دورية أكاديمية
Topographic pattern of the brachial plexus at the axillary fossa through real-time ultrasonography in Koreans
العنوان: | Topographic pattern of the brachial plexus at the axillary fossa through real-time ultrasonography in Koreans |
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المؤلفون: | Jin Hye Han, Youn Jin Kim, Jong Hak Kim, Dong Yeon Kim, Guie Yong Lee, Chi Hyo Kim |
المصدر: | Korean Journal of Anesthesiology, Vol 67, Iss 5, Pp 310-316 (2014) |
بيانات النشر: | Korean Society of Anesthesiologists, 2014. |
سنة النشر: | 2014 |
المجموعة: | LCC:Anesthesiology |
مصطلحات موضوعية: | anatomy, axilla, brachial plexus, ultrasonography, Anesthesiology, RD78.3-87.3 |
الوصف: | BackgroundThe ability to explore the anatomy has improved our appreciation of the brachial anatomy and the quality of regional anesthesia. Using real-time ultrasonography, we investigated the cross-sectional anatomy of the brachial plexus and of vessels at the axillary fossa in Koreans.MethodsOne hundred and thirty-one patients scheduled to undergo surgery in the region below the elbow were enrolled after giving their informed written consent. Using the 5-12 MHz linear probe of an ultrasound system, we examined cross-sectional images of the brachial plexus in the supine position with the arm abducted by 90°, the shoulder externally rotated, and the forearm flexed by 90° at the axillary fossa. The results of the nerve positions were expressed on a 12-section pie chart and the numbers of arteries and veins were reported.ResultsApplying gentle pressure to prevent vein collapse, the positions of the nerves changed easily and showed a clockwise order around the axillary artery (AA). The most frequent positions were observed in the 10-11 section (79.2%) for the median, 1-2 section (79.3%) for the ulnar, 3-5 section (78.4%) for the radial, and 8-9 section (86.9%) for the musculocutaneous nerve. We also noted anatomical variations consisting of double arteries (9.2%) and multiple axillary veins (87%).ConclusionsUsing real-time ultrasonography, we found that the anatomical pattern of the major nerves in Koreans was about 80% of the frequent position of individual nerves, 90.8% of the single AA, and 87% of multiple veins around the AA. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2005-6419 2005-7563 |
Relation: | http://ekja.org/upload/pdf/kjae-67-310.pdf; https://doaj.org/toc/2005-6419; https://doaj.org/toc/2005-7563 |
DOI: | 10.4097/kjae.2014.67.5.310 |
URL الوصول: | https://doaj.org/article/3fbf04d82c344ddbb02c1bf16c7e0722 |
رقم الأكسشن: | edsdoj.3fbf04d82c344ddbb02c1bf16c7e0722 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20056419 20057563 |
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DOI: | 10.4097/kjae.2014.67.5.310 |