scholarly journals Bilateral superficial brachial artery

1970 ◽  
Vol 7 (4) ◽  
pp. 426-428
Author(s):  
T Sharma ◽  
RK Singla ◽  
K Sachdeva
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Arterial System ◽  
Clinical Implications ◽  
Superficial Brachial Artery ◽  
Clinical Procedures ◽  
Accurate Knowledge ◽  
Cubital Fossa ◽  
Arterial Anatomy

Variations of the upper limb arterial system are well documented. Accurate knowledge of the normal and variant arterial anatomy of the axillary artery is important for clinical procedures and vascular radiology. In this article, a rare bilateral variation of superficial brachial artery is being reported. The axillary artery on both sides divided in its third part into a superficial brachial artery passing superficial to the lateral root of median nerve and brachial artery proper. The former terminated in the cubital fossa by dividing into ulnar and radial arteries while the later descended deep to the medial root of median nerve and gave anterior and posterior circumflex humeral branches of axillary artery and profunda brachii of brachial artery. Then it terminated by giving twigs to muscles of arm. Earlier superficial brachial artery is reported with a prevalence rate varying from 0.2 - 25 % but a bilateral variation is extremely rare. Further its ontogeny and clinical implications are discussed in detail. Key words: Superficial brachial artery; brachial artery; Axillary artery   DOI: 10.3126/kumj.v7i4.2768 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 426-428

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 UNILATERAL HIGH DIVISION OF BRACHIAL ARTERY: A CASE REPORT AND LITERATURE REVIEW

2014 ◽  
Vol 04 (03) ◽  
pp. 115-118
Author(s):  
Vishal Kumar ◽  
Pretty Rathnakar
Keyword(s):  
Literature Review ◽  
Brachial Artery ◽  
Relevant Literature ◽  
Lateral Branch ◽  
Clinical Implications ◽  
Crossing Over ◽  
Pronator Teres ◽  
Teres Major ◽  
Cubital Fossa ◽  
Lateral Branches

AbstractThere are many articles reporting anomalies of various blood vessels of upper extremity. In the present article, we are reporting a case of high division of brachial artery into medial and lateral branches, 9.5 cm distal to the lower border of teres major muscle. It was also observed that the two branches are crossing over near the lower part of front of arm and the lateral branch continued into the cubital fossa and trifurcated at the proximal border of pronator teres muscle. We have discussed the anatomy, embryological basis, and clinical implications of these variations along with relevant literature review. The importance of knowledge about these variations in therapeutic and diagnostic interventions is discussed.

scholarly journals Median nerve compression caused by superficial brachial artery: an unusual clinical case

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052096904
Author(s):  
Jialei Liu ◽  
Kunjing Zhong ◽  
Dingkun Lin
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Muscle Relaxation ◽  
Venous Malformation ◽  
Sensory Neuropathy ◽  
Nerve Compression ◽  
Neurological Deficits ◽  
Superficial Brachial Artery ◽  
Median Nerve Compression ◽  
Pulsatile Pressure

An iatrogenic pseudoaneurysm of the radial artery and spontaneous venous malformation are associated with median nerve compression. However, the superficial brachial artery (SBA) has rarely been described as the cause of neurological deficits due to median nerve compression. A 61-year-old man was admitted to our clinic with a 1-year history of intermittent aching palsy in the left thumb that had progressed to the first three fingers. Clinical examination revealed mild sensory disturbance and hyperpathia in the first three fingers and weakness of the opponens pollicis. Ultrasound and magnetic resonance imaging confirmed that the SBA was compressing the median nerve by almost one-third. When anomalies of the SBA impinge on the median nerve, pulsatile pressure is applied to the nerve trunk. This may trigger ectopic stimulation of sensory fibers, leading to severe pain, sensory neuropathy, and motor disturbance. Considering the substantial difficulties and risks of a surgical operation as well as the patient’s wish to undergo conservative treatment, we performed muscle relaxation and acupuncture to relieve the pressure of the surrounding soft tissue and in turn decrease the impingement of the SBA on the median nerve. A satisfactory treatment effect was reached in this case.

