MORPHOMETRIC STUDY OF THIRD WEB SPACE BRANCH OF MEDIAN NERVE: ITS CLINICAL IMPLICATIONS ON NERVE GRAFTING
ABSTRACT Address for Correspondence: Dr. Raviprasanna. K. H, Assistant Professor, Department of Anatomy, Sree Narayana Institute of Medical Sciences, North Kuthiathode, Chalakka, Ernakulam, Kerala - 683594. Phone no- +919496752619 Fax No- 91484-2478093. E-Mail: pravi_kh81@yahoo.in / pravikh8124@gmail.com Background: Nerve injuries are more common in superior extremities because of trauma and can lead to motor & sensory deficits and development of intractable pain. Cutaneous nerves can be harvested for grafting to bridge the gap created by injuries. Purpose of the study: To know the available length of third webspace branch of median nerve for nerve grafting. Materials and Methods: The study included 33 human cadaver upper limb specimens from Department of Anatomy, Sree Narayana Institute of Medical Sciences, Ernakulam. The specimens were fixed with 10% neutral buffered formalin solution and the third webspace branch of median nerve was measured. Results: In the present study we observed that the mean length available for grafting from distal end of flexor retinaculum to the webspace is 6.45 cm with the range of 4.5 cm to 7.57 cm. Conclusion: The present study has revealed the length of third webspace branch of median nerve which can be used for bridging the gap in ulnar nerve injury in the hand or median nerve injury in 1st webspace. KEY WORDS: Median nerve, Grafting, Peripheral nerve injuries, Webspace.