A meta-analysis on the anatomical variability of the brachial plexus: Part II - Branching of the supraclavicular part
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F21%3A10428940" target="_blank" >RIV/00216208:11110/21:10428940 - isvavai.cz</a>
Nalezeny alternativní kódy
RIV/61383082:_____/21:00001070 RIV/68407700:21230/21:00355121 RIV/00216208:11130/21:10428940 RIV/00064173:_____/21:N0000120 RIV/71226401:_____/21:N0100680
Výsledek na webu
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=S_V3hp4Q~Q" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=S_V3hp4Q~Q</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.aanat.2021.151788" target="_blank" >10.1016/j.aanat.2021.151788</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
A meta-analysis on the anatomical variability of the brachial plexus: Part II - Branching of the supraclavicular part
Popis výsledku v původním jazyce
INTRODUCTION: The anatomy of the supraclavicular part of the brachial plexus is highly variable, therefore the aim of this study was to perform a systematic review and meta-analysis of the various origins of the long thoracic, dorsal scapular, suprascapular and subclavian nerves. MATERIALS AND METHODS: Major electronic databases were searched to identify all cadaveric studies investigating the morphology of the supraclavicular part of the brachial plexus. Data on the origins of these nerves were extracted and classified. A random effects meta-analysis was performed to state the pooled prevalence estimates. RESULTS: A total of 26 studies, constituting a total of 1 021 cases, were deemed eligible for inclusion into the meta-analysis. The usual origin of the long thoracic nerve from the C5, C6 and C7 roots was observed in 78.1% (95% CI 69.4-86.7%) of cases and 21.9% (95% CI 13.3-30.6%) had unusual origin. An accessory long thoracic nerve occurred in 0.3% (95% CI 0-0.7%) of cases. The overall prevalence of normal site of origin from the C5 root of the dorsal scapular nerve was found in 85.2% (95% CI 75.7-94.6%) of cases, while 14.8% (95% CI 5.4-24.3%) appeared abnormal. The suprascapular nerve emerged from its usual point on the superior trunk in 89.8% (95% CI 85.1-94.4%) of cases and in 10.2% (95% CI 5.6-14.9%) of cases had a variable origin. An accessory suprascapular nerve was present in 0.2% (95% CI 0-0.6%). Two possible sites of origin of the subclavian nerve were noted and the typical origin from the superior trunk was found in 98.3% (95% CI 96.3-100%) of cases and variable origin from the C5 root in 1.7% (95% CI 0-3.7%). All unusual origins of each nerve were much less common. CONCLUSIONS: The nerves emerging from the supraclavicular part of the brachial plexus express a wide spectrum of potential origins. Based on the various points of emergence, a new classification system for all the nerves belonging to the supraclavicular part was proposed. Knowledge of these variations and their prevalence data is important to prevent iatrogenic injuries and to state useful landmarks for interventions in the axilla.
Název v anglickém jazyce
A meta-analysis on the anatomical variability of the brachial plexus: Part II - Branching of the supraclavicular part
Popis výsledku anglicky
INTRODUCTION: The anatomy of the supraclavicular part of the brachial plexus is highly variable, therefore the aim of this study was to perform a systematic review and meta-analysis of the various origins of the long thoracic, dorsal scapular, suprascapular and subclavian nerves. MATERIALS AND METHODS: Major electronic databases were searched to identify all cadaveric studies investigating the morphology of the supraclavicular part of the brachial plexus. Data on the origins of these nerves were extracted and classified. A random effects meta-analysis was performed to state the pooled prevalence estimates. RESULTS: A total of 26 studies, constituting a total of 1 021 cases, were deemed eligible for inclusion into the meta-analysis. The usual origin of the long thoracic nerve from the C5, C6 and C7 roots was observed in 78.1% (95% CI 69.4-86.7%) of cases and 21.9% (95% CI 13.3-30.6%) had unusual origin. An accessory long thoracic nerve occurred in 0.3% (95% CI 0-0.7%) of cases. The overall prevalence of normal site of origin from the C5 root of the dorsal scapular nerve was found in 85.2% (95% CI 75.7-94.6%) of cases, while 14.8% (95% CI 5.4-24.3%) appeared abnormal. The suprascapular nerve emerged from its usual point on the superior trunk in 89.8% (95% CI 85.1-94.4%) of cases and in 10.2% (95% CI 5.6-14.9%) of cases had a variable origin. An accessory suprascapular nerve was present in 0.2% (95% CI 0-0.6%). Two possible sites of origin of the subclavian nerve were noted and the typical origin from the superior trunk was found in 98.3% (95% CI 96.3-100%) of cases and variable origin from the C5 root in 1.7% (95% CI 0-3.7%). All unusual origins of each nerve were much less common. CONCLUSIONS: The nerves emerging from the supraclavicular part of the brachial plexus express a wide spectrum of potential origins. Based on the various points of emergence, a new classification system for all the nerves belonging to the supraclavicular part was proposed. Knowledge of these variations and their prevalence data is important to prevent iatrogenic injuries and to state useful landmarks for interventions in the axilla.
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
30106 - Anatomy and morphology (plant science to be 1.6)
Návaznosti výsledku
Projekt
—
Návaznosti
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Ostatní
Rok uplatnění
2021
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Annals of Anatomy
ISSN
0940-9602
e-ISSN
—
Svazek periodika
238
Číslo periodika v rámci svazku
November
Stát vydavatele periodika
DE - Spolková republika Německo
Počet stran výsledku
10
Strana od-do
151788
Kód UT WoS článku
000707738600018
EID výsledku v databázi Scopus
2-s2.0-85109451309