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The Morphology of Common Interosseous Artery and Its Clinical
Scholars Journal of Applied Medical Sciences (SJAMS) ISSN 2320-6691 (Online) Sch. J. App. Med. Sci., 2015; 3(3B):1126-1131 ISSN 2347-954X (Print) ©Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources) www.saspublisher.com Research Article The Morphology of Common Interosseous Artery and its Clinical Significance Waseem Al Talalwah1*, Dereje Getachew2 and Roger Soames3 1King Abdullah International Medical Research Center / King Saud bin Abdulaziz University for Health Sciences, College of Medicine, Department of Basic Medical Sciences Hospital – NGHA, Riyadh, P.O. Box 3660, Riyadh 2Anatomy Department, College of Medicine and Health sciences, Hawassa University, Awassa, 1560 3Centre for Anatomy and Human Identification, College of Art, Science and Engineering, University of Dundee Dundee, DD1 5EH, UK *Corresponding author Dr. Waseem Al-Talalwah Abstract: The common interosseous artery is main branch the ulnar artery which divides into anterior and posterior interosseous branches. The current study investigates common interosseous artery and its branch to provide detailed information regarding the morphology which would be of use to clinicians, orthopaedic surgeons, plastic surgeons and anatomists. Routine dissections of the right and left upper limb of 34 adult cadavers (20 male and 14 female: mean age 78.9 year) were undertaken. The common interosseous artery presents in 67.6% whereas it is congenital absence in 32.4%. The origin distance of bifurcation of common interosseous from the ulnar artery origin is between 33.11 and 33.45 mm. The anterior and posterior interosseous arteries present in 98.5% and 92.9% whereas they are congenital absence in 1.5% and 7.1% respectively in total cases. -
Additional Branch of Brachial Artery Terminating in Superficial Palmar Arch
International Journal of Advances in Science Engineering and Technology, ISSN(p): 2321 –8991, ISSN(e): 2321 –9009 Vol-6, Iss-1, Spl. Issue-2 Mar.-2018, http://iraj.in ADDITIONAL BRANCH OF BRACHIAL ARTERY TERMINATING IN SUPERFICIAL PALMAR ARCH 1BILLAKANTI PRAKASH BABU, 2HUBAN THOMAS 1Associate Professor, Kasturba Medical College/Manipal Academy of Higher Education, Anatomy Department, Kasturba Medical College,Manipal,KARNATAKA-INDIA,576104 2Senior Lecturer, Kasturba Medical College/Manipal Academy of Higher Education, Anatomy Department, Kasturba Medical College,Manipal,KARNATAKA-INDIA,576104 E-mail: [email protected], [email protected] Abstract - Superficial palmar arch is an arterial arcade in the palm of the hand formed by superficial branch of ulnar artery and can be completed on lateral side by superficial palmar branch of radial artery or any one of these arteries viz. princeps pollicis artery, radialis indicis artery or the median artery. The arch develops as a terminal plexus of axis artery of upper limb which is later joined by median, ulnar and radial arteries as these arteries develop. The present study was conducted in the Department of Anatomy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India on 60 formalin fixed adult human cadaver hands. Out of 60 (30 on right and 30 on left side) in one specimen a unique variation was encountered in the arteries taking part in the formation of superficial palmar arch on the right side. Superficial palmar arch formation was normal and in addition an additional branch arose from the medial side of the brachial artery just below the middle of the arm. -
Gross Anatomy
www.BookOfLinks.com THE BIG PICTURE GROSS ANATOMY www.BookOfLinks.com Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the infor- mation contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. www.BookOfLinks.com THE BIG PICTURE GROSS ANATOMY David A. Morton, PhD Associate Professor Anatomy Director Department of Neurobiology and Anatomy University of Utah School of Medicine Salt Lake City, Utah K. Bo Foreman, PhD, PT Assistant Professor Anatomy Director University of Utah College of Health Salt Lake City, Utah Kurt H. -
