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dc.contributor.authorWynter, Sachaen_US
dc.contributor.authorDissabandara, Dissabandaralageen_US
dc.date.accessioned2019-05-29T13:01:01Z
dc.date.available2019-05-29T13:01:01Z
dc.date.issued2018en_US
dc.identifier.issn0930-1038en_US
dc.identifier.doi10.1007/s00276-017-1898-8en_US
dc.identifier.urihttp://hdl.handle.net/10072/356138
dc.description.abstractPurpose The objective of the present review is to assemble the recognized anatomical variations, classifications, and clinical evidence with regard to innervation of the hand and discuss the clinical significance of these variations. Methods The material for this review was obtained by exploring PubMed and Google Scholar (search terms: hand innervation, variations of ulnar nerve, variations of median nerve, variations of radial nerve) as well as from standard anatomy texts. This initial search returned approximately 300 articles, which was reduced by abstract or title review. Reviewing the reference lists of significant papers uncovered further studies missed in the initial search. A few standard anatomy texts were also consulted for normal anatomy. Results The median and ulnar nerves frequently display a number of significant deviations from the traditionally taught branching patterns. The traditionally taught innervation of the hand is also found to be highly variable. This is especially evident with regard to the motor innervation of thenar muscles. These variations may be explained by the often under-recognized anastomoses that exist in the hand, such as the motor Riche–Cannieu Anastomosis. Some of these variations are associated significant clinical consequences. Conclusions The median and ulnar nerves display many anatomical variations, often with significant clinical implications. Awareness about these variations is clinically important when interpreting clinical examination findings, electrophysiological and radiological investigation as well as during management of patients in terms of surgical and anesthetic procedures.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherSpringeren_US
dc.publisher.placeFranceen_US
dc.relation.ispartofpagefrom259en_US
dc.relation.ispartofpageto269en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalSurgical and Radiologic Anatomyen_US
dc.relation.ispartofvolume40en_US
dc.subject.fieldofresearchMedical Physiology not elsewhere classifieden_US
dc.subject.fieldofresearchMedical Physiologyen_US
dc.subject.fieldofresearchcode111699en_US
dc.subject.fieldofresearchcode1116en_US
dc.titleA comprehensive review of motor innervation of the hand: variations and clinical significanceen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dc.type.codeC - Journal Articlesen_US
dc.description.versionPost-printen_US
gro.facultyGriffith Health, School of Medicineen_US
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.en_US
gro.rights.copyright© Springer-Verlag France SAS 2017 This is an electronic version of an article published in Surgical and Radiologic Anatomy, 1-11,2017. Surgical and Radiologic Anatomy is available online at: http://link.springer.com/ with the open URL of your article.en_US
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