A Communicating Branch Between the Musculocutaneous Nerve and the Median Nerve: A Case Report

  • Cassidy R. Romans Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Kathryn M. Johnson Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Hannah E. Capps Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Cristina B. Pfister Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Jamie N. Holmes Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Alexandra R. Vinson Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • R. Mark Caulkins Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • William M. Scogin Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
  • Kathleen E. McKeon Andrews Sports Medicine & Orthopaedic Centers, 805 St. Vincents Drive, Birmingham, Alabama 35205, USA
  • Nicholas B. Washmuth Samford University, 800 Lakeshore Drive, Birmingham, Alabama 35229, USA
Keywords: Musculocutaneus nerve, Median nerve, Communication, Anatomic variation, Clinical significance

Abstract

Anatomical variations of peripheral nerves are commonly reported in the literature.  While typically benign, they are of clinical importance as they can contribute to atypical clinical presentations, cause difficulty with imaging and nerve conduction studies, and lead to surgical challenges for surgeons.  We report here a communicating branch between the musculocutaneous nerve and median nerve found during cadaveric dissection in a Doctor of Nursing Practice course in the Department of Nurse Anesthesia at Samford University.  Although the case described here is among the most common anatomical variations of the peripheral nerves, there are classification systems for this variation that need to be recognized and applied by anatomists, clinicians, and surgeons.

Published
2023-05-15