The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature
The arcade of Struthers was first described by Kane et al in 1973 as a thickening of the deep investing fascia of the distal arm and superficial fibers of the medial head of the triceps muscle extending to the medial intermuscular septum. However, existence of anatomical structure remains disputed, la...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2025-02-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1793948 |
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| author | Tinatin Natroshvili Maaike van de Meene Walter J. Szweryn Marius A. Kemler |
| author_facet | Tinatin Natroshvili Maaike van de Meene Walter J. Szweryn Marius A. Kemler |
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| description | The arcade of Struthers was first described by Kane et al in 1973 as a thickening of the deep investing fascia of the distal arm and superficial fibers of the medial head of the triceps muscle extending to the medial intermuscular septum. However, existence of anatomical structure remains disputed, lacking a unanimous consensus. This systematic review aims to provide an overview of all findings and conclusions on this subject. A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, and Web of Science. The QUality Appraisal for Cadaveric Studies (QUACS) scale was used for quality appraisal. In total, 12 studies (including 348 arms) agreed with the existence of the arcade of Struthers and its role in ulnar nerve entrapment. One study agreed with the existence of the structure, but disagreed with its nomenclature. On the other side, five studies (describing 224 arms) were against the existence of the structure. In literature, studies can be divided into two groups. The first group agrees with the existence of the arcade of Struthers as described by Kane et al in 1973, emphasizing its role in ulnar nerve entrapment. The second group disagrees with the existence of the arcade of Struthers, and is further divided into those who believe the structure is best described as an accessory origin of the head of the triceps muscle and those who consider it a dissection artifact. |
| format | Article |
| id | doaj-art-fe2a69a2b2af4fa695994e4980d8c7fb |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-fe2a69a2b2af4fa695994e4980d8c7fb2025-08-20T03:06:16ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2025-02-01580101101710.1055/s-0044-1793948The Controversy Surrounding the Arcade of Struthers: A Systematic Review of LiteratureTinatin Natroshvili0https://orcid.org/0000-0002-4078-3228Maaike van de Meene1Walter J. Szweryn2Marius A. Kemler3Department of Plastic Surgery, Martini Hospital, NT Groningen, The NetherlandsDepartment of Plastic Surgery, Martini Hospital, NT Groningen, The NetherlandsDepartment of Plastic Surgery, Martini Hospital, NT Groningen, The NetherlandsDepartment of Plastic Surgery, Martini Hospital, NT Groningen, The NetherlandsThe arcade of Struthers was first described by Kane et al in 1973 as a thickening of the deep investing fascia of the distal arm and superficial fibers of the medial head of the triceps muscle extending to the medial intermuscular septum. However, existence of anatomical structure remains disputed, lacking a unanimous consensus. This systematic review aims to provide an overview of all findings and conclusions on this subject. A literature search was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, and Web of Science. The QUality Appraisal for Cadaveric Studies (QUACS) scale was used for quality appraisal. In total, 12 studies (including 348 arms) agreed with the existence of the arcade of Struthers and its role in ulnar nerve entrapment. One study agreed with the existence of the structure, but disagreed with its nomenclature. On the other side, five studies (describing 224 arms) were against the existence of the structure. In literature, studies can be divided into two groups. The first group agrees with the existence of the arcade of Struthers as described by Kane et al in 1973, emphasizing its role in ulnar nerve entrapment. The second group disagrees with the existence of the arcade of Struthers, and is further divided into those who believe the structure is best described as an accessory origin of the head of the triceps muscle and those who consider it a dissection artifact.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1793948arcade of Struthersulnar nerve entrapmentStruthers’ ligament |
| spellingShingle | Tinatin Natroshvili Maaike van de Meene Walter J. Szweryn Marius A. Kemler The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature Indian Journal of Plastic Surgery arcade of Struthers ulnar nerve entrapment Struthers’ ligament |
| title | The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature |
| title_full | The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature |
| title_fullStr | The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature |
| title_full_unstemmed | The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature |
| title_short | The Controversy Surrounding the Arcade of Struthers: A Systematic Review of Literature |
| title_sort | controversy surrounding the arcade of struthers a systematic review of literature |
| topic | arcade of Struthers ulnar nerve entrapment Struthers’ ligament |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1793948 |
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