Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index
To investigate the topographic anatomy of the median, musculocutaneous, radial and ulnar nerves with respect to the axillary artery and to seek whether these configurations are associated with baseline descriptive data including age, gender, and body-mass index. This cross-sectional trial was carrie...
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| Veröffentlicht in: | Journal of clinical monitoring and computing 2018-08, Vol.32 (4), p.779-784 |
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| creator | Ozturk, Omur Tezcan, Aysu Hayriye Bilge, Ali Ateş, Hakan Yagmurdur, Hatice Erbas, Mesut |
| description | To investigate the topographic anatomy of the median, musculocutaneous, radial and ulnar nerves with respect to the axillary artery and to seek whether these configurations are associated with baseline descriptive data including age, gender, and body-mass index. This cross-sectional trial was carried out on 199 patients (85 women, 114 men; average age: 46.78 ± 15.45 years) in the department of anaesthesiology and reanimation of a tertiary care center. Topographic anatomy of the median, musculocutaneous, radial and ulnar nerves was assessed with ultrasonography. Localization of these nerves with respect to the axillary artery was marked on the map demonstrating 16 zones around the axillary artery. Frequencies of localizations of every nerve in these zones were recorded, and the correlation of these locations with descriptive data including age, gender and BMI was investigated. There was no difference between women and men for the distribution of the median (p = 0.74), ulnar (p = 0.35) and radial (p = 0.64) nerves. However, the musculocutaneous nerve was more commonly located in Zone A13 in men compared to women (p = 0.02). The localization of the median (p = 0.85), ulnar (p = 0.27) and radial (p = 0.88) nerves did not differ remarkably between patients with BMI |
| doi_str_mv | 10.1007/s10877-017-0062-7 |
| format | Article |
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2
and patients with BMI ≥ 25 kg/m
2
. Notably, the musculocutaneous nerve was more often determined in Zone A10 in cases with BMI ≥ 25 kg/m
2
(p = 0.001). Our results imply that the alignment of the musculocutaneous nerve may vary in men and overweight people. This fact must be considered by the anaesthetist before planning the axillary block of brachial plexus. All these informations may enlighten the planning stages of the brachial plexus blockade.</description><identifier>ISSN: 1387-1307</identifier><identifier>EISSN: 1573-2614</identifier><identifier>DOI: 10.1007/s10877-017-0062-7</identifier><identifier>PMID: 28871408</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject><![CDATA[Adolescent ; Adult ; Age ; Aged ; Aged, 80 and over ; Anatomy ; Anesthesiology ; Axilla - blood supply ; Axilla - diagnostic imaging ; Axilla - innervation ; Axillary Artery - anatomy & histology ; Axillary Artery - diagnostic imaging ; Body Mass Index ; Body size ; Brachial plexus ; Brachial Plexus - anatomy & histology ; Brachial Plexus - diagnostic imaging ; Brachial Plexus Block - methods ; Critical Care Medicine ; Cross-Sectional Studies ; Female ; Health Sciences ; Humans ; Intensive ; Localization ; Male ; Median Nerve - anatomy & histology ; Median Nerve - diagnostic imaging ; Medicine ; Medicine & Public Health ; Men ; Middle Aged ; Musculocutaneous Nerve - anatomy & histology ; Musculocutaneous Nerve - diagnostic imaging ; Nerves ; Original Research ; Patients ; Position (location) ; Radial Nerve - anatomy & histology ; Radial Nerve - diagnostic imaging ; Sex Characteristics ; Statistics for Life Sciences ; Topography ; Ulnar Nerve - anatomy & histology ; Ulnar Nerve - diagnostic imaging ; Ultrasonography ; Women ; Young Adult]]></subject><ispartof>Journal of clinical monitoring and computing, 2018-08, Vol.32 (4), p.779-784</ispartof><rights>Springer Science+Business Media B.V. 2017</rights><rights>Journal of Clinical Monitoring and Computing is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c372t-852d76cbeb0e3c840aca926068f85a5cf008c9744c435085a2596c85854f46673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10877-017-0062-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10877-017-0062-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28871408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozturk, Omur</creatorcontrib><creatorcontrib>Tezcan, Aysu Hayriye</creatorcontrib><creatorcontrib>Bilge, Ali</creatorcontrib><creatorcontrib>Ateş, Hakan</creatorcontrib><creatorcontrib>Yagmurdur, Hatice</creatorcontrib><creatorcontrib>Erbas, Mesut</creatorcontrib><title>Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index</title><title>Journal of clinical monitoring and computing</title><addtitle>J Clin Monit Comput</addtitle><addtitle>J Clin Monit Comput</addtitle><description>To investigate