IJAR.2017.162

Type of Article:  Original Research

Volume 5; Issue 2.1 (April 2017)

Page No.: 3741-3745

DOI: https://dx.doi.org/10.16965/ijar.2017.162

CADAVERIC STUDY OF ABNORMAL COMMUNICATION BETWEEN CORDS AND BRANCHES OF BRACHIAL PLEXUS

Zarna K.Patel *1, Sudarshan Gupta 2, Sucheta Chaudhary 3.

*1 Assistant Professor, Department of Anatomy, GMERS Medical College, Gandhinagar, Gujarat, India.

2 Associate Professor, Department of Anatomy, GMERS Medical College Gandhinagar, , Gujarat, India.

3 Professor and Head, B.J.Medical College, Ahemdabad, , Gujarat, India.

 Address of Correspondence:  Dr. Zarna K. Patel, Assistant Professor, Department of Anatomy, GMERS Medical College, Gandhinagar. Civil Hospital Campus, Pathikasharam, Sector-12, Gandhinagar 382012, Gujarat, India. Moble No: 9909919721 E-Mail: zdpdoctor@yahoo.com

ABSTRACT:

 Background: Brachial Plexus is formed by anterior rami of inferior four cervical nerves C5,C6,C7,C8 and first thoracic nerve T1. It has roots, trunk, divisions, cord and terminal branches. Variations in communication of branches and cords are commonly observed.

Materials and Methods: In this study, 30 cadavers were used in which 60 upperlimb each of right and left, the axilla region is carefully dissected out during routine dissection.

Results: In Present study among 60 upper limbs abnormal communications were observed in 8 cadavers.

Conclusion: Abnormal communication between branches and cords could be vary useful for orthopedician, neurosurgeons, anesthetists, radiologists, general surgeons in various surgical operations like surgery of shoulder joint of  humerus, nerve blocking etc. So this study is done.

Key Words: Brachial Plexus, Median nerve, Musculocutaneous Nerve.

REFERENCES

  1. Butz JJ, Shiwlochan DG , Brown KC , Prasad AM, Murlimanju BV, Viswanath S. Bilateral variations of brachial plexus involving the median nerve and lateral cord: an anatomical case study with clinical implications. Australas Med J. 2014;7(5):227-31.
  2. Parchand MP, Patil ST. Absence of musculocutaneous nerve with variations in course and distribution of the median nerve. AnatSci Int. 2013;88(1):58-60.
  3. Aydin ME, Kale A, Edizer M, Kopuz C, Demir MT, Corumlu U. Absence of the musculocutaneous nerve together with unusual innervation of the median nerve. Folia Morphol (Warsz). 2006;65(3):228-31.
  4. Soleymanha M, Mobayen M, Asadi K, Adeli A, Haghparast-Ghadim-Limudahi Z. Survey of 2582 cases of acute orthopedic trauma. Trauma Mon. 2014; 19(4):e16215.
  5. Chaudhary P, Singla R, Arora K, Kalsey G. Formation and branching pattern of cords of brachial plexus-a cadaveric study in north Indian population. Int J Ana Res. 2014;2(1):225-33.
  6. Budhiraja V, Rastogi R, Asthana AK. Variations in the formation of the median nerve and its clinical correlation. Folia Morphol (Warsz). 2012;71(1):28-30.
  7. Uysal II, Seker M, Karabulut AK, Buyukmumcu M, Ziylan T. Brachial plexus variations in human fetuses. Neurosurgery. 2003;53(3):676–84.
  8. Agur AM, Dalley AF. Grant’s atlas of anatomy. 13th Philadelphia: Lippincott Williams & Wilkins; 201
  9. Dent EW, Tang F, Kalil K. Axon guidance by growth cones and branches: Common cytoskeletal and signaling mechanisms. Neuroscientist. 2003;9(5):343-353
  10. Havaldar PP, Gupta A, Rajasekhar HV. Case report: Variation in the formation of brachial plexus and its relation with axillary artery. Current Neurobiology. 2012;3(1):7-9.
  11. Johnson EO, Vekris M, Demesticha T, Soucacos PN. Neuroanatomy of the brachial plexus: normal and variant anatomy of its formation. SurgRadiol Anat. 2010;32(3):291-7.
  12. Venieratos D, Anangnostopoulou S. Classisication of communications between the musculocutaneous and median nerves. Clinical Anatomy.1998;11(5),327-331.
  13. Williams Pl, Bannister LH, Berry MM, Collins P, Dyson M, Grays Anatomy. In Nervous System. 38thedition. Churchil Livingston: Edinburgh;1995;1266-1274.
  14. Haeri GB, Wiley AM. Shoulder impingement syndrome, results of operative release. Clinical Orthopaedics.1982;168:128-132.
  15. Flatow EL, Bigliani LU, April EW. An anatomic study of the musculocutaneous nerve and its relationship with the coracoid process. Clinical Orthopaedics and Related Re-search.1989;244:166-171.
  16. Le Minor JM. A rare variant of the median and musculocu-taneous nerve in man. Archives of Anatomy, Histology and Embryology. 1992;73:33-42.
  17. Gupta M et al. Anomalus communication in branches of brachial plexus,J. Anat.Soc.India. 2005;54(1):22-25.
  18. Sontakke BR, Tarnekar AM, Waghmare JE, Ingole IV. An unusual case of asymmetrical formation and distribution of median nerve. International Journal of Anatomical Vari-ations. 2011;4:57-60.
  19. Dent EW, Tang F, Kalil K. Axon guidance by growth cones and branches: Common cytoskeletal and signaling mechanisms. Neuroscientist. 2003;9(5):343-353.
  20. Gabriel J Mchonde et al,Bilateral multiple variations in the formation of brachial plexus. Int J Anat Res 2013;1(2):78-82.

Cite this article: Zarna K.Patel, Sudarshan Gupta, Sucheta Chaudhary. CADAVERIC STUDY OF ABNORMAL COMMUNICATION BETWEEN CORDS AND BRANCHES OF BRACHIAL PLEXUS. Int J Anat Res 2017;5(2.1):3741-3745. DOI: 10.16965/ijar.2017.162