HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Βοηθήστε μας να κάνουμε καλύτερη την υπηρεσία eJournals. Αν έχετε χρησιμοποιήσει την υπηρεσία eJournals στο παρελθόν και έχετε κάποια εμπειρία ως προς τη χρήση της, παρακαλούμε αφιερώστε ένα λεπτό και συμπληρώστε το σύντομο ερωτηματολόγιο!

Anatomical variations of forearm arteries: A literature review


Published: Apr 3, 2022
Keywords:
Anatomical variation arterial variation arm forearm artery
Charikleia-Lydia Chrysoglou
Ioannis Michalis
Maria Goula
Theodoros Troupis
Abstract

Introduction: The formation of the arterial system of the upper limb takes place in several stages during embryonic development. Several arterial variations in the branching pattern are observed and studied. It is suggested that arterial variants of the arm and forearm arise through the persistence, enlargement and differentiation of parts of the initial arterial network which would normally remain as capillaries or even regress. The present review aims at the anatomical approach of the arm and forearm with special reference to the variations of the arteries in these anatomical areas.


Methods: We conducted a search of reviews using the PubMed Database and the Book of Radiology by Wacker F. et al (2017) referring to the anatomical variants of the forearm and their frequency in the general population.


Results: Regular hematosis of the forearm (with the presence of the radial, the ulnar and the interosseous artery) was studied in 81 out of 100 bodies at the Laboratory of the Descriptive Anatomy of the Medical School, University of Athens. All the forearm’s arteries ramify from the brachial artery at 68%. All the forearm’s arteries ramify from the superficial brachial artery at 7%. Forearm’s superficial arteries are present in 10%. Presence of the median artery (embryo remnant) is found at a rate of 9%.


Conclusions: The anatomical variants of the arteries of the arm and forearm are related to the clinical practice. The deeper knowledge of the above anatomical variants of the arteries is especially important for surgeons, when they perform invasive procedures, such as the elevation of radial forearm flap or dermal flap. It is also of great importance for radiologists and orthopaedic and plastic surgeons for the proper design of surgical procedures involving the arteries of the upper limb. Finally, the peripheral branch pattern of the brachial artery is important for vascular surgeons.

Article Details
  • Section
  • Reviews
Downloads
Download data is not yet available.
References
Atlas of Anatomy. Volume 1. Michael Schunke- Erik Schulte- Udo Schumacher. Copyright 2011, 2nd Greek edition.
Trotter M, Hendesron JL, Brua RS, Weisman S, Agress H, etal. The origins of branches of the axillary arteries in whites and in American negros. Anat Rec. 1930;46:133-137.
Konarik M, Baca V, Kachlik D. Axillary artery: a compact sur-vey based on 130 limbs. Anatomy. 2014; (Suppl 1):29-30.
Valsecchi O, Vassileva A, Musumeci G, Rossini R, Tespili M, Guagliumi G, et al. Failure of transradial approach during coro-nary interventions: anatomical considerations. Catheter Cardio-vasc Interv. 2006;67(6):870-878.
Rodríguez-Niedenführ M, Vázquez T, Nearn L, Ferreira B, Par-kin I, Sañudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a re-view of the literature. J Anat. 2001 Nov;199(Pt 5):547-66. doi: 10.1046/j.1469-7580.2001.19950547.x. PMID: 11760886; PMCID: PMC1468366.
Rodríguez-Niedenführ M, Sañudo JR, Vázquez T, Nearn L, Logan B, Parkin I. Median artery revisited. J Anat. 1999 Jul;195 ( Pt 1)(Pt 1):57-63. doi: 10.1046/j.1469-7580.1999.19510057.x. PMID: 10473293; PMCID: PMC1467965.
Kachlik D, Konarik M, Baca V. Vascular patterns of upper limb: an anatomical study with accent on superficial brachial artery. Bosn J Basic Med Sci. 2011;11(1):4-10. doi:10.17305/bjbms.2011.2615
Yang HJ, Gil YC, Jung WS, Lee HY. Variations of the superfi-cial brachial artery in Korean cadavers. J Korean Med Sci. 2008 Oct;23(5):884-7. doi: 10.3346/jkms.2008.23.5.884. PMID: 18955798; PMCID: PMC2580020.
Rodríguez-Niedenführ M, Burton GJ, Deu J, Sañudo JR. De-velopment of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001 Oct;199(Pt 4):407-17. doi: 10.1046/j.1469-7580.2001.19940407.x. PMID: 11693301; PMCID: PMC1468351.
Chakravarthi KK, Ks S, Venumadhav N, Sharma A, Kumar N. Anatomical variations of brachial artery - its morphology, em-bryogenesis and clinical implications. J Clin Diagn Res. 2014 Dec;8(12):AC17-20. doi: 10.7860/JCDR/2014/10418.5308. Epub 2014 Dec 5. PMID: 25653931; PMCID: PMC4316237.
Haładaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M. The High Origin of the Radial Artery (Brachioradial Artery): Its Anatomical Variations, Clinical Significance, and Contribution to the Blood Supply of the Hand. Biomed Res Int. 2018 Jun 11;2018:1520929. doi: 10.1155/2018/1520929. PMID: 29992133; PMCID: PMC6016218.
MCCORMACK LJ, CAULDWELL EW, ANSON BJ. Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet. 1953 Jan;96(1):43-54. PMID: 13015348.
Konstantinos Natsis, Anastasia L. Papadopoulou,Efthymia Papathanasiou, George Noussios, George Paraskevas,Nikolaos Lazaridis. Study of two cases of high-origin radial artery in hu-mans. Eur J Anat, 13 (2): 97-103 (2009).
Natsis K., Piagkou M., Anastasopoulos N., Tsakotos G., Par-askevas G. Superficial radial artery: frequency, diversity and coexisting anatomical variations.
Natsis K., Paraskevas G., Papadopoulou A., Adamopoulou A., Gkampeta A., Tsikaras P. Frequency of the superficial radial artery originating from the brachial artery.
Lappas D.A, Liaskovitis B, Gisakis I, Bostanitis A, Chrisanthou C, Tzortzopoulou A, Nikolaou B, Fragiadakis E.: Arterial Varia-tions of the Forearm. Hellenic Association of Orthopaedic Sur-gery and Traumatology, Orthopaedic Proceedings Vol. 86-B No. Supp II, 2018.
Isaac Cheruiyot, Brian Bundi, Jeremiah Munguti, Beda Olabu, Brian Ngure, Julius Ogeng’o: Prevalence and anatomical pattern of the median artery among adult black Kenyans. AJOL Vol. 6 No. 3 (2017): Supplementary Issue.
Patnaik M, Paul S. Persistent median artery of the forearm and palm: a cadaver study into its origin, course, fate and clini-cal significance. Ital J Anat Embryol. 2016;121(1):88-95. PMID: 28872801.
Wacker F, Lippert H, Pabst R: Arterial variations in Humans: Key Reference for Radiologists and Surgeon: Classification and Frequency. Thieme; 2017.
Most read articles by the same author(s)