Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances

Variants of the median nerve, extra forearm flexor muscles heads are relationships of the persistent median artery (PMA) that have been extensively reported. We report the findings of a PMA (diam. 3.25 mm), a pierced median nerve, and accessory heads of the flexor digitorum profundus (FDP) and flexo...

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Autor principal:	Ariyo,Olutayo
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2015
Materias:	Persistent median artery Pierced median nerve Extra forearm muscle bellies brachioradial artery Carpal tunnel syndrome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000400036
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spelling	oai:scielo:S0717-950220150004000362016-03-22Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical SignificancesAriyo,Olutayo Persistent median artery Pierced median nerve Extra forearm muscle bellies brachioradial artery Carpal tunnel syndrome Variants of the median nerve, extra forearm flexor muscles heads are relationships of the persistent median artery (PMA) that have been extensively reported. We report the findings of a PMA (diam. 3.25 mm), a pierced median nerve, and accessory heads of the flexor digitorum profundus (FDP) and flexor policis longus (FPL) muscles coexisting with a brachioradial artery (BRA) (diam.1.8mm) in the left upper limb of a 65 year-old male cadaver. The median nerve provided a ring for the passage of the PMA about the junction of the proximal and middle thirds of the forearm. Both accessory muscles were placed anterior to the ulnar artery, with the brachioradial artery coursing superficially in the brachium and antebrachium. The notable diameter of the PMA may be etiological in the causation of a carpal tunnel syndrome, while the hypoplastic BRA may pose some challenges inits selection as good conduit for catheterization and other surgical interventions like CABG in the upper limb. Additional clinical interest include the possible reduction in blood supply to the hand from the compressive effect of the 2 accessory muscles on the ulnar artery and possible inadvertent drug injection due to the superficial placement of the brachioradial artery close to veins.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.33 n.4 20152015-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000400036en10.4067/S0717-95022015000400036
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Persistent median artery Pierced median nerve Extra forearm muscle bellies brachioradial artery Carpal tunnel syndrome
spellingShingle	Persistent median artery Pierced median nerve Extra forearm muscle bellies brachioradial artery Carpal tunnel syndrome Ariyo,Olutayo Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
description	Variants of the median nerve, extra forearm flexor muscles heads are relationships of the persistent median artery (PMA) that have been extensively reported. We report the findings of a PMA (diam. 3.25 mm), a pierced median nerve, and accessory heads of the flexor digitorum profundus (FDP) and flexor policis longus (FPL) muscles coexisting with a brachioradial artery (BRA) (diam.1.8mm) in the left upper limb of a 65 year-old male cadaver. The median nerve provided a ring for the passage of the PMA about the junction of the proximal and middle thirds of the forearm. Both accessory muscles were placed anterior to the ulnar artery, with the brachioradial artery coursing superficially in the brachium and antebrachium. The notable diameter of the PMA may be etiological in the causation of a carpal tunnel syndrome, while the hypoplastic BRA may pose some challenges inits selection as good conduit for catheterization and other surgical interventions like CABG in the upper limb. Additional clinical interest include the possible reduction in blood supply to the hand from the compressive effect of the 2 accessory muscles on the ulnar artery and possible inadvertent drug injection due to the superficial placement of the brachioradial artery close to veins.
author	Ariyo,Olutayo
author_facet	Ariyo,Olutayo
author_sort	Ariyo,Olutayo
title	Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
title_short	Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
title_full	Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
title_fullStr	Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
title_full_unstemmed	Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances
title_sort	coupled multiple musculo-neurovascular variations in same upper limb: a case report and clinical significances
publisher	Sociedad Chilena de Anatomía
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000400036
work_keys_str_mv	AT ariyoolutayo coupledmultiplemusculoneurovascularvariationsinsameupperlimbacasereportandclinicalsignificances
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Coupled Multiple Musculo-Neurovascular Variations in Same Upper Limb: A Case Report and Clinical Significances

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