Uzel A-P, Bulla A, Steinmann G, LaurentJoye M, Caix P
Service d'orthopédie et traumatologie, CHRU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre cedex, Guadeloupe.
Morphologie. 2011 Dec;95(311):146-50. doi: 10.1016/j.morpho.2011.10.001. Epub 2011 Nov 10.
Musculocutaneous nerve arises mostly from the lateral cord of brachial plexus. Nevertheless, variations have been reported and, among them: the total absence of musculocutaneous nerve (from 1.4 to 15%), the absence of its passage through the coracobrachial muscle, its variable level of penetration as measured from the tip of the coracoid process, and its communicating branches with the median nerve. We report two cases of unilateral musculocutaneous nerve absence in a 66-year-old male and a 95-year-old female cadavers, on the right and the left side, respectively. The nerve fibers normally coming from musculocutaneous nerve emerged from the median nerve. The knowledge of this anatomical variation is important specially when performing plexus bloc or Latarjet's procedure.
肌皮神经大多起源于臂丛神经的外侧束。然而,已有变异情况的报道,其中包括:肌皮神经完全缺如(发生率为1.4%至15%)、未穿过喙肱肌、从喙突尖端测量其穿入的水平位置可变,以及与正中神经的交通支。我们报告了两例单侧肌皮神经缺如的病例,分别为一名66岁男性和一名95岁女性尸体,右侧和左侧各一例。正常情况下来自肌皮神经的神经纤维从中正中神经发出。了解这种解剖变异在进行神经丛阻滞或Latarjet手术时尤为重要。