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A study of the variations of the course and branching pattern of the median nerve within the carpal tunnel were carried out on 60 wrists from 30 fresh cadavers autopsied in the Department of Forensic Medicine of Jagiellonian University Medical College. The results were compared with the literature. The study confirmed that the extraligamentous type of motor branch variation is most common. The transligamentous course of the nerve is of special importance: it is usually accompanied by hypertrophic muscle, and the nerve hidden within this muscle can easily be cut during transection of the retinaculum. The results proved the necessity of approaching the median nerve from the ulnar side when opening the carpal tunnel. (Folia Morphol 2011; 70, 1: 41–46)
The rabbit is a good experimental model for brachial plexus surgery. The risks of death during anesthesia were significantly greater in rabbits than cats or dogs. This article presents the protocol of injectable anesthesia for a short surgical procedure, safe for the rabbit patient and convenient for the surgeon.
The aim of our study was to analyze the anatomy and surgical approach of the rabbit brachial plexus. The research included 18 rabbits. The rabbit seems to be a good experimental model for spinal nerves injury, especially for the C5 and C6 segments. The anatomical structure of the rabbit’s brachial plexus is similar to the human brachial plexus. The structure of the rabbit C5 and C6 segments is analogous to the human structure. The spinal nerves of the C5 and C6 segments in the rabbit are wide and long enough for microsurgical procedures.
This study presents and evaluates side-to-side nerve repair techniques for their ability to induce collateral nerve sprouting. The coaptation of the ventral branches of spinal nerves C5 and C6 to C7 through an incision epineurium was used to repair the nerve. The number of myelinated fiber axons and G-ratio was evaluated. Preliminary results indicate the possibility of using side to side coaptation in brachial plexus nerve surgery.
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