Persistent Median Artery in a Pediatric Trauma Patient: Case Report

Prevalence of Persistent Median Arteries in the Pediatric Population on Ultrasonography

“…In the case of trauma, the potential role of the median artery in providing circulatory support should be considered. Muratore and Ozer described a case of an 18‐month‐old female patient who had a complete transection of the radial and ulnar arteries. On the basis of Doppler signals observed during surgery, the authors reported that the viability of the hand was most likely preserved by an intact persistent median artery.…”

Persistent median artery on computed tomographic arteriovenous fistulograms in patients on haemodialysis

“…15 Fortunately, her hand remained perfused via a 0.7-0.9 mm PMA and she was able to undergo successful reconstruction and repair of her wrist. 15 While PMAs are often an incidental finding that are asymptomatic in most individuals, it would be beneficial for reporting radiologists to be aware of the presence of and advantages and disadvantages of PMAs.…”

“…The PMA may be associated with multiple entrapment neuropathies including carpal tunnel syndrome, anterior interosseous nerve syndrome and pronator teres syndrome. 14,15 It is important for hand surgeons to be aware of this anatomical variant. There was a reported case where a large calibre PMA was incidentally found to be superficial to the flexor retinaculum during a carpal tunnel release surgery, which would have posed a high surgical risk had the PMA not been identified early.…”

“…Other than those described above, the PMA also has implications in trauma and during plastic and reconstructive surgery in the hand. The PMA may be associated with multiple entrapment neuropathies including carpal tunnel syndrome, anterior interosseous nerve syndrome and pronator teres syndrome 14,15 . It is important for hand surgeons to be aware of this anatomical variant.…”

Unique case of vascularization: superficial brachial artery and radial persistent median artery

“…Some reports show the palmar type has a prevalence of 0.9-50% and the antebrachial type is reported to have a prevalence of 70-76% in individuals with PMAs (Ikeda et al, 1998;George & Henneberg, 1996;Huelin et al 1979;Rodríguez-Niedenführ et al, 1999). Most cases present with the PMA arising from the UA as an accessory branch while others report the PMA coming from the common interosseous artery (Singla et al, 2012;Eid et al, 2011;Natis & Gigis, 2009;Muratore & Ozer, 2011). Both variations travel through the forearm as a main source of blood supply to the median nerve before either stopping at the wrist or crossing it to contribute to the SPA (D' Costa et al, 2006).…”