Sargon M F, Uslu S S, Celik H H, Akşit D
Hacettepe University, Faculty of Medicine, Department of Anatomy, Ankara, Turkey.
Bull Assoc Anat (Nancy). 1995 Sep;79(246):25-6.
We report a variation of the median nerve at the level of brachial plexus in a 38 years old male cadaver. The median nerve was formed by the fusion of three branches; two of them coming from the lateral cord, and one from the medial cord. The abnormal root coming from the lateral cord had a very close oblique course over the axillary artery. These kinds of variations are more prone to injury in radical neck dissections and in other surgical operations of the axilla. Secondly, the very close course of the unusual branch with the axillary artery may lessen the blood supply of the upper extremity by compressing the vessel.
我们报告了一名38岁男性尸体臂丛水平正中神经的变异情况。正中神经由三个分支融合形成;其中两个分支来自外侧束,一个来自内侧束。来自外侧束的异常神经根在腋动脉上方走行非常紧密且呈斜行。这类变异在根治性颈清扫术及腋窝其他外科手术中更容易受到损伤。其次,异常分支与腋动脉走行非常紧密,可能会压迫血管,从而减少上肢的血液供应。