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A spiralling origin of the median nerve around an accessory coracobrachialis brevis muscle
James Stimpson1, Priti Kamath2
1Queen Elizabeth Hospital NHS Foundation Trust, Gayton Road, Kings Lynn, Norfolk, PE30 4ET, UK. jamesstimpson@btinternet.com.
Abstract:
During an ultrasound-guided axillary brachial plexus block, sonoanatomy demonstrated a delayed formation of the lateral root to the median nerve from the lateral cord, an accessory coracobrachialis brevis muscle, and a course of the lateral root to the median nerve 'spiralling' around the accessory muscle prior to locating lateral to the brachial artery. This rare variant is further discussed in the context of median, musculocutaneous and coracobrachialis variations.
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