CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(03): 109-111
DOI: 10.1055/s-0040-1703814
Case Report

ABSENCE OF SUPERFICIAL PALMAR ARCH WITH PERSISTENT MEDIAN ARTERY - A CASE REPORT

Kavitha K.
1  Lecturers, Department of Anatomy K. S. Hegde Medical Academy, Nitte University, Mangalore 575 018, Karnataka, India.
,
Sushma,
Prima D'Souza
3  Lecturers, Department of Anatomy K. S. Hegde Medical Academy, Nitte University, Mangalore 575 018, Karnataka, India.
,
Vishal Kumar
4  Associate Professor, Department of Anatomy K. S. Hegde Medical Academy, Nitte University, Mangalore 575 018, Karnataka, India.
› Author Affiliations

Abstract

The anatomical variations in the arterial supply of the palm are frequently reported. One such variation reported during routine dissection for undergraduate medical students in our college is the absence of superficial palmar arch and presence of persistent median artery. The arterial supply to the palm is in the form of superficial and deep palmar arches. In the present case the median artery and ulnar artery supplies the palm without forming an arch on the left extremity. Awareness of variations in the vascular pattern of the palm is clinically important in case of angiographic procedures and surgical emergencies.



Publication History

Publication Date:
26 April 2020 (online)

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Thieme Medical and Scientific Publishers Private Ltd.
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  • References

  • 1 Standring S, Ellis H, Healy JC, Johnson D, Williams A. Gray's Anatomy. 39th edn. 2005; 929. Churchill Livingstone, Edinburgh.
  • 2 Gellman H, Botte MJ, Shankwiler J, Gelberman RH. Arterial patterns of the deep and superficial palmar arches. Clin Orthop Relat Res. 2001; 383:41–46.
  • 3 Adachi B. Das Arteriensystem der Japaner. 1928; vol.1,pp. 285-356. Kyoto, Maruzen.
  • 4 Ikeda A, Ugawa A, Kazihara Y, Hamada N. Arterial patterns in the hand based on a three-dimensional analysis of 220 cadaver hands. J Hand Surg. 1988;13:501-509.
  • 5 Coleman, SS, Anson, BJ. Arterian patterns in the hand based upon a study of 650 specimens. Surg. Gynaecol. Obstet. 1961;113(4):409-424.
  • 6 Sanudo JR, Chikwe J, Evans SE. Anomalous median nerve associated with persistent median artery. J Anat, 1994;185:447-451.
  • 7 Quain R. The Anatomy of Arteries of Human Body.1884. pp.235-271, London.
  • 8 McCormack LJ, Cauldwell EW, Anson BJ. Brachial and Antebrachial arterial patterns: a study of 750 extremeties. Surgery Gynecology and Obstetrics, 1953;96:43-45.
  • 9 Srivastava SK, Pande BS. Anamolous pattern of median artery in the forearm of Indians. Acta Anatomica, 1990;138:193-194.
  • 10 Henneberg M, George BJ. High incidence of the median artery of the forearm in a smple of recent South African cadavers. J Anat, 1992;180:185-188.
  • 11 Chalmers J.Unusual cases of peripheral nerve compression. The Hand 1978;10:168-175.
  • 12 Fumiere E, Dugardeyn C, Roquet ME, Delcour C. US demonstration of a thrombosed persistent median artery in carpal tunnel syndrome. JBRBTR, 2002;85:1-3.
  • 13 Muller E. Beitrage zur Morphologie des Gefassystems. I. Die Armarterien des Menschen. Anatomische Hefte 1903;22:377-575.
  • 14 Keen JA. A study of the arterial variations in the limbs with special reference to symmetry of vascular patterns. American Journal of Anatomy. 1961;108,:245-261.
  • 15 Rodriguez-Baeza A, Nebot J, Ferreira B, Reina F, Perez J, Sanudo JR. An anatomical study and ontogenic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. Journal of Anatomy.1995;187:473-479.
  • 16 .De vriese B. Recherches sur evolution des vaisseaux sanguins des membres chez homme. Archives de Biologie 1902;18:665-730.
  • 17 Singer E. Embryological pattern persisting in the arteries of the arm. Anatomical Record 1933;55:403-409
  • 18 Lanz T, Wachsmuth W. Praktische Anatomie, 1959; vol.1, part 3, pp. 184-216. Springer, Berlin