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Erschienen in: Surgical and Radiologic Anatomy 3/2010

01.03.2010 | Original Article

Localization of motor entry points and terminal intramuscular nerve endings of the musculocutaneous nerve to biceps and brachialis muscles

verfasst von: Je-Hun Lee, Hye-Won Kim, Sun Im, Xiaochun An, Mi-Sun Lee, U-Young Lee, Seung-Ho Han

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2010

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Abstract

To determine the 3D location of the intramuscular motor nerve endings of the biceps brachii and brachialis, we identified from 56 fresh cadaveric arms the regions where the intramuscular branches were most densely located in relation to a reference line connecting the medial epicondyle of humerus and the coracoid process. For the biceps, these points were most densely distributed at a length from 64.6 to 70.3% point of the reference line with the coracoid process as starting point, at a width of 21.6–32.6 mm lateral to the reference line. For the brachialis muscle, these points were located at a length of 75.4% point and width of 27.1–35.4 mm lateral to the reference line. At these points, the biceps was located at a depth of the upper two-third portion and the brachialis at the lower one-third portion of the upper arm, from skin to humeral bone.
Literatur
1.
Zurück zum Zitat Amirali A, Mu L, Gracies JM, Simpson DM (2007) Anatomical localization of motor endplate bands in the human biceps brachii. J Clin Neuromuscul Dis 9:306–312CrossRefPubMed Amirali A, Mu L, Gracies JM, Simpson DM (2007) Anatomical localization of motor endplate bands in the human biceps brachii. J Clin Neuromuscul Dis 9:306–312CrossRefPubMed
2.
Zurück zum Zitat Aquilonius SM, Arvidsson B, Askmark H, Gillberg PG (1982) Topographical localization of end-plates in cryosections of whole human biceps muscle. Muscle Nerve 5:418PubMed Aquilonius SM, Arvidsson B, Askmark H, Gillberg PG (1982) Topographical localization of end-plates in cryosections of whole human biceps muscle. Muscle Nerve 5:418PubMed
3.
Zurück zum Zitat Berweck S, Schroeder AS, Fietzek UM, Heinen F (2004) Sonography-guided injection of botulinum toxin in children with cerebral palsy. Lancet 363:249–250CrossRefPubMed Berweck S, Schroeder AS, Fietzek UM, Heinen F (2004) Sonography-guided injection of botulinum toxin in children with cerebral palsy. Lancet 363:249–250CrossRefPubMed
4.
Zurück zum Zitat Bhakta BB, Cozens JA, Bamford JM, Chamberlain MA (1996) Use of botulinum toxin in stroke patients with severe upper limb spasticity. J Neurol Neurosurg Psychiatry 61:30–35CrossRefPubMed Bhakta BB, Cozens JA, Bamford JM, Chamberlain MA (1996) Use of botulinum toxin in stroke patients with severe upper limb spasticity. J Neurol Neurosurg Psychiatry 61:30–35CrossRefPubMed
5.
Zurück zum Zitat Borodic GE, Ferrante R, Pearce LB, Smith K (1994) Histologic assessment of dose-related diffusion and muscle fiber response after therapeutic botulinum A toxin injections. Mov Disord 9:31–39CrossRefPubMed Borodic GE, Ferrante R, Pearce LB, Smith K (1994) Histologic assessment of dose-related diffusion and muscle fiber response after therapeutic botulinum A toxin injections. Mov Disord 9:31–39CrossRefPubMed
6.
