Welcome to International Journal of Anatomy and Research

Type of Article: Case Report

Year: 2015 | Volume 3 | Issue 4 | Page No. 1655-1659

Date of Publication: 31-12-2015

DOI: http://dx.doi.org/10.16965/ijar.2015.307

BILATERAL MULTIPLE VARIATIONS IN THE UPPER EXTREMITY OF A HUMAN CADAVER: A CASE REPORT

Soniya A Gupta ¹, Saiprasad P Bhavsar * ², Medha V Ambiye ³, Seema N Khambatta ⁴.

¹ Assistant Professor, Anatomy Department, Mayo Institute of Medical sciences, Gadia, Barabanki, UP, India.
^*2 Junior Resident, Department of preventive and social medicine, TNMC, Mumbai, India.
³ HOD, Anatomy Department, TNMC, Mumbai, India.
⁴ Associate Professor, Anatomy Department, TNMC, Mumbai, India.

Address: Dr Saiprasad P Bhavsar, 323, Above CGHS Dispensary, CGS Colony, Sector- C, Bhandup East, Mumbai, Maharashtra-400042, India.
E-Mail: bhavsarsai@gmail.com

Abstract

Background: A rare case of bilateral multiple anatomical variations in the upper extremity, was found in a male cadaver, during routine dissection in the Anatomy department at TN Medical College, Mumbai.
Observation: The variations included absence of Musculocutaneous nerve of right arm and communication of Musculocutaneous nerve with median nerve in the left arm, bilateral three heads of Biceps Brachii muscle and bilateral multiple tendons of Abductor Pollicis Longus muscle in both the arms.
Conclusion: Medical significance of an absent Musculocutaneous nerve and the presence of three heads of Biceps Brachii lies in the fact that it can cause traumatic nerve compressions or complications in anaesthetic block etc. Anatomic variations of tendons of abductor pollicis longus are significant in assessment of hand injuries and surgeons performing hand reconstructive surgery.
KEYWORDS: Abductor pollicis longus, Biceps brachii, Median nerve, Musculocutaneous nerve.

References

1. Venieratos, d., Anagnostopoulou, S. Classification of communications between the musculocutaneousand median nerves.Clinical Anatomy,1998;11(5):327-331.
2. Nakatani T, Mizukami S, Tanaka S: Absence of the musculocutaneous nerve with innervation of the coracobrachialis, the biceps brachii, the brachialis and the lateral border of the forearm by the branches from the lateral cord of the brachial plexus. J Anat1997b; 191:459-60.
3. Williams PL, Warwick R, Dyson M, Bannister LH: Gray’sAnatomy: The Anatomical Basis of Medicine And Surgery, 37th Edn.; ELBS, Churchill Livingstone,1989;614-615.
4. Warner J J, Paletta GA, Warren RF. Accessory head of the biceps brachii. Case report demonstrating clinical relevance. Clinical Orthopedics and RelatedResearch,1992;280:179-181.
5.  ManeUW, Pandhare S R. Absence of Musculocutaneous Nerve Along With Accessory Head of Biceps Brachii. International Journal of Recent Trends in Science And Technology,E-ISSN 2249-8109, 2011;1(2):45-48 .
6. Guerri-Guttenberg RA, Ingolotti M. Classifying musculocutaneous nerve variations. Clin Anat. 2009 Sep;22(6):671-83.
7. Sachdeva K, SinglaRK. Communication between median and musculocutaneous nerve. J. Morphol. Sci., 2011;28(4):246-249 . 
8. Kumar H, Das S, Rath G. An anatomical insight into the third head of Biceps brachiimuscle.BratiskyLek Listy,2008;109(2):76-78.
9. Sunitha V, Narasingarao B. Bilateral Three Headed Biceps Brachii - A Case Report.People’s Journal of Scientific Research, July 2011, 4(2).
10. Mansur DI, Krishnamurthy A, Nayak SR, Ganesh Kumar C, Rai R. Multiple tendons of abductor pollicis longus.International Journal of Anatomical Variations (2010) 3: 25–26.
11. Lacey T 2nd, Goldstein LA, Tobin CE. Anatomical and clinical study of the variations in the insertions of the abductor polliceslongus tendon, associated with stenosingtendovaginitis. J Bone Joint Surg Am. 1951; 33-A: 347–350.
12. Rayan GM, Mustafa E. Anomalous abductor pollicislongus insertion in the thenar muscles. J Hand Surg Am. 1989; 14: 550–55.

Soniya A Gupta, Saiprasad P Bhavsar, Medha V Ambiye, Seema N Khambatta. BILATERAL MULTIPLE VARIATIONS IN THE UPPER EXTREMITY OF A HUMAN CADAVER: A CASE REPORT. Int J Anat Res 2015;3(4):1659-1659. DOI: 10.16965/ijar.2015.307