Persistent median artery and communicating branch related to the superficial palmar arch.

Autor: Simić M; Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia. marko.simic@email.com., Bumbaširević M; Clinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Jović D; Clinic of Plastic and Reconstructive Surgery, University Clinical Centre of Republic of Srpska, Banja Luka, Republic of Srpska, Bosnia and Herzegovina., Bogosavljević N; Institute for Orthopedic Surgery 'Banjica', Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Vujačić M; Institute for Orthopedic Surgery 'Banjica', Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Erić D; Department of Plastic and Reconstructive Surgery, Al Emadi Hospital, Doha, Qatar., Boljanović J; Laboratory for Vascular Morphology, Institute of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Milisavljević M; Laboratory for Vascular Morphology, Institute of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.; Academy of Medical Sciences, Serbian Medical Association, Belgrade, Serbia., Dožić A; Institute of Anatomy, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia. aleksandra.dozic@stomf.bg.ac.rs., Ćetković M; Institute of Histology and Embryology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia. milacetkovic06@gmail.com.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Jan 02; Vol. 14 (1), pp. 222. Date of Electronic Publication: 2024 Jan 02.
DOI: 10.1038/s41598-023-50935-2
Abstrakt: Microvascular surgery, plastic and reconstructive hand surgery, and coronary artery bypass surgery call for a microanatomical study of the branching pattern of the superficial palmar arch (SPA). For the anatomical analysis, we used a group of 20 dissected human hands injected with 4% formaldehyde solution and a 10% mixture of melted gelatin and India ink. The morphometric study was performed on 40 human hands of adult persons injected with methyl-methacrylate fluid into the ulnar and radial arteries simultaneously and afterwards corroded in 40% KOH solution for the preparation of corrosion cast specimens. The mean diameter of the SPA, between the second and third common palmar digital arteries, was 1.86 ± 0.08 mm. We identified the persistent median artery (PMA) in 5% of hands. We distinguished the three main groups of the SPAs according to variations in morphology and branching of the arch: Type 1, the long SPA; Type 2, the middle length SPA; and Type 3, the short SPA found in 27.5% of specimens. The communicating branch (CB), a vessel interconnecting the SPA to the closest branch of the radial artery, is classified into two different morphological groups. The third type of incomplete short arterial arch is the most important of the three groups of SPAs. That short SPA is potentially inadequate for restoring circulation after occlusion or radial artery harvesting for coronary artery bypass.
(© 2024. The Author(s).)
Databáze: MEDLINE