ABSTRACT
Introduction: Nerves supplying the hand are notoriously variable in their divisions and their course; do not follow any standard pattern. The palmar aspect of hand is supplied by median and ulnar nerve. The clinical importance of Guyon’s canal is emphasized due to the various branching patterns of the ulnar nerve in this canal. The palmar aspect of hand is usually supplied by ulnar nerve and median nerve. Medial one and a half fingers are supplied by ulnar nerve and lateral three and a half fingers are supplied by the median nerve. The branches of ulnar nerve are notoriously variable morphologically and no standard pattern can be given regarding the course of these branches. Presence of trifurcation of ulnar nerve or communications of superficial branches to median nerve do not cause symptoms usually but becomes important during surgical and orthopaedic interventions. Material and Methods: The study was conducted on 40 hands (20 left and 20 right ) of preserved adult human cadavers.The roof of the Guyon’s canal was opened with care not to disturb the stuctures. The ulnar nerve observed for its terminal branches, the course of its superficial branches was observed. The point of division of superficial branch into digital branches was measured from bistyloid line. The point of origin of superficial communicating branch from superficial branch or digital branch of ulnar nerve to median nerve was observed from bistyloid line. Observations: In 29 hands the ulnar nerve showed bifurcation, in 10 hands it trifurcated in the Guyon’s canal and in 1 right hand of a male cadaver there was higher division of the ulnar nerve and trifurcation.The superficial branch was observed for its course and division from bistyloid line. The superficial branch gave rise to 2 digital branches in 27 hands and it gave 3 branches i.e. 2 digital branches and 1 communicating branch to medialmost digital branch of median nerve in 13 hands. The typical ramus communicans from digital branch of ulnar nerve to the medial most digital branch of median nerve was observed in 27 hands.(67.5%). Conclusion: This study attempted at exploring the superficial anatomy of ulnar nerve in hand.The branching pattern of the ulnar nerve in Guyon’s canal is variable as there is no exact level at which the nerve terminates.The superficial communicating branch to median nerve though present in all the hands but the typical ramus communicans was observed in 67.5% of specimens. Thus surgical procedures in hand should be planned carefully keeping in mind in advance such variations which can be encountered.
ABSTRACT
Introduction: Language areas of brain show a beautiful anatomico-functional correlation. It has been often assumed that the interhemispheric asymmetry of Sylvian fissure and perisylvian cortex is the basis of hemispheric dominance for language.The lateral sulcus is one of the earliest-developing sulci of the human brain. Materials And Methods: 60 formalin fixed cadaveric brains irrespective of sexes were studied in the department of Anatomy. The total length of sylvian fissure on the superolateral surface till the posterior sylvian point was noted bilaterally. Among the other measurements taken were the lengths of anterior ascending, anterior horizontal and posterior limb of lateral sulcus till posterior sylvian point on the right and left cerebral hemispheres. Observation and Results: The mean of the total length of the lateral sulcus on the left side is 8.48 which is larger than the right side which is 8.39.The mean of the anterior horizontal rami on right side (1.97) is greater than left side (1.96). On the other hand the mean value of left anterior ascending ramus 2.41 is greater than the mean value of right anterior ascending ramus 2.37. The mean value of posterior limb of sylvian sulcus is also greater on the left side i.e. 6.43 than on the right side i.e.6.23.All measurements are in cms. Conclusion: The Sylvian fissure in this study is longer on the left side than the right which has been proved in previous studies.To correlate this structural asymmetry with the functional localization of speech and language calls for further studies.