Artículos de revistas
Pronator Teres Muscle: Anatomical Variations And Predisposition For The Compression Of The Median Nerve
Registro en:
Acta Scientiarum - Biological And Health Sciences. , v. 24, n. 2, p. 631 - 637, 2002.
14156814
2-s2.0-0036943332
Autor
Stabille S.R.
Duarte E.
De Carvalho V.C.
Institución
Resumen
The median nerve can be compressed at the level of pronator teres muscle (PTM), resulting in the pronator teres syndrome. This work aim was to analyze the PTM and its relationship with the median nerve. In order to do so, we have dissected 100 human upper limbs from anatomy laboratories. In 72% of the cases, the median nerve passed between the umeral and ulnar heads of PTM. In 15% of the cases, the ulnar head was absent, with the median nerve passing behind the umeral head or through it. In 9%, a fibrous bundle represented the ulnar head. In 2%, the median nerve passed through the ulnar head and in 2% through the umeral head, even in the presence of the ulnar head. The data suggest that the variations in the relationship muscle/nerve represent potential factors for the median nerve compression, for they make the passage for this nerve in the forearm even narrower. 24 2 631 637 Ashworth, N.L., Anterior interosseous nerve syndrome presenting with pronator teres weakness: A case report (1997) Muscle & Nerve, 20 (12), pp. 1591-1594. , New York Bairati, A., (1971) Trattato di Anatomi Humana. 2.Ed., , Torino: Minerva medica Barrett, J.H., An additional (third and separate) head of the pronator teres muscle (1936) J. Anat., 70, pp. 577-578. , Cambridge Bayerl, W., Fischer, K., The pronator teres syndrome. Clinical aspects, pathogenesis and therapy of a non-traumatic median nerve compression syndrome in the space of the elbow joint (1979) Handchirurgie, 11 (2), pp. 91-98. , Stuttgart Beaton, L.E., Anson, B.J., The relation of the median nerve to the pronator teres muscle (1939) Anat. Rec., 75, pp. 23-26. , New York Benninghoff, A., Goerttler, K., (1975) Lehrbuch der Anatomie des Menschen. 11.Ed., , Berlin: Urban & Schwarzenberg Bertelli, D., Miologia (1932) Trattato di Anatomia Umana. 2.Ed., , Bertelli, D. Milano: F. Vallardi Buch-Hansen, K., Über varietäten des nervus medianus und des nervus musculocutaneus und deren beziehungen (1955) Anat. Anz., 102 (9-14), pp. 187-201. , Jena Cantero, J., Compressive syndromes of the peripheral nerves of the arms and legs (1974) Revue Med. Suis. Romande, 94, pp. 39-40. , Lausanne Chiarugi, G., Bucciante, L., (1972) Istituzioni di Anatomia dell'Nomo. 10.Ed., , Milano: F. Vallardi Chudzinski, T., Observations sur les variations musculaires dans les races humaines (1898) Mém. Soc. Anthrpol. Paris, 2 (2), pp. 1-228. , Paris, 3′ série Danielsson, L.G., Iatrogenic pronator syndrome (1980) Scand. J. Plast. Reconstr. Surg., 14 (2), pp. 201-203. , Stockholm Didio, L.J.A., Dangelo, J.G., Um caso de nervus medianus situado posteriormente aos dois feixes do músculo pronator teres em feto humano (1958) Fol. Anat. Univ. Conimbr., 33, pp. 1-10. , Coimbra Didio, L.J.A., Dangelo, J.G., Nervus medianus piercing the caput humerales of the m. pronator teres (1963) Anat. Anz., 112, pp. 385-388. , Jena Farrell, H.F., Pain and pronator teres syndrome (1976) Bull. Hosp. Joint. Dis., 37 (1), pp. 59-62. , New York Fazzari, I., (1971) Anatomia Umana Sistemática, , Torino: Unione Tipográfico Editrice Torinese Gessini, L., The Seyffarth syndrome (round pronator syndrome). Considerations on 19 cases (1980) Chir. Organi Mov., 66 (4), pp. 481-489. , Bologna Gross, P.T., Jones, H.R., Jr proximal median neuropathies: Electromyographic and clinical correlation (1992) Muscle & Nerve, 15 (3), pp. 390-395. , New York Hofer, K., Hofer, G., Uber den verlauf der arteria brachialis mit dem nervus medianus zwischen den beiden köpfen des musculus pronator teres (1910) Anat. Anz., 36 (19), pp. 510-514. , Jena Jamienson, R.W., Anson, B.J., The relation of the median nerve to the heads of origin of the pronator teres muscle: A study of 300 specimens (1952) Quart. Bull. Northwest Univ. M. School, 26 (34), pp. 34-35. , Chicago Lans, T., Wachsmuth, W., (1959) Praktische Anatomie. 2.Ed., , Berlin: Springer Verlag Le Double, A.F., (1987) Traité des Variations du Système Musculaire de l'Homme et de Leur Signification an Point de vue de l'Antropologie Zoologique, , Paris: S. Frères Êditeurs Macalister, A., On the nature of the coronoid portion of the pronator radii teres (1868) J. Anat. Physiol., 2, pp. 8-12. , London Mori, M., Statistics on the musculature of the japonese (1964) Okajima's Fol. Anat. Jap., 40, pp. 195-300. , Tokyo Nebot-Cegarra, J., Variations of the pronator teres muscle: Predispositional role to median nerve entrapment (1992) Arch. d'Anat. d'Histol. d'Embriol. Nor. Exper., 74, pp. 35-45. , Colmal Olehnik, W.K., Median nerve compression in the proximal forearm (1994) J. Hand Surg., 19 (1), pp. 121-126. , Edinburg Rouviére, H., (1971) Anatomia Humana Descriptiva y Topográfica. 8.Ed., , Madrid: Bailly-Bailliere Seyffarth, H., Primary myoses in the m. pronator teres as cause of lesion of the nervus medianus (The pronator syndrome) (1951) Acta Psychiat. Neurol. Scand., 74, pp. 251-254. , Stockholm Solnitzky, O., Pronator syndrome: Compression neuropathy of the median nerve at the level of pronator teres muscle (1960) Georgetown Med. Bull., 13, pp. 232-238. , Washington Spinner, M., (1978) Injures to the Major Branches of Peripheral Nerves of the Forearm. 2.Ed., , Philadelphia: W.B. Saunders Company Stal, M., Upper extremity nerve involvement in swedish female machine milkers (1998) Am. J. Indus. Med., 33 (6), pp. 551-559. , New York Tandler, J., (1926) Lehrbuch der Systematischen Anatomie. 2.Ed., , Leipzig,: F.C.W. Voget Testut, L., (1884) Les Anomalies Musculaires, , Paris: G. Masson Éditeur Testut, L., Latarjet, A., (1979) Tratado de Anatomia Humana. 9.Ed., , Barcelona: Salvat Tulwa, N., Median nerve compression within the humeral head of pronator teres (1994) J. Hand Surg., 19 (6), pp. 709-710. , Edinburg Wertsch, J.J., Melvin, J., Median nerve anatomy and entrapment syndromes: A review (1982) Arch. Phys. Med. Rehabil., 63 (12), pp. 623-627. , Chicago Wiggins, C.E., Pronator syndrome (1982) South. Med. J., 75 (2), pp. 240-241. , Birmingham Wood, J., Variations in human myology observed during the winter session of 1867-68 at King's college, London (1868) Proc. R. Soc. Lond., 16, pp. 483-525. , London