International Journal of Anatomy and Research



Welcome to International Journal of Anatomy and Research

b2

 

b3

Type of Article: Case Report

Year: 2015 | Volume 3 | Issue 4 | Page No. 1716-1720

Date of Publication: 31-12-2015

DOI: http://dx.doi.org/10.16965/ijar.2015.323


ONTOGENY RECAPITULATES PHYLOGENY: COMMUNICATION BETWEEN THE MEDIAN AND THE MUSCULOCUTANEOUS NERVE

Subhra Mandal *1, Moumita Saha 2, Prabir Mandal 3, Ramprasad Saha 4.

*1 Associate Professor, Dept. of Anatomy, Medical College, Kolkata, West Bengal, India.
2 Post Graduate Resident in M.D.(Anatomy), Medical College, Kolkata, West Bengal, India.
3 Post Graduate Resident in DNB (Physical Medicine), Dr. BN Bose SD Hospital, Kolkata, West Bengal, India.
4 Post Graduate Resident in M.D.(Pediatrics), R.G.Kar Medical College, Kolkata, West Bengal, India.

Address: Dr. Subhra Mandal, M.B.B.S., M.D. (Anatomy), Associate Professor, Department of Anatomy, Medical College, Kolkata , West Bengal, India. Contact Number: +919477458100
E-Mail: drsuvramandal@gmail.com

Abstract

Neural variations of the brachium constitute important anatomical and clinical entity.Abnormal variations of median nerve, musculocutaneous nerve and their communicating branches have been reported very frequently by the anatomists in the past. The nerves of the extremities are particularly vulnerable to injury because of their long course and superficial distribution.
Present report describes a case of a single abnormal communication between median and musculocutaneous nerve encountered in a 55 year old Indian male cadaver during routine undergraduate dissection. Knowledge of such anatomical variations is important while planning surgery in the region of axilla or arm as these nerves are more liable to be injured during surgical procedures as well as may result in unusual entrapment neuropathies. Clinical significance of such type of variation in the light of its developmental origin has been discussed.
KEY WORDS: Median nerve, Musculocutaneous nerve, Anatomical variations.

References

  1. Hollinshead, W.H: Functional anatomy of  limbs and back. 4th Edn: W.B. Saunders, Philadelphia. 1976;pp 134-140.
  2. Williams, P.L., Bannister, L.H., Berry, M.M., Collins, P., Dyson, M., Dussek, J.E. and Ferguson, M.W.J.: Gray’s Anatomy In: Nervous system. 38th Edn; Churchill Livingston. Edinburgh. 1995;pp 1266-1274.
  3. Chauhan R.,Roy T.S. Communication between the median and musculocutaneous nerve- A case report.J Anat Soc. India 2002;51:72-75.
  4. Choi, D., Rodriguez-Niedenfuhr, M., Vazquez, T., Parkin, I. and Sanudo J.R. (2002): Patterns of connections between the musculocutaneous and median nerves in the axilla and arm. Clinical Anatomy. 2002;15:11-17.
  5. Vollala V.R.,Raghunathanan D.,Rodrigues V. Nerve compressions in upper limb :a case report. Neuroanatomy 2005;4:35-36.
  6. Drake R.L.,Vogl A.W.,Mitchell A.W.M. Gray’s Anatromy for Students,first edition.Elsevier Churchill Livingstone,Philadelphia. 2005,Pp.661-663.
  7. Testut, Trait: d’’ Anatomie, 1899,4th Edn; Vol 3. pp 176.
  8. Villar F. Quelques recherches sur les anastomoses des nerfs du membre superrieur. Bull. Scoc. Anat. De Paris. 1888:607-615.
  9. Kaus, M. and Wotowicz, Z. Communicating branch between the musculocutaneous and median nerves in human. Folia Morphologica (Warsz). 1995;54:273-277.
  10. Venieratos, D. and Anangnostopoulou, S.  Classification of communications between the musculocutaneous and median nerves. Clinical Anatomy 1998;11:327-331.
  11. Bhattarai C.,Poudel PP. Unusual variation in musculocutaneous nerves. Kathmandu University.Med.J. 2009;7:408-410.
  12. Le Minor, J.M. A rare variant of the median and musculocutaneous nerves in man. Archieves Anatomy Histology Embryology 1992;73:3.
  13. Prasada Rao P.V.,Chaudhury S.C.  Communication of the musculocutaneous nerve with the median nerve.East Afr Med.J. 2000;77:498-503.
  14. Kosugi, K., Mortia, T., Yamashita, H. Brancing pattern of the musculocutaneous nerve. 1. Cases possessing normal biceps brachii. Jikeakai Medical Journal 1986;33:63-71.
  15. Larsen, W.J.: Human Embryology In. Development of limbs. 2nd Edn; Churchill Livingstone. Edinburgh. 1997;pp 311-339.
  16. Brown, M.C., Hopkins, W.G. and Keynes, R.J. Axon guidance and target recognition In : Essentials of neural development. Cambridge University Press. Cambridge University Press.Cambridge. 1991;pp 46-66.
  17. Sannes, H.D., Reh, T.A. and Harris, W.A.: Development of the nervous system In: Axon growth and guidance. Academic Pres. New York. 2000; pp 189-197.
  18. Sunderland, S.: Nerves and Nerve Injury In: The Median Nerve: Anatomical and Physiological features. 2nd Edn; Churchill Livingstone. Edinburgh. 1978;pp672-677, 691-727.
  19. Leffert, R.D.: Anatomy of brachial plexus In: Brachial Plexus injuries. Churchill Livingstone. New York. 1985;p384.

 

Subhra Mandal, Moumita Saha, Prabir Mandal, Ramprasad Saha. ONTOGENY RECAPITULATES PHYLOGENY: COMMUNICATION BETWEEN THE MEDIAN AND THE MUSCULOCUTANEOUS NERVE: A CASE REPORT. Int J Anat Res 2015;3(4):1716-1720. DOI: 10.16965/ijar.2015.323

b2



b3




Search

Volume 1 (2013)

Volume 2 (2014)

Volume 3 (2015)

Submit Manuscript