VARIATION IN FORMATION OF MEDIAN NERVE AND PROFUNDA BRACHI ARTERY

DR. APARNA VEDA PRIYA.K; DR. ZAINAB FATIMA; DR.SHEIK RESHMA SULTANA; DR. RUBINA; DR. SRIJANI BANERJEE

Volume : IX, Issue : II, February - 2020

VARIATION IN FORMATION OF MEDIAN NERVE AND PROFUNDA BRACHI ARTERY

Dr. Aparna Veda Priya. K, Dr. Zainab Fatima, Dr. Sheik Reshma Sultana, Dr. Rubina, Dr. Srijani Banerjee

Abstract :

INTRODUCTION: Median nerve is formed in axilla by the union of medial root of median nerve and lateral root of median nerve. The medial root crosses downward and laterally in front of the third part of axillary artery and joins with lateral root. Profunda achii artery is a large anch arising from the posterior surface of the proximal part of the achial artery and follow the radial nerve to enter the spiral groove. AIM AND OBJECTIVE: To study the variation in formation of median nerve and anatomical variations in arterial formations – profunda achii artery because knowledge of such variations is important in clinical practice for evaluation of injuries without misinterpretation of clinical symptoms and during surgeries of limbs to prevent accidental injuries to nerves and vessels . MATERIAL AND METHODS: This study was conducted in Department of Anatomy of Osmania medical college ,koti, Hyderabad. During routine undergraduate dissection on 22 formalin fixed human cadaver 20 males & 2 female (44 upper limbs); were dissected for the study. The cadavers with visible trauma, pathology or prior surgeries were excluded from the study. Routine dissection of the axilla and upper limb was followed. After removal of skin, loose connective tissue, fat and lymph nodes of axilla the cords of achial plexus were identified and the median nerve was identiﬁed & carefully dissected, and also axillary artery and achial artery identified and dissected. At ﬁrst, the origin is confirmed and then they were traced down . Any variations found were noted and photographed. The results were analysed and compared to previous studies. RESULTS: Low level of formation of median nerve in arm , profunda achii artery arising from third part of axillary artery and its passage between medial root of median nerve and lateral root of mediannerve was identified in one cadaver on right side.The percentage of low level formation of median nerve in arm and passage of profunda achii artery in between medial root of median nerve and lateral root of median nerve is 2% among 44 upper limbs. CONCLUSION: The knowledge on median nerve variations and upper extremity vasculature variations is essential for medical practitioners, anatomists, radiologists, anaesthetist, neurosurgeons and orthopaedic surgeons during surgical operation of the upper limb and is essential to prevent injury and post operative complications particularly in patients requiring dialysis or undergoing arteriography. Also, it is also important for those patients who need arteriovenous bypass .