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 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 Bilateral Tortuous Upper Limb Arterial Tree and Their Clinical Significance

2020 ◽  
pp. 1-3
Author(s):  
Alka Bhingardeo ◽  
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Ulnar Artery ◽  
Arterial System ◽  
Detailed Knowledge ◽  
Arterial Tree ◽  
Palmar Arch ◽  
First Case

The detailed knowledge about the possible anatomical variations of upper limb arteries is vital for the reparative surgery of the region. Brachial artery is the main artery of upper limb; it is a continuation of axillary artery from the lower border of teres major muscle. During routine cadaveric dissection, we found bilateral tortuous brachial artery which was superficial as well as tortuous throughout its course. It is called superficial as it was superficial to the median nerve. At the neck of radius, it was divided into two terminal branches radial and ulnar arteries which were also tortuous. Tortuosity of the radial artery was more near the flexor retinaculum. When observed, the continuation of ulnar artery as superficial palmar arch also showed tortuosity throughout, including its branches. Being superficial such brachial artery can be more prone to trauma. Tortuous radial artery is one of the causes of access failure in trans-radial approach of coronary interventions. To the best of our knowledge, this is the first case where entire post axillary upper limb arterial system is tortuous bilaterally. So knowledge of such tortuous upper limb arterial tree is important for cardiologist, radiologist, plastic surgeons and orthopedic surgeons

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 The superficial ulnar artery: development and clinical significance

2007 ◽  
Vol 6 (3) ◽  
pp. 284-287
Author(s):  
Srinivasulu Reddy ◽  
Venkata Ramana Vollala
Keyword(s):  
Clinical Significance ◽  
Upper Limb ◽  
Brachial Artery ◽  
Biceps Brachii ◽  
Ulnar Artery ◽  
Wide Range ◽  
Male Cadaver ◽  
Median Cubital Vein ◽  
Muscular Branch ◽  
Superficial Ulnar Artery

The principal arteries of the upper limb show a wide range of variation that is of considerable interest to orthopedic surgeons, plastic surgeons, radiologists and anatomists. We present here a case of superficial ulnar artery found during the routine dissection of right upper limb of a 50-year-old male cadaver. The superficial ulnar artery originated from the brachial artery, crossed the median nerve anteriorly and ran lateral to this nerve and the brachial artery. The superficial ulnar artery in the arm gave rise to a narrow muscular branch to the biceps brachii. At the elbow level the artery ran superficial to the bicipital aponeurosis where it was crossed by the median cubital vein. It then ran downward and medially superficial to the forearm flexor muscles, and then downward to enter the hand. At the palm, it formed the superficial and deep palmar arches together with the branches of the radial artery. The presence of a superficial ulnar artery is clinically important when raising forearm flaps in reconstructive surgery. The embryology and clinical significance of the variation are discussed.

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 Observation of modes of brachial artery termination in south Indian cadavers

2017 ◽  
Vol 5 (12) ◽  
pp. 5347
Author(s):  
R. S. Jnanesh
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Elbow Joint ◽  
Ulnar Artery ◽  
Anatomical Variations ◽  
Accurate Knowledge ◽  
South Indian ◽  
Anatomical Knowledge ◽  
Relationship Of

Background: Variations in upper limb arteries have been frequently observed. Accurate knowledge of muscular and neurovascular variations is important for both surgeons and radiologists, which may prevent diagnostic errors.Methods: A study was done to note the variations in the termination of brachial artery in relation to the level of termination and the terminal branches. A total of 60 upper limbs (33 Right, 27 Left) were studied. The level of termination of brachial artery was identified based on the distance between the intercondylar line and the point of termination. The classic textbook description of brachial artery bifurcating into radial and ulnar arteries, 1 cm distal to elbow joint (ICL) was taken as normal.Results: A high origin of radial artery was noted in 11.67% of cases. Variations in the origin and relationship of median nerve to brachial artery, radial artery and ulnar artery was seen in 4 cases.Conclusions: Due to higher incidence of anatomical variations of arteries of the upper limb, prior anatomical knowledge of anomalies is of great clinical significance to vascular surgeons, orthopaedicians and radiologists performing angiographic studies.

scholarly journals Anatomical variation of the ulnar artery: clinical and developmental significance

2016 ◽  
Vol 33 (01) ◽  
pp. 029-031
Author(s):  
B. Ghosh ◽  
S. Yadav ◽  
V. Budhiraja ◽  
P. Dass ◽  
R. Rastogi ◽  
...  
Keyword(s):  
Brachial Artery ◽  
Anatomical Variation ◽  
Ulnar Artery ◽  
Limb Ischemia ◽  
Palmar Arch ◽  
Male Cadaver ◽  
Unilateral Case ◽  
Cubital Fossa ◽  
Developmental Significance ◽  
Superficial Ulnar Artery