the topographic anatomy of the median, musculocutaneous, radial and ulnar nerves with respect to the axillary artery and to seek whether these configurations are associated with baseline descriptive data including age, gender, and body-mass index. This cross-sectional trial was carried out on 199 patients (85 women, 114 men; average age: 46.78 ± 15.45 years) in the department of anaesthesiology and reanimation of a tertiary care center. Topographic anatomy of the median, musculocutaneous, radial and ulnar nerves was assessed with ultrasonography. Localization of these nerves with respect to the axillary artery was marked on the map demonstrating 16 zones around the axillary artery. Frequencies of localizations of every nerve in these zones were recorded, and the correlation of these locations with descriptive data including age, gender and BMI was investigated. There was no difference between women and men for the distribution of the median (p = 0.74), ulnar (p = 0.35) and radial (p = 0.64) nerves. However, the musculocutaneous nerve was more commonly located in Zone A13 in men compared to women (p = 0.02). The localization of the median (p = 0.85), ulnar (p = 0.27) and radial (p = 0.88) nerves did not differ remarkably between patients with BMI < 25 kg/m
2
and patients with BMI ≥ 25 kg/m
2
. Notably, the musculocutaneous nerve was more often determined in Zone A10 in cases with BMI ≥ 25 kg/m
2
(p = 0.001). Our results imply that the alignment of the musculocutaneous nerve may vary in men and overweight people. This fact must be considered by the anaesthetist before planning the axillary block of brachial plexus. All these informations may enlighten the planning stages of the brachial plexus blockade.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy</subject><subject>Anesthesiology</subject><subject>Axilla - blood supply</subject><subject>Axilla - diagnostic imaging</subject><subject>Axilla - innervation</subject><subject>Axillary Artery - anatomy & histology</subject><subject>Axillary Artery - diagnostic imaging</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Brachial plexus</subject><subject>Brachial Plexus - anatomy & histology</subject><subject>Brachial Plexus - diagnostic imaging</subject><subject>Brachial Plexus Block - methods</subject><subject>Critical Care Medicine</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Sciences</subject><subject>Humans</subject><subject>Intensive</subject><subject>Localization</subject><subject>Male</subject><subject>Median Nerve - anatomy & histology</subject><subject>Median Nerve - diagnostic imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Musculocutaneous Nerve - anatomy & histology</subject><subject>Musculocutaneous Nerve - diagnostic imaging</subject><subject>Nerves</subject><subject>Original Research</subject><subject>Patients</subject><subject>Position (location)</subject><subject>Radial Nerve - anatomy & histology</subject><subject>Radial Nerve - diagnostic imaging</subject><subject>Sex Characteristics</subject><subject>Statistics for Life Sciences</subject><subject>Topography</subject><subject>Ulnar Nerve - anatomy & histology</subject><subject>Ulnar Nerve - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>Women</subject><subject>Young Adult</subject><issn>1387-1307</issn><issn>1573-2614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kctq3DAUhkVJaK4P0E0xZJON06ObJS9LmFwg0E2zFrIszzjYlivZ6cwL9LlzJk7bUOhC6HK-_9fh_IR8onBFAdSXREErlQPFBQXL1QdyTKXiOSuoOMAz1yqnHNQROUnpCQBKzelHcsS0VlSAPia_Vs-2m-3UhiELTTZtfBZ993pPm3bMKj_99H54LUxhDOtox03rbJfZwU6h32XtUrTbtuts3KF8_c6sitZtWsTHzm_nhKp6eQ_1LuttSqiv_faMHDa2S_78bT8ljzer79d3-cO32_vrrw-544pNuZasVoWrfAWeOy3AOluyAgrdaGmlawC0K5UQTnAJ-MRkWTgttRSNKArFT8nl4jvG8GP2aTJ9m5zHzgcf5mRoyaWmVKgS0Yt_0KcwxwG7MwxwegJHL5GiC-ViSCn6xoyx7XEOhoLZh2SWkAyGZPYhmX0Tn9-c56r39R_F71QQYAuQsDSsffz79f9dXwBJgp06</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Ozturk, Omur</creator><creator>Tezcan, Aysu Hayriye</creator><creator>Bilge, Ali</creator><creator>Ateş, Hakan</creator><creator>Yagmurdur, Hatice</creator><creator>Erbas, Mesut</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180801</creationdate><title>Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index</title><author>Ozturk, Omur ; Tezcan, Aysu Hayriye ; Bilge, Ali ; Ateş, Hakan ; Yagmurdur, Hatice ; Erbas, Mesut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-852d76cbeb0e3c840aca926068f85a5cf008c9744c435085a2596c85854f46673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy</topic><topic>Anesthesiology</topic><topic>Axilla - blood supply</topic><topic>Axilla - diagnostic imaging</topic><topic>Axilla - innervation</topic><topic>Axillary Artery - anatomy & histology</topic><topic>Axillary Artery - diagnostic imaging</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Brachial plexus</topic><topic>Brachial Plexus - anatomy & histology</topic><topic>Brachial Plexus - diagnostic