A Variant of Kaplan’s Accessory Branch of the Dorsal Cutaneous Branch of the Ulnar Nerve: A Case Report and Review of the Literature
Kaplan’s accessory branch is an aberrant branch of the dorsal cutaneous branch of the ulnar nerve that arises proximal to the styloid process of the ulna and courses ulnar to the pisiform. Variations of this anomaly have been described as having an end point of connection to the sensory branch of th...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2005-11, Vol.30 (6), p.1231-1235 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Hankins, Christopher L. Flemming, Stewart |
| description | Kaplan’s accessory branch is an aberrant branch of the dorsal cutaneous branch of the ulnar nerve that arises proximal to the styloid process of the ulna and courses ulnar to the pisiform. Variations of this anomaly have been described as having an end point of connection to the sensory branch of the ulnar nerve, to the motor branch of the ulnar nerve (rare), to the digital nerve at the level of the midhypothenar eminence, or to the proximal interphalangeal joint of the small finger or as running as an independent branch to the volar aspect of the small finger. We report a variant of Kaplan’s accessory branch that coursed through the insertion of the flexor carpi ulnaris, a groove on the ulnar aspect of the pisiform, and connected to the ulnar nerve trunk proximal to its bifurcation into its motor and sensory branch. Based on the findings of the case presented and a review of the literature we offer a classification system for this anomaly. |
| doi_str_mv | 10.1016/j.jhsa.2005.06.015 |
| format | Article |
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Variations of this anomaly have been described as having an end point of connection to the sensory branch of the ulnar nerve, to the motor branch of the ulnar nerve (rare), to the digital nerve at the level of the midhypothenar eminence, or to the proximal interphalangeal joint of the small finger or as running as an independent branch to the volar aspect of the small finger. We report a variant of Kaplan’s accessory branch that coursed through the insertion of the flexor carpi ulnaris, a groove on the ulnar aspect of the pisiform, and connected to the ulnar nerve trunk proximal to its bifurcation into its motor and sensory branch. Based on the findings of the case presented and a review of the literature we offer a classification system for this anomaly.</description><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hand surgery</subject><subject>Humans</subject><subject>Kaplan’s connection</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neural Conduction</subject><subject>Orthopedic surgery</subject><subject>Paresthesia - surgery</subject><subject>Pisiform Bone - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tendons - surgery</subject><subject>ulnar nerve</subject><subject>Ulnar Nerve - abnormalities</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS1ERYfCC7BAFhLsEuz4ZxLEZhgKRYxAQpStdWNfaxJlkqmdFHXHinfg9XiSOppBlbpgdS2d7x5dn0PIM85yzrh-3ebtNkJeMKZypnPG1QOy4ErwTCstH5IFE1pkihXilDyOsWUsbQn1iJymISUv-YL8XtEfEBroRzp4-hn2HfR_f_2JdGUtxjiEG_ouQG-3szxukb4fQoSOrqcRehymeE--7HoI9AuGa3xDV3QNEek33A9hpNC79Lxu8Oc_eNOMGGCcAj4hJx66iE-P84xcfjj_vr7INl8_flqvNpmVnI9ZZUXNpcOlWBaM-xqUZ5CUynnhmbYSBNZFGtpxqYpSS10r76Vz0lW64uKMvDr47sNwNWEcza6JFrvu8Bmjy7KslrxI4It7YDtMoU-3mYIzxQRnMkHFAbJhiDGgN_vQ7CDcGM7MXJFpzVyRmSsyTJtUUVp6fnSe6h26u5VjJwl4eQQgWuj8nG8T77ilTG56Nnp74DAFlmINJtoGe4uuCWhH44bmf3fcAhQpru8</recordid><startdate>20051101</startdate><enddate>20051101</enddate><creator>Hankins, Christopher L.</creator><creator>Flemming, Stewart</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><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>K9.</scope><scope>7X8</scope></search><sort><creationdate>20051101</creationdate><title>A Variant of Kaplan’s Accessory Branch of the Dorsal Cutaneous Branch of the Ulnar Nerve: A Case Report and Review of the Literature</title><author>Hankins, Christopher L. ; Flemming, Stewart</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-9c3b14de737201fba5f0a4119df3f06c4a3eb2c4a6d14528646b5ff4dd4d96913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hand surgery</topic><topic>Humans</topic><topic>Kaplan’s connection</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neural Conduction</topic><topic>Orthopedic surgery</topic><topic>Paresthesia - surgery</topic><topic>Pisiform Bone - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendons - surgery</topic><topic>ulnar nerve</topic><topic>Ulnar Nerve - abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hankins, Christopher L.</creatorcontrib><creatorcontrib>Flemming, Stewart</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hankins, Christopher L.</au><au>Flemming, Stewart</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Variant of Kaplan’s Accessory Branch of the Dorsal Cutaneous Branch of the Ulnar Nerve: A Case Report and Review of the Literature</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2005-11-01</date><risdate>2005</risdate><volume>30</volume><issue>6</issue><spage>1231</spage><epage>1235</epage><pages>1231-1235</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Kaplan’s accessory branch is an aberrant branch of the dorsal cutaneous branch of the ulnar nerve that arises proximal to the styloid process of the ulna and courses ulnar to the pisiform. 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| ispartof | The Journal of hand surgery (American ed.), 2005-11, Vol.30 (6), p.1231-1235 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Biological and medical sciences Diseases of the osteoarticular system Female Hand surgery Humans Kaplan’s connection Medical sciences Middle Aged Neural Conduction Orthopedic surgery Paresthesia - surgery Pisiform Bone - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendons - surgery ulnar nerve Ulnar Nerve - abnormalities |
| title | A Variant of Kaplan’s Accessory Branch of the Dorsal Cutaneous Branch of the Ulnar Nerve: A Case Report and Review of the Literature |
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