Anatomy and Cell Biology

Korean Association of Anatomists (대한해부학회)
권호 표지
DOI QR코드

DOI QR Code

Unusual bilateral sensory innervation of the dorsum of hand by lateral antebrachial cutaneous nerve: a case report

  • Neha, Neha (Department of Anatomy, North DMC Medical College and Hindu Rao Hospital) ;
  • Krishna, Hare (Department of Anatomy, All India Institute of Medical Sciences)
  • Received : 2017.11.16
  • Accepted : 2017.12.27
  • Published : 2018.03.31
⟨ Previous Next ⟩

Abstract

A 68-year-old male cadaver showed bilateral variation in the sensory innervation of the dorsum of hand. On the dorsum of right hand, first digit and lateral half of second digit were supplied by lateral antebrachial cutaneous nerve (LABCN); medial side of second digit and lateral side of third digit were supplied by superficial branch of radial nerve (SBRN) and medial side of third digit, the fourth and fifth digits were supplied by dorsal cutaneous branch of ulnar nerve (DBUN). On the dorsum of the left hand, lateral side of first digit was supplied by LABCN, medial side of first digit, the second and third digits as well as the lateral side of fourth digit were supplied by SBRN; medial side of fourth digit and fifth digit were supplied by DBUN. These variations would be helpful in understanding peripheral neuropathy, in interpretation of conduction velocity studies and in reconstructive surgery of hand.

Keywords

References

  1. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 41th ed. Edinburgh: Elsevier; 2016. p.832-62.
  2. Sulaiman S, Soames R, Lamb C. The sensory distribution in the dorsum of the hand: anatomical study with clinical implications. Surg Radiol Anat 2015;37:779-85. https://doi.org/10.1007/s00276-014-1416-1
  3. Mok D, Nikolis A, Harris PG. The cutaneous innervation of the dorsal hand: detailed anatomy with clinical implications. J Hand Surg Am 2006;31:565-74. https://doi.org/10.1016/j.jhsa.2005.12.021
  4. Moore KL, Persaud TV, Torchia MG. Before we are born: essentials of embryology and birth defects. 8th ed. Philadelphia, PA: Elsevier Saunders; 2013. p.241-2.
  5. Gupta M, Goyal N, Harjeet. Anomalous communications in the branches of brachial plexus. J Anat Soc India 2005;54:22-5.
  6. Arey LB. Developmental anatomy: a textbook and laboratory manual of embryology. 7th ed. London: W.B. Saunders Co.; 1966. p.501-4.
  7. Yogesh A, Marathe R, Pandit S. Musculocutaneous nerve substituting for the distal part of radial nerve: A case report and its embryological basis. J Neurosci Rural Pract 2011;2:74-6. https://doi.org/10.4103/0976-3147.80112
  8. Bhanu PS, Sankar KD. Bilateral absence of musculocutaneous nerve with unusual branching pattern of lateral cord and median nerve of brachial plexus. Anat Cell Biol 2012;45:207-10. https://doi.org/10.5115/acb.2012.45.3.207
  9. Appleton AB. A Case of Abnormal Distribution of the N. musculo-cutaneus, with complete absence of the ramus cutaneus N. radialis. J Anat Physiol 1911;46(Pt 1):89-94.
  10. Stopford JS. The variations in distribution of cutaneous nerves in the hand and digits. J Anat 1918;53(Pt 1):14-25.
  11. Mackinnon SE, Dellon AL. The overlap pattern of the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve. J Hand Surg Am 1985;10:522-6. https://doi.org/10.1016/S0363-5023(85)80076-9
  12. Bourne MH, Wood MB, Carmichael SW. Locating the lateral antebrachial cutaneous nerve. J Hand Surg Am 1987;12(5 Pt 1):697-9. https://doi.org/10.1016/S0363-5023(87)80050-3
  13. Bergman RA, Thompson SA, Afifi AK, Saadeh FA. Compendium of human anatomic variation: catalogue, atlas, and world literature. Baltimore, MD: Urban and Schwarzenberg; 1988. p.139-43.
  14. Huanmanop T, Agthong S, Luengchawapong K, Sasiwongpakdee T, Burapasomboon P, Chentanez V. Anatomic characteristics and surgical implications of the superficial radial nerve. J Med Assoc Thai 2007;90:1423-9.
  15. Marathe R, Mankar S, Joshi M, Sontakke Y. Communication between radial nerve and medial cutaneous nerve of forearm. J Neurosci Rural Pract 2010;1:49-50. https://doi.org/10.4103/0976-3147.63106
  16. Yogesh A, Joshi M, Chimurkar V, Marathe R. Unilateral variant motor innervations of flexure muscles of arm. J Neurosci Rural Pract 2010;1:51-3. https://doi.org/10.4103/0976-3147.63107
  17. Tryfonidis M, Jass GK, Charalambous CP, Jacob S. Superficial branch of the radial nerve piercing the brachioradialis tendon to become subcutaneous: an anatomical variation with clinical relevance. Hand Surg 2004;9:191-5. https://doi.org/10.1142/S0218810404002224
  18. Beldner S, Zlotolow DA, Melone CP Jr, Agnes AM, Jones MH. Anatomy of the lateral antebrachial cutaneous and superficial radial nerves in the forearm: a cadaveric and clinical study. J Hand Surg Am 2005;30:1226-30. https://doi.org/10.1016/j.jhsa.2005.07.004
  19. Sontakke YA, Fulzele RR, Tamgire DW, Joshi M, Gajbe UL, Marathe RR. Unilateral variant origin of musculocutaneous nerve. Int J Anat Var 2010;3:59-60.