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Anatomic dissections were performed on 79 cadaveric hands to elucidate the patterns
of median nerve sensory innervation to the thumb and index finger. The most common
pattern (type I, 69%) consisted of a radial digital nerve to the thumb and a common
digital nerve to the first web, which subsequently divided into a radial digital nerve
to the index and an ulnar digital nerve to the thumb. The least common (type II, 6%)
consisted of a common digital nerve to the thumb and a proper digital nerve to the
radial side of the index finger. A trifurcation pattern (type III, 25%) consisted
of three proper digital nerves (radial thumb, ulnar thumb, and radial index). These
findings are at odds with most standard textbook descriptions, which depict types
II and III most frequently.
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References
- Gray's anatomy.in: 37th ed. Churchill Livinstone, London1989: 1134
- Anatomy of the human body by Henry Gray.in: 30th American ed. Lea & Febiger, Philadelphia1985: 1216-1217
- Grant's atlas of anatomy.in: 9th ed. Williams & Wilkins, Baltimore1991: 420
- Grant's atlas of anatomy.in: 7th ed. Williams & Wilkins, Baltimore1978: 6-79
- Atlas of surgical anatomy of the hand.in: Charchill Livingstone, New York1992: 319
- Atlas of surgical anatomy of the hand.in: Churchill Livingstone, New York1992: 665
- Hollinshead's functional anatomy of the limbs and back.in: WB Saunders, Philadelphia1991: 169-172
- Atlas of hand surgery. Vol. 2. WB Saunders, Philadelphia1984: 116
- Entrapment and compression neuropathies.in: Green DP Operative hand surgery. 3rd ed. Churchill Livingstone, New York1993: 1349-1350
- Anatomy and kinesiology of the hand.in: Jupiter JB Flynn's hand surgery. 4th ed. Williams & Wilkins, Baltimore1991: 23-24
- Median nerve: applied anatomy and operative exposure.in: Gelberman RH Operative nerve repair and reconstruction. JB Lippincott, Philadelphia1991: 371-373
- Surgical exposures in ortho-paedics: the anatomic approach.in: 2nd ed. JB Lippincott, Philadelphia1994: 163-167
- Color atlas of applied anatomy.in: Year Book Medical Publishers, Chicago1984: 90
- Anatomic variations in the motor and sensory supply of the thumb.Clinical Orthop. 1985; 195: 83-96
- Variation in distribution of the cutaneous nerves of the hand and digits.J Anat. 1918; 14: 53
- Variations in the nerves of the thumb and index finger.J Bone Joint Surg. 1975; 57B: 491-494
- An investigation of the digital nerves of the thumb.Clinical Orthop. 1985; 198: 191-196
- The cyclopedia of anatomy and physiology. Vol. 11. Sherwood, Gilbert, and Piper, London1839: 526-527
- Surgical approaches to the neck, cervical spine and upper extremity.in: WB Saunders, Philadelphia1966: 201
- Anatomy, descriptive and surgical.in: John W. Parker and Son, London1858: 511-512
- A system of human anatomy.in: Blanchard and Lea, Philadelphia1858: 432-433
- Human anatomy.in: P. Blakiston, Son & Co, Philadelphia1895: 838-839
- Morris's human anatomy.in: 5th ed. P. Blakiston's Sons & Co., Philadelphia1914: 991-992
- Regional anatomy illustrated.in: Churchill Livingstone, Edinburgh1983: 564-565
- Atlas and text-book of human anatomy. Vol. III. WB Saunders, Philadelphia1914: 220-222
- A Method of anatomy: descriptive and deductive.in: 4th ed. Williams & Wilkins, Baltimore1948: 149-152
- Morri's human anatomy.in: 11th ed. The Blakiston Company, New York1953: 1147-1148
Saunders JBdeCM, O'Malley CD, The illustrations from the works of Andreas Vesalius of Brussels Cleveland, The World Publishing Company Plate 50
- 7th ed. Quain's elements of anatomy. Vol. II. Longmans, Green and Co., London1867: 650-651
- Anatomy, descriptive and surgical.in: 8th ed. Henry C. Lea, Philadelphia1881: 676-678
- Cunningham's text-book of anatomy.in: 5th ed. William Wood and Company, New York1925: 734-735
Article info
Publication history
Accepted:
June 15,
1996
Received:
November 30,
1995
Footnotes
*No benefits in any form have been received or will be received from a commerical party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.
