An anatomical study of the superficial palmar communicating branch between the median and ulnar nerves

Sulaiman, Sara, Soames, Roger and Lamb, Clare (2015) An anatomical study of the superficial palmar communicating branch between the median and ulnar nerves. The Journal of Hand Surgery (European Volume), 41 (2). pp. 191-197. ISSN 1753-1934

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Official URL: http://dx.doi.org/10.1177/1753193415576460

Abstract

The palmar communicating branch between the median and ulnar nerves was investigated in 98 hands with the aim of outlining its most common branching patterns and describing its relationship to well-defined anatomical landmarks, including the bistyloid line, wrist crease and flexor retinaculum. Five branching patterns were identified and classified based on their proximal and distal attachments. The palmar communicating branch was found to lie between 26%–79% of the total distance between the metacarpophalangeal joint of the long finger and the wrist crease, and 35%–75% of the total distance between the metacarpophalangeal joint of the long finger and the middle of the bistyloid line. With the aid of the morphometric indices obtained from this study, a risk area where the palmar communicating branch is most likely to be found is outlined. Knowledge of the branching patterns and location of the palmar communicating branch can help clinicians to better assess variations in the patterns of sensation, preserve the nerve during surgical interventions to the palm and better assess post-operative complications involving the branch.

Item Type: Article
Uncontrolled Keywords: superficial palmar communicating branch, cadavers, anatomical variations, median nerve, ulnar nerve
Subjects: A300 Clinical Medicine
B100 Anatomy, Physiology and Pathology
Department: Faculties > Health and Life Sciences > School of Life Sciences > Applied Sciences
Depositing User: Sara Sulaiman
Date Deposited: 01 Feb 2016 11:29
Last Modified: 02 Feb 2016 17:02
URI: http://nrl.northumbria.ac.uk/id/eprint/25761

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