A further morphological study of the persistent median artery in neonatal cadavers

Kopuz, Cem; Barış, Sancar; Gulman, Birol

doi:10.1007/s00276-997-0403-1

Cited by 16 publications

(31 citation statements)

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“…It normally regresses in the second embryonic month. [20,21] Based on the differences in incidence of the median artery between the neonates and adults, Kopuz et al [10] have raised the possibility that the median artery can regress at a much later stage, possibly during the perinatal period and early infancy. Persisting median artery in adults has been considered as retention of a primitive arterial pattern.…”

Section: Discussionmentioning

confidence: 99%

“…[2] The embryological origin and development of the median artery is not completely understood and deserves further studies. [10] According to numerous authors, the median artery is a transitory vessel that represents the arterial axis of the forearm during early embryonic life. It normally regresses in the second embryonic month.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Sometimes, when a vessel of significant size is present accompanying the median nerve and reaching the hand to participate in the fingers' blood supply, this is called "median artery of palmar type" (1.5-12% of the individuals). [1][2][3][4] Dissection studies [5][6][7][8][9][10] reveal that commonly the median artery arises from the arteries in the elbow region and is located deep below the superficial flexor group of the anterior antebrachial region in close proximity to the median nerve. In some instances either the median artery course or origin or both may have significant variations.…”

Section: Introductionmentioning

confidence: 99%

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A rare case of superficial median artery of high brachial origin: anatomical and clinical considerations of the superficial brachiomedian artery

Георгиев¹

2011

Anatomy

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A rare case of median artery with unusually high origin and superficial course, also termed superficial brachiomedian artery, was observed during routine anatomical dissection of the right upper extremity of a 63-year-old Caucasian female cadaver. The aberrant artery arose from the initial part of the brachial artery. In the arm region it followed a superficial course and at the elbow passed beneath the bicipital aponeurosis. In the upper third of the forearm, the variant artery passed under the muscular belly of the palmaris longus and flexor digitorum superficialis muscle. Accompanying the median nerve, the unusual median artery passed through the carpal tunnel and participated in the formation of the superficial palmar arch. Due to its variant course and location, the superficial brachiomedian artery may cause compression on the nerve within the carpal tunnel or nerve ischemia may result from an accidental arterial injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A rare case of superficial median artery of high brachial origin: anatomical and clinical considerations of the superficial brachiomedian artery

Георгиев¹

2011

Anatomy

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“…The palmar type is large, long and reaches the palm, representing the embryonic type, which contrasts with the antebrachial type which is slender, short and ends before reaching the wrist (Salmon, 1933;Valdecasas-Huelin et al, 1979). The PMA has a range of incidence from 17-20% (Kopuz et al, 1997;Rodriquez-Niedenführ et al, 1993). RodriquezNiedenführ et al, also reported that the palmar pattern is more frequent in females than in males [1.3 (ratio)1] occurring unilaterally more than bilateral [4( ratio) 1] and slightly more frequent on the right hand on the left [1.1 (ratio)1].…”

Section: Introductionmentioning

confidence: 99%

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

Ariyo

2015

Int. J. Morphol.

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SUMMARY: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 in its 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.

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“…Moreover, several causative factors increase the carpal tunnel pressure, which include space-occupying mass, tenosynovitis, aberrant musculature, or congenital abnormal median nerve. A persistent median artery is a numerous reported anatomical variant, which is supposed to degenerate over time 2,3 . In addition, studies have shown its co-existence with bifid median nerve.…”

mentioning

confidence: 99%

Thrombosed Persistent Median Artery with Bifid Median Nerve Causing Acute Carpal Tunnel Syndrome: A Case Report

Kim

Park

Choi³

2017

Arch Hand Microsurg

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Among the numerous causes of carpal tunnel syndrome, thrombosed persistent median artery with bifid median nerve is extremely rare. Our presentation shows that an unusual case and surgical outcome of thrombosed persistent median artery with bifid median nerve causing acute carpal tunnel syndrome. Care has to be taken that identification of abnormal anatomy in the carpal tunnel is essential, especially in abruptly occurred carpal tunnel syndrome. We suggest that Doppler ultrasound examination is very useful in an outpatient clinic-based for identification of abnormal structure, which makes more quickly and accurate diagnosis than magnetic resonance image.

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A further morphological study of the persistent median artery in neonatal cadavers

Cited by 16 publications

References 0 publications

A rare case of superficial median artery of high brachial origin: anatomical and clinical considerations of the superficial brachiomedian artery

A rare case of superficial median artery of high brachial origin: anatomical and clinical considerations of the superficial brachiomedian artery

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

Thrombosed Persistent Median Artery with Bifid Median Nerve Causing Acute Carpal Tunnel Syndrome: A Case Report

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