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Abstract

The aim of the study was to assess the course of posterior interosseous nerve in the wrist capsule in the transparent method of nerve staining.

M a t e r i a l a n d M e t h o d s: Thirty dorsal wrist capsules were collected bilaterally from 15 donors (thirty capsules) within 12 hours of death. By the dorsal incision the capsules were collected in the same manner. The specimens were stained according to the protocol of modified Sihler’s staining technique. The preserved capsules were analysed under 8–16× magnification of optical microscope for the presence of major posterior interosseous nerve trunks, their major and minor branches, and nerve connections.

R e s u l t s: Three main types of nerve course were identified within the joint capsule. Type I — the most common, with the presence of a single trunk with the excursion of the first main branch on the radial side, two main branches on the ulnar side, the presence of the prevailing number of small branches on the radial side and the presence of 3–4 branches extending beyond the level of the carpo-metacarpal joints. Type II with the presence of two main nerve trunks, running almost in parallel with the first main branch on the radial side, two main branches on the ulnar side with presence of a predominant number of small branches on the radial side and the presence of 3–4 branches running beyond the level of carpo-metacarpal joints. Type III (least often) with the presence of crossed main nerve trunks.

C o n c l u s i o n: The modified Sihler’s staining technique allows for transparent visibility of the nerves innervation the dorsal wrist capsule. However does not allow accurate assessment as histological examination, especially in evaluation of nerve endings, but it gives a significantly larger area of nerve observation.

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Authors and Affiliations

Tomasz Bonczar
Jerzy A. Walocha
Mariusz Bonczar
Ewa Mizia
Joanna Filipowska
Krzysztof Tomaszewski
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Abstract

The dorsal capsule of the wrist and the DCSS may play a significant role in the conduction of nerve signals transmitted from proprioceptors present in SL to PIN, which is located above the dorsal capsule. Hence, this study aimed to determine if nerve fibers of PIN penetrate inside the dorsal capsule. The dorsal capsules of the wrist were dissected from both sides from 15 cadavers. Eventually, 30 dorsal capsules were dissected. It can be concluded that the PIN nerve fibers penetrate the dorsal capsule of the wrist, as the penetration was noticeable in every part evaluated.
The present study proves that afferent fibers from the mechanoreceptors of the SLIL potentially pass through the DCSS and subsequently through the dorsal capsule of the wrist to the PIN. This knowledge can surely be of great use for hand surgeons that perform procedures on the dorsal wrist.
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Authors and Affiliations

Michał Bonczar
1
Tomasz Bonczar
1
Patryk Ostrowski
1
Martyna Dziedzic
1
Mariusz Bonczar
1
Dawid Plutecki
2
Anna Gil
1
Małgorzata Jasińska
3
Grzegorz Lis
3
Jerzy Walocha
1
Mateusz Koziej
1

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  3. Department of Histology, Jagiellonian University Medical College, Kraków, Poland

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