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Extra- and intramuscular nerve distribution patterns of the muscles of the ventral compartment of the forearm

Authors
 Sung-Yoon Won  ;  Mi-Sun Hur  ;  Dong-Wook Rha  ;  Hyun-Do Park  ;  Kyung-Seok Hu  ;  Christian Fontaine  ;  Hee-Jin Kim 
Citation
 AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, Vol.89(8) : 644-652, 2010 
Journal Title
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
ISSN
 0894-9115 
Issue Date
2010
MeSH
Aged ; Aged, 80 and over ; Cadaver ; Female ; Forearm/innervation* ; Humans ; Male ; Median Nerve/anatomy & histology ; Middle Aged ; Muscle, Skeletal/innervation* ; Ulnar Nerve/anatomy & histology
Keywords
Forearm Muscle ; Motor Point ; Botulinum Toxin ; Sihler's Staining
Abstract
OBJECTIVE: This study describes the extra- and intramuscular nerve branching of muscles of the ventral compartment of forearm, thereby providing critical information on determining the points for botulinum toxin injections that would be effective at reducing muscular spasticity.

DESIGN: Twenty-three Korean and French cadavers were dissected and subjected to Modified Sihler's staining to investigate nerve entry points and intramuscular nerve arborization patterns. Nerve entry point and abundant arborizing area of each muscle were analyzed on 20 segments with reference to transverse lines obtained by dividing the forearm into ten equal divisions and a vertical line bisecting the medial and lateral halves of the forearm.

RESULTS: The nerve entry points of the first and second layers of forearm muscles were located at medial levels 3 and 2, respectively. The entry points of the median and ulnar nerves innervating the flexor digitorum profundus (third layer) were located at medial levels 4 and 3, respectively. The intramuscular regions of abundant arborization in each muscle were located one level distal to the nerve entry point.

CONCLUSIONS: This study has yielded a map of nerve entry and abundant arborization of motor nerves innervating each muscle of the ventral compartment of the forearm.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002060-201008000-00005&LSLINK=80&D=ovft
DOI
10.1097/PHM.0b013e3181d8a116
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Hyun Do(박현도)
Won, Sung Yoon(원성윤)
Hu, Kyung Seok(허경석) ORCID logo https://orcid.org/0000-0002-9048-3805
Hur, Mi Sun(허미선)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101335
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