Innervation Anomalies and Interneural Anastomoses: Is There Clinical Relevance or Not?

Authors

  • Dmytro Dmytriiev Department of Anesthesiology and Intensive Care, National Pirogov Memorial University, Vinnytsia
  • Kostiantyn Dmytriiev Department of Propedeutics of Internal Medicine, National Pirogov Memorial University, Vinnytsia
  • Yevhenii Lysak Department of Anesthesiology, Intensive Care and Pain Medicine, Vinnytsia Regional Clinical Endocrinology Center

DOI:

https://doi.org/10.31636/pmjua.v5i3.1

Keywords:

interneural anastomosis, innervation anomalies, conductive anaesthesia, electroneuromyography

Abstract

Failed block could be one of the adverse results of the conductive anaesthesia. There are situations, when in seemingly perfect technique of the block, properly chosen drug, dosage, adjuvant – the block is not achieved (it does not occur or is incomplete or so-called “mosaic block” occurs). It is necessary to remember about atypical or abnormal nerves branching, possible interneural anastomoses, when looking for the possible cause of it. Information about most common types of interneural anastomosis of arm’s and leg’s long nerves is presented in this article. Knowledge of possible abnormal neural innervation can provide an understanding of inefficacy of some simple blocks, decrease amount of mistakes in data interpretation, that was obtained during electroneuromyographic (ENMG) investigations, improve understanding of clinical pattern in the peripheral nerve injuries, that form anastomosis.

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References

D. A. Grishina, N. A. Suponeva, E. V. Pavlov, N. G. Savitskaya Anomalous innervations: variations and typical electromyography pattern. Neuromuscular DISEASESVOL. 6 2’2016. DOI: 10.17 650 / 2222– 8721–2016–6-2–10–19

Saperstein D.S., King R.B. Motor neuronpresentation of an ulnar neuropathyand Riche-Cannieuanastomosis. ElectromyogrClin Neurophysiol 2000;40(2):119– 22. PMID: 10746189.

Sarikcioglu L., Sindel M., Ozkaynak S., Aydin H. Median and ulnar nervecommunication in theforearm: an anatomical and electrophysiological study.Med Sci Monit 2003; 9(9):351–6. PMID:1290925.

Felippe M.M., Telles F.L., Soares A.C.L.et al. Anastomosis between median nerveand ulnar nerve in the forearm. J Morphol Sci2012;29(1):23–6.

Srinivasan R., Rhodes J. The median-ulnaranastomosis (Martin–Gruber) in normal and congenitallyabnormal fetuses.Arch Neurol 1981;38(7):418–9. PMID:645405.

Kimura J., Murphy M. J., Varda D. J., Van Allen M.W. Electrophysiological studyof anomalous innervation of intrinsic handmuscles. Trans Am Neurol Assoc1976;101:257–9. PMID: 1028254.

Kayamori R. Electrodiagnosis in Martin–Gruber anastomosis. Nihon SeikeigekaGakkai Zasshi 1987;61(12):1367–72. PMID:3450762.

Kimura J. Electrodiagnosis in diseasesof nerve and muscle: principles and practice. 4rd edn. Oxford: Oxford University Press, 2013.1176 p.

Herrera E., Anaya C., Abril A.M. et al.Anastomosis Martin–Gruber: AspectosanatomW icos y electrofisiologW icos. Salud UIS2009;41(2):157–68.

Preston D.C., Shapiro B.E.Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations. 3rd edn. Boston: Butterworth–Heinemann, 2013. 664 p.

Marras C., Midroni G. Proximal Martin–Gruber anastomosis mimicking ulnar neuropathy at the elbow. MuscleNerve 1999;22(8):1132–5. PMID: 10417799.

Cho N.S., Kim D.H., Kim M.Y., Park B.K. Electrophysiological and ultrasonographic findings in ulnar neuropathy with Martin–Gruber anastomosis. MuscleNerve2013;47(4):604–7. DOI: 10.1002/mus.23607. PMID: 23463669.

Mikhaylyuk I.G.Martin-Gruber anastomosis and its clinical importance.Klinitsist = The Clinician2015; (1):50–5. (InRuss.).

Stancic WM.F., Burgic N., MicoW vic W V. Marinacci communication. Case report. J Neurosurg 2000;92(5):860–2. PMID:10794302.

Unver D.N., Uysal I.I., Seker M.The communications between the ulna and median nerves in upper limb. J Neuroanatomy 2009;8:15–9.

Kimura J., Ayyar D.R., Lippmann S.M. Electrophysiological verification of the ulnar to median nerve communications in the hand and forearm. Tohoku J Exp Med 1983;141(3):269–74. PMID: 6316583.

Meenakshi-Sundaram S., Sundar B., Arunkumar M.J. Marinacci communication: Anelectrophysiological study. Clin Neurophysiology2003;114(12):2334–7. PMID: 14652092.

Golovchinsky V. Ulnar-to-median anastomosis and its role in the diagnosis of lesions of the median nerve at the elbow and the wrist. Electromyogr Clin Neurophysiol 1990;30(1):314. PMID: 2303003.

Boland R.A., Krishnan A.V., Kiernan M.C. Riche–Cannieu anastomosis as an inherited trait. Clin Neurophysiol2007;118(4):770–5. PMID: 17317302.

