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Anatomic course, Variations and Clinical Importance of the Median Nerve

Year 2013, Volume: 15 Issue: 2, 55 - 58, 01.07.2013

Abstract

The purpose of this review is to give information about anatomic course, variations and lesionsof the median nerve. Median nerve innervates the most of the forearm flexor muscle and themuscles of the tenar of the hand. Moreover, it is one of the most important peripheral sensorynerve branches that joins the sensory innervation of the hand. It is important to detect locationsthat median nerve exposed to trauma and the anatomic localizations that nerve is damageddue to entrapment neuropathies. As a result, knowledge of both anatomical course of mediannerve and its variations are very important for diagnosis and treatment of the peripheral nervediseases and surgical applications

References

  • Budhiraja V, Rastogi R, Asthana AK. Anatomical variations of median nerve formation: embryological and clinical correlation. J. Morphol. Sci. 2011; 28: 283-286.
  • Ellis H. Clinical Anatomy. 8th ed. London: Blackwell Scientific Publications; 1992. p.207-15.
  • Arıncı K, Elhan A. Anatomi (2.cilt). Güneş Kitabevi. Ankara. 1995: 216-217.
  • Yıldız YZ, Yücel B. El innervasyonu. İçinde: Yıldırım M, editör. NMS Klinik Anatomi. 3. baskı. İstanbul: Nobel; 1998. p.118-20.
  • Berry M, Bannister LH, Standring SM. Nervous system. In: Williams PL, editor. Gray’s Anatomy. 38th ed. New York: Churchill Livinstone; 1995. p.1270-72.
  • Haviarova Z, Falougy, Killingerova A, Matejcik V. Variation of The Median Nerve Course and Its Clinical Importance. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2009; 153: 303–06.
  • Snell RS. Clinical Anatomy for Medical Students. 5th ed. Newyork: Little, Brown and Company; 1995. p.484-86.
  • Demircay E, Civelek E, Cansever T, Kabataş S, Yılmaz C. Anatomic Variations of the Median Nerve in the Carpal Tunnel: A Brief Review of the Literature. Turkish Neurosurgery 2011; 21 : 388-96.
  • Pandey SK, Shukla VK. Anatomical Variations of the Cords of Brachial Plexus and the Median Nerve. Clinical Anatomy. 2007; 20: 150–156.
  • Nakatani T, Tanaka S, Mizukami S. Two rare anomalies of the brachial plexus. J Anat 1998; 192:303-4.
  • Goyal HN, Gupta M. Bilateral variant contributions in the formation of median nerve. Surg Radiol Anat. 2005; 27: 562– 565.
  • Iannicelli E, Chianta GA, Salvini V, Almberger M, Monacelli G, Passariello R. Evaluation of bifid median nerve with sonography and MR imaging. J Ultrasound Med 2000; 19:481-85.
  • Serarslan Y, Melek M. İ, Duman T. Karpal Tünel Sendromu. Pamukkale Tıp Dergisi 2008; 45-49.
  • Aggarwal A, Harjeet K, Sahni D, Aggarwal A. Bilateral multiple complex variations in the formation and branching pattern of brachial plexus. Surg Radiol Anat 2009; 31:723- 731.
  • Uysal İ.İ. Fetuslarda plexus brachialis oluşumuna katılan yapıların morfometrik analizi ve morfolojik varyasyonların araştırılması (Uzm tezi). Konya: Selçuk Üni. Tıp Fak. Anatomi ABD, 1999.
  • Sachdeva K, Singla RK. Communication median and musculocutaneous nerves. J. Morphol. Sci. 2011; 28: 246-49.
  • Fazlıoğulları Z, Ulusoy M, Ünver Doğan N, Yılmaz M.T, Karabulut A.K. Kolda Nervus Medianus’un Bir Oluşum Varyasyonu Fırat Tıp Dergisi 2011; 16: 199-201.
  • Sarsılmaz M, Şendemir E, Çelik H, Gümüşalan Y, Şimşek C. Some variations of the brachial plexus in man. Turk J Med Res 1993; 4:161-5.
  • Sargon MF, Uslu SS, Çelik HH, Akşit D. A variation of the median nerve at the level of brachial plexus. Bull Assoc Anat Nancy 1995;79:25-6.
  • Uysal İ.İ. Nervus medianus’un klinik anatomisi ve varyasyonları. Genel Tıp Derg 2003;13(2) 89-3.
  • Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ: Gray’s Anatomy, New York, Churcill Livingstone 38th ed 1995; p1258-74
  • Bas H, Kleinert JM. Anatomic variations in sensory innervation of the hand and digit. J Hand Surgery 1999; 24:1171-84.
  • Don Griot JP, Zuidam JM, van Kooten EO, Prose LP, Hage JJ. Anatomic study of the ramus communicans between the ulnar and median nerve. J Hand Surgery 2000; 25:948-54.
  • Hobbs RA, Magnussen PA, Tonkin MA. Palmar cutaneous branch of the median nerve. J Hand Surgery 1990; 15:38-43.
  • Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg [Am] 1977; 2: 44-53.
  • Davlin LB, Aulicino PL, Bergfield TL. Anatomical variations of the median nerve at the wrist. Orthopaedic Review 1992; 21:955-59.
  • Kerr AT. The brachial plexus of nerves in man, the variations in its formation and branches. Am J Anat 1918; 23:285-92.
  • Graham P. Variations of the motor branch of the median nevre at the wrist. Plast Reconstr Surg 1973; 51: 90-2.
  • Valbuena SE, O'Toole GA 2, Roulot E. Compression of the median nerve in the proximal forearm by agiant lipoma: A case report Journal of Brachial Plexus and Peripheral Nerve Injury 2008; 17: 1-4.
  • Moore KL, Dalley AF. Kliniğe Yönelik Anatomi. 4. Baskı. Nobel Tıp Kitabevi. İstanbul. 2007; p700-53.
  • Guy Hains DC, Martin Descarreaux DC, Anne-Marie Lamy DC, François Hains DC. A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome J Can Chiropr Assoc 2010; 54: 155-63.
  • Tunç T, Kutlu G, Coşkun Ö, Okuyucu EE, Çavdar L, İnan LE. Karpal tünel sendromunda klinik ve elektrofizyolojik evrelemelerin karşılaştırılması 2006; 7: 23-26.
  • Evcili G, Gül HL, Karadaş Ö, Börü ÜT. Carpal Tunnel Syndrome. J Clin Anal Med 2012; 3: 412-14.
  • Macea JR, Fregnani JHTG. Anatomy of the Thoracic Wall, Axilla and Breast Int J Morphol 2006; 24: 691-04.
  • Foreman TG. Carpal tunnel syndrome. NORMA. North oak regional medical associated, Senatobia, 2012.

Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği

Year 2013, Volume: 15 Issue: 2, 55 - 58, 01.07.2013

Abstract

Bu derlemenin amacı nervus medianus’un anatomik seyri, varyasyonları ve lezyonlarıhakkında bilgi vermektir. Nervus medianus önkolda fleksör kasların çoğunluğunu ve elin tenarkaslarını innerve eder. Ayrıca duyu dalları aracılığı ile elin duyusal innervasyonuna katılanönemli periferik sinirlerdendir. Nervus medianus’un sık travmaya maruz kaldığı bölgeler vesinirin tuzak nöropatisi sonucu hasar gördüğü anatomik lokalizasyonların tespiti önemlidir.Sonuç olarak, nervus medianus’un hem normal anatomik seyrinin bilinmesi, hem devaryasyonlarının bilinmesi periferik sinir hastalıklarının teşhisi, tedavisi ve özellikle de cerrahiuygulamalar açısından çok önemlidir

References

  • Budhiraja V, Rastogi R, Asthana AK. Anatomical variations of median nerve formation: embryological and clinical correlation. J. Morphol. Sci. 2011; 28: 283-286.
  • Ellis H. Clinical Anatomy. 8th ed. London: Blackwell Scientific Publications; 1992. p.207-15.
  • Arıncı K, Elhan A. Anatomi (2.cilt). Güneş Kitabevi. Ankara. 1995: 216-217.
  • Yıldız YZ, Yücel B. El innervasyonu. İçinde: Yıldırım M, editör. NMS Klinik Anatomi. 3. baskı. İstanbul: Nobel; 1998. p.118-20.
  • Berry M, Bannister LH, Standring SM. Nervous system. In: Williams PL, editor. Gray’s Anatomy. 38th ed. New York: Churchill Livinstone; 1995. p.1270-72.
  • Haviarova Z, Falougy, Killingerova A, Matejcik V. Variation of The Median Nerve Course and Its Clinical Importance. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2009; 153: 303–06.
  • Snell RS. Clinical Anatomy for Medical Students. 5th ed. Newyork: Little, Brown and Company; 1995. p.484-86.
  • Demircay E, Civelek E, Cansever T, Kabataş S, Yılmaz C. Anatomic Variations of the Median Nerve in the Carpal Tunnel: A Brief Review of the Literature. Turkish Neurosurgery 2011; 21 : 388-96.
  • Pandey SK, Shukla VK. Anatomical Variations of the Cords of Brachial Plexus and the Median Nerve. Clinical Anatomy. 2007; 20: 150–156.
  • Nakatani T, Tanaka S, Mizukami S. Two rare anomalies of the brachial plexus. J Anat 1998; 192:303-4.
  • Goyal HN, Gupta M. Bilateral variant contributions in the formation of median nerve. Surg Radiol Anat. 2005; 27: 562– 565.
  • Iannicelli E, Chianta GA, Salvini V, Almberger M, Monacelli G, Passariello R. Evaluation of bifid median nerve with sonography and MR imaging. J Ultrasound Med 2000; 19:481-85.
  • Serarslan Y, Melek M. İ, Duman T. Karpal Tünel Sendromu. Pamukkale Tıp Dergisi 2008; 45-49.
  • Aggarwal A, Harjeet K, Sahni D, Aggarwal A. Bilateral multiple complex variations in the formation and branching pattern of brachial plexus. Surg Radiol Anat 2009; 31:723- 731.
