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DOI: 10.1055/s-0042-1744295
Unusual Anastomosis between Branches of the Ulnar Nerve (Kaplan Type Anastomotic Variant) – Case Report
Article in several languages: português | EnglishFinancial Support There was no financial support from public, commercial, or non-profit sources.
Abstract
The Kaplan anastomosis is a rare communication originally described between the superficial and dorsal branches of the ulnar nerve, distal to the ulnar tunnel, and in strict relation with the pisiform bone. It reveals, by its particular location, a formation of high clinical-surgical expressiveness. In this paper, we describe a Kaplan-type communication from a left upper limb with an unusual loop conformation between branches of the ulnar nerve in the pisiform bone.
Study carried out at the Federal University of Minas Gerais, MG, Brazil.
Publication History
Received: 04 January 2022
Accepted: 07 February 2022
Article published online:
10 June 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Loukas M, Abel N, Tubbs RS, Matusz P, Zurada A, Cohen-Gadol AA. Neural interconnections between the nerves of the upper limb and surgical implications. J Neurosurg 2011; 114 (01) 225-235
- 2 Depukat P, Mizia E, Zwinczewska H. et al. Topography of ulnar nerve and its variations with special respect to carpal region. Folia Med Cracov 2014; 54 (04) 45-58
- 3 Kaplan EB. Variations of the ulnar nerve at the wrist. Bull Hosp Jt Dis 1963; 24: 85-88
- 4 Hankins CL, 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 Am 2005; 30 (06) 1231-1235
- 5 Nation HL, Jeong SY, Jeong SW, Occhialini AP. Anomalous muscles and nerves in the hand of a 94-year-old cadaver-A case report. Int J Surg Case Rep 2019; 65: 119-123
- 6 Paraskevas G, Ch Gekas C, Tzaveas A, Spyridakis I, Stoltidou A, Ph Tsitsopoulos P. Kaplan anastomosis of the ulnar nerve: a case report. J Med Case Reports 2008;2(107)
- 7 Torre F, Erthal R, Fernandes RMP, Babinski MA, Cisne de Paula R. A Communicating Branch between the Dorsal and Superficial Ramus of the Ulnar Nerve (Kaplan's Anastomosis): Clinical and Surgery Discussion. Int J Morphol 2015; 33 (03) 865-867
- 8 Sulaiman S, Soames R, Lamb C. Ulnar nerve cutaneous distribution in the palm: Application to surgery of the hand. Clin Anat 2015; 28 (08) 1022-1028
- 9 Ghabriel MN, Makar PH. Anatomical variations in the ulnar nerve and hypothenar muscles. Int J Anat Var 2011; 4: 131-133