{"id":1160,"date":"2018-02-05T15:01:38","date_gmt":"2018-02-05T15:01:38","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1160"},"modified":"2018-02-05T15:01:38","modified_gmt":"2018-02-05T15:01:38","slug":"ijar-2017-498","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-498","title":{"rendered":"IJAR.2017.498"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.1\/IJAR.2017.498.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 1.2 (February 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a04884-4889<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.498<\/h3>\n<h3 style=\"text-align: justify;\">NERVE ENTRAPMENT IN THE OSSEOAPONEUROTIC TUNNEL MIMICKING STRUTHER\u2019S LIGAMENT ASSOCIATED WITH SUPERFICIAL BRACHIAL ARTERY: AN EMBRYOLOGICAL ERROR<\/h3>\n<p style=\"text-align: justify;\"><strong>Geeta Anasuya. D *<sup>1<\/sup>, T. Jones Eben Raj <sup>2<\/sup>, Sheela Grace Jeevamani <sup>3<\/sup>.<\/strong><\/p>\n<p><sup>*1<\/sup> Assistant Professor, Dept of Anatomy, Karpagam Faculty of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.<\/p>\n<p><sup>2<\/sup> Tutor, Dept of Anatomy, Karpagam Faculty of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.<\/p>\n<p><sup>3<\/sup> Professor &amp; HOD, Dept of Anatomy, Karpagam Faculty of Medical Sciences and Research, Coimbatore, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence: <\/strong>Dr Geeta Anasuya MD, Assistant Professor, Dept of Anatomy, Karpagam Faculty of Medical Sciences and Research, Coimbatore- 32, India. Ph: + 91 9677982797 <strong>E-Mail:<\/strong> geetagee1@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction:<\/strong> Coracobrachialis muscle is well known for its morphological variations. Anatomical variation of coracobrachialis near its insertion can cause compression of median nerve and brachial artery by mimicking struther\u2019s ligament. Our aim of the study was to examine and record the variations in origin and insertion of coracobrachialis muscle and to see their relationship with the median nerve and brachial artery.<\/p>\n<p style=\"text-align: justify;\"><strong>Methodology:<\/strong> During routine dissection for undergraduate students in KFMSR, 64 upper limbs were dissected and observed for any variations in origin and insertion of Coracobrachialis muscle.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Of the 64 upper limbs dissected, we noted that in one cadaver, there were two heads of origin for coracobrachialis muscle and there was also a variation in the insertion as abnormal slips, which were attached to antebrachial fascia. The blood supply to this muscle was from the muscular branches of superficial brachial artery.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong>\u00a0 The knowledge of this type of variations is important for surgeons, radiologists, neurologists and physiotherapists for proper decision making during surgical considerations and injuries around elbow joint. Neurovascular structures like median nerve and superficial brachial artery may be compressed by the abnormal slips of coracobrachialis close to insertion.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Variation of coracobrachialis, Abnormal slips, compression of \u00a0Median nerve, Superficial brachial artery.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">MC Minn RMH. Last\u2019s Anatomy: Regional and Applied. 8th ed., Edinburgh: Churchill Livingstone; 1990. pp.79.<\/li>\n<li style=\"text-align: justify;\">Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE et al. Muscle. In Gray\u2019s Anatomy 38th Ed. Edinburg: Churchill Livingstone; 1995: p 842. 626, 837.<\/li>\n<li style=\"text-align: justify;\">Wood J. On human muscular variations and their relation to comparative anatomy . J Anat Physiol. 1867;1:44-59.<\/li>\n<li style=\"text-align: justify;\">El-Naggar M. A study on the morphology of the coracobrachialis muscle and its relationship with the musculocutaneous nerve. Folia Morphol (Warsz). 2001; 60:217\u2013224.<\/li>\n<li style=\"text-align: justify;\">Mustafa M, El-Naggar and Samar Al-saggif. Variant of coracobrachialis Muscle with a tunnel for the median nerve and brachial artery: a case report. Clinical Anat. 2004;17:139-43.<\/li>\n<li style=\"text-align: justify;\">Datta A.K. The arm. In. Essentials of Human Anatomy, Superior and Inferior extremities. Part-III \u00a04th Edition., Kolkatta; Current Books International; 2004.pp.56-59.<\/li>\n<li style=\"text-align: justify;\">Vincent Rodrigues, Satheesha Nayak, Somayaji Nagabhooshana and Venkata Ramana Vollala. Median nerve and brachial artery entrapment in the tendinous arch of coracobrachialis muscle. 