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Superficial branch of the radial nerve regularly contains fibers from the lateral antebrachial cutaneous nerve: A role in neuroma treatment.
Khadanovich, Anhelina; Benes, Michal; Kaiser, Radek; Kachlik, David.
Afiliación
  • Khadanovich A; Department of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic; Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic.
  • Benes M; Department of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic; Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic.
  • Kaiser R; Department of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic; Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic; Spinal Surgery
  • Kachlik D; Department of Anatomy, Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic; Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, V Úvalu 84, Praha 5, Prague 150 06, Czech Republic. Electronic addr
J Plast Reconstr Aesthet Surg ; 93: 193-199, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38703710
ABSTRACT

BACKGROUND:

Many surgical strategies aim to treat the symptomatic neuroma of the superficial branch of the radial nerve (SBRN). It is still difficult to treat despite many attempts to reveal a reason for surgical treatment failure. The lateral antebrachial cutaneous nerve (LACN) is known to overlap and communicate with SBRN. Our study aims to determine the frequency of spreading of LACN fibers into SBRN branches through a microscopic dissection to predict where and how often LACN fibers may be involved in SBRN neuroma.

METHODS:

Eighty-seven cadaveric forearms were thoroughly dissected. The path of LACN fibers through the SBRN branching was ascertained using microscopic dissection. Distances between the interstyloid line and entry of LACN fibers into the SBRN and emerging and bifurcation points of the SBRN were measured.

RESULTS:

The LACN fibers joined the SBRN at a mean distance of 1.7 ± 2.5 cm proximal to the interstyloid line. The SBRN contained fibers from the LACN in 62% of cases. Most commonly, there were LACN fibers within the SBRN's third branch (59%), but they were also observed within the first branch, the second branch, and their common trunk (21%, 9.2%, and 22%, respectively). The lowest rate of the LACN fibers was found within the SBRN trunk (6.9%).

CONCLUSION:

The SBRN contains LACN fibers in almost 2/3 of the cases, therefore, the denervation of both nerves might be required to treat the neuroma. However, the method must be considered based on the particular clinical situation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Cadáver / Neuroma Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Plast Reconstr Aesthet Surg Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Cadáver / Neuroma Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Plast Reconstr Aesthet Surg Año: 2024 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Países Bajos