Anatomy Department, Universiti Kuala Lumpur-Royal College of Medicine Perak, No. 3, Jalan Greentown, Ipoh 30450, Malaysia.
Singapore Med J. 2012 Jun;53(6):e128-30.
The presence of anatomical variations of the peripheral nervous system often accounts for unexpected clinical signs and symptoms. We report unusual variations of the lateral and posterior cords of the brachial plexus in a female cadaver. Such variations are attributed to a faulty union of divisions of the brachial plexus during the embryonic period. The median nerve lay medial to the axillary artery (AA) on both sides. On the right, the lateral root of the median nerve crossing the AA and the median nerve in relation to the medial side of the AA was likely the result of a faulty development of the seventh intersegmental artery. We discuss these variations and compare them with the findings of other researchers. Knowledge of such rare variations is clinically important, aiding radiologists, anaesthesiologists and surgeons to avoid inadvertent damage to nerves and the AA during blocks and surgical interventions.
周围神经系统解剖变异的存在常导致意外的临床体征和症状。我们报道了一例女性尸体中臂丛外侧和后侧索的异常变异。这种变异归因于臂丛在胚胎期的分支融合不良。正中神经在两侧均位于腋动脉(AA)的内侧。在右侧,正中神经的外侧根穿过 AA,正中神经与 AA 的内侧相对,这可能是第七节间动脉发育不良的结果。我们讨论了这些变异,并与其他研究人员的发现进行了比较。了解这些罕见的变异在临床上很重要,可以帮助放射科医生、麻醉师和外科医生在阻滞和手术干预中避免无意中损伤神经和 AA。