Anatomy, Shoulder and Upper Limb, Brachial Artery
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Anatomy, Shoulder and Upper Limb, Brachial Artery Authors Thomas N. Epperson1; Matthew Varacallo2. Affiliations 1 University of Louisville School of Med. 2 Department of Orthopaedic Surgery, University of Kentucky School of Medicine Last Update: January 4, 2019. Introduction The brachial artery is the extension of the axillary artery starting at the lower margin of the teres major muscle and is the major artery of the upper extremity. The brachial artery courses along the ventral surface of the arm and gives rise to multiple smaller branching arteries before reaching the cubital fossa.[1] These branching arteries include the deep brachial artery, the superior ulnar collateral artery, and the inferior ulnar collateral artery. Once the brachial artery reaches the cubital fossa, it divides into its terminal branches: the radial and ulnar arteries of the forearm. The brachial artery and its branches supply the biceps brachii muscle, triceps brachii muscle, and coracobrachialis muscle. The median nerve, a division of the brachial plexus, initially lies lateral to the brachial artery at its proximal segment. At its distal segment, the median nerve crosses the medial side of the brachial artery and lies in the ventral cubital fossa. Structure and Function The following are the branches of the brachial artery in order of origin, proximal to distal. Profunda Brachii/Deep Brachial Artery The first branch of the brachial artery, this branch of the brachial artery arises below the inferior border of the teres major muscle. -
Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions
Int. J. Morphol., 34(3):1063-1068, 2016. Infraclavicular Topography of the Brachial Plexus Fascicles in Different Upper Limb Positions Topografía Infraclavicular de los Fascículos del Plexo Braquial en Diferentes Posiciones del Miembro Superior Daniel Alves dos Santos*; Amilton Iatecola*; Cesar Adriano Dias Vecina*; Eduardo Jose Caldeira**; Ricardo Noboro Isayama**; Erivelto Luis Chacon**; Marianna Carla Alves**; Evanisi Teresa Palomari***; Maria Jose Salete Viotto**** & Marcelo Rodrigues da Cunha*,** ALVES DOS SANTOS, D.; IATECOLA, A.; DIAS VECINA, C. A.; CALDEIRA, E. J.; NOBORO ISAYAMA, R.; CHACON, E. L.; ALVES, M. C.; PALOMARI, E. T.; SALETE VIOTTO, M. J. & RODRIGUES DA CUNHA, M. Infraclavicular topography of the brachial plexus fascicles in different upper limb positions. Int. J. Morphol., 34 (3):1063-1068, 2016. SUMMARY: Brachial plexus neuropathies are common complaints among patients seen at orthopedic clinics. The causes range from traumatic to occupational factors and symptoms include paresthesia, paresis, and functional disability of the upper limb. Treatment can be surgical or conservative, but detailed knowledge of the brachial plexus is required in both cases to avoid iatrogenic injuries and to facilitate anesthetic block, preventing possible vascular punctures. Therefore, the objective of this study was to evaluate the topography of the infraclavicular brachial plexus fascicles in different upper limb positions adopted during some clinical procedures. A formalin- preserved, adult, male cadaver was used. The infraclavicular and axillary regions were dissected and the distance of the brachial plexus fascicles from adjacent bone structures was measured. No anatomical variation in the formation of the brachial plexus was observed. The metric relationships between the brachial plexus and adjacent bone prominences differed depending on the degree of shoulder abduction. -
Research Paper Medical Science Variant Brachial Artery with Incomplete Superficial Palmer Arch - a Case Report
