IJAR.2018.343

Type of Article:  Original Research

Volume 6; Issue 4.1 (October 2018)

Page No.: 5792-5796

DOI: https://dx.doi.org/10.16965/ijar.2018.343

STUDY OF VARIATION IN COURSE OF RADIAL NERVE IN AXILLA AND POSTERIOR COMPARTMENT OF ARM

Raghavendra D R*1 , Nirmala D 2  , Maveshettar G F 3.

*1 Assistant Professor, Department of Anatomy, Kamineni Institute of Medical Sciences,Narketpally, Telangana. India.

2,3. Professor, Department of Anatomy, J J M Medical  College, Davangere, Karnataka. India.

Address  for correspondence: Dr Raghavendra D R,  Assistant Professor, Department of Anatomy,  Kamineni Institute of Medical Sciences, Narketpally, 508254, Telangana. India. E Mail: dr.raghavendra18@gmail.com

ABSTRACT:

Background: Radial nerve is the continuation of the posterior cord of the brachial plexus in the Axilla. It is the nerve of extensor compartment of  upper limb.

Objectives: To  know the course, and variations of radial nerve in the axilla, lower triangular space and  posterior compartment of the arm

Methods :Dissection was done on 44 upper limbs from embalmed cadavers and 6  upper limbs from embalmed dead fetuses  in the Department of Anatomy, J J M Medical College, Davangere. Dissection of Radial nerve and its branches in the axilla and posterior compartment of the arm was carried out according to Cunningham’s manual of practical anatomy.

Results : In the present study, out of 50 specimens, Radial nerve(RN) originated from the  posterior cord of brachial plexus at axilla, lies posterior to third part of axillary artery, descends behind the proximal part of  brachial artery , passes through lower triangular space(LTS)  and radial groove and accompanies the  profunda brachii artery in 50 specimens(100%). 22 specimens (44%) showed high division of Radial nerve(RN) in to two divisions at axilla and lower triangular space (LTS). The relation between two high divisions of Radial nerve( RND) was anterior & posterior  or medial & lateral .In all cases (100%), either anterior or lateral division continues as radial nerve in to anterior compartment of arm.

Interpretation &Conclusion :The present study is important for Surgeons, Orthopedicians, and Neurophysicians as it provides the knowledge of course of radial nerve in axilla and posterior compartment of arm to prevent possible complications.

Key words: Radial Nerve, Radial Groove, Wrist Drop.

REFERENCES

  1. Romanes GJ. Cunningham’s Manual of Practical Anatomy, Volume 1, upper and lower limbs.15th New York: Oxford medical publications;2010.p.4-73.
  2. Chang IT, Hohler AD. Bilateral radial nerve compression(crutch palsy): A case report . J Neurol Neurophysiol 2012;3:3.
  3. Snell RS. Clinical Anatomy by Regions. 9th Philadelphia: Wolters Kluwer/Lippincott Williams and Wilkins; 2012.p. 430-431.
  4. Drake RL, Vogl AW, Mitchel AWM. Anatomy for Students. 2nd Edinburg: Churchill  Livingstone ; 2010 .  p . 663-774.
  5. Yakkanti MR, Roberts CS, Murphy JBS, Acland RD.  Anterior transposition of the radial nerve-A cadeveric study. Journal of Orthopedic Trauma  2008;22(10):705-708.
  6. Seigerman DA, Choung EW,   Yoon, RS,  Lu M,   Frank MA, Gaines LCDRRJ, et al. Identification of the Radial Nerve During the Posterior Approach to the Humerus: A Cadaveric Study. J Orthop Trauma 2012;26:226-228.
  7. Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice.  In:   Johnson D, editor. Pectoral girdle and upper limb. 40th  Edinburg  : Churchill  Livingstone ; 2008 .  p . 781-829.
  8. Pattanshetti SV, Jevoor PS, Shirol VS, Dixit D, Bhimalli S. A study of the formation  and branching pattern of brachial plexus and its variations in adult human cadavers of  north Karnataka. J Sci Soc 2012;39:70-7.
  9. Jamuna M. A rare variation of the branching pattern  of radial nerve. International Journal of Anatomical Variations 2011;4:22-24.
  10. Carlan D, Pratt J, Patterson JMM, Weiland AJ, Boyer MI, Gelberman RH. The    radial nerve in the brachium: An anatomic study in human cadevers.  The    Journal of  Hand Surgery 2007;32(8):1177-1182.
  11. Hugon S, Daubresse F, Depierreux L. Radial nerve entrapment in a humeral  fracture callus. Acta  Belg.,  2008;74:118-121.

Cite this article: Raghavendra D R, Nirmala D, Maveshettar G F. STUDY OF VARIATION IN COURSE OF RADIAL NERVE IN AXILLA AND POSTERIOR COMPARTMENT OF ARM . Int J Anat Res 2018;6(4.1):5792-5796. DOI: 10.16965/ijar.2018.343