  • Uysal İ.İ. Fetuslarda plexus brachialis oluşumuna katılan yapıların morfometrik analizi ve morfolojik varyasyonların araştırılması (Uzm tezi). Konya: Selçuk Üni. Tıp Fak. Anatomi ABD, 1999.
  • Sachdeva K, Singla RK. Communication median and musculocutaneous nerves. J. Morphol. Sci. 2011; 28: 246-49.
  • Fazlıoğulları Z, Ulusoy M, Ünver Doğan N, Yılmaz M.T, Karabulut A.K. Kolda Nervus Medianus’un Bir Oluşum Varyasyonu Fırat Tıp Dergisi 2011; 16: 199-201.
  • Sarsılmaz M, Şendemir E, Çelik H, Gümüşalan Y, Şimşek C. Some variations of the brachial plexus in man. Turk J Med Res 1993; 4:161-5.
  • Sargon MF, Uslu SS, Çelik HH, Akşit D. A variation of the median nerve at the level of brachial plexus. Bull Assoc Anat Nancy 1995;79:25-6.
  • Uysal İ.İ. Nervus medianus’un klinik anatomisi ve varyasyonları. Genel Tıp Derg 2003;13(2) 89-3.
  • Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ: Gray’s Anatomy, New York, Churcill Livingstone 38th ed 1995; p1258-74
  • Bas H, Kleinert JM. Anatomic variations in sensory innervation of the hand and digit. J Hand Surgery 1999; 24:1171-84.
  • Don Griot JP, Zuidam JM, van Kooten EO, Prose LP, Hage JJ. Anatomic study of the ramus communicans between the ulnar and median nerve. J Hand Surgery 2000; 25:948-54.
  • Hobbs RA, Magnussen PA, Tonkin MA. Palmar cutaneous branch of the median nerve. J Hand Surgery 1990; 15:38-43.
  • Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg [Am] 1977; 2: 44-53.
  • Davlin LB, Aulicino PL, Bergfield TL. Anatomical variations of the median nerve at the wrist. Orthopaedic Review 1992; 21:955-59.
  • Kerr AT. The brachial plexus of nerves in man, the variations in its formation and branches. Am J Anat 1918; 23:285-92.
  • Graham P. Variations of the motor branch of the median nevre at the wrist. Plast Reconstr Surg 1973; 51: 90-2.
  • Valbuena SE, O'Toole GA 2, Roulot E. Compression of the median nerve in the proximal forearm by agiant lipoma: A case report Journal of Brachial Plexus and Peripheral Nerve Injury 2008; 17: 1-4.
  • Moore KL, Dalley AF. Kliniğe Yönelik Anatomi. 4. Baskı. Nobel Tıp Kitabevi. İstanbul. 2007; p700-53.
  • Guy Hains DC, Martin Descarreaux DC, Anne-Marie Lamy DC, François Hains DC. A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome J Can Chiropr Assoc 2010; 54: 155-63.
  • Tunç T, Kutlu G, Coşkun Ö, Okuyucu EE, Çavdar L, İnan LE. Karpal tünel sendromunda klinik ve elektrofizyolojik evrelemelerin karşılaştırılması 2006; 7: 23-26.
  • Evcili G, Gül HL, Karadaş Ö, Börü ÜT. Carpal Tunnel Syndrome. J Clin Anal Med 2012; 3: 412-14.
  • Macea JR, Fregnani JHTG. Anatomy of the Thoracic Wall, Axilla and Breast Int J Morphol 2006; 24: 691-04.
  • Foreman TG. Carpal tunnel syndrome. NORMA. North oak regional medical associated, Senatobia, 2012.
There are 35 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Mahinur Ulusoy This is me

