Positional Anomaly Between the Brachial Plexus and the Scalene Muscles, Concomitant with an Anomalous Path of the Musculocutaneous Nerve. Case Report and Clinical Implication

Emilio Farfán-C; Mark Echeverría-M; Verónica Inostroza-R; Daniela Schneeberger-L; Oscar Inzunza-H

Keywords: anatomical variation, musculocutaneous nerve, Variación anatómica, Nervio musculocutáneo, Anterior scalene muscle, Músculo escaleno anterior

Abstract

SUMMARY: Anatomical variations of the scalene muscles are frequent, as are those of the brachial plexus and its terminal nerves. Nonetheless, these variations are reported separately in the literature. The aim of this work is to present a variation of scalene muscles, concomitant with an abnormal path of the musculocutaneous nerve. During a routine dissection of the cervical region, axilla and right anterior brachial region in an adult male cadaver, a supernumerary muscle fascicle was located in the anterior scalene muscle, altering the anatomical relations of C5 and C6 ventral branches of the brachial plexus. This variation was related to an anomalous path of the musculocutaneous nerve that did not cross the coracobrachialis muscle. It passed through the brachial canal along with the median nerve. It then sent off muscular branches to the anterior brachial region and likewise, communicating branches to the median nerve. The concomitant variations of the brachial plexus and scalene muscles they are not described frequently. Knowledge of these variations improves diagnosis, enhancing therapeutic and surgical approaches by reducing the possibility of iatrogenesis during cervical, axillary and brachial region interventions.

Más información

Título según SCIELO: Positional Anomaly Between the Brachial Plexus and the Scalene Muscles, Concomitant with an Anomalous Path of the Musculocutaneous Nerve. Case Report and Clinical Implication
Título de la Revista: International Journal of Morphology
Volumen: 38
Número: 4
Editorial: Sociedad Chilena de Anatomía
Fecha de publicación: 2020
Página de inicio: 845
Página final: 852
Idioma: en
DOI:

10.4067/S0717-95022020000400845

Notas: SCIELO