Zurück zum Zitat Buchanan TS, Erickson JC (1996) Selective block of the brachialis motor point. An anatomic investigation of musculocutaneous nerve branching. Reg Anesth 21:89–92PubMed Buchanan TS, Erickson JC (1996) Selective block of the brachialis motor point. An anatomic investigation of musculocutaneous nerve branching. Reg Anesth 21:89–92PubMed
7.
Zurück zum Zitat Chiarapattanakom P, Leechavengvongs S, Witoonchart K, Uerpairojkit C, Thuvasethakul P (1998) Anatomy and internal topography of the musculocutaneous nerve: the nerves to the biceps and brachialis muscle. J Hand Surg [Am] 23:250–255CrossRef Chiarapattanakom P, Leechavengvongs S, Witoonchart K, Uerpairojkit C, Thuvasethakul P (1998) Anatomy and internal topography of the musculocutaneous nerve: the nerves to the biceps and brachialis muscle. J Hand Surg [Am] 23:250–255CrossRef
8.
Zurück zum Zitat Childers MK, Kornegay JN, Aoki R, Otaviani L, Bogan DJ, Petroski G (1998) Evaluating motor end-plate-targeted injections of botulinum toxin type A in a canine model. Muscle Nerve 21:653–655CrossRefPubMed Childers MK, Kornegay JN, Aoki R, Otaviani L, Bogan DJ, Petroski G (1998) Evaluating motor end-plate-targeted injections of botulinum toxin type A in a canine model. Muscle Nerve 21:653–655CrossRefPubMed
9.
Zurück zum Zitat Chin TY, Duncan JA, Johnstone BR, Graham HK (2005) Management of the upper limb in cerebral palsy. J Pediatr Orthop B 14:389–404PubMed Chin TY, Duncan JA, Johnstone BR, Graham HK (2005) Management of the upper limb in cerebral palsy. J Pediatr Orthop B 14:389–404PubMed
10.
Zurück zum Zitat Chin TY, Graham HK (2003) Botulinum toxin A in the management of upper limb spasticity in cerebral palsy. Hand Clin 19:591–600CrossRefPubMed Chin TY, Graham HK (2003) Botulinum toxin A in the management of upper limb spasticity in cerebral palsy. Hand Clin 19:591–600CrossRefPubMed
11.
Zurück zum Zitat Corry IS, Cosgrove AP, Walsh EG, McClean D, Graham HK (1997) Botulinum toxin A in the hemiplegic upper limb: a double-blind trial. Dev Med Child Neurol 39:185–193PubMedCrossRef Corry IS, Cosgrove AP, Walsh EG, McClean D, Graham HK (1997) Botulinum toxin A in the hemiplegic upper limb: a double-blind trial. Dev Med Child Neurol 39:185–193PubMedCrossRef
12.
Zurück zum Zitat Deshpande S, Gormley ME, Carey JR (2006) Muscle fiber orientation in muscles commonly injected with botulinum toxin: an anatomical pilot study. Neurotox Res 9:115–120CrossRefPubMed Deshpande S, Gormley ME, Carey JR (2006) Muscle fiber orientation in muscles commonly injected with botulinum toxin: an anatomical pilot study. Neurotox Res 9:115–120CrossRefPubMed
13.
Zurück zum Zitat Esquenazi A, Mayer N, Garreta R (2008) Influence of botulinum toxin type A treatment of elbow flexor spasticity on hemiparetic gait. Am J Phys Med Rehabil 87:305–310CrossRefPubMed Esquenazi A, Mayer N, Garreta R (2008) Influence of botulinum toxin type A treatment of elbow flexor spasticity on hemiparetic gait. Am J Phys Med Rehabil 87:305–310CrossRefPubMed
14.
Zurück zum Zitat Hurvitz EA, Conti GE, Brown SH (2003) Changes in movement characteristics of the spastic upper extremity after botulinum toxin injection. Arch Phys Med Rehabil 84:444–454CrossRefPubMed Hurvitz EA, Conti GE, Brown SH (2003) Changes in movement characteristics of the spastic upper extremity after botulinum toxin injection. Arch Phys Med Rehabil 84:444–454CrossRefPubMed
15.
