The sensory distribution in the dorsum of the hand: anatomical study with clinical implications

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• 作者：Sara Sulaiman ; Roger Soames ; Clare Lamb
• 关键词：Superficial branch of the radial nerve ; Dorsal branch of the ulnar nerve ; Dorsum of the hand ; Cutaneous innervation
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：37
• 期：7
• 页码：779-785
• 全文大小：1,105 KB
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• 作者单位：Sara Sulaiman (1)
  Roger Soames (1)
  Clare Lamb (1)
  
  1. Centre for Anatomy and Human Identification, University of Dundee, Dow Street, Dundee, DD1 5EH, UK
  
• 刊物主题：Imaging / Radiology; Orthopedics; Anatomy;
• 出版者：Springer Paris
• ISSN：1279-8517

文摘

The sensory distribution in the dorsum of the hand was investigated in 150 formalin-fixed hands with the aim of outlining the most common innervation pattern of the superficial branch of the radial nerve (SBRN), dorsal branch of the ulnar nerve (DBUN) and the lateral antebrachial cutaneous nerve (LABCN). Although variable, the most common pattern found was SBRN innervation to the dorsal surface of the lateral 2? digits and DBUN innervation to the dorsal surface of the medial 2? digits. Dual innervation due to communicating branches or nerves overlapping was found in 41 cases. All-radial supply to the dorsum of the hand was found in ten cases. The LABCN was closely associated, and occasionally overlapped, with the SBRN. There were significant differences in the sensory distribution of the dorsum of the right and left hands of the same cadaver. The sensory distribution in the dorsum of the hand is variable; however, understanding the most common innervation pattern and appreciating the possible variations to this pattern is important to avoid errors in interpretation of conduction velocity studies, misdiagnosis of nerve pathology signs and symptoms and inappropriate treatments.