Volume : 2 | Issue : 1 | Jan 2013 • ISSN No 2277 - 8160 Research Paper Medical Science Variant Brachial Artery with Incomplete Superficial Palmer Arch - A Case Report Dr. Sharadkumar Associate Professor, Department of Anatomy, K. J. Somaiya Medical College, So- Pralhad Sawant maiya Ayurvihar, Eastern Express Highway, Sion, Mumbai During routine dissection, of the right upper limb of a 70 years old donated embalmed male cadaver in the ABSTRACT Department of Anatomy, K.J. Somaiya Medical College, Sion, Mumbai, India, we observed a high level trifurcation of the brachial artery into the radial, ulnar and common interosseous arteries. The brachial artery trifurcated above the cubital fossa in the lower part of the arm. The ulnar artery travelled downward superficial to the superficial flexor muscles of the forearm. The common interosseous artery was longer in length. The common interosseous artery divided at unusual site in the cubital fossa into the anterior and posterior interosseous arteries. There were no associated altered anatomy of the nerves observed in the specimen. The variations were unilateral and the left upper limb was normal. The photographs of the high level trifurcation of the brachial artery into radial, ulnar and common interosseous artery were taken for proper documentation. Topographical anatomy of the normal and abnormal variations of the axillary artery are clinically important for surgeons, orthopaedicians operating on the supracondylar fracture of humerus and radiologists performing angiographic studies on the upper limb. KEYWORDS: Brachial Artery, Trifurcation, Radial Artery, Ulnar Artery, Common Interosseous Artery, Surgeons, Orthopaedicians Introduction: The brachial artery ends in the cubital fossa by dividing into the ra- dial and ulnar arteries. -
DVT Upper Extremity
UT Southwestern Department of Radiology Ultrasound – Upper Extremity Deep Venous Thrombosis Evaluation PURPOSE: To evaluate the upper extremity superficial and deep venous system for patency. SCOPE: Applies to all ultrasound venous Doppler studies of the lower extremities in Imaging Services / Radiology EPIC ORDERABLE: • UTSW: US DOPPLER VENOUS DVT UPPER EXTREMITY BILATERAL US DOPPLER VENOUS DVT UPPER EXTREMITY RIGHT US DOPPLER VENOUS DVT UPPER EXTREMITY LEFT • PHHS: US DOPPLER VENOUS DVT UPPER EXTREMITY BILATERAL US DOPPLER VENOUS DVT UPPER EXTREMITY RIGHT US DOPPLER VENOUS DVT UPPER EXTREMITY LEFT INDICATIONS: • Symptoms such as upper extremity swelling, pain, fever, warmth, change in color, palpable cord • Suspected venous occlusion, or DVT based on clinical prediction rules (eg. Well’s score or D- Dimer) • Indwelling or recent PICC or central line • Chest pain and/or shortness of breath • Suspected or known pulmonary embolus • Follow-up known deep venous thrombosis (DVT) CONTRAINDICATIONS: No absolute contraindications EQUIPMENT: Preferably a linear array transducer that allows for appropriate resolution of anatomy (frequency range of 9 mHz or greater), capable of duplex imaging. Sector or curvilinear transducers may be required for appropriate penetration in patients with edema or large body habitus. PATIENT PREPARATION: • None EXAMINATION: GENERAL GUIDELINES: A complete examination includes evaluation of the superficial and deep venous system of the upper extremity including the internal jugular, innominate, subclavian, axillary, paired brachial, basilic, and cephalic veins. EXAM INITIATION: • Introduce yourself to the patient • Verify patient identity using patient name and DOB • Explain test • Obtain patient history including symptoms. Enter and store data page US DVT Upper Extremity 05-31-2020.docx 1 | Page Revision date: 05-31-2020 UT Southwestern Department of Radiology • Place patient in supine position with arm extended TECHNICAL CONSIDERATIONS: • Review any prior imaging, making note of any previous thrombus burden. -
01 Natsis.P65
