Variations of testicular vessels are more common than supposed. The testicular artery varies because of abnormal regression of the lateral mesonephric arteries in the fetus, whereas variations in the testicular vein are due to abnormalities in the involution of the intersubcardinal anastomosis. Such variations are usually found incidentally during surgical procedures around the renal pedicle and they often lead to complications. Several authors have attempted to classify them. However, these attempts have not been comprehensive. Therefore, the aim of this study is to provide a simple yet comprehensive classification of variations of the testicular vessels. The PubMed database was searched using keywords pertaining to the testicular vessels. The results were subjected to the Anatomical Quality Assessment (AQUA) tool analysis and were screened for appropriateness for inclusion in this study. The screening procedure yielded 31 original articles, 83 case reports, and 1 review article. Both testicular arterial and venous variations were more common on the left side (20.73% and 24.61%) than the right (12.69% and 18.4%, respectively). We classified the testicular arteries on the basis of their number (N), site of origin (O), and course (C). Similarly, the testicular veins were classified on the basis of their number (N) and site of drainage (D). The proposed classification facilitates identification, understanding, and reporting of variations of the testicular vessels by radiologists. It will also help surgeons to enhance the quality of their treatment. Clin. Anat. 31:854-869, 2018. © 2018 Wiley Periodicals, Inc.
Dermatoglyphics is the collective name for all those integumentary features within the limits to be defined and it applies to the division of anatomy which includes their study. Diagnosis of many diseases which are genetically or non genetically determined like Diabetes mellitus, Schizophrenia, Hypertension, etc can now be aided by dermatoglyphic analysis. Oral submucous fibrosis is a chronic precancerous oral disease, specially seen in guthka chewers, but not all the gutkha chewers develops the disease or non gutkha chewers may also develop the disease. Genetic predisposition explains such individual variability. Such genetic predisposition can be explored with the help of dermatoglyphic studies.100 gutkha chewers with Oral Submucous fibrosis and 100 Gutkha chewers without Oral submucous fibrosis were selected for the study and their qualitative dermatoglypphic analysis with specific reference to finger tip patterns was carried out and was statistically analyzed. Some highly significant patterns were observed in patients with Oral submucous fibrosis.
A Unique Triad of Muscular, Vascular and Nervous Variations in Upper Limb CASE REPORTPresent anomalies were observed in the right arm of an adult male cadaver during routine dissection activities at JIPMER, Pondicherry. Each of the anomalous arteries, nerve and muscle, were carefully dissected from their origin to termination on both the limbs following the steps described in Cunningham's Manual of Practical Anatomy [1].The third head of biceps brachii was seen to be originating from the medial border and adjacent area on the anteromedial surface of humerus at the level of insertion of coracobrachialis. Few fibres were also seen arising from medial intermuscular septum approximately 5 cms inferior to insertion of corachobrachialis. These two sites were connected by a fibrous arch, which in turn was giving origin to muscle fibres of anomalous third head which was seen fusing with main muscle belly just before it forms the tendon. Median nerve along with an artery (brachioulnar artery) was passing deep to the fibrous band [Table/ Fig-1].Brachial artery bifurcated into medial branch (Brachioradial Artery) and lateral branch (Brachioulnar Artery) distal to the origin of profunda brachii and nutrient artery, at the level of insertion of coracobrachialis. Lateral branch was seen passing posterolateral to median nerve deep to the fibrous arch of the anomalous third head of biceps brachii and then between biceps brachii and brachialis. Continuing posterolateral relation to median nerve at the level of cubital fossa it was observed passing deep to the ulnar head of pronator teres. This division traced distally was following the usual course, relations and branches of ulnar artery and was named likely. The medial branch at its origin was posteromedial to the median nerve. Passing downwards, it becomes medial to the nerve. At the cubital fossa, artery crossed the nerve anteriorly from medial to lateral. Traced distally it was seen accompanying superficial branch of the radial nerve and was following the normal course, relations and branches of the radial artery and was labelled likewise [ AbSTRACTMultiple muscular and neurovascular anomalies in upper limb are reported continuously in medical literature because of their clinical significance. A unique case of the triad of variations was encountered during routine dissection activity. The variations observed were: 1) Accessory third head of biceps brachii; 2) High division of Brachial Artery; 3) Communication between Musculocutaneous Nerve and Median Nerve. Taken independently these variations are common but it is rare in a single cadaver. These abnormalities were found unilaterally on the right arm of the cadaver. The third head of biceps brachii was seen to be originating from the medial border and adjacent area on the anteromedial surface of the humerus at the level of insertion of coracobrachialis fusing with main muscle belly just before it forms the tendon. Additional head of biceps brachii was supplied by a branch from the Median Nerve. This branch after supplying th...
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