Do anthropometric measurements of the hand impact the histological structure of the human median nerve at the level of the carpal tunnel?

Folia Med Cracov. 2012;52(1-2):17-24.

Abstract

Introduction: The literature lacks data on the histological structure of the median nerve on the level of the carpal tunnel, and its possible correlations with the anthropometric measurements of the hand.

Aim: The aim of this study was to assess the anthropometric measurements of human cadaver hands and their median nerves histological structure and whether a correlation existed between these two.

Material & methods: This study has been conducted using cadavers stored in a 10% solution of formaldehyde at the Department of Anatomy of the Jagiellonian University Medical College (JUMC) and cadavers from the Department of Forensic Medicine JUMC. Before dissection anthropometric measurements were carried out. After dissection the median nerves were stained with haematoxylin and eosin and histological slides were prepared. These were later photographed (16 x magnification) and analysed using ImageJ software.

Results: The studied group comprised 8 women and 22 men (age between 23-92 years). Anthropometric measurements comparison by gender revealed statistically significantly larger CR-CU, MR-MU and TS-ID distances in men then in women. When comparing sides, the cross-sectional area (CSA) of the right median nerve (0.216 +/- 0.06 cm2) was statistically significantly larger (p = 0.017) then the CSA of the left median nerve (0.173 +/- 0.05 cm2). No correlation was noted between the anthropometric and histological measurements obtained in this study.

Conclusions: Anthropometric measurements of the hand do not impact the histological structure of the human median nerve at the level of the carpal tunnel. Nerve bundles of the median nerve, at the level of the carpal tunnel, display no particular type of arrangement.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anthropometry
  • Cadaver
  • Carpal Bones / anatomy & histology*
  • Female
  • Hand / anatomy & histology*
  • Humans
  • Male
  • Median Nerve / anatomy & histology
  • Median Nerve / cytology*
  • Middle Aged
  • Wrist / anatomy & histology*
  • Young Adult