Folia Morphol. Vol. 68, No. 4, pp. 193–200 Copyright © 2009 Via Medica R E V I E W A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Persistent median artery in the carpal tunnel: anatomy, embryology, clinical significance, and review of the literature K. Natsis1, G. Iordache2, I. Gigis1, A. Kyriazidou1, N. Lazaridis1, G. Noussios3, G. Paraskevas1 1Department of Anatomy, Medical School, Aristotle University of Thessaloniki, Greece 2University of Medicine and Pharmacy of Craiova, Romania 3Laboratory of Anatomy, Department of Physical Education and Sport Sciences (Serres), Aristotle University of Thessaloniki, Greece [Received 5 June 2009; Accepted 16 September 2009] The median artery usually regresses after the eighth week of intrauterine life, but in some cases it persists into adulthood. The persistent median artery (PMA) pas- ses through the carpal tunnel of the wrist, accompanying the median nerve. During anatomical dissection in our department, we found two unilateral cases of PMA originating from the ulnar artery. In both cases the PMA passed through the carpal tunnel, reached the palm, and anastomosed with the ulnar artery, forming a medio-ulnar type of superficial palmar arch. In addition, in both cases we observed a high division of the median nerve before entering the carpal tunnel. Such an artery may result in several complications such as carpal tunnel syndrome, pronator syndrome, or compression of the anterior interosseous nerve. Therefore, the presence of a PMA should be taken into consideration in clinical practice. This study presents two cases of PMA along with an embryological explanation, analysis of its clinical significance, and a review of the literature. -
Brachial Artery
VASCULAR Anatomy of the upper limb Dr Jamila EL M edany & Dr. Essam Eldin Salama Objectives At the end of the lecture, the students should be able to: • Identify the origin of the vascular supply for the upper limb. • Describe the main arteries and their branches of the arm, forearm & hand. • Describe the vascular arches for the hand. • Describe the superficial and deep veins of the upper limb Arteries Of The Upper Limb Right subclavian Left subclavian artery artery Axillary artery Brachial artery Ulnar artery Radial artery Palmar arches The Subclavian Artery The right artery originates from the brachiocephalic artery. The left artery Cotinues as originates from Axillary artery at the arch of the the lateral border aorta of the 1st rib The Axillary Artery Begins at the lateral border of the st 1 rib as continuation of the Subclavian artery subclavian artery. Continues as brachial artery at lower border of teres major muscle. Is closely related to the cords of brachial plexus and their branches Is enclosed within the axillary sheath. Is crossed anteriorly by the pectoralis minor muscle, and is st nd divided into three parts; 1 , 2 & Brachial artery Axillary artery 3rd. The 1st part of the axillary artery . Extends from the lateral st border of 1 rib to upper 1st part border of the pectoralis 2nd part minor muscle. Highest thoracic artery a. Related: 3rd part Pectoralis • Anterioly: to the minor pectoralis major muscle • Laterally: to the cords Teres of the brachial plexus. major . It gives; ONE branch: Highest thoracic artery The 2nd part of the axillary artery . -
Volume-8, Issue-3 July-Sept-2018 Coden:IJPAJX-CAS-USA
Volume-8, Issue-3 July-Sept-2018 Coden:IJPAJX-CAS-USA, Copyrights@2018 ISSN-2231-4490 Received: 8th June-2018 Revised: 15th July-2018 Accepted: 16th July-2018 DOI: 10.21276/Ijpaes http://dx.doi.org/10.21276/ijpaes Case Report VARIANT ARTERIAL PATTERN IN THE FOREARM WITH ITS EMBRYOLOGICAL BASIS Vaishnavi Joshi and Dr. Shaheen Sajid Rizvi Department of Anatomy, K. J. Somaiya Medical College, Somaiya, Ayurvihar, Eastern Express Highway, Sion, Mumbai-400 022 ABSTRACT: During routine dissection for the first MBBS students, we observed that the radial artery was absent in the right upper limb of a 70 years old, donated embalmed male cadaver in the Department of Anatomy, K.J.Somaiya Medical College, Sion. In the lower part of the arm, brachial artery divided into ulnar and common Interosseous artery. Anterior interosseous artery was large in size. Deep to pronator quadratus, it turned laterally and reached the dorsum of the hand, where its lateral branch supplied the thumb and index finger and its medial branch dipped into the palm at the second inter-metacarpal space. Superficial