Dimitru D., Walsh N.E., Weber C.F. Electrophysiologic study of the Riche-Cannieu anomaly. Electromyogr Clin Neurophysiol1988;28(1):27–31. PMID: 3168913.

Gozkea E., Gurerb R., Gurbuzera N. Riche-Cannieu Anastomosis: A Case Report.J Med Cases 2012; 3(3):195–6.

Tamagawa C., Shiga K., Ohshima Y. et al. Riche– Cannieu anastomosis and a paradoxical preservation of thenar muscles in carpal tunnel syndrome: a case report. No To Shinkei 2004;56(1):53–8. PMID: 15024830.

Refaeian M., King J.C., Dumitru D., Cuetter A.C. Carpal tunnel syndrome and the Riche-Cannieu anastomosis: electrophysiologic findings. Electromyogr Clin Neurophysiol 2001;41(6):377–82. PMID: 11680862.

Rovers J.M., Brekelmans G.J., Visser L.H. Piso-hamate hiatus syndrome in a patient with Riche–Cannieu anastomosis.BMJ Case Rep 2013. DOI: 10.1136/bcr2013–008601. PMID: 23519507.

Bozkurt M.C. Berrettini branch. J Neurosurg 2011; 114(1ф):276. DOI: 10.3171/2010.7.JNS101115. PMID: 20690808.

Stancic WM.F., MicoW vic W V., Potocnjak M.The anatomy of the Berrettini branch: implications for carpal tunnel release.J Neurosurg 1999;91(6):1027– 30. PMID:10584850.

Yoganandham J., Hannah Sugirthabai R.R., Thotakura B. et al. A study on the communications of median nerve with musculo cutaneous and ulnar nerves. Intern J Resear Health Sci 2014;2(2):481–7.

Ferrarri G.P., Gilbert A. The superficial anastomosis on the palm of the hand between the ulnar and median nerves. J Hand Surg Br 1991;16(5):511–4. PMID: 1791361.

Chen L., Duan X., Huang X. et al. Effectiveness and safety of endoscopic versus open carpal tunnel decompression. Arch OrthopTrauma Surg 2014;134(4): 585–93. DOI:10.1007/s00402–013–1898-z. PMID: 24414237.

Filatova E.S. Carpal tunnelsyndrome in rheumatic diseases. Nervnomyshechnyebolezni = Neuromuscular Diseases 2014;(2):27–31. (In Russ.) DOI: http:// dx.doi.org/ 10.17650/2222–8722014–0-2–27–31.

Loukas M., Louis R.G., Wartmann C.T.et al. The clinical anatomy of the communications between the radial and ulnar nerves on the dorsal surface of the hand. SurgRadiol Anat 2008;30(2):85–90. DOI: 10.1007/ s00276–008–0304-y. PMID: 18217183.

Paraskevas G., Gekas C., Tzaveas A. et al.Kaplan anastomosis of the ulnar nerve: a case report. J Med Case Reports 2008;2:107. DOI:10.1186/1752–1947–2- 107. PMID: 18412973.

Hankins C.L., Flemming S. A variant of Kaplan’s accessory branch of the dorsal cutaneous branch of the ulnar nerve: a case report and review of the literature. J Hand Surg Am2005;30(6):1231–5. PMID: 16344181.

Rayegani S.M., Daneshtalab E., Bahrami M.H. et al. Prevalence of accessory deep peroneal nerve in referred patients to an electrodiagnostic medicine clinic. J Brachial Plex Peripher Nerve Inj 2011;6(1):3. DOI: 10.1186/1749–7221–6-3. PMID: 21740542.

Tzika M., Paraskevas G.K., Kitsoulis P. The accessory deep peroneal nerve: a review of the literature. Foot (Edinb) 2012;22(3):232–4.DOI: 10.1016/j.foot. 2012. 05.003. PMID: 22795551.

Linden D., Berlit P. The intrinsic foot muscles are purely innervated by the tibial nerve (“all tibial foot”) – an unusual innervation anomaly. MuscleNerve 1994;17(5):560–1. PMID: 8159110.

Yamashita M., Mezaki T., Yamamoto T.“All tibial foot” with sensory crossover innervationbetween the tibial and deep peroneal nerves.J Neurol Neurosurg Psychiatry 1998;65:798–9.PMID: 9810964.

Magistris M.R., Truffert A. Extensordigitorum brevis innervated by the tibial nerve (“all tibial foot”): anomalous innervationor technical pitfall? Muscle Nerve1997;20(7):906–8. PMID: 9179169.

Gelashvili O.A., Dulcina M.N., Sreseli A.G. Features of branching uniceramic branches of the facial nerve in the adult. Samara state medical University. Bulletin of Medical Internet Conferences 2017. Volume 7. Issue 12.

Thompson G. E., Rorie D. K. Functional anatomy of the brachial plexus sheaths // Anesthesiology. 1983; 59: 117122.

Innervation Anomalies and Interneural Anastomoses: Is There Clinical Relevance or Not?

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Published

2020-11-04

How to Cite

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Dmytriiev D, Dmytriiev K, Lysak Y. Innervation Anomalies and Interneural Anastomoses: Is There Clinical Relevance or Not?. PMJUA [Internet]. 2020Nov.4 [cited 2020Nov.28];5(3):4-11. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/228

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