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Czasopismo

2007 | 66 | 2 |

Tytuł artykułu

Distribution of terminal nerve entry points to the flexor and extensor groups of forearm muscles: an anatomical study

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The motor points of the skeletal muscles, mainly of interest to anatomists and physiologists, have recently attracted much attention from researchers in the field of functional electrical stimulation. The muscle motor point has been defined as the entry point of the motor nerve branch into the epimysium of the muscle belly. Anatomists have pointed out that many muscles in the limbs have multiple motor points. Knowledge of the location of nerve branches and terminal nerve entry points facilitates the exact insertion and the suitable selection of the number of electrodes required for each muscle for functional electrical stimulation. The present work therefore aimed to describe the number, location, and distribution of motor points in the human forearm muscles to obtain optimal hand function in many clinical situations. Twenty three adult human cadaveric forearms were dissected. The numbers of primary nerves and motor points for each muscle were tabulated. The mean numbers and the standard deviation were calculated and grouped in tables. Data analyses were performed with the use of a statistical analysis package (SPSS 13.0). The proximal third of the muscle was the usual part of the muscle that received the motor points. Most of the forearm muscles were innervated from the lateral side and deep surface of the muscle. The information in this study may also be usefully applied in selective denervation procedures to balance muscles in spastic upper limbs.

Wydawca

-

Czasopismo

Rocznik

Tom

66

Numer

2

Opis fizyczny

p.83-93,fig.,ref.

