Le Minor J M
Institut d'Anatomie Normale de la Faculté de Médecine de Strasbourg.
Arch Anat Histol Embryol. 1990;73:33-42.
A rare variant of the origin of the median and the musculocutaneous nerves is reported. The lateral fasciculus of the brachial plexus pierced the coracobrachialis muscle, gave muscular branches to the coracobrachialis and biceps brachii, and then divided at the middle of the upper arm in two terminal branches. The first one trifurcated, giving two branches for the brachialis muscle, and the lateral antebrachial cutaneous nerve; the second one corresponded to the lateral root of the median nerve. This lateral root joined the medial root, and gave the proper median nerve. No accurate description of a similar case has been found in the literature. The peculiarity of this observation leads us to propound a new classification, in five types, of the variations of these two nerves reported in the literature.
报道了正中神经和肌皮神经起源的一种罕见变异。臂丛外侧束穿过肱二头肌,发出肌支至肱二头肌和肱肌,然后在上臂中部分为两支终末支。第一支再分为三支,其中两支至肱肌,另一支为前臂外侧皮神经;第二支相当于正中神经外侧根。此外侧根与内侧根汇合,形成正中神经主干。文献中未发现类似病例的准确描述。这一特殊发现促使我们对文献中报道的这两条神经的变异提出一种新的五型分类法。