Intramuscular distribution of the phrenic nerve in human diaphragm as shown by Sihler staining

Introduction: Intramuscular innervation of the human diaphragm has not been well described. The goal of this study was to elucidate the detailed intramuscular distribution of the phrenic nerve in the human diaphragm. Methods: Fifteen human diaphragms were visualized using modified Sihler staining, a...

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Veröffentlicht in:Muscle & nerve 2012-04, Vol.45 (4), p.522-526
Hauptverfasser: AN, Xiaochun, Yue, Bin, Lee, Je-Hun, Lee, Mi-Sun, Lin, Chenghe, Han, Seung-Ho
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container_end_page 526
container_issue 4
container_start_page 522
container_title Muscle & nerve
container_volume 45
creator AN, Xiaochun
Yue, Bin
Lee, Je-Hun
Lee, Mi-Sun
Lin, Chenghe
Han, Seung-Ho
description Introduction: Intramuscular innervation of the human diaphragm has not been well described. The goal of this study was to elucidate the detailed intramuscular distribution of the phrenic nerve in the human diaphragm. Methods: Fifteen human diaphragms were visualized using modified Sihler staining, and the detailed intramuscular phrenic nerve distribution was photographed and recorded. Results: Three types of primary phrenic nerve branches were noted. Each type of primary branch innervated a confined muscular subvolume of the diaphragm, and the intramuscular branches in each subvolume anastomosed largely with one another and formed a characteristic “net” of nerve branches. A few small nerve filaments were seen entering the peripheral diaphragm. The directions and locations of nerve branches innervating the hiatal diaphragm were not symmetrical between sides. Conclusion: These findings may offer useful information for anatomists, physiologists, and clinicians. Muscle Nerve, 2012
doi_str_mv 10.1002/mus.22141
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The goal of this study was to elucidate the detailed intramuscular distribution of the phrenic nerve in the human diaphragm. Methods: Fifteen human diaphragms were visualized using modified Sihler staining, and the detailed intramuscular phrenic nerve distribution was photographed and recorded. Results: Three types of primary phrenic nerve branches were noted. Each type of primary branch innervated a confined muscular subvolume of the diaphragm, and the intramuscular branches in each subvolume anastomosed largely with one another and formed a characteristic “net” of nerve branches. A few small nerve filaments were seen entering the peripheral diaphragm. The directions and locations of nerve branches innervating the hiatal diaphragm were not symmetrical between sides. Conclusion: These findings may offer useful information for anatomists, physiologists, and clinicians. 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source MEDLINE; Wiley Online Library All Journals
subjects Aged
Biological and medical sciences
Cadaver
Coloring Agents
diaphragm
Diaphragm - innervation
Diseases of striated muscles. Neuromuscular diseases
Esophagus - anatomy & histology
Esophagus - innervation
Female
human
Humans
intramuscular distribution
Male
Medical sciences
Middle Aged
Muscle, Skeletal - innervation
Nerve Net - anatomy & histology
Neurology
phrenic nerve
Phrenic Nerve - physiology
Sihler staining
Staining and Labeling
title Intramuscular distribution of the phrenic nerve in human diaphragm as shown by Sihler staining
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