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在无肌皮神经情况下正中神经对臂前侧肌群的异常支配

Anomalous Supply of Anterior Compartment Muscles of the Arm by the Median Nerve in the Absence of the Musculocutaneous Nerve.

作者信息

Kumar Kc Pradheep, Sahoo Sanjukta, Ganapathy Arthi, Tripathy Prabhas R

机构信息

Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2025 Apr 3;17(4):e81682. doi: 10.7759/cureus.81682. eCollection 2025 Apr.

Abstract

Anatomical diversity in the brachial plexus and its terminal branches in the right upper limb is described in this abstract. Variations in the brachial plexus are not unusual, but this case is notable since the musculocutaneous nerve is absent, and the median nerve has given branches to the structure in the anterior compartment as a result. In this study, we found that the musculocutaneous nerve does not innervate the anterior compartment of the arm; instead, the median nerve has taken on a broader role. In particular, the median nerve supplies the lateral aspect of the forearm, biceps brachii, coracobrachialis, and brachialis muscles. This instance emphasizes how important it is to comprehend and identify differences in neuronal architecture within the anterior compartment of the arm. Medical practitioners may find it helpful to know about these differences when diagnosing and treating individuals with upper limb disorders, as they have clinical implications.

摘要

本摘要描述了右上肢臂丛神经及其终末分支的解剖学变异。臂丛神经的变异并不罕见,但该病例值得注意,因为肌皮神经缺如,正中神经因此向臂前区结构发出分支。在本研究中,我们发现肌皮神经并不支配臂前区;相反,正中神经发挥了更广泛的作用。具体而言,正中神经供应前臂外侧、肱二头肌、喙肱肌和肱肌。这个例子强调了理解和识别臂前区神经结构差异的重要性。对于诊断和治疗上肢疾病的个体,医生了解这些差异可能会有帮助,因为它们具有临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b5/12049663/376ae075e16e/cureus-0017-00000081682-i01.jpg

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