scholarly journals RELATION OF MEDIAN NERVE WITH BRACHIAL ARTERY: A CADAVERIC STUDY

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Eti Sthapak ◽  
Navbir Pasricha ◽  
Rajan Bhatnagar
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Anatomical Variations ◽  
Upper Limbs ◽  
Medical Sciences ◽  
Medical College ◽  
Medial Side ◽  
Appropriate Treatment ◽  
General Surgeons ◽  
Cubital Fossa

Introduction: Variation in neurovascular structure are commonly encountered in routine dissection. Brachial artery is the main artery of upper limb. In the arm, the median nerve passes at first lateral to brachial artery (near the insertion of coracobrachialis muscle), then crosses in front of the artery, descending medial to it in the cubital fossa. The knowledge of these variation could be helpful to vascular, plastic, general surgeons and orthopedicians. It is also important to prevent iatrogenic injuries. The aim of this study was to evaluate anatomical variations in course and relation of median nerve to brachial artery in the arm. Material & Methods: The study was conducted in 50 cadavers (100 upper limbs) in duration of two years. Proper cadaveric dissection was done in the Department of Anatomy, Dr. RML Institute of Medical Sciences, Lucknow, and Era’s Lucknow Medical College, Lucknow. Observation & Results: In the present series, median nerve was found to cross behind the brachial artery at about the middle of the arm in 8% cadavers. Median nerve entered the arm at first lateral to brachial artery, near the insertion of coracobrachialis. In 46 cadavers (96 upper limbs), it crossed in front of the artery from lateral to medial side. In four cadavers (5 upper limbs), it passed posterior to the brachial artery in the arm. Conclusion: Knowledge of the brachial artery and their variations are of clinical and surgical importance. An awareness of such a presence is valuable for the surgeons and radiologists in evaluation of angiographic images, vascular and re-constructive surgery or appropriate treatment for compressive neuropathies.

scholarly journals A cadaveric study of brachial artery and its variations with its ontogenic basis: An Anatomical Perspective

2021 ◽  
Vol 9 (9) ◽  
pp. 7844-7850
Author(s):  
Monika Lalit ◽  
◽  
Sanjay Piplani ◽  
Keyword(s):  
Upper Limb ◽  
Brachial Artery ◽  
Ulnar Artery ◽  
Branching Pattern ◽  
Age Group ◽  
Upper Limbs ◽  
Morphological Pattern ◽  
Superficial Brachial Artery ◽  
Interosseous Artery ◽  
Cubital Fossa

Introduction: Conventional knowledge of the brachial artery, the principal artery of the upper limb & its branches has played a major role in vascular surgeries. Literature along with various cadaveric & clinical studies suggest that brachial artery vary widely in origin, course and branching pattern. The great variability of this arterial pattern may be attributed to the failure of regression of some paths of embryonic arterial trunks. Anatomical knowledge of this principal artery and its variations has many clinical implications especially in surgeries related to orthopedic and vascular re-constructive procedures. MATERIALS AND METHODS: The present study was conducted on 56 upper limbs of different age group and sex (19 Male and 9 Female) The brachial arteries were identified and branching pattern and relations of the brachial artery with brachial plexus in arm was observed and presence or absence of variations were documented. Results: Out of 56 upper limbs studies, 53 (94.64%) limbs showed normal morphological pattern of brachial artery, 3 (5.35%) limbs showed superficial brachial artery, 1 limb (1.78%) showed tortuous and SBA with trifurcation into radial artery, ulnar artery and common interosseous artery in the cubital fossa. Conclusion: The study of Brachial artery and variation in its course and branching pattern is clinically important for surgeons, ortho-paedicians operating on the supracondylar fracture of humerus and radiologists performing angiographic studies on the upper limb. KEY WORDS: Common Interosseous Artery, Median Nerve, Superficial Brachial Artery, Trifurcation, Ulnar Artery.

scholarly journals Bilateral high origin of terminal branches of brachial artery : a case report

