Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Upper Limb
Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD
Peer Review Status: Internally Peer Reviewed
Either the the anterior interosseous or the median may enter into the formation of the superficial palmar arch if the ulnar is deficient or absent.
In one study, a median artery entered the hand through the carpal tunnel: bilaterally in four and unilaterally in three cases (66 bodies, 132 hand dissections). In five cases, median arteries participated in the superficial palmar arch, either by joining the radial (three cases) or the ulnar (two cases). In six cases, there was no palmar arch and the median artery supplied the fingers directly. The median frequently arises from the common interosseous or the anteror interosseous arteries.
In some cases the median artery runs a superficial course through the forearm.
The median artery may terminate in the radial artery.
High Origin (HO) of the Arteries of the Forearm
Number of Observations |
HO |
Origin |
||
1) | 380 | 0 | ||
2) | 270 | 12 |
Axillary |
4 |
Brachial |
8 | |||
3) | 136 | 4 |
Axillary |
2 |
Brachial |
2 |
1) Statistics by Giacomini.
2) Statistics by authors cited by Giacomini.
3) Statistics by Dubreuil-Chambardel.
Image
29,
Image
33,
Image
34,
Image
35,
Image
36,
Image
38,
Image
56,
Image
60,
Image
65,
Image
79,
Image
133,
Image
134,
Image
138,
Image
141,
Image
249A,
Image
249B,
Image
249C,
Image
249D,
Image
250,
Image
252A,
Image
252B,
Image
252C,
Image
252D,
Image
252E,
Image
252F,
Image
252G,
Image
252H,
Image
252I,
Image
252J,
Image
330,
Image
330A
Image 488,
Image
499
Image
501
References
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Barfred, T., Hojlund, A. P., and K. Bertheussen. (1985) Median artery in carpal tunnel syndrome. J. Hand Surgery (Am.) 10:864-867.
Bergman, R.A., Thompson, S.A., Afifi, A.K. and F. A. Saadeh. (1988) Compendium of Human Anatomic Variation: Catalog, Atlas and World Literature. Urban & Schwarzenberg. Baltimore and Munich.
Blunt, M.J. (1959) The vascular anatomy of the median nerve in the forearm and hand. J. Anat. 93:15-22.
Brême, G. (1899) Casuistischer Beitrag zur Kenntniss der Anomalien der Armarterien. Zeitschr. für Morphology und Anthropologie 1:494.
Bussière, -. (1904) Sur quelques anomalies artérielles. Journal de Medecine de Bourdeaux (Février, 1904) 6:101-102.
Dubrevil-Chambardel, -. (1922) Variations de l'artére médiane, en rapport avec les variations des grosses artéres du membre supèrieur. Bull. et Mém. Soc. Anthrop., Paris. 3:9-11.
Dubrevil-Chambardel, L. (1926) Variations des Artéres du Membre Supérieur., Masson, Paris.
Duval, J.M. et J.P. Loescher. (1959) L'artére du nerf médian et ses variations. Assoc. Anatomistes Comptes Rendus 46:231-236.
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Gérard, G. (1905) Anomalies artérielles. Considérations sur les anomalies de l' artère du nerf médian. A propos de trois cas nouveaux. Bibliographie Anatomique 14:156-163.
Gérard, G. et P. Cordier. (1920) Deux nouveaux cas d'anomalies de l'artère du nerf median. Soc. Biol. Comptes Rendus Hebdomadaires des Séances et memoires. 83:1108-1110.
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Gruber, W. (1867) Über die Arteria mediana antibrachii superficialis, Arteria ulnaris antibrachii superficialis und Duplicität der Arteria ulnaris. Arch. Anat. Physiol. Wissen. Med. 1867:668-687.
Kachlik, D., Konarik, M., Riedlova, J., Baca, V.. (2016) Brachiomedian artery (arteria brachiomediana) revisited: a comprehensive review. Bosnian Journal of Basic Medical Sciences.
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Maruyama, K. (1944) Seltene Varietät der Arterien der oberen Extremität bei einem Japaner (A. brachialis superficialis lateralis inferior, A. antebrachialis superficialis mediano-ulnaris, Arcus volaris superficialis vom Typus mediano-ulnaris). Folia Anat. Jpn. 22:551-567.
Maxwell, J.A., Kepes, J.J and L.D. Ketchem. (1973) Acute carpal tunnel syndrome secondary to thrombosis of a persistent median artery. J. Neurosurg. 38:774-777.
Misra, B.D. (1955) The arteria mediana. J. Anat. Soc. India 4:48.
Pabst, R. and H. Lippert. (1968) Beiderseitiges Vorkommen von A. brachialis superficialis, A. ulnaris superficialis und A. mediana. Anat. Anz. 122:223-226.
Piollet, -. (1904) Anomalie des artères de la paume de la main. Lyon Méd. 102:526-527.
Rossi, U. (1890) Anomalie arteriose. Arteria mediana superficiale. Sperimentali 65:3-14
Schaefer, E.A., Symington, J. and T.H. Bryce, Eds. (1915) Quain's Anatomy,11th ed., Longmans, Green and Co., London.
Schwalbe, E. (1889) Beitrag zur Kenntniss der Arterienvarietäten des menschlichen Arms. Morphologichen Arbeiten 8:1-47.
Schwalbe, E. (1898) Beitrag zur Kenntniss der Arterienvarietäten des menschlichen Arms. Morphologisches Arbeiten 8:1-47.
Singer, E. (1933) Embryological pattern persisting in the arteries of the arm. Anat. Rec. 55:403-409.
Souligoux, Ch. (1895) Anomalie de l'artère humérale. Bull. et Mém. de la Soc. Anatomique de Paris 1895:657.
Tandler, J. (1897) Zur Anatomie der Arterien der Hand. Anat. Hefte 7:263-282.
Walther, -. (1886) Division tardive de l'artère humérale. Artère radiale passant au dessus du rond pronateur. Bulls. et Méms. de la Soc. Anatomique de Paris 1886:205.
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