RESUMO
We report a rare anatomical variation of an anomalous supernumerary muscle in a male cadaver. It was crossing Guyon's canal, superficial to the ulnar nerve and ulnar artery, and inserted into the aponeurosis of the little finger. This muscle could potentially cause entrapment of the ulnar nerve in Guyon's canal.
Assuntos
Músculo Esquelético/anormalidades , Síndromes de Compressão do Nervo Ulnar/etiologia , Cadáver , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A patient presented with a 6-month history of numbness and pain in the left forearm and hand over the ulnar nerve distribution. Radiographs showed a supracondylar process, which was excised. The ulnar nerve had been compressed. The patient was symptom-free two months postoperatively.
Assuntos
Articulação do Cotovelo/fisiopatologia , Úmero/anormalidades , Síndromes de Compressão Nervosa/cirurgia , Nervo Ulnar/cirurgia , Descompressão Cirúrgica/métodos , Articulação do Cotovelo/diagnóstico por imagem , Feminino , Seguimentos , Antebraço , Humanos , Úmero/diagnóstico por imagem , Úmero/cirurgia , Hipestesia/diagnóstico , Hipestesia/etiologia , Síndromes de Compressão Nervosa/diagnóstico por imagem , Síndromes de Compressão Nervosa/etiologia , Medição da Dor , Radiografia , Medição de Risco , Resultado do Tratamento , Nervo Ulnar/diagnóstico por imagem , Nervo Ulnar/fisiopatologia , Adulto JovemRESUMO
BACKGROUND: The hypoglossal canal is a paired bone passage running from the posterior cranial fossa to the nasopharyngeal carotid space. Hyperostotic variations of this structure have been described. MATERIAL/METHODS: One hundred sixteen adult cadaveric dried skull specimens were analyzed. Several canal features, dimensions, and distances relative to constant and reliable landmarks were recorded. RESULTS: One osseous spur in the inner or outer orifice of the canal was present in 18.10% of specimens (42/232). Two or more osseous spurs were evident in 0.86% of specimens (2/232). However, complete osseous bridging, in the outer or inner part of the canal, was evident in 19.83% of specimens (46/232). Osseous bridging extending through the entire course of the canal was visible in 1.72% of the specimens (4/232). The mean lateral length of the canal was 10.22 mm, the mean medial length was 8.93 mm, the mean transverse and vertical diameters of the internal orifice were 7.44 mm and 4.42 mm, respectively, and the mean transverse and vertical diameters of the external orifice were 6.15 mm and 3.91 mm, respectively. The mean inclination of single hypoglossal canals was 42.3 degrees and 32.4 degrees on the right and left side, respectively. CONCLUSIONS: A detailed and accurate evaluation of the hypoglossal canal topographic anatomy with regard to specific, standard osseous landmarks was performed. Additional data with respect to several morphologic features of the hypoglossal canal area also was obtained. Results of this study provide important information that will enable effective and reliable surgical intervention in the area of the hypoglossal canal.
