Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2012 / Cilt: 23 - Sayı: 3

Anatomik oluşumlara göre elin dorsal kiitanöz inervasyonu: Güvenli bir bölge var mı?

Dorsal cutaneous innervation of the hand with respect to anatomical landmarks: is there a safe zone?

Pages
161–165
Publication Date
2022-10-18
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Neither the height of the triangular area nor the courses of both nerves seemed to be quantitatively related to any measurements between the anatomical landmarks.Conclusion: Variability in these measurements in our study indicates that there is no surgical safe zone on the dorsum of the hand.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: In this study, we aimed to define the borders of the triangular area between the radial and dorsal nerves on the dorsum of the hand and to determine its dimensions using measurements between anatomic landmarks.Materials and methods: We statistically analyzed the relation between the distance from Lister's tubercle to the blending point of the central branches of radial and ulnar nerves and the distance between styloids on 14 hands of seven adult human cadavers (5 males. 2 females).
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Key Findings & Data:The distances of nerve branches to vertical lines drown distally from both styloid processes were also compared with interstyloid distances to help in presuming the course of these nerves.Results: No statistical constant correlation was determined between the measurements.
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Conclusion & Impact:Neither the height of the triangular area nor the courses of both nerves seemed to be quantitatively related to any measurements between the anatomical landmarks.Conclusion: Variability in these measurements in our study indicates that there is no surgical safe zone on the dorsum of the hand.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: In this study, we aimed to define the borders of the triangular area between the radial and dorsal nerves on the dorsum of the hand and to determine its dimensions using measurements between anatomic landmarks.Materials and methods: We statistically analyzed the relation between the distance from Lister's tubercle to the blending point of the central branches of radial and ulnar nerves and the distance between styloids on 14 hands of seven adult human cadavers (5 males. 2 females). The distances of nerve branches to vertical lines drown distally from both styloid processes were also compared with interstyloid distances to help in presuming the course of these nerves.Results: No statistical constant correlation was determined between the measurements. Neither the height of the triangular area nor the courses of both nerves seemed to be quantitatively related to any measurements between the anatomical landmarks.Conclusion: Variability in these measurements in our study indicates that there is no surgical safe zone on the dorsum of the hand.

Özet

Amaç: Bu çalışmada, el sırtında radial ve ulnar sinirler arasında bulunan üçgen alanın sınırlarının tanımlanması ve anatomik oluşumlar arasındaki ölçümleri kullanılarak bu alanın boyutlarının belirlenmesi amaçlandı.Gereç ve yöntemler: Bu çalışmada yedi yetişkin insan kadavrasının (5 erkek, 2 kadın) 14 eli üzerinde. Lister tüber-külü ile radial ve ulnar sinirlerin santral dallarının birleşme noktalan arasındaki mesafe ile stiloidler arası mesafe arasındaki ilişki istatistiksel olarak anali/. edildi. Bu sinirlerin seyrini tahmin edebilmek için, sinir dalları ile her iki stiloid çıkıntıdan distale çizilen dikey çizgiler arasındaki mesafe de stiloid çıkıntılar arası mesafe ile karşılaştırıldı.Bulgular: İstatistiksel olarak ölçümler arasında sabit bir ilişki tespit edilemedi. Ne üçgensel alanın yüksekliği ne de her iki sinirin seyri kantitatif olarak anatomik oluşumlar arası herhangi bir ölçüm ile ilişkili görüldü.Sonuç: Çalışmam tzdaki ölçümlerde ortaya konan değişkenlik el sırtında cerrahi bir güvenli bölge olmadığını göstermektedir.

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Cite This Article

ÇIRPAR, M., YALÇINOZAN, M., ESMER, A. F., TÜRKER, M. (2022). Anatomik oluşumlara göre elin dorsal kiitanöz inervasyonu: Güvenli bir bölge var mı?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 23 - Sayı: 3, 161–165. https://ajindex.com/articles/498668

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References (15)

  1. Mok D, Nikolis A, Harris PG. The cutaneous innervation of the dorsal hand: detailed anatomy with clinical implications. J Hand Surg Am 2006;31:565-74
  2. Abrams RA, Brown RA, Botte MJ. The superficial branch of the radial nerve: an anatomic study with surgical implications. J Hand Surg Am 1992;17:1037-41
  3. Botte MJ, Cohen MS, Lavernia CI, von Schroeder HP, Gellman H, Zinberg EM. The dorsal branch of the ulnar nerve: an anatomic study. J Hand Surg Am 1990;15:603-7
  4. Yercan HS, Özalp T, Çoşkunol T, özdemir O. C'how tekniği ile endoskopik karpal tünel gevşetilmesi orta dönem sonuçları. Eklem Hastalik Cerrahisi 2004;15:1-6
  5. Auerbach DM, Collins ED, Kunkle KL, Monsanto EH. The radial sensory nerve. An anatomic study. Clin Orthop Relal Res 1994;308:241-9
  6. Moon YL, Kim DH, LeeSH, You JW. Arthroscopic treatment of non-traumatic elbow ankylosis. Eklem Hastalik Cerrahisi 2005;16:167-70
  7. Loukas M, Louis RG Jr, Wartmann CT, Tubbs RS, Turan-Ozdemir S, Kramer ]. The clinical anatomy of the communications between the radial and ulnar nerves on the dorsal surface of the hand. Surg Radiol Anat 2008;30:85-90
  8. Kuruvilla A, Laaksonen S, Falck B. Anomalous superficial radial nerve: a patient with probable autosomal dominant inheritance of the anomaly. Muscle Nerve 2002;26:716-9
  9. Tsu-Hsin Chen E, Wei JD, Huang VW. Injury of the dorsal sensory branch of the ulnar nerve as a complication of arthroscopic repair of the triangular fibrocartilage. j Hand Surg Br 2006;31:530-2
  10. Beredjiklian PK, Bozentka DJ, Leung YL, Monaghan BA. Complications of wrist arthroscopy. J Hand Surg Am 2004;29:406-11
  11. McAdams TR, Hentz VR. Injury to the dorsal sensory branch of the ulnar nerve in the arthroscopic repair of ulnar-sided triangular fibrocartilage tears using an inside-oul technique: a cadaver study. J Hand Surg Am 2002;27:840-4
  12. LourieGM, King J, Kleinman WB. The transverse radioulnar branch from the dorsal sensory ulnar nerve: its clinical and anatomical significance further defined. J Hand Surg Am 1994;19:241-5
  13. Hazari A, Elliot D. Treatment of end-neuromas, neuromas-in-continuity and scarred nerves of the digits by proximal relocation. J Hand Surg Br 2004;29:338-50
  14. Eksioglu F, Uslu M, Güdemez E, Atik OS, Tekdemir I. Reliability of the safe area for the superior gluteal nerve. Clin Orthop Relat Res 2003;412:111-6
  15. Cetik O, Uslu M, Acar HI, Cömert A, Tekdemir I, Cift H. Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveri