Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management

Kwon, Hyun‐Jin; Kim, Hong-San; Jehoon, O; Kang, Hyo Jong; Won, Ji Yeon; Yang, Hun‐Mu; Kim, Shin Hyung; Choi, You–Jin

doi:10.2147/jpr.s175506

Cited by 22 publications

(13 citation statements)

References 18 publications

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“…Sihler's staining can clearly display the entire intramuscular nerve distribution pattern between gross anatomy and microscopic details [17, 18]. Recently, using this method, some researchers have successfully demonstrated the cutaneous nerve distribution patterns of the occipital region and trigeminal nerves [19, 20]. This study assessed the distribution pattern of the forearm cutaneous nerves using Sihler's staining to provide a morphological basis for sensory reconstruction during skin flap transplantation.…”

Section: Introductionmentioning

confidence: 99%

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

Zhu

et al. 2019

PLoS ONE

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This study aimed to reveal the distribution pattern of antebrachial cutaneous nerves and provide a morphological basis for sensory reconstruction during flap transplantation. Forearm specimens containing skin and subcutaneous fat were obtained from 24 upper extremities of 12 adult cadavers. Cutaneous nerves were visualized using modified Sihler's staining. Then the data was used to show the distribution pattern and innervation area of the forearm cutaneous nerve. The anterior branch of lateral antebrachial cutaneous nerve innervates 26% of the medial anterior forearm; the posterior branch innervates 38.21% of the lateral anterior forearm and 24.46% of the lateral posterior forearm. The anterior branch of medial antebrachial cutaneous nerve innervates the medial aspect of the forearm covering 27.67% of the anterior region; the posterior branch the lateral part of the forearm covering 7.67% and 34.75% of the anterior and posterior regions, respectively. The posterior antebrachial cutaneous nerve covers 41.04% of the posterior forearm. Coaptations were found between the branches of these cutaneous nerves. The relatively dense secondary nerve branches were found in the middle 1/3 of the lateral anterior forearm and the middle 1/3 of the medial posterior forearm. The relatively dense tertiary nerve branches were the middle 1/3 and lower 1/3 of the medial anterior forearm. The intradermal nerve branches were the relatively dense in the middle 1/3 of the medial anterior and lateral posterior forearm. The middle 1/3 of the medial and lateral forearm had the relatively dense total nerve branches. These results can be used sensory matching while designing forearm flaps for reconstruction surgeries to obtain improved recovery of sensory.

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Section: Introductionmentioning

confidence: 99%

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

Zhu

et al. 2019

PLoS ONE

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“…The upper cervical and occipital region is innervated by C2/C3 posterior cervical branches, mainly the greater, lesser and third occipital nerves. 23…”

Section: General Considerationsmentioning

confidence: 99%

Peripheral nerve blocks for headache disorders

2020

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Headache is a common neurological referral and a frequent cause for acute hospital admissions. Despite peripheral nerve blocks being widely used in headache and pain services to treat patients with headache disorders, there is no readily accessible resource with instructions for the delivery of peripheral nerve blocks. Here we provide a practical approach for administering peripheral nerve blocks and cover the current evidence base for such procedures in different headache disorders. We provide instructions and an audiovisual guide for administering greater and lesser occipital, supratrochlear, supraorbital and auriculotemporal nerves blocks, and give information on their adverse effects and potential complications. This information will provide a reference for headache practitioners when giving peripheral nerve blocks safely to people with headache.

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“…Several etiologies of ON including trauma, tumors, infection, degenerative changes and anatomical features were reported [4]. Anatomic consideration of ON especially the localization of GON, LON and third occipital nerve were reviewed and further investigated [4,6,[14][15][16][17][18][19][21][22][23][24]. Entrapment of GON was reported to correlate with ON in a majority of cases [8,10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the greater occipital nerve location regarding its relation to intermastoid and external occipital protuberance to mastoid process lines

et al. 2021

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Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management

Cited by 22 publications

References 18 publications

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

Anatomical analysis of antebrachial cutaneous nerve distribution pattern and its clinical implications for sensory reconstruction

Peripheral nerve blocks for headache disorders

Evaluation of the greater occipital nerve location regarding its relation to intermastoid and external occipital protuberance to mastoid process lines

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