Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution

Brachial plexus is a very complicated nerve network of upper limb. Many anatomical variations have been documented regarding its formation, course and distribution. Understanding of variations in brachial plexus is very important for clinicians, especially during surgical approach of axilla and neck...

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Main Authors: POOJA SINGH, MANISHA B. SINHA
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11908/34622_240618_34622_CE[Ra1]_F(RK)_PF1(PG_SHU)_PN(SS).pdf
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author POOJA SINGH
MANISHA B. SINHA
author_facet POOJA SINGH
MANISHA B. SINHA
author_sort POOJA SINGH
collection DOAJ
description Brachial plexus is a very complicated nerve network of upper limb. Many anatomical variations have been documented regarding its formation, course and distribution. Understanding of variations in brachial plexus is very important for clinicians, especially during surgical approach of axilla and neck region. Multiple variations in the left brachial plexus of about 70-year-old male cadaver, during routine dissection classes of upper extremities was noted in this variation of brachial plexus in which the middle trunk was absent. Other associated anomalies of same plexus were- all the three cords and their branches lie lateral to the axillary artery. Coracobrachialis was supplied by more than one branch of lateral cord. A loop was formed by joining of medial as well as lateral pectoral nerve around superior thoracic artery and there was also a connection present between lateral and medial root of median nerve. Therefore, the purpose of this paper was to unfold the complexity of brachial plexus. These changes may or may not affect the functioning of upper extremity of this person, but the knowledge of these variations are necessary during the surgical procedures as well as to evaluate unexplained sensory or motor loss after trauma. It also helps the clinicians for proper understanding of some previously unexplained clinical symptoms.
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spelling doaj.art-e3b98a57fe9e44ee91f61744ad746be22022-12-21T22:05:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-08-01128AD03AD0410.7860/JCDR/2018/34622.11908Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and DistributionPOOJA SINGH0MANISHA B. SINHA1Senior Resident, Department of Anatomy, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.Associate Professor, Department of Anatomy, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.Brachial plexus is a very complicated nerve network of upper limb. Many anatomical variations have been documented regarding its formation, course and distribution. Understanding of variations in brachial plexus is very important for clinicians, especially during surgical approach of axilla and neck region. Multiple variations in the left brachial plexus of about 70-year-old male cadaver, during routine dissection classes of upper extremities was noted in this variation of brachial plexus in which the middle trunk was absent. Other associated anomalies of same plexus were- all the three cords and their branches lie lateral to the axillary artery. Coracobrachialis was supplied by more than one branch of lateral cord. A loop was formed by joining of medial as well as lateral pectoral nerve around superior thoracic artery and there was also a connection present between lateral and medial root of median nerve. Therefore, the purpose of this paper was to unfold the complexity of brachial plexus. These changes may or may not affect the functioning of upper extremity of this person, but the knowledge of these variations are necessary during the surgical procedures as well as to evaluate unexplained sensory or motor loss after trauma. It also helps the clinicians for proper understanding of some previously unexplained clinical symptoms.https://jcdr.net/articles/PDF/11908/34622_240618_34622_CE[Ra1]_F(RK)_PF1(PG_SHU)_PN(SS).pdfaxillary arterybrachial plexuscoracobrachialismedian nervesingle cordsuperior thoracic artery
spellingShingle POOJA SINGH
MANISHA B. SINHA
Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
Journal of Clinical and Diagnostic Research
axillary artery
brachial plexus
coracobrachialis
median nerve
single cord
superior thoracic artery
title Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
title_full Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
title_fullStr Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
title_full_unstemmed Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
title_short Two Trunked Brachial Plexus: Multiple Variations in Formation, Course and Distribution
title_sort two trunked brachial plexus multiple variations in formation course and distribution
topic axillary artery
brachial plexus
coracobrachialis
median nerve
single cord
superior thoracic artery
url https://jcdr.net/articles/PDF/11908/34622_240618_34622_CE[Ra1]_F(RK)_PF1(PG_SHU)_PN(SS).pdf
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