Cadaver dissection study of the pectoral nerves for feasibility in brachial plexus injuries

  • Dr. M. Srijana Assistant Professor, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
  • Dr. R.Srikanth Professor and HOD, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
Keywords: Medial Pectoral Nerve, Musculocutaneous Nerve, Axillary Nerve, Brachial Plexus

Abstract

Injury to upper trunk of Brachial Plexus is the most common injury pattern. Major functions affected those of supra scapular nerve (SSN), axillary nerve (AXN) and musculocutaneous nerve (MCN) which resulting dysfunction of elbow flexion shoulder abduction and internal rotation. Intra‐plexal nerve donors are more efficacious than extra‐plexal nerve donors and expendable.

Downloads

Download data is not yet available.

References

Midha R. Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery.1997;40:1182–89. doi: https://doi.org/10.1097/0006123-199706000-00014.

Colbert S, Mackinnon S. Posterior approach for double nerve transfer for restoration of shoulder function in upper brachial plexus Hand (N Y). 2006 Dec;1(2):71-7. doi: https://doi.org/10.1007%2Fs11552-006-9004-4.

Humphreys DB, Mackinnon SE. Nerve transfers. Oper Tech Plast Reconstr Surg. 2002;9:89–99. doi: https://doi.org/10.1053/otpr.2003.S1071-0949(03)00057-X.

Mackinnon SE. Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg. 2006;118:1273. doi: https://doi.org/10.1097/01.prs.0000238220.56097.4e.

Park TS. Medial pectoral nerve transfer. J Neurosurg Pediatr. 2009;3:345–46. doi: https://doi.org/10.3171/2008.12.PEDS08370.

Shin AY, Spinner RJ, Bishop AT. Nerve transfers for brachial plexus injuries. Oper Tech Orthopaedics 2004;14(3)199–212.

Wellons JC, Tubbs RS, Pugh JA, Bradley NJ, Law CR, Grabb PA. Medial pectoral nerve to musculocutaneous nerve neurotization for the treatment of persistent birth-related brachial plexus palsy: an 11-year institutional experience. J Neurosurg: Ped. 2009;3:348–353. doi: https://doi.org/10.3171/2008.11.PEDS08166.

Loukas M, Grabska J, Tubbs RS, Indies RG, Usa U: An unusual union of the intercostobrachial and medial pectoral nerve. Folia Morphol (Warsz) 66:356–59, 2007.

Bergman RA, Thompson SA, Afifi AK, Saadeh FA: Compendium of Human Anatomic Variation. Munich: Urban & Schwarzenberg, 1988.

Loukas M, Louis RG, Fitzsimmons J, Colborn G: The surgical anatomy of the ansa pectoralis. Clin Anat 19:685–693, 2006.

Shin AY, Spinner RJ, Bishop AT. Nerve transfers for brachial plexus injuries. Oper Tech Orthopaedics 2004;14(3):199–212.

Hansasuta A, Tubbs RS, Grabb PA. Surgical relationship of the medial pectoral nerve to the musculocutaneous nerve: a cadaveric study. Neurosurgery. 2001;48:203–207.

Lee K-S. Anatomic variation of the spinal origins of lateral and medial pectoral nerves. Clin Anat.2007;Nov:20(8):915–18. doi: https://doi.org/10.1002/ca.20556.

Samardzic M, Grujicic D, Rasulic L, Bacetic D. Transfer of the medial pectoral nerve: myth or reality? Neurosurgery. 2002;50:1277–82.

Merrell GA, Barrie KA, Katz DL, Wolfe SW: Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature. J Hand Surg [Am] 26:303–14, 2001.

Blaauw G, Slooff ACJ. Transfer of pectoral nerves to the musculocutaneous nerve in obstetric upper brachial plexus palsy. Neurosurgery. 2003;53:338–42. doi: https://doi.org/10.1227/01.neu.0000073420.66113.66.

Wellons JC, Tubbs RS, Pugh JA, Bradley NJ, Law CR, Grabb PA. Medial pectoral nerve to musculocutaneous nerve neurotization for the treatment of persistent birth-related brachial plexus palsy: an 11-year institutional experience. J Neurosurg: Ped. 2009;3:348–53. doi: https://doi.org/10.3171/2008.11.PEDS08166.

Cadaver dissection study of the pectoral nerves for feasibility in brachial plexus injuries
CITATION
DOI: 10.17511/ijmrr.2016.i11.27
Published: 2016-11-30
How to Cite
1.
Srijana M, R. S. Cadaver dissection study of the pectoral nerves for feasibility in brachial plexus injuries. Int J Med Res Rev [Internet]. 2016Nov.30 [cited 2024Apr.19];4(11):2059-63. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/759
Section
Original Article