2008;1:28\u201329.<\/li>\n<li style=\"text-align: justify;\">Howell AB, Straus WL. The brachial flexor muscles in primates. Proceedings of the United States National Museum. 1931;80:1\u201331.<\/li>\n<li style=\"text-align: justify;\">Potu BK, Rao MS, Nayak SR, Vollala VR, Mandaua AK, Thomas H: Variant insertion of coracobrachialis muscle in a South Karnataka Cadaver, cases Journal 2008;1:291.<\/li>\n<li style=\"text-align: justify;\">Kumar N, Shetty SD, Somayajl SN, Nayak SB: Presence of accessory coracobrachialis and its clinical importance \u2013 A case report, Int. J. Anat. Var. (IJAV) 2012;5:27-28.<\/li>\n<li style=\"text-align: justify;\">Kopuz C,\u00a0I\u00e7ten N,\u00a0Yildirim M. A rare accessory coracobrachialis muscle: a review of the literature. Surg Radiol Anat.\u00a02003 Feb; 24(6):406-10.<\/li>\n<li style=\"text-align: justify;\">Varlekar PD, Chavda HS, Khatri CR, Saiyad SS, Nagar S, Kubavat D. A study on variation in the insertion of Coracobrachialis muscle and its clinical importance. Int J Med Sci Public Health 2014;3:42-45.<\/li>\n<li style=\"text-align: justify;\">Ray B, Rai A. L, Roy T. S.: Unusual insertion of\u00a0 coracobrachialis muscle to \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0the brachial fascia associated with high division with brachial artery. Clin. Anat, 2004;17:672-676.<\/li>\n<li style=\"text-align: justify;\">Ashwini M. Mutalik. Variations in the \u00a0Coracobrachialis and Brachialis of Arm. Sep 2014;3(9);2277-8179.<\/li>\n<li style=\"text-align: justify;\">Maitrayee Mondal, Pallab Kumar Saha, Sayongdeepa Roy, Aradhana Sanga, Champak Kumar Dey, Sudheshna Majumdar. Accessory slip of coracobrachialis muscle \u00a0\u2013 a case report. \u00a0Indian Journal of Basic and Applied Medical Research; December 2015;5(1):565-567.<\/li>\n<li style=\"text-align: justify;\">Guha R, Satyanarayana N, Reddy CK, Jayasri N, Nitin V, Praveen G, Sunitha P, Datta AK: Variant insertion of coracobrachialis muscle &#8211; morphological significance, embryological basis and clinical importance, JCMS-NEPAL.2010;6(2):42-46.<\/li>\n<li style=\"text-align: justify;\">Surwase R.Gopalrao, Lakshmi Rajgopal. An\u00a0 anomalous\u00a0coracobrachialis\u00a0muscle-a case report Int J Cur Res Rev, Sep. 2013;05(17):112-115.<\/li>\n<li style=\"text-align: justify;\">Tohno Y, Tohno S, Azuma C, Kido K, Moriwake Y. Superficial brachial artery continuing into the forearm as the radial artery. J Nara Med Assoc. 2005;56:189\u2013193.<\/li>\n<li style=\"text-align: justify;\">Taylor GI, Cichowitz A, Ang SG, Seneviratne S, Ashton M: Comparative anatomical study of the gracilis and coracobrachialis muscles: implications for facial reanimation. Plast Reconstr Surg2003;112:20-30.<\/li>\n<li style=\"text-align: justify;\">Keith L Moore and Persuad T.V.N, The Muscular system. The Developing Human clinically oriented Embryology. 2009; 8<sup>th<\/sup> edition: P 358-362. Elsevier.<\/li>\n<li style=\"text-align: justify;\">Neelamjit Kaur, Patnaik V. V. Gopichand, Rajan Kumar Singla . Bilateral superficial brachial artery \u2013 \u00a0a case report.\u00a0 IJAV. 2011;4:207\u2013210.<\/li>\n<li style=\"text-align: justify;\">Keith L Moore and T.V.N. Persuad , The Muscular system. The Developing Human clinically oriented Embryology.\u00a0 7<sup>th<\/sup> edition: P 406. Elsevier.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Geeta Anasuya. D, T. Jones Eben Raj, Sheela Grace Jeevamani. NERVE ENTRAPMENT IN THE OSSEOAPONEUROTIC TUNNEL MIMICKING STRUTHER\u2019S LIGAMENT ASSOCIATED WITH SUPERFICIAL BRACHIAL ARTERY: AN EMBRYOLOGICAL ERROR. Int J Anat Res 2018;6(1.1):4884-4889. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2017.498\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 1.2 (February 2018) Page No.:\u00a04884-4889 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.498 NERVE ENTRAPMENT IN THE OSSEOAPONEUROTIC TUNNEL MIMICKING STRUTHER\u2019S LIGAMENT ASSOCIATED WITH SUPERFICIAL BRACHIAL ARTERY: AN EMBRYOLOGICAL ERROR Geeta Anasuya. D *1, T. Jones Eben Raj 2, Sheela Grace Jeevamani 3. *1 Assistant Professor, Dept of Anatomy, Karpagam Faculty of Medical Sciences and<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-498\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1160"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1160"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1160\/revisions"}],"predecessor-version":[{"id":1163,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1160\/revisions\/1163"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}