Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

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SHR Neuro Krebs Kardio Lipid

Matzi, V; Hörlesberger, N; Hohenberger, GM; Rosenlechner, D; Dolcet, C; Weiglein, AH; Maier, MJ; Grechenig, S.
Minimally invasive approach to the radial nerve--A new technique.
Injury. 2015; 46(12):2374-2378
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Dolcet Claudia
Grechenig Stephan
Hohenberger Gloria
Hörlesberger Nina
Matzi Veronika
Rosenlechner Dominik
Weiglein Andreas
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Abstract:
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. Although it is absolutely necessary to locate the radial nerve during osteosynthesis of the humerus, the literature lacks guidelines on how to do so. 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. 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. Our examination shows the PACN to be a convenient guide to the RN. Copyright © 2015 Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Arm - anatomy & histology
Arm - innervation
Cadaver -
Forearm - innervation
Fracture Fixation, Internal - education
Fracture Fixation, Internal - methods
Humans -
Humerus - anatomy & histology
Minimally Invasive Surgical Procedures -
Muscle, Skeletal - anatomy & histology
Practice Guidelines as Topic -
Radial Nerve - anatomy & histology

Find related publications in this database (Keywords)
Radial nerve
Humerus shaft
Posterior antebrachial cutaneous nerve
Minimally invasive plate osteosynthesis
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