scholarly journals Abnormal Division of Axillary Artery - A Case Report

2012 ◽  
Vol 01 (01) ◽  
pp. 044-047
Author(s):  
N Ratnakar Rao
Keyword(s):  
Median Nerve ◽  
Radial Artery ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Practical Importance ◽  
Lateral Side ◽  
Superficial Branch ◽  
Collateral Artery ◽  
Male Cadaver ◽  
The Right

AbstractA case of the abnormal branching of the right Axillary artery in a 60 year old male cadaver is presented here. The axillary artery divided into two trunks, a lateral and medial from the second part only in this case. The lateral branch was superficial running between two roots of median nerve, which here is referred to as superficial branch. The other was a medial trunk, running deep to median nerve on the medial, hence it is referred as deep brachial artery. The superficial branch had a similar course as radial artery coursing on the lateral side of cubital fossa, fore arm, anatomical snuff box and hand, hence it was considered as equivalent to radial artery. The deep brachial artery gave rise to anterior and posterior circumflex humeral arteries and the superior ulnar collateral artery. This variation is rare and the incidence quoted as around 0.12 - 3.2% in the available literature. The normal and abnormal anatomy of the axillary artery is having practical importance for the radiologists during angiography and surgeons for accurate diagnostic interpretation.

scholarly journals Anomalies of radial and ulnar arteries

2017 ◽  
Vol 16 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Rajani Singh ◽  
Rashmi Malhotra ◽  
Munish Wadhawan
Keyword(s):  
Median Nerve ◽  
Radial Artery ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Medial Epicondyle ◽  
Lateral Side ◽  
Flexor Muscles ◽  
Teres Major ◽  
The Right ◽  
Anomalous Formation

Abstract During dissection conducted in an anatomy department of the right upper limb of the cadaver of a 70-year-old male, both origin and course of the radial and ulnar arteries were found to be anomalous. After descending 5.5 cm from the lower border of the teres major, the brachial artery anomalously bifurcated into a radial artery medially and an ulnar artery laterally. In the arm, the ulnar artery lay lateral to the median nerve. It followed a normal course in the forearm. The radial artery was medial to the median nerve in the arm and then, at the level of the medial epicondyle, it crossed from the medial to the lateral side of the forearm, superficial to the flexor muscles. The course of the radial artery was superficial and tortuous throughout the arm and forearm. The variations of radial and ulnar arteries described above were associated with anomalous formation and course of the median nerve in the arm. Knowledge of neurovascular anomalies are important for vascular surgeons and radiologists.

scholarly journals THE ARTERY BLOOD SUPPLY VARIANT OF THE UPPER LIMB

2015 ◽  
Vol 88 (4) ◽  
pp. 545-549
Author(s):  
Ivan Maslarski
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Vascular Anatomy ◽  
Ulnar Artery ◽  
Lateral Side ◽  
Palmar Arch ◽  
Male Cadaver ◽  
Hand Region ◽  
The Right

Variations of arterial patterns in the upper limb have represented the most common subject of vascular anatomy. Different types of artery branching pattern of the upper limb are very important for orthopedists in angiographic and microvascular surgical practice.The brachial artery (BA) is the most important vessel in the normal vascular anatomy of the upper limb. The classical pattern of the palmar hand region distribution shows the superficial palmar arch. Normally this arch is formed by the superficial branch of the ulnar artery and completed on the lateral side by one of these arteries: the superficial palmar branch of the radial artery, the princeps pollicis artery, the superficial palmar branch of the radial artery or the median artery.After the routine dissection of the right upper limb of an adult male cadaver, we found a very rare variant of the superficial arch artery – a division in a higher level brachial artery. We found this division at 10.4 cm from the beginning of the brachial artery. This superficial brachial artery became a radial artery and was not involved in the formation of the palm arch. In the forearm region, the artery variant was present with the median artery and the ulnar artery, which form the superficial palm arch.

scholarly journals Aberrant Origin of Radial Artery in Arm

2016 ◽  
Vol 14 (1) ◽  
pp. 49-50
Author(s):  
Vivek Sathe ◽  
Rishi Pokhrel
Keyword(s):  
Radial Artery ◽  
Biceps Brachii ◽  
Axillary Artery ◽  
Deep Fascia ◽  
Lateral Side ◽  
Anterior Border ◽  
Lateral Region ◽  
Pronator Teres ◽  
Male Cadaver ◽  
Cubital Fossa

During dissection in middle-aged male cadaver, an aberrant radial artery was noticed in the left arm. The artery was taking origin from the upper part of the brachial artery i.e. at a point when axillary artery leaves the axilla and becomes brachial artery.Course of the aberrant vessel was studied in the arm and the forearm. In the upper part of arm the vessel took origin on the lateral side of brachial plexus trunks and traveled to the lateral region of the cubital fossa travelling lateral to the biceps brachii and deep to skin, superficial and deep fascia. In the lower part of the arm i.e. just above the cubital fossa, aberrant vessel was lateral and entered the forearm deep to the pronator teres. Throughout its course the vessel laid superficial to forearm muscles, it was covered by the skin superficial and deep fascia. At the wrist its position was normal i.e. against anterior border of the radius.

