Cover Image

A CASE REPORT OF VARIANT FORMATION AND DISTRIBUTION OF SUPERFICIAL PALMAR ARCH

JOS HEMA LATHA

Abstract


A rare variation of unilateral incomplete superficial palmar arch was observed during routine dissection, in a 55 year old female cadaver. The superficial palmar arch was formed exclusively by superficial branch of ulnar artery. The arch gave rise to a proper palmar digital artery to ulnar side of little finger, three common palmar digital arteries to the medial three web spaces, and a common trunk which gave rise to a proper palmar digital artery to radial side of thumb and first     common palmar metacarpal artery which in turn divided into two proper palmar digital arteries to radial side of index finger and ulnar side of thumb. In this case there is no anastomosis         between ulnar artery with radial artery or median artery (ulnar predominance). As superficial palmar arch is a main vascular structure of the palm, sound anatomical knowledge regarding the possible variations in its formation and branching pattern is important for surgeons dealing with reconstructive hand surgery and those concerned with functional anatomy of the hand.

 


Full Text:

PDF

References


Jaschtschinski SN (Morphologie and Topographie des Arcus Volaris Sublimis and Profundus des Menschen) Anat Hofte 1897; 7:161-88 German.

2 .Gellman H, Botte MJ, Shankwiler J, Gelberman RH (2001), Arterial patterns of the deep and superficial palmar arches. Clin Orthop 383:41-46.

3 . Adachi B (Das Arteriensystem der Japaner): Zn: Anatomie der Japaner. Vol I Kyoto: Verlag der Kaiserlich 1928, German.

4.Coleman SS, Anson BJ (1961) Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obstet, 113:409-424

5.Janevski BK, Angiography of the upper extremity. The Hague, Martinus Nijhoff. 1982; 73-122

6.Ikeda A, Ugawa A, Kazihara Y, Hamada N (1988), Arterial patterns in the hand based on a three dimensional analysis of 220 cadaver hands. J Hand Surg, 13 A:501_509

7 .Loukas M, Holdman D (2005), Anatomical Variations of the superficial and deep palmar arches. Folia Morphol,64:78-83

8. Jelicic N,Gajicin S, Zbrodowski A, Arcus Palmaris Superficialis, Acta Anat (basel). 1988; 132:187-190

9.Tagil SM, Cicekcibasi AE, ogun TC, Buyukmumcu m, Salbacak A, Variations and Clinical importance of the superficial palmar arch. Fakultesi Dergisi: 2007; 14:11-16

10 .Dhar P, Lall K Singapore Med J 2008; 49 (9) : 245

11.Erbil M, Aktekin M, Denk CC, Onderoglu S (1999) Arteries originating from the superficial palmar arch: five cases: Surg Radiol Anat, 21:217-220

12.Gajisin S, Zbrodowski A. Local vascular contribution of the superficial palmar arch.(Basel) 1993; 147:248-251

13.Karlsson S, Niechajev IA (1982) Arterial Anatomy of the upper extremity. Acta Radiol Diag, 2:115-121

14. Al-Turk M, Metcalf WK (1984). A study of the superficial palmar arteries using the Doppler Ultrasonic flowmeter. J Anat, 18:27-32

15. Bataineh ZM, Moqattash ST. A complex variation in the superficial palmar arch. Folia Morphol (Warsz) 2006; 14: 11-16


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr M.G.R. Medical University