Anomalous origin, branching pattern and course of vessels of upper extremities with Clinical Significance.

Dr. Thamke Swati G; Dr. Mahesh Kurwe

Volume : VIII, Issue : VIII, August - 2018

Anomalous origin, branching pattern and course of vessels of upper extremities with Clinical Significance.

Dr. Thamke Swati G, Dr. Mahesh Kurwe

Abstract :

BACKGROUND: The course and anching pattern of the upper limb vessels deviate with sex, race and ethnic groups. During treatment of axillary artery thrombosisor electrophysiological procedures accurate knowledge of the normal and deviated arterial pattern of the upper extremities is important. METHOD: During routine dissection of upper limbs in 30 cadavers, as a part of undergraduate teaching schedule, an unusual anching pattern of the axillary and achial artery was observed. RESULT: It was observed that in 6.66% cases 1] Second part of axillary artery showed common trunk which divided into lateral thoracic artery and subscapular artery. 2] Brachial plexus cords gave anches at higher level around second part of axillary artery. Arteries of upper limb became tortuse. In 3.33% cases achial artery showed higher division with origin of radial artery from medial side which then crossed medial nerve and ran on lateral side. Ulnar artery originated from lateral side crossed by radial artery and was present lateral to medial nerve in cubital fossa, further course was as usual. CONCLUSION: Knowledge of normal and anomalous anatomy of the region is important for radiologist, surgeons, diagnostic evaluation and surgical management of vascular diseases and injuries.