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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus III: Nervous System: Rare Form of Prefixed Brachial Plexus.

Illustrated Encyclopedia of Human Anatomic Variation: Opus III: Nervous System

Rare Form of Prefixed Brachial Plexus.

Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD

Peer Review Status: Internally Peer Reviewed


"In this case the nerve sheaths have not been dissected away at all, and only the chief branches of the plexus are shown. There is no outer cord as usually formed, but the musculocutaneous is seen arising from the ventral branch of 5-6 C., which also gives a descending branch, which is joined by a ventral branch from 7 C., to form the outer head of the median. Note the large lower ventral branch of 7 C. which passed behind the subclavian artery to reach the inner cord; this gave a large bundle to the ulnar. This arrangement of branches to the outer cord is very unusual, with the musculo-cutaneous being given off from 5-6 before the ventral branches of 5-6-7 have joined to form the outer cord. I have only seen it amongst animals in some of the Marsupials, and in one of the Edentata; in a large Wallaroo (Macropus robustus), and in Dasyurus viverrinus, a quadrupedal carnivorous marsupial; and also in the Armadillo (Dasypus villosus)."

From Harris, W. The true form of the brachial plexus, and its motor distribution. J. Anat. Physiol. 38:399-422, 1904.

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