IJAR.2018.228

Type of Article:  Original Research

Volume 6; Issue 3.1 (July 2018)

Page No.: 5441-5444

DOI: https://dx.doi.org/10.16965/ijar.2018.228

VARIATIONS IN LATERAL ROOT OF MEDIAN NERVE

Dinit K Tom 1, Sonali A. Khake *2, S.M. Belsare 3, Maitreyee M Mutalik 4.

1 Demonstrator, Dr. D Y Patil Medical College, Hospital & Research  Centre, Pimpri, Pune, Maharashtra, India.

*2 Assistant Professor, M.I.M.E.R Medical College, Talegaon, Pune, Maharashtra, India.

3 Professor and Head, Department of Anatomy M.I.M.E.R Medical College Talegaon Pune, Maharashtra, India.

4 Assistant professor, Dr. D Y Patil Medical College, Hospital & Research  Centre, Pimpri, Pune, Maharashtra, India.

Corresponding author: Dr.Sonali Abhijeet Khake, Assistant professor, M.I.M.E.R Medical College, Talegaon, Pune, Maharashtra, India. E-Mail: drsonali11@gmail.com

ABSTRACT:

Background: Median nerve is formed in axilla by medial & lateral roots from medial & lateral cords of brachial plexus respectively. Variations of median nerve are not uncommon. Incidences of variations in lateral root are more common than that of medial root. This study was undertaken to find out the different ways by which lateral root contributes in formation of median nerve. These finding will provide anatomical basis for clinical correlation in case of neuropathies & surgeries of upper limb.

Materials and Methods: 80 upper limbs were dissected to find out the variations of the lateral root in the formation of median nerve.

Result and findings: Median nerve was formed in the axilla: – by one medial root & two lateral roots in 16.25% cases, one lateral root was thin & and the other was thick in 2.5% cases, 2nd lateral root joined the median nerve in middle third of arm in 2.5 % cases.  In 11.25 % cases median nerve was formed in the middle 1/3rd of arm by medial & lateral root, 2nd lateral root joined it at lower 1/3rd of arm. In 2.5 % cases two small lateral roots joined the medial cord before it branched into ulnar nerve and medial root of median nerve ,a  3rd lateral root joined the medial root to form the median nerve. In 8.75 % median nerve was formed in axilla by one medial & two lateral roots; a 3rd lateral root joined it at lower part of axilla

Conclusion: Though, formation of median nerve by several lateral roots is considered to be a rare variation, in our study we observed 41.25% variations of different types.

Key words:  Median nerve, Lateral root, Axillary artery, Medial root, Brachial plexus.

REFERENCES

  1. David J, Harold E. Gray’s Anatomy. In: Pectoral girdle, shoulder region and axilla. 40th New York Churchill Livingstone Elsevier, 2008;791-822.
  2. Sinnatamby. Lasts Anatomy.Part 9 Wrist and hand.12th ed. New York Churchill Livingstone Elsevier, 2011;141-142.
  3. Hollingshead WH Anatomy for surgeons. In: General Survey of Upper Limb.2ndNew Yprk Harper & Row,1969;3:236-40.
  4. Budhiraja,V., Rastogi,R. and Asthana,AK. Anatomical variation Of median nerve formation:embryological and clinical correlation. Journal of morphological science,2011;28(4):283-286.
  5. Walsh, J. F. The anatomy of the brachial plexus. Am. J. Med. Sci., 1877;74:387-97.
  6. Malivalaya Namking, Arada Chaiyamoon, Wunnee Chaijaroonkhanarak. Incidence of Unusual Formation of the Median Nerve in Thai-Northeast Embalmed Cadavers, Int. J. Morphol., 2017;35(1):52-55.
  7. Pais,D., Casal, D., Santos, A. & O’Neill, JG. A variation in the origin of median associated with unusual origin of deep brachial artery. Journal of morphological sciences,2010;27;35-38
  8. Chauhan & Roy. Communication between the median & musculocutaneous nerve – A case report, journal of anatomical socity of India.2002:52(1):72-5.
  9. Bhanu,P., Sankar KD. & Susan,PJ. Formation of median nerve without the medial cord & associated variations of brachial plexus.International Journal of Anatomical Variations,2010;3:27-29.
  10. Sontakke, BR, Tarnekar,AM., Waghmare, JE. & Ingole,IV. An unusual case of an asymmetrical formation and distribution of median nerve. International journal of Anatomical variations, 2011;4:57-60.
  11. Satyanarayana N, Guha R – Formation of median nerve by four roots. J college of medical sciences 2008;5(1):105-7.
  12. Uzun,A and Seeling,L. A variation in the formation of the median nerve: communicating branch between the musculocutaneous and median nerve in man. Folia Morphologica, 2001;60(2):99-101.
  13. Choi, D.; Rodríguez-Niedenführ, M.; Vázquez, T.; Parkin, I. & Sañudo, J. R. Patterns of connections between the musculocutaneous and median nerves in the axilla and arm. Clin. Anat., 2002;15(1):11-7.
  14. Iamsaard, S.; Thunyaharn, N.; Chaisiwamongkol, K.; Boonruangsri, P.; Uabundit, N. & Hipkaeo, W. Variant insertion of the teres major muscle. Anat. Cell Biol., 2012;45(3):211-3.

Cite this article: Dinit K Tom, Sonali A. Khake, S.M. Belsare, Maitreyee M Mutalik. VARIATIONS IN LATERAL ROOT OF MEDIAN NERVE. Int J Anat Res 2018;6(3.1):5441-5444. DOI: 10.16965/ijar.2018.228