Abstract Introduction: Variation of the ulnar artery in the upper limb is uncommon. The existence of such a variant is of particular clinical significance, as these arteries are more susceptible to trauma, and can be easily confused with superficial veins during medical and surgical procedures, potentially leading to iatrogenic distal limb ischemia. Case report: During routine dissection we observed a unilateral case of superficial ulnar artery in a 60-year-old male cadaver. It originated from the left brachial artery in the middle of the arm, near to insertion of coracobrachialis muscle. From its origin, it passed downwards in the medial part of arm behind the median nerve and forearm in a supericial plane compared to normal ulnar artery. In the hand, the supericial ulnar artery anastomosed with the palmar branch of the radial artery, creating the supericial palmar arch. Brachial artery divided into the radial and common interosseous arteries in the cubital fossa. The normal ulnar artery was absent. The existence of superficial ulnar artery is undeniably of interest to the clinicians as well as to the anatomists.

scholarly journals Morphological feature of brachial artery and its clinical significance

2015 ◽  
Vol 32 (03) ◽  
pp. 129-134
Author(s):  
W. Al Talalwah ◽  
D. Getachew ◽  
R. Soames
Keyword(s):  
Clinical Significance ◽  
Upper Limb ◽  
Brachial Artery ◽  
Surgical Complication ◽  
Ulnar Artery ◽  
Internal Diameter ◽  
Terminal Branch ◽  
External Diameter ◽  
Venous Fistula ◽  
The Right

Abstract Introduction: The present study is to provide comprehensive data concerning the morphology of brachial artery which has a clinical significance for clinicians, orthopedics, vascular surgeons and anatomists. Materials and Methods: Routine dissections of the right and left upper limb of 34 adult cadavers (20 male and 14 female: mean age 78.9 year) were undertaken. It investigates the characteristics of the brachial artery such as the internal diameter, external diameter, wall thickness and distance of bifurcation of brachial artery. Results: The mean of the external and internal diameters of the brachial artery from proximal to distal ranged from 6.87-5.35 mm respectively. The bifurcation of the brachial artery from the head of radius into its terminal branch radial and ulnar artery ranged from 13.49-13.79 mm, while the distance of bifurcation of common interosseous from origin of the ulnar artery ranged from 33.11-33.45 mm. The angle of bifurcation ofthe radial and ulnar arteries from the brachial artery ranged from 5.79-7.33° and 18.640-19.36° respectively. Due to variability of the brachial artery in the upper limb, the surgical and invasive procedures are performed in the region such as artiicial arterial-venous fistula become more difficult and may result in iatrogenic injury. Conclusion: Therefore, it is a clinical significant for surgeons to known the variable morphology and course of brachial artery to minimize surgical complication prior to operation.

scholarly journals Multiple arterial anomalies in upper limb

1970 ◽  
Vol 7 (3) ◽  
pp. 293-297 ◽  
Author(s):  
P Baral ◽  
P Vijayabhaskar ◽  
S Roy ◽  
S Kumar ◽  
S Ghimire ◽  
...  
Keyword(s):  
Radial Artery ◽  
Upper Limb ◽  
Axillary Artery ◽  
Ulnar Artery ◽  
Common Trunk ◽  
Palmar Arch ◽  
Thoracoacromial Artery ◽  
The Third ◽  
Flexor Muscles ◽  
Interosseous Artery

An isolated neurovascular variation is common but multiple vascular anomalies on same upper limb is a very rare case. We observed an unusual variations in right upper limb during routine dissection of a Nepali cadaver. The variations were observed in Axilla, Forearm and Palm. In axilla, first part of axillary artery did not give any branch, the second part of axillary artery gave off only two branches - (a) thoracoacromial artery and (b) a large common trunk which later gave off lateral thoracic, thoracodorsal, subscapular, posterior circumflex scapular and then continued as posterior circumfl ex humeral artery. The third part of axillary artery gave off only anterior circumflex humeral artery. In forearm, the ulnar artery runs downward superficial to flexor muscles. Here, radial artery gave off common interosseous artery. In palm radial artery did not give any contribution to superficial palmar arch which is solely formed by the continuation of ulnar artery. This type of anomalies are very rare and is not reported in Nepalese cadaver at all. These anomalies are described in detail and their clinical relevance is highlighted. Key words: Axillary artery; Brachial artery; Radial artery; Ulnar artery; Palmar arch; Variations DOI: 10.3126/kumj.v7i3.2740 Kathmandu University Medical Journal (2009) Vol.7, No.3 Issue 27, 293-297

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