Twórcy

  • Taibah University, El-Madina El-Menawara, P.O.Box: 30001, Saudi Arabia

Bibliografia

  • 1. Abrams RA, Ziets RJ, Lieber RL, Botte MJ (1997) Anatomy of the radial nerve motor branches in the forearm. J Hand Surg Am, 22: 232–237.
  • 2. Bhadra N, Keith MW, Peckham PH (1999) Variations in innervation of the flexor digitorum profundus muscle. J Hand Surg Am, 24: 700–703.
  • 3. Boles CA, Kannam S, Cardwell AB (2000) The forearm: anatomy of muscle compartments and nerves. Am J Roentgenol, 174: 151–159.
  • 4. Bottle MJ, Nakai RJ, Waters RL, McNeal DR, Rubayi S (1991) Motor point delineation of the gluteus muscle for functional electrical stimulation: An in vivo anatomic study. Arch Phys Med Rehabil, 72; 112–114.
  • 5. Boutros S, Nath RK, Yuksel E, Weinfeld AB, Mackinnon SE (1999) Transfer of flexor carpi ulnaris branch of the ulnar nerve to the pronator teres nerve: histomorphometric analysis. J Reconstr Microsurg, 15: 361–362.
  • 6. Branovacki G, Hanson M, Cash R, Gonzalez M (1998) The innervation pattern of the radial nerve at the elbow and in the forearm. J Hand Surg Br, 23: 167–169.
  • 7. Chantelot C, Feugas C, Guillem P, Chapnikoff D, Remy F, Fontaine C (1999) Innervation of the medial epicondylar muscles: an anatomic study in 50 cases. Surg Radiol Anat, 21: 165–168.
  • 8. Elgafy H, Ebraheim NA, Rezcallah AT, Yeasting RA (2000) Posterior interosseus nerve terminal branches. Clin Orthop, 376: 242–251.
  • 9. Elgafy H, Ebraheim NA, Yeasting RA (2000) The anatomy of the posterior interosseous nerve as a graft. J Hand Surg, 25: 930–935.
  • 10. Hua J, Kumar VP, Pereira BP, Lim AY, Pho RW, Liu J (1999) Split flexor carpi radialis muscle. Plast Reconstr Surg, 103: 930–934.
  • 11. Kawashima T, Kikushima S, Yokota E, Ohkubo F, Yamana Y, Sato F, Sasaki H (2002) A case of an accessory palmaris longus muscle and a duplicate palmaris longus muscle with special reference to their nerve supply — morphologic significance of a common innervation trunk. Okajimas Folia Anat Jpn, 79: 75–81.
  • 12. Lau HK, Liu J, Pereria BP, Kumar VP, Robert WH (1995) Fatigue reduction by sequential stimulation of multiple motor points in a muscle. Clin Orthop Related Res, 321: 251–258.
  • 13. Lim AY, Kumar VP, Hua J, Pereira BP, Pho RW (1999) The neuromuscular compartments of the flexor carpi ulnaris. Plast Reconstr Surg, 103 (3): 1046–1051.
  • 14. Liu J, Kumar VP, Lau HK, Pereira BP, Shen Y, Pho RW (1997) Neuromuscular compartments in the long head of triceps: a morphological study in rabbits. Muscle Nerve, 20: 897–899.
  • 15. Liu J, Lau HK, Min WX, Pereira BP, Kumar VP, Pho RW (1995) Contractile characteristics on electrical stimulation of muscle with multiple motor points: an in vivo study in rabbits. Clin Orthop, 313: 231–238.
  • 16. Liu J, Pho RW, Pereira BP, Lau HK, Kumar VP (1997) Distribution of primary motor nerve branches and terminal nerve entry points to the forearm muscles. Anat Rec, 248: 456–463.
  • 17. Liu J, Retnam L, Lau HK, Pereira BP, Kumar VP, Robert WH (1994) A rabbit muscle model for studying contraction characteristics of muscle with multiple motor points. Muscle Nerve, 17: 1477–1479.
  • 18. Marur T, Akkén SM, Alp M, Demirci S, Yalçén L, Ögüt T, Akgün I (2005) The muscular branching patterns of the ulnar nerve to the flexor carpi ulnaris and flexor digitorum profundus muscles. Surg Rad Anat, 27: 322–326.
  • 19. Melling M, Steindl M, Wilde J, Karimian-Teherani D (2001) An anatomical variant of the extensor carpi radialis brevis muscle. Wien Klin Wochenschr, 113: 960–963.
  • 20. Naito A, Shimzu Y, Handa Y, Ichie M, Hoshimiya N (1991) Functional anatomical studies of the elbow movements I. electromyographic (EMG) analysis. Okajimas Folia Anat Jpn, 68: 283–288.
  • 21. Popovic D, Gordon T, Rafuse VF, Prochazka A (1991) Properties of implanted electrodes for functional electrical stimulation. Ann Biomed Eng, 19: 303–316.
  • 22. Reilly KT, Schieber MH (2003) Incomplete functional subdivision of the human multitendoned finger muscle flexor digitorum profundus: an electromyographic study. J Neurophysiol, 90: 2560–2570.
  • 23. Sarikcioglu L, Sindel M, Ozkayank S, Aydin H (2003) Median and ulnar nerve communication in the forearm: an anatomical and electrophysiological study. Med Sci Monit, 9: 351–356.
  • 24. Schieber MH, Gardinier J, Liu J (2001) Tension distribution to the five digits of the hand by neuromuscular compartments in the macaque flexor digitorum profundus. J Neurosci, 21: 2150–2158.
  • 25. Segal RL, Catlin PA, Krauss EW, Merick KA, Robilotto JB (2002) Anatomical partitioning of three human forearm muscles. Cells Tissues Organs, 170: 183–197.
  • 26. Segal RL, Wolf SL, Decamp MJ, Chopp MT, English AW (1991) Anatomical partitioning of three multiarticular human muscles. Acta Anat, 142: 261–266.
  • 27. Selvan SS, Chandran TC, Alalasundaram KV, Muthukumaran R, Suresh S (2005) Extensor compartments of the forearm: a preliminary cadaveric study. Plast Reconstr Surg, 115: 1447–1449.
  • 28. Wu L, Goto Y, Taniwaki T, Kinukawa N, Tobimatsu S (2002) Different patterns of excitation and inhibition of the small hand and forearm muscles from magnetic brain stimulation in humans. Clin Neurophysiol, 113: 1286–1294.
  • 29. Yoshino H, Horiguchi M (1992) The innervation of deep muscles of the human forearm extensors. Kaibogaku Zasshi, 67: 83–99.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-48174745-e81f-4e12-b471-6dfa2ad67700
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