AI Article Synopsis
- The study aimed to determine the projected location of the musculocutaneous nerve (MCN) entry point into the coracobrachialis muscle relative to the length of the humerus.
- Sixty-six upper extremities were analyzed to measure distances between anatomical landmarks such as the greater tubercle (GT) and the medial and lateral epicondyles, which helped establish proportions for localization.
- Findings indicated that the MCN entry point is typically located between 14.9-33.9% of the humeral length from the GT, and 14.2-34.4% from the coracoid process, providing useful intervals for surgical procedures.
Article Abstract
Purpose: To project the distance between the tip of the greater tubercle (GT), respectively, the proximal border of the tip of the coracoid process (CP) and the entry point of the coracobrachialis by the musculocutaneous nerve (MCN) proportionally onto the humeral length.
Methods: Sixty-six upper extremities were included in the study. The distance between the tip of the GT and the distal tip of the lateral humeral epicondyle (LE) was evaluated as the humeral length (HL). The interval between the tip of the GT and the entry point of the coracobrachialis muscle by the MCN was measured. The distance between the proximal border of the tip of the CP and the distal portion of the medial humeral epicondyle (ME) and the entry point of the MCN into the coracobrachialis were evaluated. Proportions were used to project the entry point of the coracobrachialis by the MCN along the HL, respectively, the interval between the proximal border of the tip of the CP and the distal tip of the ME.
Results: The entry point of the MCN into the coracobrachialis muscle can be expected at an interval between 14.9 and 33.9% of the HL (between the tip of the GT and the LE), starting from the tip of the GT. Regarding the reference line between the proximal border of the CP and the ME, the nerve's entry point was located between 14.2 and 34.4%, starting from the CP.
Conclusion: Results represent easily applicable intervals for intraoperative localisation of the MCN.
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| http://dx.doi.org/10.1007/s00068-022-02063-1 | DOI Listing |
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