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The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus. The median nerve originates from the lateral and medial cords of the brachial plexus, [1] and has contributions from ventral roots of C6-C7 (lateral cord) and C8 and T1 (medial cord). [1] [2]
In the palm of the hand, the median nerve is covered by the skin and the palmar aponeurosis, and rests on the tendons of the Flexor muscles.Immediately after emerging from under the transverse carpal ligament the median nerve becomes enlarged and flattened and splits into a smaller, lateral, and a larger, medial portion.
The volar branch (ramus volaris; anterior branch), the larger, passes usually in front of, but occasionally behind, the vena mediana cubiti (median basilic vein).. It then descends on the front of the ulnar side of the forearm, distributing filaments to the skin as far as the wrist, and communicating with the palmar cutaneous branch of the ulnar nerve.
the second common palmar digital nerve splits into two proper digital nerves for the adjoining sides of the third and fourth digits. Each proper digital nerve , opposite the base of the first phalanx, gives off a dorsal branch which joins the dorsal digital nerve from the superficial branch of the radial nerve , and supplies the integument on ...
The medial brachial cutaneous nerve (lesser internal cutaneous nerve; medial cutaneous nerve of arm) is a sensory branch of the medial cord of the brachial plexus derived from spinal nerves C8-T1. It provides sensory innervation to the medial arm. It descends accompanied by the basilic vein. [1]
Ultrasound can image and measure the cross sectional diameter of the median nerve, which has some correlation with CTS. The role of ultrasound in diagnosis—just as for electrodiagnostic testing—is a matter of debate. EDX cannot fully exclude the diagnosis of CTS due to the lack of sensitivity. [citation needed]
A Martin-Gruber anastomosis (MGA) is a connection from the median nerve to the ulnar nerve in the forearm. An anastomosis occurs when two structures that normally are not connected have a connection. In this case the connection is a nerve. The Martin-Gruber anastomosis is most common anastomosis that occurs between these two nerves. [1]
The recurrent branch of the median nerve is also colloquially called the "Million Dollar Nerve", because injury to this nerve during carpal tunnel surgery can lead to a million dollar lawsuit. Injury to this nerve can lead to loss of function of the thumb. Such injury can happen if the flexor retinaculum is transected too radially. The ...