palmar arch was absent. Digital arteries from the medial and lateral branches of ulnar artery supplied the fingers. Embryological basis is presented. Key words: Brachial artery, Anterior interosseous artery, Common Interosseous artery, Radial artery, ulnar artery *Corresponding autor: Dr. Shaheen Sajid Rizvi, Department of Anatomy, K. J. Somaiya Medical College, Somaiya, Ayurvihar, Eastern Express Highway, Sion, Mumbai-400 022; Email : rizvishaheen68@ gmail.com Copyright: ©2018 Dr. Shaheen Sajid Rizvi. This is an open-access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited INTRODUCTION The main artery of the arm, the brachial artery divides at the level of the neck of the radius into radial and ulnar arteries. -
Arteries of The
This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. Arteries of the Arm st The AXILLARY ARTERY begins at the border of the 1 rib as a continuation of the subclavian artery Subclavian artery The FIRST PART stretches between the 1st rib and the medial border of pectoralis minor. First rib It has only one branch – the superior thoracic artery Superior thoracic artery The SECOND PART lies under the pectoralis Thoracoacromial artery minor; it has 2 branches: Which pierces the - The Thoracoacromial artery costocoracoid membrane - The Lateral Thoracic artery deep to the clavicular head The THIRD PART stretches from the lateral border of pectoralis major of pectoralis minor to the inferior border of Teres Major; it has 3 branches: Pectoralis major - The Anterior circumflex humeral artery - The Posteror circumflex humeral artery Pectoralis minor - The Subscapular artery Axillary nerve Posterior circumflex humeral artery Lateral Thoracic artery Travels through the quadrangular space together Which follows the lateral with the axillary nerve. It’s the larger of the two. border of pectoralis minor onto the chest wall Anterior circumflex humeral artery Passes laterally deep to the coracobrachialis and Circumflex scapular artery the biceps brachii Teres Major Passes dorsally between subscapularis and teres major to supply the dorsum of the scapula Profunda Brachii- deep artery of the arm Thoracodorsal artery Passes through the lateral triangular space (with Goes to the inferior angle of the scapula, the radial nerve) into the posterior compartment Triceps brachii supplies mainly the latissimus dorsi of the arm. -
Brachial Vein Transposition with Consecutive Skin Incisions in a Hemodialysis Patient with Absence of Adequate Superficial Veins: a Case Report
Original Article Case Report Case Vascular Specialist International Vol. 36, No. 4, December 2020 pISSN 2288-7970 • eISSN 2288-7989 Brachial Vein Transposition with Consecutive Skin Incisions in a Hemodialysis Patient with Absence of Adequate Superficial Veins: A Case Report Pouya Tayebi1, Fatemeh Mahmoudlou2, Yasaman Daryabari2, and Atefeh Shamsian3 1Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University of Medical Sciences, Babol, 2Student Research Committee, Babol University of Medical Sciences, Babol, 3MSc student in nursing, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences,Tehran, Iran The creation of an arteriovenous fistula instead of a synthetic vascular graft is a Received September 24, 2020 Revised November 5, 2020 smart decision in hemodialysis patients who do not have a suitable superficial vein. Accepted November 30, 2020 Basilic vein transposition (BVT) is a viable option in most cases, except in patients who do not have a proper basilic vein. In patients with inadequate superficial veins, another source of the autogenous vein is the brachial vein, a deep vein of the up- per arm. Most surgeons choose a full medial arm incision to perform brachial vein Corresponding author: Pouya Tayebi exploration. We describe a patient in whom BVT was not possible and so brachial Department of Vascular and Endovascular Surgery, Rouhani Hospital, Babol University vein transposition using skip incisions was performed, with good results. of Medical Sciences, Keshavarz Boulevard,