Applied anatomical study of the modified anconeus flap approach

Sun, Huihui; Zhang, Ye; Xia, Chunlin; Zhu, Wei; Wu, Jiadong

doi:10.1007/s00276-015-1483-y

Cited by 2 publications

(4 citation statements)

References 27 publications

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“…Continuity width was 16.8 mm (Keener et al, 2010). Although Sun et al (2015) did not report consistency of findings, Keener found the connection in all cases. Molinier et al (2011) failed to detect a linkage in 1 out of 30 elbows.…”

Section: /60mentioning

confidence: 76%

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Myofascial chains of the upper limb: A systematic review of anatomical studies

Wilke

Krause

2019

Clinical Anatomy

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The presence of structural in-series continuity between skeletal muscles has been confirmed in the trunk and lower extremity. However, it is not yet clear whether the same architecture can be found in the upper limb. Therefore, the aim of the present study was to review the available literature considering the existence of myofascial chains in the shoulder-arm region. Two independent investigators performed a systematic literature search using MEDLINE (PubMed) and Google Scholar (each 1900-2019). Peer-reviewed anatomical dissection studies reporting myofascial inseries continuity in the upper extremity were included. The methodological quality of the included studies was assessed by the QUACS scale. Thirteen studies were included in the review. Analysis of these papers led to the identification of three myofascial chains: the ventral arm chain (pectoralis major, brachial fascia/biceps brachii, flexor carpi ulnaris/brachioradialis/supinator, based on five studies); the lateral arm chain (trapezius, deltoideus, lateral intermuscular septum/brachialis, brachioradialis, four studies); and the dorsal arm chain (latissiumus dorsi/teres minor/infraspinatus, triceps brachii, anconeus, extensor carpi ulnaris, six studies). There is good evidence for direct serial tissue continuity extending from the neck and shoulder region to the forearm. Despite this intriguing finding, which could have implications for health professionals and the treatment of musculoskeletal disorders, further research is needed to establish the mechanical relevance of the identified myofascial chains. Clin. Anat. 32:934-940, 2019.

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Section: /60mentioning

confidence: 76%

“…Triceps brachii-anconeus 3 (61) 50/51 Three studies (Keener et al, 2010;Molinier et al, 2011;Sun et al, 2015) reported that the lateral triceps brachii fused with the anconeus. Continuity width was 16.8 mm (Keener et al, 2010).…”

Section: /60mentioning

confidence: 99%

Myofascial chains of the upper limb: A systematic review of anatomical studies

Wilke

Krause

2019

Clinical Anatomy

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“…In an attempt to avoid denervation, O'Driscoll et al (2000) introduced the triceps reflecting anconeus pedicle approach as an inter-nervous plane approach. Sun et al (2015) also described a modification of this approach. Protection of the anconeus nerve is possible in many described approaches; however, surgeons must be aware of the exact position and topography of the nerve.…”

Section: Resultsmentioning

confidence: 99%

“…The precise anatomy of the anconeus nerve is an important subject for study, first to protect it during surgical approaches to the elbow (O'Driscoll, 2000;O ¨zer et al, 2005;Sun et al, 2015) and second because it may be a potential donor for transfer to other peripheral nerves of the upper extremity (Bertelli and Ghizoni, 2014;Bertelli et al, 2007). In the previous descriptions, we have not seen clear topographic relationships between the nerve and applicable bony landmarks, and therefore saw the necessity to review the course of the anconeus nerve.…”

Section: Introductionmentioning

confidence: 99%

The anatomy of the anconeus nerve redefined

Maniglio

Zaidenberg

Martinez

et al. 2021

J Hand Surg Eur Vol

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The anconeus nerve is the longest branch of the radial nerve and suitable as a donor for the neurotization of the axillary nerve. The aim of this study was to map its topographical course with reference to palpable, anatomical landmarks. The anconeus nerve was followed in 15 cadaveric specimens from its origin to its entry to the anconeus. It runs between the lateral and the medial head of the triceps before entering the medial head and running intramuscularly further distal. Exiting the muscle, it lies on the periosteum and the articular capsule of the elbow, before entering the anconeus muscle. Two types of anconeus nerve in relation to branches innervating triceps were found: nine nerves also innervated the lateral triceps head, while the other six only contributed two branches to its innervation. The course of the anconeus nerve is important for harvesting as a donor nerve and to protect the nerve in surgical elbow approaches.

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Applied anatomical study of the modified anconeus flap approach

Cited by 2 publications

References 27 publications

Myofascial chains of the upper limb: A systematic review of anatomical studies

Myofascial chains of the upper limb: A systematic review of anatomical studies

The anatomy of the anconeus nerve redefined

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