Zurück zum Zitat Im S, Han SH, Choi JH, Lee JH, Ko YJ, Lee JI, Kim HW (2008) Anatomic localization of motor points for the neuromuscular blockade of hand intrinsic muscles involved in thumb-in-palm. Am J Phys Med Rehabil 87:703–709CrossRefPubMed Im S, Han SH, Choi JH, Lee JH, Ko YJ, Lee JI, Kim HW (2008) Anatomic localization of motor points for the neuromuscular blockade of hand intrinsic muscles involved in thumb-in-palm. Am J Phys Med Rehabil 87:703–709CrossRefPubMed
16.
Zurück zum Zitat Kawamura A, Campbell K, Lam-Damji S, Fehlings D (2007) A randomized controlled trial comparing botulinum toxin A dosage in the upper extremity of children with spasticity. Dev Med Child Neurol 49:331–337CrossRefPubMed Kawamura A, Campbell K, Lam-Damji S, Fehlings D (2007) A randomized controlled trial comparing botulinum toxin A dosage in the upper extremity of children with spasticity. Dev Med Child Neurol 49:331–337CrossRefPubMed
17.
Zurück zum Zitat Keenan MA, Tomas ES, Stone L, Gersten LM (1990) Percutaneous phenol block of the musculocutaneous nerve to control elbow flexor spasticity. J Hand Surg [Am] 15:340–346CrossRef Keenan MA, Tomas ES, Stone L, Gersten LM (1990) Percutaneous phenol block of the musculocutaneous nerve to control elbow flexor spasticity. J Hand Surg [Am] 15:340–346CrossRef
18.
Zurück zum Zitat Kong KH, Chua KS (1999) Neurolysis of the musculocutaneous nerve with alcohol to treat poststroke elbow flexor spasticity. Arch Phys Med Rehabil 80:1234–1236CrossRefPubMed Kong KH, Chua KS (1999) Neurolysis of the musculocutaneous nerve with alcohol to treat poststroke elbow flexor spasticity. Arch Phys Med Rehabil 80:1234–1236CrossRefPubMed
19.
Zurück zum Zitat Kosugi K, Shibata S, Yamashita H (1992) Supernumerary head of biceps brachii and branching pattern of the musculocutaneous nerve in Japanese. Surg Radiol Anat 14:175–185CrossRefPubMed Kosugi K, Shibata S, Yamashita H (1992) Supernumerary head of biceps brachii and branching pattern of the musculocutaneous nerve in Japanese. Surg Radiol Anat 14:175–185CrossRefPubMed
20.
Zurück zum Zitat Leonello DT, Galley IJ, Bain GI, Carter CD (2007) Brachialis muscle anatomy. A study in cadavers. J Bone Joint Surg Am 89:1293–1297CrossRefPubMed Leonello DT, Galley IJ, Bain GI, Carter CD (2007) Brachialis muscle anatomy. A study in cadavers. J Bone Joint Surg Am 89:1293–1297CrossRefPubMed
21.
Zurück zum Zitat Lepage D, Parratte B, Tatu L, Vuiller F, Monnier G (2005) Extra- and intramuscular nerve supply of the muscles of the anterior antebrachial compartment: applications for selective neurotomy and for botulinum toxin injection. Surg Radiol Anat 27:420–430CrossRefPubMed Lepage D, Parratte B, Tatu L, Vuiller F, Monnier G (2005) Extra- and intramuscular nerve supply of the muscles of the anterior antebrachial compartment: applications for selective neurotomy and for botulinum toxin injection. Surg Radiol Anat 27:420–430CrossRefPubMed
22.
Zurück zum Zitat Lowe K, Novak I, Cusick A (2007) Repeat injection of botulinum toxin A is safe and effective for upper limb movement and function in children with cerebral palsy. Dev Med Child Neurol 49:823–829CrossRefPubMed Lowe K, Novak I, Cusick A (2007) Repeat injection of botulinum toxin A is safe and effective for upper limb movement and function in children with cerebral palsy. Dev Med Child Neurol 49:823–829CrossRefPubMed
23.
