发现:对西班牙潘普洛纳大学形态学实验室保存的15具男性尸体和2具女性尸体的34具上肢进行了防腐处理。2013-2016年对上肢进行了连续研究。在潘普洛纳大学形态学实验室研究的34个上肢中,在一具75岁男性尸体上发现了解剖变异,仔细解剖并拍摄了形态学细节,这些变异包括上肢正中神经与肌皮神经之间的神经通讯,前臂正中神经与尺神经之间的神经通讯,前臂桡神经与尺神经之间的神经通讯。结论:了解这些沟通具有临床意义。手术,治疗和诊断侵入性的程序需要非常谨慎,以防止病变的吻合分支。
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Nervous Communications In The Upper Limb. A Cadaveric Study
Background: Anatomical variations of the terminal branches of the brachial plexus in terms of communication between nerves at the level of upper limb have been reported, these communications were median and musculocutaneous nerve, median and ulnar nerve, radial and ulnar nerve (at level humeral), but communications between the radial and ulnar nerve at level of the forearm are very rare. Methods and Findings: 34 upper extremities of 15 male and 2 females embalmed adults cadavers in the laboratory of Morphology of the University of Pamplona. The upper limbs were studied serially during the years 2013-2016. Of the 34 upper limbs studied in the Laboratory of Mor­phology of the University of Pamplona, in a 75 year-old male cadaver anatomical variations were found, dissected carefully and morphological details were photographed, these variations consisted of nervous communications between median and musculocutaneous nerve in the arm, median and ulnar nerve in the forearm, radial and ulnar nerve in the forearm. Conclusions: Knowledge of these communications is of clinical significance. Surgical, therapeutic and diagnostically invasive procedures require extreme caution to prevent lesions of the anastomotic branches.
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