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 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 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 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 Variations in the branching pattern of brachial, ulnar and radial arteries

2015 ◽  
Vol 04 (02) ◽  
pp. 107-109
Author(s):  
Ashwini Mutalik ◽  
Chandrashekhar Hanji ◽  
Sanjeev I Kolagi ◽  
GB Rairam
Keyword(s):  
Clinical Significance ◽  
Radial Artery ◽  
Undergraduate Students ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Vascular Anomalies ◽  
Branching Pattern ◽  
Medical College ◽  
Collateral Arteries ◽  
Interosseous Artery

AbstractDuring routine dissection of a cadaver alloted to the undergraduate students in the department of anatomy in SN Medical College, Bagalkot, the authors found multiple variations in the branching pattern of brachial, ulnar and radial arteries. There was high division of brachial artery into ulnar and radial arteries. The profunda brachii originated from brachial artery as usual while superior and inferior ulnar collateral arteries originated from ulnar artery. The radial artery gave origin to common interosseous artery which further divided into anterior and posterior interosseous arteries. All the three arteries i.e. brachial, ulnar and radial were considered as superficial arteries as they were superficial throughout the course. These observations of vascular anomalies are of clinical significance to vascular and plastic surgeons.

scholarly journals Anastomosis at the level of the elbow joint connecting the deep, or normal, brachial artery with major arterial variations of the upper limb

2000 ◽  
Vol 196 (1) ◽  
pp. 115-119
Author(s):  
M. RODRIGUEZ-NIEDENFUHR ◽  
J. R. SANUDO ◽  
T. VAZQUEZ ◽  
L. NEARN ◽  
B. LOGAN ◽  
...  
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Elbow Joint ◽  
Arterial Variations

Arteriovenous fistula and pre-surgery mapping: Potential role of physical exercise on endothelial function

2019 ◽  
Vol 20 (6) ◽  
pp. 652-658 ◽  
Author(s):  
Giulio Distefano ◽  
Luca Zanoli ◽  
Antonio Basile ◽  
Pasquale Fatuzzo ◽  
Antonio Granata
Keyword(s):  
Physical Exercise ◽  
Endothelial Function ◽  
Arteriovenous Fistula ◽  
Radial Artery ◽  
Upper Limb ◽  
Brachial Artery ◽  
Resistance Index ◽  
Resistive Index ◽  
Flow Mediated Dilation ◽  
The Impact

Background: The success of the construction of an arteriovenous fistula for haemodialysis is related to the vascular function of the vessels involved in the anastomosis, with particular reference to radial artery distensibility after reactive hyperaemia test and to the fall of resistance index. Only few studies have evaluated the impact of exercise protocols on the endothelial and morphological characteristics of the vessels of the upper limb with inconclusive results. In this pilot longitudinal study, we aimed to evaluate the impact of a standardized exercise protocol on the haemodynamic and resistive index of the arteries of the upper limb of uraemic patients. Methods: A total of 17 uraemic patients planned to construct arteriovenous fistula at the distal third of the forearm were enrolled and followed up for 30 days. All patients performed repeated handgrips for 30 min/day. The arterial parameters were detected before and after an ischaemic stress of 5 min and radial and brachial artery flow-mediated dilation was evaluated as well as radial artery resistance index. Results: Pre-exercise measurements of radial artery diameter and resistance index and brachial artery diameter were not modified by 30 days hand physical exercise, whereas the post-exercise haemodynamic were improved. Consequently, flow-mediated dilation of the radial artery was improved (21% ± 14% vs 30% ± 19%; p = 0.03) and resistance index of the radial artery was reduced ( p = 0.02). Conclusion: Exercise has beneficial effects on endothelial function of the radial artery by resistive index and, potentially, on the outcome of the arteriovenous fistula. Further studies with larger sample size are needed to confirm our preliminary data.

scholarly journals Anomalous superficial ulnar artery based flap

2014 ◽  
Vol 47 (01) ◽  
pp. 124-126 ◽  
Author(s):  
C. V. Ramani ◽  
Girish K. Kundagulwar ◽  
Jaiswal Dushyanth ◽  
Yadav S. Prabha
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Vascular Anomalies ◽  
Pedicle Flap ◽  
Arterial Variations ◽  
Main Vessel ◽  
Upper Third ◽  
Superficial Ulnar Artery

ABSTRACTUpper limb shows a large number of arterial variations. This case report describes the presence of additional superficial ulnar artery which was used to raise a pedicle flap to cover an arm defect thus avoided using the main vessel of the forearm - radial or ulnar artery. Vascular anomalies occurring in the arm and forearm tend to increase the likelihood of damaging the superficial anomalous arteries during surgery. Superficial ulnar or radial arteries have been described to originate from the upper third of the brachial artery; here we report the origin of the anomalous superficial ulnar artery originating from the brachial artery at the level of elbow with the concomitant presence of normal deep radial and ulnar arteries.

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