prevalence of ulnar-to-median nerve motor fiber anastomosis (riché-cannieu communicating branch) in hand: an electrophysiological study

Authors

tannaz ahadi firoozgar hospital, iran university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (iran university of medical sciences)

gholam reza raissi firoozgar hospital, iran university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (iran university of medical sciences)

masood yavari panzdah khordad hospital, shahid beheshti university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

lobat majidi firoozgar hospital, iran university of medical sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (iran university of medical sciences)

abstract

background: two main muscles studied in the hand for evaluation of median nerve injuries are opponens pollicis (op) and abductor pollicis brevis (apb). however, riché-cannieu communicating branch (rccb) may limit the use of these muscles in electrodiagnosis. this condition is confusing in the case of median nerve injuries. this study was conducted to evaluate the prevalence of rccb.   methods: twenty-three consecutive cases of complete median nerve injury were studied. evoked responses via stimulation of median and ulnar nerves in the wrist and recording with needle in the thenar area were studied.   results: of the patients, 82.6% exhibited rccb.  in 14 (60.8%) cases the op and in 19(82.6%) cases apb was supplied by the ulnar nerve.   conclusion: rccb was detected to be 60.8% in op and 82.6% in apb, so op is preferable to apb in the study of median nerve.

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Prevalence of ulnar-to-median nerve motor fiber anastomosis (Riché-Cannieu communicating branch) in hand: An electrophysiological study

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Journal title:
medical journal of islamic republic of iran

جلد ۳۰، شماره ۱، صفحات ۱۰۵-۱۰۹

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