Matzi, V. and Hoerlesberger, N. and Hohenberger, G. M. and Rosenlechner, D. and Dolcet, C. and Weiglein, A. H. and Maier, M. J. and Grechenig, St. (2015) Minimally invasive approach to the radial nerve - A new technique. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 46 (12). pp. 2374-2378. ISSN 0020-1383, 1879-0267
Full text not available from this repository. (Request a copy)Abstract
Purpose: To describe a minimally invasive approach to find the radial nerve (RN) simply and safely by tracing the posterior antebrachial cutaneous nerve (PACN) without damaging muscles, using only the surgeon's hand to define a window for the skin incision. Background: Although it is absolutely necessary to locate the radial nerve during osteosynthesis of the humerus, the literature lacks guidelines on how to do so. Methods: We have dissected the upper extremities of 54 adult human cadavers, embalmed using Thiel's method. After the PACN was identified in a defined space, its course was traced proximally by incising the lateral intermuscular septum (LIS) of the upper arm and thereby reaching the radial nerve (RN). Subsequently, using the lateral epicondyle (LE) of the humerus as a reference point, the distances to the points where the PACN perforated the LIS, and where the RN was identified, were measured. These individual data were related to the total length of the humerus. Results: The results indicate that with this approach and without harming musculature, the RN can be reached by tracing the PACN at a height of 11.1-13.0 cm (females) and 11.9-14.0 cm (males) starting from the LE. Conclusion: Our examination shows the PACN to be a convenient guide to the RN. (C) 2015 Elsevier Ltd. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LATERAL INTERMUSCULAR SEPTUM; CUTANEOUS NERVE; ANATOMY; ARM; PRESERVATION; BRANCHES; CADAVERS; FOREARM; FLAP; Radial nerve; Humerus shaft; Posterior antebrachial cutaneous nerve; Minimally invasive plate osteosynthesis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 May 2019 07:17 |
| Last Modified: | 06 May 2019 07:17 |
| URI: | https://pred.uni-regensburg.de/id/eprint/4391 |
Actions (login required)
 |
View Item |
