Anatomical study on the innervation of the elbow capsule

Cavalheiro, Cristina Schmitt; Filho, Mauro Razuk; Rozas, João; Wey, João; Andrade, Antonio Marcos de; Caetano, Edie Benedito

doi:10.1016/j.rboe.2015.10.001

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…The radial and musculocutaneous nerve form a significant articular plexus between the lower biceps and brachioradialis and innervate the posterolateral and anterolateral capsules. 1 , 2 The skin over the posterior arm is innervated by the posterior and inferolateral cutaneous nerves arising from radial nerve. 3 Five milliliters of 0.25% bupivacaine with 30 μg of clonidine at both the sites is sufficient to provide excellent postoperative analgesia for 48 hours with rescue analgesia as and when required.…”

Section: Discussionmentioning

confidence: 99%

Articular and cutaneous nerve block at elbow: two cases report

Diwan¹,

Nair²

2020

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionmentioning

confidence: 99%

Articular and cutaneous nerve block at elbow: two cases report

Diwan¹,

Nair²

2020

Brazilian Journal of Anesthesiology (English Edition)

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“…These arise from muscular branches of the flexor digitorm superficialis, pronator teres, flexor carpi radialis, palmaris longus, and/ or from the anterior interosseus nerve (AIN). However, considerable variability has been reported with respect to the number of articular branches (Bekler et al, 2008;Cavalheiro et al, 2015;Gardner, 1948;Nourbakhsh et al, 2016). An inverse relationship between the extent of median and ulnar nerve contribution to elbow innervation has been reported (Bateman, 1948;Bekler et al, 2008).…”

Section: Radial Nervementioning

confidence: 99%

“…This articular branch first travels on the forms a plexus with median (Gardner, 1948) and/ or ulnar (Wilhelm, 1958) nerves to innervate the anteromedial and lateral capsule, respectively. Owing to the level of the specimen amputation (Bekler et al, 2008) or dissection methods (Cavalheiro et al, 2015), study of the contribution of the musculocutaneous nerve was limited. was that few studies had comprehensively described each of the articular branches' anatomical features through the combination of group of cadaveric dissections.…”

Section: Musculocutaneous Nervementioning

confidence: 99%

Sensory innervation of the human elbow joint and surgical considerations

et al. 2020

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Based on the currently available literature, total denervation of the elbow joint is considered impossible. However, consensus with respect to the anatomic location of sensory branches is lacking. The aim of this literature review was to establish consensus with respect to the anatomic features of the articular branches innervating the elbow joint, as well as the distribution of sensory receptors about its capsule. Four electronic databases were queried, between January 1945 and June 2019. Twenty‐one original articles providing a detailed description of the distribution of sensory receptors about the elbow joint capsule (5) and its articular branches (16) were reviewed. The posterior capsule was found to be primarily innervated by the ulnar and radial nerves via combined articular branches and sensory branches of the medial antebrachial cutaneous nerve. The anterior capsule was found to be primarily innervated by a plexus of articular ramifications from muscular branches of mixed nerves (ulnar, musculocutaneous, radial, and median nerves). A higher density of nociceptors and mechano‐receptors was identified within the posterior and anterior capsules, respectively. Thorough denervation, via the technique proposed herein, is likely to be sufficient in eliminating pain from degenerative conditions of the elbow joint.

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“…Later, the immunohistochemical studies showed that the UCN is not purely a sensory or motor nerve, it is a mixed nerve (16). UCN also supplies the proximal part of the posterior part of capsular ligament of elbow (18). In brachial plexus injuries, de-innervated muscles can be re-innervated by using the UCN (2).…”

Section: Introductionmentioning

confidence: 99%

An Anatomical Perspective of Ulnar Collateral Nerve with Reference to Nerve and Muscle Transfer Surgery

Jiji

Joy

Murlimanju

et al. 2020

Muscle Ligaments and Tendons J

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Background. The purpose was to analyze the prevalence, origin, course and termination of the ulnar collateral nerve in anatomical samples from Indian population. Methods. The present study included 68 adult human cadaveric embalmed upper limbs. The sex of these upper limbs were not known. The initial segment of radial nerve was meticulously dissected in the specimens to observe the ulnar collateral nerve. The digital Vernier caliper was used for the measurements which were performed in this study. The data was given in millimeter and expressed as mean ± SD. Results. The ulnar collateral nerve was observed in 57 (83.8%) of our specimens. It originated in the axilla in 35 cases (61.4%), at the brachio-axillary angle in 13 (22.8%) and in the arm in 9 cases (15.8%) respectively. The termination of ulnar collateral nerve by piercing deep into the triceps muscle happened 101.9 ± 4 mm above the medial epicondyle of humerus. The origins of muscular branch to long head of triceps muscle and ulnar collateral nerve were located 44.7 ± 3.7 mm and 66.7 ± 4.4 mm away from the bifurcation of posterior cord respectively. Conclusions. The present study suggests higher frequency of ulnar collateral nerve in sample Indian population. Ulnar collateral nerve can be used to re-innervate the muscles in case of brachial plexus injuries. Our study provides information about the detailed morphology and topography of the ulnar collateral nerve. The detailed knowledge can help the orthopedic surgeons during the procedures like muscle transfer, nerve transfer and nerve grafting.

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Anatomical study on the innervation of the elbow capsule

Cited by 5 publications

References 19 publications

Articular and cutaneous nerve block at elbow: two cases report

Articular and cutaneous nerve block at elbow: two cases report

Sensory innervation of the human elbow joint and surgical considerations

An Anatomical Perspective of Ulnar Collateral Nerve with Reference to Nerve and Muscle Transfer Surgery

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