右侧臂丛内侧束的异常分支及其与腋动脉和肩胛下动脉的关系：一例报告
Unusual Splitting of Medial Cord of the Right Brachial Plexus and Its Relation to the Axillary Artery and Subscapular Artery: A Case Report.
作者信息
Fakoya Adegbenro Omotuyi John, Aguinaldo Emilio, Velasco-Nieves Natalia M, Vandeveer Zachary T, Morales-Marietti Nannette, Mathew Shannon, Afolabi Abayomi Gbolahan, McCracken Thomas
机构信息
Department of Anatomy, University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis.
University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis.
出版信息
Open Access Maced J Med Sci. 2019 Jun 30;7(12):2006-2009. doi: 10.3889/oamjms.2019.561.
BACKGROUND
Variations in human anatomy have been associated with numerous clinical correlations that may affect patient care. In this article, we present a unique variation of the medial cord of the brachial plexus about the axillary artery and subscapular artery. The precise assessment of this unique morphology was performed during a cadaveric dissection.
CASE PRESENTATION
Contrary to the general course of the medial cord of the brachial plexus, this report demonstrates a rare splitting of the medial cord around the axillary artery and a second abnormal communication between the posterior and medial cords that show a "nutcracker-like" syndrome involving the subscapular artery.
CONCLUSION
Such variations could make surgeries challenging. We also infer that these anatomical variations could make gliding therapy inefficient in any motor dysfunction initiating from the brachial plexus.
背景
人体解剖结构的变异与众多可能影响患者护理的临床关联有关。在本文中，我们展示了臂丛神经内侧束围绕腋动脉和肩胛下动脉的一种独特变异。这种独特形态的精确评估是在尸体解剖过程中进行的。
病例报告
与臂丛神经内侧束的一般走行相反，本报告展示了内侧束在腋动脉周围罕见的分裂以及后束与内侧束之间的另一种异常交通，呈现出一种涉及肩胛下动脉的“胡桃夹样”综合征。
结论
此类变异可能使手术具有挑战性。我们还推断，这些解剖变异可能会使针对臂丛神经引发的任何运动功能障碍的滑动疗法效果不佳。
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