Surgical anatomy of the radial nerve in the anterior compartment of the arm: relationship with the triceps aponeurosis

Patra, Apurba; Chaudhary, Priti; Arora, Kamal; Ravi, Kumar Satish

doi:10.1007/s00276-021-02683-z

Cited by 11 publications

(7 citation statements)

References 14 publications

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“…Specific to the competition process, the special physical fitness is manifested in the movement, bouncing, smashing, blocking, and arm swing of athletes. Therefore, in order to improve the special physical fitness level of volleyball players, the core strategy should be to promote the ability of athletes in the three main movements and improve the strength, explosive level, action quality, action speed, and response sensitivity in the core area [ 13 ].…”

Section: Literature Reviewmentioning

confidence: 99%

The Diagnostic Value of Scanning in the Injury of Triceps Crus of Volleyball Players

Zhao

Liu

2022

Scanning

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The study goal is to solve the problem of the diagnosis of triceps crus injury of volleyball players, meet the needs of volleyball players and team doctors for the correct diagnosis of triceps crus injury scanning, make up for the deficiency that triceps crus injury scanning diagnosis is easy to make mistakes, and improve the efficiency and ability of triceps crus injury diagnosis scanning. Because the experiment involves the technical action of volleyball jump serve, DELSYSR Trignomobile wireless portable surface electromyography tester (16 leads) made in the United States is selected to test the surface electromyography of the main muscle groups of college male volleyball players in the process of jump serve. The German made simi-3D motion image system is used to conduct three-dimensional synchronous test of athletes’ jump serve action. The data analysis software adopts EMG work analysis, EMG analysis software, and simi-3D motion image analysis system for postprocessing data. The original signal is filtered (400 Hz for low pass and 20 Hz for high pass) and rectified. Finally, IEMG, EMG contribution rate, and RMS were calculated. This ensures the accuracy of the experiment.

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Section: Literature Reviewmentioning

confidence: 99%

The Diagnostic Value of Scanning in the Injury of Triceps Crus of Volleyball Players

Zhao

Liu

2022

Scanning

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“…Few authors have reported the lateral border of the TA as a useful and reliable guide to locating the RN on the lateral aspect of the humerus in a range of positions during lateral approach [7,20,21,23]. Depending upon the closest distance of the nerve from the lateral border of TA, they have also proposed a 'safe zone' for soft tissue dissection during the application of pre-contoured anatomic plates in the lateral column.…”

Section: Discussionmentioning

confidence: 99%

The morphological and morphometric analysis of the variant patterns of the tricipital aponeurosis: a new anatomical classification with possible clinical implications

et al. 2022

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“…Nevertheless, these relationships will not hold true of its kind in clinical settings like fractures, where these bony landmarks will be altered. Kamineni Indian population, and found the area less than 1 cm adjacent to the lateral border as the safe zone (18).…”

Section: Unpaired T Testmentioning

confidence: 99%

Surgical importance of using musculo-aponeurotic landmarks as a guide to identify the radial nerve in posterior approach for humeral fractures a cadaveric study in a south indian population

Palaniappan

Sathappan

Veeraraghavalu

2022

RABMS

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Background & Aims: Long course of the radial nerve and its proximity to the humerus makes Radial Nerve (RN) prone to injury in diaphyseal fractures. In an effort to maintain its integrity, soft tissue landmarks can be readily made use of to provide facile nerve identification, as osseous landmarks might get altered in fractures. The aim of this study was to provide an idea of safe zone for securing radial nerve in relation to soft tissue structures and thereby, preventing the concomitant iatrogenic injury.Materials & Methods: 40 Upper limb specimens from 20 cadavers were dissected. The radial nerve was identified proximal to the apex of Tricipital aponeurosis (TA) in posterior arm, at the level of entry into the lateral inter muscular septum and along the lateral border of TA. The mean distance between the radial nerve and aponeurosis was measured at all the three sites to find the safe zone for securing the radial nerve during surgeries. Results:The radial nerve was found proximally from the medial apex of tricipital aponeurosis at a distance of 43.49 ± 6.67 mm (range 30.34-55.72 mm) within the muscle belly of triceps. The minimal permissible distance for the triceps split was 3.03 cm from the medial apex for both right and left arms. The distance of above 15 mm (range from 15.56 to 47.47mm) from the lateral border of tricipital aponeurosis was considered as a safe zone and no branches of the radial nerve were found in this zone. Radial nerve was identified along its course in the range of 15.56 to 47.47 mm from the lateral border of TA and this should be taken into consideration by the operating surgeon. Conclusion:The Tricipital aponeurosis is a useful soft tissue landmark to secure the radial nerve safely throughout its course in the arm. Knowledge of safe and dangerous zones of the radial nerve would help the orthopedic surgeons to avoid the risk of iatrogenic nerve injury, which is not an uncommon phenomenon.

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Surgical anatomy of the radial nerve in the anterior compartment of the arm: relationship with the triceps aponeurosis

Cited by 11 publications

References 14 publications

The Diagnostic Value of Scanning in the Injury of Triceps Crus of Volleyball Players

The Diagnostic Value of Scanning in the Injury of Triceps Crus of Volleyball Players

The morphological and morphometric analysis of the variant patterns of the tricipital aponeurosis: a new anatomical classification with possible clinical implications

Surgical importance of using musculo-aponeurotic landmarks as a guide to identify the radial nerve in posterior approach for humeral fractures a cadaveric study in a south indian population

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