Accomplishments
A Case Report on Unilateral Variant Flexor Carpi Ulnaris and Ulnar Nerve in the Forearm with Clinical Significance”,
- Abstract
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During routine dissection, of the right upper limb of a 70 years old donated embalmed male cadaver in the Department of Anat-omy, K.J. Somaiya Medical College, Sion, Mumbai, India, we observed an additional muscle slip of flexor carpi ulnaris associated with anomalous high division of dorsal branch of the ulnar nerve. The additional belly originated from the lower part of the flexor carpi ulnaris muscle and crossed the ulnar nerve, the ulnar vessels and the median nerve. The additional belly merged with the flexor retinaculum and the tendon of palmaris longus muscle. The ulnar nerve divided into the terminal branches in the upper part of the forearm. However, the distribution of the terminal branches of ulnar nerve was normal in the palm. The arterial pattern in the forearm was normal. The variations were unilateral and the left upper limb was normal. The photographs of the additional muscle slip of flexor carpi ulnaris associated with anomalous high division of dorsal branch of the ulnar nerve were taken for proper documentation. The awareness of additional muscle slip of the flexor carpi ulnaris associated with anomalous high division of dorsal branch of the ulnar nerve is clinically important for sur-geons dealing with entrapment or compressive neuropathies, orthopaedicians operating on the fractures of the radius or ulna or both and anaesthetist performing pain management therapies on the upper limb. These variations are compared with the earlier data & it is con-cluded that variations in branching pattern of nerves are a rule rather than exception. A lack of knowledge of such type of variations with different patterns might complicate surgical repair and may cause ineffective nerve blockade