imaging</topic><topic>Brachial Plexus Block - methods</topic><topic>Critical Care Medicine</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Sciences</topic><topic>Humans</topic><topic>Intensive</topic><topic>Localization</topic><topic>Male</topic><topic>Median Nerve - anatomy & histology</topic><topic>Median Nerve - diagnostic imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Musculocutaneous Nerve - anatomy & histology</topic><topic>Musculocutaneous Nerve - diagnostic imaging</topic><topic>Nerves</topic><topic>Original Research</topic><topic>Patients</topic><topic>Position (location)</topic><topic>Radial Nerve - anatomy & histology</topic><topic>Radial Nerve - diagnostic imaging</topic><topic>Sex Characteristics</topic><topic>Statistics for Life Sciences</topic><topic>Topography</topic><topic>Ulnar Nerve - anatomy & histology</topic><topic>Ulnar Nerve - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozturk, Omur</creatorcontrib><creatorcontrib>Tezcan, Aysu Hayriye</creatorcontrib><creatorcontrib>Bilge, Ali</creatorcontrib><creatorcontrib>Ateş, Hakan</creatorcontrib><creatorcontrib>Yagmurdur, Hatice</creatorcontrib><creatorcontrib>Erbas, Mesut</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical monitoring and computing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozturk, Omur</au><au>Tezcan, Aysu Hayriye</au><au>Bilge, Ali</au><au>Ateş, Hakan</au><au>Yagmurdur, Hatice</au><au>Erbas, Mesut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index</atitle><jtitle>Journal of clinical monitoring and computing</jtitle><stitle>J Clin Monit Comput</stitle><addtitle>J Clin Monit Comput</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>32</volume><issue>4</issue><spage>779</spage><epage>784</epage><pages>779-784</pages><issn>1387-1307</issn><eissn>1573-2614</eissn><abstract>To investigate the topographic anatomy of the median, musculocutaneous, radial and ulnar nerves with respect to the axillary artery and to seek whether these configurations are associated with baseline descriptive data including age, gender, and body-mass index. This cross-sectional trial was carried out on 199 patients (85 women, 114 men; average age: 46.78 ± 15.45 years) in the department of anaesthesiology and reanimation of a tertiary care center. Topographic anatomy of the median, musculocutaneous, radial and ulnar nerves was assessed with ultrasonography. Localization of these nerves with respect to the axillary artery was marked on the map demonstrating 16 zones around the axillary artery. Frequencies of localizations of every nerve in these zones were recorded, and the correlation of these locations with descriptive data including age, gender and BMI was investigated. There was no difference between women and men for the distribution of the median (p = 0.74), ulnar (p = 0.35) and radial (p = 0.64) nerves. However, the musculocutaneous nerve was more commonly located in Zone A13 in men compared to women (p = 0.02). The localization of the median (p = 0.85), ulnar (p = 0.27) and radial (p = 0.88) nerves did not differ remarkably between patients with BMI < 25 kg/m
2
and patients with BMI ≥ 25 kg/m
2
. Notably, the musculocutaneous nerve was more often determined in Zone A10 in cases with BMI ≥ 25 kg/m
2
(p = 0.001). Our results imply that the alignment of the musculocutaneous nerve may vary in men and overweight people. This fact must be considered by the anaesthetist before planning the axillary block of brachial plexus. All these informations may enlighten the planning stages of the brachial plexus blockade.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>28871408</pmid><doi>10.1007/s10877-017-0062-7</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of clinical monitoring and computing, 2018-08, Vol.32 (4), p.779-784 |
| issn | 1387-1307 1573-2614 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Age Aged Aged, 80 and over Anatomy Anesthesiology Axilla - blood supply Axilla - diagnostic imaging Axilla - innervation Axillary Artery - anatomy & histology Axillary Artery - diagnostic imaging Body Mass Index Body size Brachial plexus Brachial Plexus - anatomy & histology Brachial Plexus - diagnostic imaging Brachial Plexus Block - methods Critical Care Medicine Cross-Sectional Studies Female Health Sciences Humans Intensive Localization Male Median Nerve - anatomy & histology Median Nerve - diagnostic imaging Medicine Medicine & Public Health Men Middle Aged Musculocutaneous Nerve - anatomy & histology Musculocutaneous Nerve - diagnostic imaging Nerves Original Research Patients Position (location) Radial Nerve - anatomy & histology Radial Nerve - diagnostic imaging Sex Characteristics Statistics for Life Sciences Topography Ulnar Nerve - anatomy & histology Ulnar Nerve - diagnostic imaging Ultrasonography Women Young Adult |
| title | Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index |
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