2014 ◽  
Vol 03 (03) ◽  
pp. 162-165
Author(s):  
Amitav Sarma ◽  
Bishwajeet Saikia
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Brachial Artery ◽  
Clinical Importance ◽  
Main Trunk ◽  
Pronator Teres ◽  
Superficial Branch ◽  
Interosseous Artery ◽  
Cubital Fossa ◽  
Developmental Variations

AbstractA case of bilateral high termination of brachial artery was found during a cadaveric dissection at NEIGRIHMS, Meghalaya. The brachial artery of both arms in the upper 113rd divided into supericial and deep branches, the superficial artery was observed anteromedial and the deep artery posteromedial in relation to the median nerve. In the cubital fossa, the deep artery passed beneath the pronator teres muscle to give common interosseous artery which divided into anterior and posterior interosseous branches. The main trunk followed normal ulnar arterial course. In both the arms, the superficial branch of brachial artery remained lateral to the median nerve to reach the cubital fossa where it passed deep to the bicipital aponeurosis and descended just beneath the brachioradials muscle, following the normal course of radial artery. These developmental variations were thoroughly discussed and compared with previously published findings with their clinical importance.

scholarly journals STRUTHERS’ LIGAMENT AND SUPRACONDYLAR HUMERAL PROCESS: AN ANATOMICAL STUDY AND CLINICAL IMPLICATIONS

2017 ◽  
Vol 25 (4) ◽  
pp. 137-142 ◽  
Author(s):  
Edie Benedito Caetano ◽  
João José Sabongi Neto ◽  
Luiz Angelo Vieira ◽  
Maurício Ferreira Caetano ◽  
José Eduardo de Bona ◽  
...  
Keyword(s):  
Median Nerve ◽  
Brachial Artery ◽  
Case Series ◽  
Anatomical Study ◽  
Nerve Compression ◽  
Clinical Implications ◽  
Level Of Evidence ◽  
Pronator Teres ◽  
Compressive Neuropathy ◽  
Anatomy Laboratory

ABSTRACT Objective: The objective of this study was to determine the frequency and anatomical characteristics of Struthers’ ligament and the supracondylar humeral process and evaluate the clinical implications in compressive neuropathy of the median nerve . Method: We dissected 60 arms from 30 cadavers (26 males and 4 females): 15 were previously preserved in formalin and glycerin and 15 were dissected fresh in the Anatomy Laboratory for this paper. The relationships between Struthers’ ligament and the median nerve and brachial artery and veins were documented with drawings and photos . Results: The supracondylar humeral process was not found in any of the 60 dissected arms. Struthers’ ligament was identified in six arms (two bilateral); in all cases high insertion of the pronator teres muscle was observed . Conclusion: Struthers’ ligament is an aponeurotic structure that may or may not be associated with the supracondylar humeral process, and is an important potential site of median nerve compression in the lower third of the arm. Level of Evidence IV, Case Series.

scholarly journals Superficial BrachialArtery with its High Division

2012 ◽  
Vol 52 (187) ◽  
Author(s):  
R Sharma ◽  
R K Singla ◽  
R Sharma ◽  
T Sharma
Keyword(s):  
Upper Extremity ◽  
Brachial Artery ◽  
Prevalence Rate ◽  
Ulnar Artery ◽  
Arterial System ◽  
Arterial Variations ◽  
Accurate Knowledge ◽  
Frequent Site ◽  
Arterial Grafting ◽  
Pedicle Flaps

The upper extremity arterial system shows a large number of variations attributed to the complex and multiple sites of their embryonic development. It is important to be aware of arterial variations in this region because upper extremity is a frequent site of injury. Moreover, brachial artery is of significance in cardiac catheterization for angioplasty, pedicle flaps, or arterial grafting. Accurate knowledge and relationships of major arterial conduits and their variational patterns is important in reparative surgery in the arm, forearm and hand. One such variation is superficial brachial artery with prevalence rate of 0.2- 25%. In this report, the brachial artery emanated normally but coursed superficial to the median nerve and about five cm above the intercondylar line, bifurcated into its terminal branches i.e. radial and ulnar artery. Keywords: brachial artery;high division; variations.

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

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