A Cadaveric Study of Superficial Palmar Arch with Surgical Importance

Introduction: Arterial supply of hand is by two arterial anastomotic arches formed by radial and ulnar arteries and their branches. The anastomoses between the branches of radial and ulnar arteries such as palmar carpal and dorsal carpal arches at the wrist and superficial and deep palmar arches...

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Autores principales:	Hemamalini Shetty, K Pushpalatha
Formato:	article
Lenguaje:	EN
Publicado:	JCDR Research and Publications Private Limited 2021
Materias:	anastomosis radial artery revascularisation ulnar artery vascular occlusive disease Medicine R
Acceso en línea:	https://doaj.org/article/c9a9dab59eba4b9fb9392f0f8ae4478e
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spelling	oai:doaj.org-article:c9a9dab59eba4b9fb9392f0f8ae4478e2021-11-07T06:30:50ZA Cadaveric Study of Superficial Palmar Arch with Surgical Importance10.7860/JCDR/2021/48300.153252249-782X0973-709Xhttps://doaj.org/article/c9a9dab59eba4b9fb9392f0f8ae4478e2021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15325/48300_CE[Ra1]_F[IK]_GC(AnK)_PF1(AB_OM)_PFA(AB_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: Arterial supply of hand is by two arterial anastomotic arches formed by radial and ulnar arteries and their branches. The anastomoses between the branches of radial and ulnar arteries such as palmar carpal and dorsal carpal arches at the wrist and superficial and deep palmar arches in the palm, maintain a rich arterial supply to the wrist and palm. Effective collateral circulation in palm is essential in peripheral arterial diseases such as Raynaud’s disease and in harvesting radial artery or the ulnar artery for Coronary Artery Bypass Graft (CABG) surgery. Aim: To observe the variations in the formation of superficial palmar arch. Materials and Methods: A descriptive study was performed on 45 formalin fixed upper limbs of both sex in the Department of Anatomy, JSS Medical College, Mysuru, Karnataka, India. The study was conducted during routine dissection of upper limbs for undergraduates as per the Cunningham’s manual for practical anatomy. Few rare variations in the formation of superficial palmar arch and the arterial pattern of hand were noticed. The variations found were classified according to Coleman and Anson classification. Results: Out of 45 limbs, complete arch was found in 36 limbs and incomplete arch in nine limbs. In complete arch type, we found an arterial arcade, bifurcation of ulnar artery and in incomplete arch type, radial-radial anastomosis. Another rare findings of highly tortuous ulnar artery in forearm and in the palm. Conclusion: The findings in the variations of superficial palmar arch are essential in microvascular surgery, forearm fasciocutaneous flap, radial artery and ulnar artery harvesting in coronary artery bypass graft procedure. Hemamalini ShettyK PushpalathaJCDR Research and Publications Private Limitedarticleanastomosisradial arteryrevascularisationulnar arteryvascular occlusive diseaseMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp AC01-AC06 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anastomosis radial artery revascularisation ulnar artery vascular occlusive disease Medicine R
spellingShingle	anastomosis radial artery revascularisation ulnar artery vascular occlusive disease Medicine R Hemamalini Shetty K Pushpalatha A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
description	Introduction: Arterial supply of hand is by two arterial anastomotic arches formed by radial and ulnar arteries and their branches. The anastomoses between the branches of radial and ulnar arteries such as palmar carpal and dorsal carpal arches at the wrist and superficial and deep palmar arches in the palm, maintain a rich arterial supply to the wrist and palm. Effective collateral circulation in palm is essential in peripheral arterial diseases such as Raynaud’s disease and in harvesting radial artery or the ulnar artery for Coronary Artery Bypass Graft (CABG) surgery. Aim: To observe the variations in the formation of superficial palmar arch. Materials and Methods: A descriptive study was performed on 45 formalin fixed upper limbs of both sex in the Department of Anatomy, JSS Medical College, Mysuru, Karnataka, India. The study was conducted during routine dissection of upper limbs for undergraduates as per the Cunningham’s manual for practical anatomy. Few rare variations in the formation of superficial palmar arch and the arterial pattern of hand were noticed. The variations found were classified according to Coleman and Anson classification. Results: Out of 45 limbs, complete arch was found in 36 limbs and incomplete arch in nine limbs. In complete arch type, we found an arterial arcade, bifurcation of ulnar artery and in incomplete arch type, radial-radial anastomosis. Another rare findings of highly tortuous ulnar artery in forearm and in the palm. Conclusion: The findings in the variations of superficial palmar arch are essential in microvascular surgery, forearm fasciocutaneous flap, radial artery and ulnar artery harvesting in coronary artery bypass graft procedure.
format	article
author	Hemamalini Shetty K Pushpalatha
author_facet	Hemamalini Shetty K Pushpalatha
author_sort	Hemamalini Shetty
title	A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
title_short	A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
title_full	A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
title_fullStr	A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
title_full_unstemmed	A Cadaveric Study of Superficial Palmar Arch with Surgical Importance
title_sort	cadaveric study of superficial palmar arch with surgical importance
publisher	JCDR Research and Publications Private Limited
publishDate	2021
url	https://doaj.org/article/c9a9dab59eba4b9fb9392f0f8ae4478e
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A Cadaveric Study of Superficial Palmar Arch with Surgical Importance

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