The development of the sensible innervation of the hand was investigated. For this reason normal forelimbs and limb bud cultures from 12- to 14-day-old mouse embryos were stained in toto using the cholinesterase technique. The dorsal side of the hand is mainly innervated by sensible branches of the radial and the musculocutaneous nerve, which penetrate the fascia in the region of the elbow. From here they grow in a distal direction forming the dorsal digital nerves. On the ventral side the median nerve grows in a subfascial compartment towards the palmar side of the hand. While passing the wrist the median nerve exhibits a frayed appearance. A net of branching and anastomosing small nerve fibre bundles is visible. This implies that on the palmar side of the metacarpal region of the hand-plate no specific highways for the growing nerve fibres exist. From late day 12 to early day 14 of embryonic development this diffuse nerve net is organized. In a posterior-anterior (ulnoradial) developmental gradient the common palmar digital nerves were formed, and these nerves divide at their tip into the proper digital nerves. However, the proper digital nerves again follow special pathways during their outgrowth.

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http://dx.doi.org/10.1159/000146986DOI Listing

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