scholarly journals Superficial radial artery - a rare variation and its clinical significance

2014 ◽  
Vol 03 (04) ◽  
pp. 225-228
Author(s):  
Sankaran PK ◽  
Gunapriya Raghunath ◽  
Sathyan R. ◽  
Keyword(s):  
Clinical Significance ◽  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Terminal Branch ◽  
Rare Variation ◽  
Female Cadaver ◽  
The Right

AbstractDuring routine dissection of upper limb, a variation in the origin of radial artery was observed in a female cadaver of about 60 years. The radial artery is usually a smaller terminal branch of the brachial artery in the forearm. On the right side of the cadaver the radial artery was found to originate from second part of the axillary artery, whereas on the left side the origin of radial artery was found to be normal. This variant of radial artery has been rarely documented in literature. Accurate anatomy of radial artery and its variations have definite diagnostic, interventional, and surgical significance.

scholarly journals A communicating artery between axillary and radial artery - a case report

2012 ◽  
Vol 01 (02) ◽  
pp. 102-105
Author(s):  
Komala N. ◽  
Aruna N.
Keyword(s):  
Case Report ◽  
Radial Artery ◽  
Surgical Procedures ◽  
Axillary Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Male Cadaver ◽  
Arterial Grafting ◽  
The Right ◽  
Pedicle Flaps

AbstractVariations in the branching pattern of axillary artery have been observed quite frequently. In a male cadaver aged around 45 years allotted for undergraduate dissection a communicating artery between axillary and radial artery was found on the right side during routine dissection. Such arterial variations are important for clinicians in angiographic examinations, removes ambiguity during diagnostic interventions and surgical procedures. Thereby it ensures competency and reduces complications in cardiac catheterization, pedicle flaps, arterial grafting etc.

scholarly journals Bilateral Unusual Course of the Median Nerve, Variation in Branching Pattern of the Brachial and Superficial Ulnar Arteries: A Rare Case Report of Multiple Neuroarterial Variation

2019 ◽  
Vol 36 (03) ◽  
pp. 202-206
Author(s):  
Shahriar Ahmadpour ◽  
Khadijeh Foghi
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Rare Case ◽  
Ulnar Artery ◽  
Branching Pattern ◽  
Collateral Arteries ◽  
Brachialis Muscle ◽  
Male Cadaver ◽  
Rare Case Report ◽  
The Right

Introduction Bilateral unusual course of the median nerve accompanied with variations of the brachial artery branching pattern are uncommon. Materials and Methods During the routine educational dissection of an upper limb, an interesting neurovascular variation was found in a 45-year-old male cadaver. Results We found a bilateral unusual and variant course of the median nerve in the arm region. The right median nerve, after formation, descended from the medial to the brachial artery, crossed the brachial artery anteriorly from medial to lateral, then inferiorly and lied medially to the distal third of the brachial artery, while the left median nerve ran medial to the brachial artery, passing anteriorly from medial to lateral, and, at the distal end of the arm, it buried itself in the brachialis muscle. Another set of findings were absence of the superior and inferior ulnar collateral arteries, superficial ulnar artery in the forearm and common interosseus artery originated from radial artery. Conclusion These types of compound neurovascular variations are of great importance in orthopedic, vascular, reconstructive surgeries and even in routine nursing care.

scholarly journals ANOMALOUS HIGH ORIGIN OF RADIAL ARTERY: A CASE REPORT

2020 ◽  
pp. 123-123
Author(s):  
Ankita Chauhan ◽  
Suman Yadav
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Common Trunk ◽  
Arterial Tree ◽  
Arterial Blood ◽  
Male Cadaver ◽  
Therapeutic Procedures ◽  
The Right

The radial artery is commonly accessed for many vascular and reconstructive surgeries and also for arterial blood sampling and cannulation procedures. The radial artery commences from the brachial artery at the level of neck of the radius in the cubital fossa. Proximally, it is overlapped anteriorly by brachioradialis muscle, but elsewhere in its course it is covered only by the skin, superficial and deep fasciae. During routine dissection of left upper limb of adult male cadaver in accordance with ethical standards at the department of anatomy at Dr. RPGMC Kangra at Tanda, high origin of the radial artery from brachial artery was observed. The brachial artery after giving profunda brachii branch divides in the proximal 1/3rd of arm, corresponding to the origin of brachialis muscle into radial artery and a common trunk for ulnar and common interroseous arteries. The course of radial artery was superficial throughout the arm and forearm. The radial artery on the right side had normal origin and course. This high origin radial artery is termed as brachioradial artery in the literature. Variations in the arterial tree of upper limb are fairly common, having an embryological basis. Accurate anatomical knowledge of the variation is of great clinical importance in performing many diagnostic and therapeutic procedures so as to avoid any iatrogenic injury.