Musa Acar This is me

İsmail Zararsız This is me

Publication Date July 1, 2013
Published in Issue Year 2013 Volume: 15 Issue: 2

Cite

APA Ulusoy, M., Acar, M., & Zararsız, İ. (2013). Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği. Duzce Medical Journal, 15(2), 55-58.
AMA Ulusoy M, Acar M, Zararsız İ. Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği. Duzce Med J. July 2013;15(2):55-58.
Chicago Ulusoy, Mahinur, Musa Acar, and İsmail Zararsız. “Nervus Medianus: Anatomik Seyri, Varyasyonları Ve Kliniği”. Duzce Medical Journal 15, no. 2 (July 2013): 55-58.
EndNote Ulusoy M, Acar M, Zararsız İ (July 1, 2013) Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği. Duzce Medical Journal 15 2 55–58.
IEEE M. Ulusoy, M. Acar, and İ. Zararsız, “Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği”, Duzce Med J, vol. 15, no. 2, pp. 55–58, 2013.
ISNAD Ulusoy, Mahinur et al. “Nervus Medianus: Anatomik Seyri, Varyasyonları Ve Kliniği”. Duzce Medical Journal 15/2 (July 2013), 55-58.
JAMA Ulusoy M, Acar M, Zararsız İ. Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği. Duzce Med J. 2013;15:55–58.
MLA Ulusoy, Mahinur et al. “Nervus Medianus: Anatomik Seyri, Varyasyonları Ve Kliniği”. Duzce Medical Journal, vol. 15, no. 2, 2013, pp. 55-58.
Vancouver Ulusoy M, Acar M, Zararsız İ. Nervus Medianus: Anatomik Seyri, Varyasyonları ve Kliniği. Duzce Med J. 2013;15(2):55-8.