CC BY-NC-ND 4.0 · Journal of Morphological Sciences 2018; 35(01): 9-13
DOI: 10.1055/s-0038-1660485
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Bilateral Anatomical Variation in the Formation of Trunks of the Brachial Plexus - A Case Report

E. F. Lasch
1   Laboratório de Anatomia Humana, Departamento de Biologia e Farmácia, Universidade Santa Cruz do Sul – UNISC, Santa Cruz do Sul, Rio Grande do Sul, Brazil
,
M. B. Nazer
1   Laboratório de Anatomia Humana, Departamento de Biologia e Farmácia, Universidade Santa Cruz do Sul – UNISC, Santa Cruz do Sul, Rio Grande do Sul, Brazil
,
L. M. Bartholdy
1   Laboratório de Anatomia Humana, Departamento de Biologia e Farmácia, Universidade Santa Cruz do Sul – UNISC, Santa Cruz do Sul, Rio Grande do Sul, Brazil
› Author Affiliations
Further Information

Publication History

13 April 2016

07 February 2018

Publication Date:
14 June 2018 (online)

Abstract

This study presents a bilateral variation in the formation of trunks of brachial plexus in a male cadaver. The right brachial plexus was composed of six roots (C4-T1) and the left brachial plexus of five roots (C5-T1). Both formed four trunks thus changing the contributions of the anterior divisions of the cervical nerves involved in the formation of the cords and the five main somatic motor nerves for the upper limb. There are very few case reports in the scientific literature on this topic; thus making the present study very relevant.

 
  • References

  • 1 Fazan VPS, Amadeu AS, Caleffi AL, Rodrigues Filho OA. Brachial plexus variations in its formation and main branches. Acta Cir Bras 2003; 18 (Suppl. 05) 14-18 Doi: 10.1590/S0102-86502003001200006
  • 2 Moore KL, Dalley AF, Agur AMR. Anatomia orientada para a clínica. 6. ed. Rio de Janeiro: Guanabara Koogan; 2014: 716-723
  • 3 Standring S. , Ed. Gray Anatomia: a base anatômica da prática clínica. 40. ed. Rio de Janeiro: Elsevier; 2010: 818-822
  • 4 Costabeber I, Almeida GM, Becker M, Silveira AF, Martini DT. Fascículos do plexo braquial: um estudo morfológico. Rev Bras Anestesiol 2010; 60 (06) 614-619 Doi: 10.1016/S0034-7094(10)70076-3
  • 5 Aumüller G, Aust G, Doll A. , et al. Anatomia. Rio de Janeiro: Guanabara Koogan; 2009: 454
  • 6 Evans RC. Exame físico ortopédico ilustrado. 2. ed. Barueri: Manole; 2003: 1035
  • 7 Dewees JL, Schultz CT, Wilkerson FK, Kelly JA, Biegner AR, Pellegrini JE. Comparison of two approaches to brachial plexus anesthesia for proximal upper extremity surgery: interscalene and intersternocleidomastoid. AANA J 2006; 74 (03) 201-206
  • 8 Oliveira IM, Silva PL, Corrêa KS. Estudo morfométrico da raiz lateral do nervo mediano. Arq Ciênc Saúde UNIPAR 2008; 12 (02) 105-108
  • 9 Olave E, Gabrielli C, Braga MTT, Del Sol M. Aspectos biométricos de los ramos motores del nervio musculocutáneo para el músculo braquial. Rev Chil Anat 2002; 20 (02) 231-236
  • 10 Chaudhary P, Singla R, Kalsey G, Arora K. A four trunked brachial plexus and a post fixed brachial plexus: a conjunction or a co-incidence? Report of three cases. Clin Anat 2012; 25 (05) 593-600
  • 11 Singla RK, Sharma RK, Shree B. A two trunked brachial plexus: a case report. J Clin Diagn Res 2013; 7 (04) 704-705
  • 12 Yildiz S, Cömert A, Ozan H. A case of connected superior and middle trunks of the brachial plexus or with abnormal upper trunk. Rom J Morphol Embryol 2011; 52 (3, Suppl): 1157-1159
  • 13 Shetty SD, Nayak BS, Madahv V, Braganza CS, Somayaji SN. A study on the variations in the formation of the trunks of brachial plexus. Int J Morphol 2011; 29 (02) 555-558 Doi: 10.4067/S0717-95022011000200042
  • 14 Harris W. The true form of the brachial plexus, and its motor distribution. J Anat Physiol 1904; 38 (Pt 4): 399-422 , 5
  • 15 Ongoïba N, Destrieux C, Koumare AK. [Anatomical variations of the brachial plexus]. Morphologie 2002; 86 (273) 31-34
  • 16 Bowden REM. The applied anatomy of the cervical spine and brachial plexus. Proc R Soc Med 1966; 59 (11 Part 1): 1141-1146
  • 17 Albertoni WM, Galbiatti JA, Canedo AC, Merlotti M. Estudo anatômico do plexo braquial na criança até os seis meses de idade. Rev Bras Ortop 1994; 29: 163-169
  • 18 Olave E, Gabrielli C, Braga MTT, Del Sol M, Souza A. Ramo comunicante entre los nervios musculocutáneo y mediano en el hombre. Rev Chil Anat 2000; 18 (02) 301-304
  • 19 Chiarapattanakom P, Leechavengvongs S, Witoonchart K, Uerpairojkit C, Thuvasethakul P. Anatomy and internal topography of the musculocutaneous nerve: the nerves to the biceps and brachialis muscle. J Hand Surg Am 1998; 23 (02) 250-255 Doi: 10.1016/S0363-5023(98)80122-6
  • 20 Tountas CHP, Bergman RA. Anatomic variations of the upper extremity. New York: Churchill Livingstone; 1993: 196-210
  • 21 Gonzáles RJM, Ramos HD, Santana PL, Gonzáles LFP. Transferência del trapecio en la parálisis del plexo braquial. Rev Cuba Ortop Traumatol 2007; 21 (01) 1-6
  • 22 Flores LP. Estudo epidemiológico das lesões traumáticas de plexo braquial em adultos. Arq Neuropsiquiatr 2006; 64 (01) 88-94 Doi: 10.1590/S0004-282 × 2006000100018