scholarly journals Bilateral variations in the roots of origin of the phrenic nerve and absence of fibrous pericardium in an old male cadaver

2016 ◽  
Vol 33 (03) ◽  
pp. 164-167
Author(s):  
S. Ahmadpour ◽  
K. Foghi
Keyword(s):  
Brachial Plexus ◽  
Phrenic Nerve ◽  
Practical Importance ◽  
Anatomical Variations ◽  
Rare Variation ◽  
Male Cadaver ◽  
Supraclavicular Block ◽  
The Right ◽  
Mediastinal Pleura

AbstractPhrenic nerve provides the major motor supply to diaphragm. Various anatomical variations in the course and distribution of the phrenic nerve have reported before. Here we report a rare bilateral asymmetric variation in the roots of origin of the phrenic nerve and absence of fibrous pericardium in an old male cadaver. Specifically, the right phrenic nerve was arising from the upper trunk of the brachial plexus (C5) and the left side nerve originated from the supraclavicular nerve and a tiny branch from C5. In the same cadaver both sides phrenic nerve were buried in the mediastinal pleura. Another interesting finding was absence of the fibrous pericardium. To the best of our knowledge the presented case showed a very rare variation in the roots of origin of the phrenic nerve accompanied with pericardial anomaly which has been less reported. We think such case is of practical importance during supraclavicular block during anesthesia

scholarly journals Variant insertion of coracobrachialis muscle-morphological significance, embryological basis and clinical importance

1970 ◽  
Vol 6 (2) ◽  
pp. 42-46 ◽  
Author(s):  
R Guha ◽  
N Satyanarayana ◽  
CK Reddy ◽  
N Jayasri ◽  
V Nitin ◽  
...  
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Proximal Part ◽  
Medial Epicondyle ◽  
Medical Sciences ◽  
Medial Border ◽  
Male Cadaver ◽  
Anomalous Insertion

The coracobrachialis muscle in the arm is morphologically the sole representative of adductor group muscle in the arm, but such function during the process of evolution became insignificant in man. It is more important morphologically than functionally. Variant insertion of the coracobrachialis muscle was found during routine dissection of an adult male cadaver in the Department of Anatomy, College of Medical Sciences, and Bharatpur, Nepal. Normally the coracobrachialis muscle is inserted into the middle of the medial border of the humerus. In the present case an additional slender tendon passed inferiorly, crossing anterior to the median nerve and brachial artery, before attaching to the medial epicondyle of the humerus. Most of the proximal part of the tendon gave rise to an aponeurotic expansion that inserted into the distal medial border of the humerus. The tendinous insertion and aponeurotic expansion may represent a variant of the coracobrachialis longus (Wood's) muscle and the internal brachial ligament or the ligament of Struthers. The ulnar nerve was found to be traversing below the aponeurotic expansion. This type of anomalous insertion of coracobrachialis muscle may lead to compression of median nerve, brachial artery and ulnar nerve. Key words: Coracobrachialis muscle; ligament of Struthers; median nerve; brachial artery; ulnar nerve. DOI: 10.3126/jcmsn.v6i2.3616 Journal of college of Medical Sciences-Nepal, 2010, Vol.6, No-2, 42-46

scholarly journals Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

2021 ◽  
Author(s):  
Daisuke Kanda ◽  
Itsumi Imagama ◽  
Yutaka Imoto ◽  
Mitsuru Ohishi
Keyword(s):  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Brachial Artery ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Humerus Fracture ◽  
Artery Injury ◽  
The Right ◽  
Distal Flow

Abstract Background Axillary artery injury secondary to proximal humerus fracture is a rare but serious complication. The management of this injury has traditionally involved surgical treatment. Case summary A 66-year-old female with gait disturbance slipped and fell off her wheelchair at home. She presented to a local hospital with right shoulder pain and was subsequently urgently transferred to our hospital by helicopter because of suspicion of axillary artery injury. Computed tomography angiography revealed disruption of the right axillary artery. We decided to perform endovascular treatment instead of surgical treatment for axillary artery injury. However, since endovascular treatment via the right femoral artery was impossible, we performed bidirectional (right femoral and right brachial artery approaches) endovascular treatment. We expanded the occluded lesion using a 3.5 mm × 40 mm sized balloon and placed a 5.0 mm × 50 mm stent graft (Gore® Viabahn®) across the lesion. The final subclavian injection confirmed that distal flow to the brachial artery was preserved and that there was no leakage of contrast medium from the axillary artery. Discussion We performed endovascular treatment for axillary artery injury secondary to proximal humerus fracture. Although surgical repair is typically performed for this kind of injury, our experience suggests that endovascular treatment might be an option in patients with axillary artery injury.

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