THE INTRANEURAL TOPOGRAPHY OF THE RADIAL, MEDIAN AND ULNAR NERVES
Abstract
SYDNEY SUNDERLAND; THE INTRANEURAL TOPOGRAPHY OF THE RADIAL, MEDIAN AND ULNAR NERVES, Brain, Volume 68, Issue 4, 1 December 1945, Pages 243–298, https://doi.org
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Peripheral nerves have a highly branched structure and high person-to-person variability in anatomy, both in branching structure and in the location of fascicles that innervate specific muscles.
“Peripheral nerves, however, have a highly branched structure, and there is a high degree of person-to-person variability in the anatomy of those nerves, both in branching structure and in the location of fascicles that innervate specific muscles [7,8].”
From Optimization of selective stimulation parameters for multi-contact electrodes (2013) · cites this paper as [7]
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“Sunderland in 1945 [16, 17] made anatomical maps for the motor or sensory fascicle patterns within major limb nerves.”
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“They concluded that the findings pointed to a mechanical rather than an ischaemic cause for the fibre damage.”
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“The cutaneous fibres from digit I and from the first, second, and third interspace lie in separate funiculi within the median nerve up to 2 cm proximal to the radial styloid line (Sunderland, 1945).”
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“In interpreting observations such as these it is necessary to consider the division of the nerve into funiculi, which has been investigated by Sunderland (1945), and which makes it possible with weak stimuli to excite alone either motor responses from the thenar muscles or sensations from the…”
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“The size, number and configuration of these fascicles (such as myelination status and conduction velocity) can vary between and throughout these nerves 10,11 .”
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“According to Sunderland [21], at this “lacertus tunnel,” the median nerve is organized such that the branches to the pronator teres and FCR are located anteriorly, and the branches to the FPL and FDP II, medially.”
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“To this end recent anatomical studies are done in cadaveric preparations of median [66] and sciatic nerve [67], revisiting the traditional Sunderland’s work [68].”
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“It is important to recognize the possibility of sole FPL involvement, as thumb flexion weakness can be mistakenly attributed to FPL rupture.(34-39) In fact, the possibility of individual fascicle involvement should be considered in PTS more generally.”
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Self-citationSurgical significance of the motor fascicular group of the ulnar nerve in the forearm
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“Yet prevailing orthodoxy has rather emphasized the lack of such an organisation in the peripheral part of the neuraxis, in particular within individual nerve fascicles ( Sunderland 1945; Schady et al. 1983).”
BackgroundMethodPeripheral Nerve Surgery Today: Turning Point or Continuous Development?
Millesi, H. (1990) · Journal of Hand Surgery (European Volume) · doi:10.1016/0266-7681(90)90004-n · Cited by 50 · see citing works
Reina, M. Á., Arriazu, R., Collier, C. B., et al. (2013) · Revista Española de Anestesiología y Reanimación · doi:10.1016/j.redar.2013.06.006 · Cited by 49 · see citing works
[Morphology of peripheral nerves, their sheaths, and their vascularization].
Reina, M. Á., López, A., Villanueva, M. C., et al. (2000) · PubMed · Cited by 49 · see citing works
Ray, B., D’Souza, A. S., Kumar, B., et al. (2010) · Clinical Anatomy · doi:10.1002/ca.21043 · Cited by 48 · see citing works
“Previous studies indicated that the increased amount of collagen fibers is a consequence of compression rather than a protective mechanism (Sunderland, 1945).”
Background
- Authors
- SUNDERLAND, S.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- SUNDERLAND, SYDNEY
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 1945
- Volume
- 68
- Issue
- 4
- Pages
- 243-298
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2057392205
- Cited by
- 426
- References
- 0
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 21 · 2023: 16 · 2022: 9 · 2021: 10 · 2020: 13 · 2019: 18 · 2018: 11 · 2017: 14 · 2016: 17 · 2015: 12 · 2014: 14 · 2013: 14 · 2012: 10
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Peripheral Nerve Disorders
- Health Sciences › Medicine › Anatomy › Medical and Biological Sciences
- Life Sciences › Neuroscience › Neurology › Neurology and Historical Studies
- Keywords
- radial nerve, median nerve, ulnar nerve, nerve anatomy
- MeSH terms
- Humans, Median Nerve, Radial Nerve, Ulnar Nerve
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