Multiple arterial variation of the human upper limb

Durgun, Behice; Yücel, Ahmet Hilmi; Kızılkanat, Emine; Dere, Fahri

doi:10.1007/s00276-002-0011-z

Cited by 20 publications

(19 citation statements)

References 8 publications

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“…The arterial anomaly in our case can be explained by the persistence of the proximal origin of the radial artery in the arm and also by the persistence of the primitive brachial artery and interosseous artery (referred to as the ulnar artery in this case) (Hollinshead, 1958). Several authors (McCormack et al, 1953;Jurjus et al, 1986;Celik et al, 1996;Aharinejad et al, 1997;Drinzenko et al, 2000;Durgun et al, 2002) have explained the variations, anomalies, and surgical importance of similar arteries of the upper limb.…”

Section: Discussionmentioning

confidence: 96%

Unusual insertion of the coracobrachialis muscle to the brachial fascia associated with high division of brachial artery

2004

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Anatomical variations of the coracobrachialis muscle (CBM) are common. We detected an abnormal form of the CBM of the left arm during human cadaver dissection. The CBM originated from the tip of the coracoid process of the scapula and divided into muscular and musculo-aponeurotic bellies. The muscular belly inserted into the middle of the anteromedial surface of the humerus, which is the normal anatomic insertion point of the CBM. The musculo-aponeurotic belly inserted into the medial intermuscular septum as well as the brachial fascia, creating a tunnel for the passage of the brachial artery. Inside the tunnel, the brachial artery bifurcated into the radial and ulnar arteries. No abnormality of the CBM, the brachial artery, or the median nerve was detected in the contralateral arm. The phylogenic, ontogenic, functional, and clinical importance of this variant muscle is described. Knowledge of such variations is of considerable importance during invasive and non-invasive investigative procedures or orthopedic, reconstructive, or surgical procedures.

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Section: Discussionmentioning

confidence: 96%

Unusual insertion of the coracobrachialis muscle to the brachial fascia associated with high division of brachial artery

2004

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“…Previous studies have reported single specimen variations of the branching of the axillary artery. Durgun et al (2002) reported a variation where the SSA arose from the second part of the axillary artery and produced, the TDA, CSA, and PCHA. A similar study reported two of three cases where investigators observed the PCHA originating from the SSA rather than the axillary artery as is classically described (Lengele and Dhem, 1989).…”

Section: Discussionmentioning

confidence: 98%

“…Single specimen dissections describe the PCHA as originating from the SSA with the circumflex scapular artery (CSA) and thoracodorsal artery (TDA) (Durgun et al, 2002), but the frequency of this occurrence is unclear.…”

Section: Introductionmentioning

confidence: 99%

Branching patterns of the lateral thoracic, subscapular, and posterior circumflex humeral arteries and their relationship to the posterior cord of the brachial plexus

Olinger

Benninger

2010

Clinical Anatomy

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Anatomical variations in the branching pattern of the axillary artery are common and typically include the lateral thoracic, subscapular, and the posterior circumflex humeral (PCHA) arteries. Previous investigations of single specimen dissections demonstrate numerous variations to axillary artery branching, but the frequency of these occurrences is unclear. This study quantifies the frequency of variant branching of the lateral thoracic, subscapular, and posterior circumflex humeral arteries, how it they relate to the posterior cord of the brachial plexus. Axillae of 83 cadavers were dissected to allow examination of the axillary artery and its branches. Data were collected observing the branching pattern of the lateral thoracic, subscapular, and posterior circumflex humeral arteries, as well as those branches spatial relationship to the two terminal branches of the posterior cord of the brachial plexus. Some of the more common variations included the thoracodorsal artery arising from the lateral thoracic artery (LTA) (7.2%) and the subscapular artery (SSA) arising from the LTA (5.4%). The SSA also produced the LTA (4.2%) and the PCHA (12%). The PCHA also originated from the deep brachial artery (8.4%) and traversed the triangular interval to supply the deltoid muscle. These findings are relevant to both the anatomical and clinical fields as provide evidence as to the frequency of variant axillary artery branching and the potential for neurovascular elements to exist in a location other than their classical anatomical description.

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“…Sin embargo, no siempre se logra el acceso por la arteria radial, por lo cual recientemente se ha usado como alternativa la arteria ulnar para dichos procedimientos (30). Durgum, et al, manifiesta que otros procedimientos para los cuales han sido utilizadas las ramas arteriales de la extremidad superior son bypass coronario, solapas en la cirugía reconstructiva, diálisis renal crónica y radiología intervencionista (31). Por último, Layton, et al ., informan que la arteria radial también se ha convertido en uno de los sitios de elección para el acceso de la arteria vertebral en neuroangiografía (32).…”

Section: Discussionunclassified

Origen alto de la arteria radial y la ulnar: reporte de caso y revisión bibliográfica

Velásquez¹,

Garcia²,

Castro³

2015

Revista Investig. Salud Univ. Boyacá

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Introducción. El sistema vascular del adulto presenta muchas variaciones anatómicas en el miembro superior una de ellas el origen alto de la artería radial y ulnar. Método. En una muestra de 11 miembros superiores derechos e izquierdos disecados en 6 cadáveres masculinos pertenecientes al anfiteatro de la Universidad de Boyacá, se inspeccionaron la región braquial anterior y del pliegue del codo, en sitio habitual de bifurcación de la arteria braquial en arterias radial y ulnar. Se practicaron morfometrías, calibres de las arterias y la distancia a que se hallaba su origen con respecto a la línea biepicondilar del codo. En un cadáver no se encontró dicha bifurcación en el sitio referido. Se disecó el surco bicipital medial y se midió el nivel en que se presentó la división de la arteria braquial. Resultados. Se encontró en un cadáver, la bifurcación de la arteria braquial derecha a 140 mm con respecto al acromion y 135 mm de la línea biepicondilar de la articulación del codo; los diámetros de la arteria braquial, ulnar y radial fue de 6, 5 y 4 milímetros respectivamente. La arteria radial se ubicó anterior a la arteria ulnar y lateral al nervio mediano en la fosa cubital pasando al antebrazo profunda a la expansión aponeurótica del músculo bíceps braquial, la arteria ulnar profunda al músculo pronador redondo. En los demás miembros superiores no se encontraron diferencias, con lo usualmente reportadas en la literatura. Conclusión. Esta variación anatómica es significativa, para los procedimientos vasculares de rutina en el ámbito hospitalario, así como para diferentes métodos terapéuticos y de radiodiagnóstico. Las complicaciones procedimentales médicas de esta variación pueden derivar trombosis, gangrena y otras. Palabras clave: anatomía, arteria braquial, arteria ulnar (Cubital), arteria radial, variación anatómica, extremidad superior.

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Multiple arterial variation of the human upper limb

Cited by 20 publications

References 8 publications

Unusual insertion of the coracobrachialis muscle to the brachial fascia associated with high division of brachial artery

Unusual insertion of the coracobrachialis muscle to the brachial fascia associated with high division of brachial artery

Branching patterns of the lateral thoracic, subscapular, and posterior circumflex humeral arteries and their relationship to the posterior cord of the brachial plexus

Origen alto de la arteria radial y la ulnar: reporte de caso y revisión bibliográfica

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