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The Berrettini palmar neural communicating branch: a study of 27 cadaveric specimens and determination of a high-risk surgical zone

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Marton, Akos, Ahmed, Shahzaib, Jarvis, Gavin E., Brassett, Ceclia, Grant, Ian and Gaunt, Michael E (2022) The Berrettini palmar neural communicating branch: a study of 27 cadaveric specimens and determination of a high-risk surgical zone. Journal of Hand Surgery (European Volume), 47 (8). pp. 851-856. ISSN 1753-1934

Item Type: Article

Abstract

In this cadaveric study, we analysed digital images of dissected palms to define the location and length of superficial connections between the median and the ulnar nerves (Berrettini communicating branches). We found the connections present in 12 of 27 hands. We used a coordinate model to define their location relative to seven specified landmarks. The model revealed that the Berrettini communicating branches were positioned consistently, and we defined a high-risk zone in the palm that fully contained seven of the 12 connections, while others had minor projections outside the zone. We conclude that awareness of this high-risk zone in the palm can be of some help to reduce the risk of iatrogenic nerve injury, however, any operation in the palm must always be done with great care to visualize and protect any possible anatomically unusual structures.

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Marton et al. Berrettini anatomosis April 2022 ACCEPTED.pdf - Accepted Version
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More Information

Uncontrolled Keywords: Anatomical study, median nerve, ulnar nerve, Berrettini anastomosis
Depositing User: Gavin Jarvis

Identifiers

Item ID: 15947
ISSN: 1753-1934
URI: http://sure.sunderland.ac.uk/id/eprint/15947
Official URL: https://doi.org/10.1177/17531934221095401

Users with ORCIDS

ORCID for Gavin E. Jarvis: ORCID iD orcid.org/0000-0003-4362-1133

Catalogue record

Date Deposited: 27 Apr 2023 14:22
Last Modified: 30 Apr 2023 16:45

Contributors

Author: Gavin E. Jarvis ORCID iD
Author: Akos Marton
Author: Shahzaib Ahmed
Author: Ceclia Brassett
Author: Ian Grant
Author: Michael E Gaunt

University Divisions

Faculty of Health Sciences and Wellbeing > School of Medicine

Subjects

Sciences > Biomedical Sciences
Sciences > Health Sciences

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  • The Berrettini palmar neural communicating branch: a study of 27 cadaveric specimens and determination of a high-risk surgical zone. (deposited 27 Apr 2023 14:22) [Currently Displayed]