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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus III: Nervous System: Variations in Cutaneous Innervation of Forearm and Hand (Based on Over 1,000 Gunshot Injuries to Peripheral Nerves) (continued).Division of Median and Ulnar Nerves.Superficial Radial Nerve.

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

Variations in Cutaneous Innervation of Forearm and Hand (Based on Over 1,000 Gunshot Injuries to Peripheral Nerves) (continued).Division of Median and Ulnar Nerves.
Superficial Radial Nerve.

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

Peer Review Status: Internally Peer Reviewed


14. In 14 of 20 patients, after the division of both nerves, the residual area of normal skin extended medially as far as the third interosseous space.

15: in 6 of the same 20 patients, it was less extensive and only reached, on the uInar side, the second interspace or the middle of the third metacarpal bone.

16: Dissection specimen of the superficial radial nerve (corresponds to Figure 62, A, lower right, which resulted from severance of the same nerve).

17: In conclusion (Figures 60-64), the skin of the hand may be supplied with cutaneous branches from four sources (excluding the distribution of the median nerve), and the most frequent combinations are represented in this figure.

LEC, Lower lateral cutaneous nerve from the radial nerve; MC, musculocutaneous nerve (lateral antebrachial cutaneous nerve); R, superficial radial nerve; U, uInar nerve.

18: In this specimen the radial (superficial radial nerve) supplied almost the entire dorsum of the hand. The uInar nerve supplied one-half of the distal phalanx of the fifth digit, the median nerve supplied the medial half of the distal phalanx of the ring finger and the distal phalanx of the middle finger and the medial side of the distal phalanx of the index finger. On the lateral side of the hand, the lateral cutaneous nerve of the musculocutaneous nerve and the superficial radial nerve made a minor contribution.

Redrawn (A-D) from Stopford, J.S.B. The variation in distribution of the cutaneous nerves of the hand and digits. J. Anat. 53:14-25, 1919; and (E) from Learmonth, J.R. A variation in the distribution of the radial branch of the musculospiral nerve. J. Anat. 53:371-372, 1919.

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