Zurück zum Zitat Mahakkanukrauh P, Somsarp V (2002) Dual innervation of the brachialis muscle. Clin Anat 15:206–209CrossRefPubMed Mahakkanukrauh P, Somsarp V (2002) Dual innervation of the brachialis muscle. Clin Anat 15:206–209CrossRefPubMed
24.
Zurück zum Zitat Mayer NH, Whyte J, Wannstedt G, Ellis CA (2008) Comparative impact of 2 botulinum toxin injection techniques for elbow flexor hypertonia. Arch Phys Med Rehabil 89:982–987CrossRefPubMed Mayer NH, Whyte J, Wannstedt G, Ellis CA (2008) Comparative impact of 2 botulinum toxin injection techniques for elbow flexor hypertonia. Arch Phys Med Rehabil 89:982–987CrossRefPubMed
25.
Zurück zum Zitat Pacha Vicente D, Forcada Calvet P, Carrera Burgaya A, Llusa Perez M (2005) Innervation of biceps brachii and brachialis: anatomical and surgical approach. Clin Anat 18:186–194CrossRefPubMed Pacha Vicente D, Forcada Calvet P, Carrera Burgaya A, Llusa Perez M (2005) Innervation of biceps brachii and brachialis: anatomical and surgical approach. Clin Anat 18:186–194CrossRefPubMed
26.
Zurück zum Zitat Park BK, Shin YB, Ko HY, Park JH, Baek SY (2007) Anatomic motor point localization of the biceps brachii and brachialis muscles. J Korean Med Sci 22:459–462CrossRefPubMed Park BK, Shin YB, Ko HY, Park JH, Baek SY (2007) Anatomic motor point localization of the biceps brachii and brachialis muscles. J Korean Med Sci 22:459–462CrossRefPubMed
27.
Zurück zum Zitat Parratte B, Tatu L, Vuillier F, Diop M, Monnier G (2002) Intramuscular distribution of nerves in the human triceps surae muscle: anatomical bases for treatment of spastic drop foot with botulinum toxin. Surg Radiol Anat 24:91–96CrossRefPubMed Parratte B, Tatu L, Vuillier F, Diop M, Monnier G (2002) Intramuscular distribution of nerves in the human triceps surae muscle: anatomical bases for treatment of spastic drop foot with botulinum toxin. Surg Radiol Anat 24:91–96CrossRefPubMed
28.
Zurück zum Zitat Shaari CM, Sanders I (1993) Quantifying how location and dose of botulinum toxin injections affect muscle paralysis. Muscle Nerve 16:964–969CrossRefPubMed Shaari CM, Sanders I (1993) Quantifying how location and dose of botulinum toxin injections affect muscle paralysis. Muscle Nerve 16:964–969CrossRefPubMed
29.
Zurück zum Zitat Yang TF, Fu CP, Kao NT, Chan RC, Chen SJ (2003) Effect of botulinum toxin type A on cerebral palsy with upper limb spasticity. Am J Phys Med Rehabil 82:284–289CrossRefPubMed Yang TF, Fu CP, Kao NT, Chan RC, Chen SJ (2003) Effect of botulinum toxin type A on cerebral palsy with upper limb spasticity. Am J Phys Med Rehabil 82:284–289CrossRefPubMed
30.
Zurück zum Zitat Yang ZX, Pho RW, Kour AK, Pereira BP (1995) The musculocutaneous nerve and its branches to the biceps and brachialis muscles. J Hand Surg [Am] 20:671–675CrossRef Yang ZX, Pho RW, Kour AK, Pereira BP (1995) The musculocutaneous nerve and its branches to the biceps and brachialis muscles. J Hand Surg [Am] 20:671–675CrossRef
Metadaten
Titel
Localization of motor entry points and terminal intramuscular nerve endings of the musculocutaneous nerve to biceps and brachialis muscles
verfasst von
Je-Hun Lee
Hye-Won Kim
Sun Im
Xiaochun An
Mi-Sun Lee
U-Young Lee
Seung-Ho Han
Publikationsdatum
01.03.2010
Verlag
Springer-Verlag
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 3/2010
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-009-0561-4

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