A systematic review on posterior circumflex humeral artery pathology: sports and professions at risk and associated risk factors

Kraan, Rik B. J.; Beers, Lisa; Pol, Daan van de; Daams, Joost G.; Maas, Mario; Kuijer, Paul

doi:10.23736/s0022-4707.18.08579-1

Cited by 6 publications

(5 citation statements)

References 53 publications

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“…Hence, an anthropometric study might be needed to determine the landmarks for a PCHA originating from the SSA. Furthermore, understanding this irregularity for other uncommon surgeries, such as axillary tissue flap formation and axillary scar release, may benefit surgeons [ 13 ]. While surgeons must have a firm grasp of basic anatomy often presented in textbooks, anatomical irregularities are extremely common and should also be studied.…”

Section: Discussionmentioning

confidence: 99%

Unusual Origin of the Posterior Circumflex Humeral Artery: A Case Report

Talbot¹,

D'Antoni²,

Soileau³

et al. 2023

Cureus

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Prior knowledge of possible variantions in human anatomy is essential for basic medical and clinical training. Many surgeons can avoid uncharacteristic situations by having sources and availability of resources that document potential irregularities in human anatomy. In this case, a human cadaver is identified as having an altered origin of the posterior circumflex humeral artery (PCHA). While it usually stems from the axillary artery, this cadaver had a left-sided PCHA originating from the subscapular artery (SSA) and continuing into the quadrangular space. This irregularity of the PCHA from the SSA is not commonly discussed in the literature. Physicians and anatomists need to be fully aware of this possibility and be prepared for any unexpected differences in anatomy during procedures.

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Section: Discussionmentioning

confidence: 99%

Unusual Origin of the Posterior Circumflex Humeral Artery: A Case Report

Talbot¹,

D'Antoni²,

Soileau³

et al. 2023

Cureus

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“… 4 In a systematic review by Kraan et al., 41 (61%) of 67 cases were seen in individuals who play volleyball, followed by those who play baseball with 13 (19%). 13 van de Pol et al. reported symptoms of finger artery thrombosis with PCHA pathological lesions (during practice or competition) in 99 elite Dutch volleyball players.…”

Section: Discussionmentioning

confidence: 99%

Posterior circumflex humeral artery pathological lesions with digital ischemia in an elite volleyball player: A case report and literature review

Nishino,

Hiraya,

Yamamoto

et al. 2023

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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“…However, the anatomical course of the PCHA is additionally of clinical importance in relation to sports injuries. Kraan et al, [26] reported in a systematic review in relation to PCHA aneurysms, which can lead to ischemic emboli in the upper limb, that an anatomical variation may be protective. If the PCHA is running through the quadrangular space, this poses a risk of the artery being damaged by repetitive muscle contraction as it passed through the narrow space.…”

Section: Tablementioning

confidence: 99%

Variations of the circumflex humeral arteries: a cadaveric study

Elajnaf¹,

Alashkham²

2020

Anatomy

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Objectives: Surgery is the main treatment option of both anatomical and surgical neck humeral fractures, which could result in damage to the circumflex humeral vessels. Current research studies have found that vascular supply to the shoulder is variable. However, the incidence of these variations and how they can affect the blood supply to the shoulder region is still under investigation. The aim of this study is to identify possible variation patterns of the circumflex humeral vessels. Methods: A total of 10 shoulders (3 males, 2 females; average age of 68.8 years) were dissected in Anatomy, University of Edinburgh, under the regulation of the Human Tissue (Scotland) Act 2006. Each shoulder was dissected, and tissues were removed to identify the axillary artery and its branches. Results: The anterior and posterior circumflex humeral arteries were observed to arise as single branches from the 3rd part of the axillary artery in 70% (n=7) and 80% (n=8), respectively. In one cadaver, the posterior circumflex humeral artery (PCHA) arose from the subscapular artery in one side (10%, n=1) and from the profunda brachii artery on the contralateral side (10%, n=1). In the remaining 10% (n=1), the anterior circumflex humeral artery (ACHA) was found as a branch from the PCHA, with the latter being a direct branch from the 3rd part of the axillary artery. Conclusion: Knowledge and awareness of these variations is essential to not only suspect, diagnose and treat possible complications of common fractures and dislocations in the region, but also to prevent iatrogenic injury.

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A systematic review on posterior circumflex humeral artery pathology: sports and professions at risk and associated risk factors

Cited by 6 publications

References 53 publications

Unusual Origin of the Posterior Circumflex Humeral Artery: A Case Report

Unusual Origin of the Posterior Circumflex Humeral Artery: A Case Report

Posterior circumflex humeral artery pathological lesions with digital ischemia in an elite volleyball player: A case report and literature review

Variations of the circumflex humeral arteries: a cadaveric study

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