VARIATION IN TERMINATION OF BRACHIAL ARTERY –BILATERAL

Dr.MOHD IMTESAL ALI ZISHAAN; Dr.APARNA VEDA PRIYA K.; DR. TUNIKI MEENA; DR. HEENA FATHIMA

Volume : IX, Issue : II, February - 2020

VARIATION IN TERMINATION OF BRACHIAL ARTERY –BILATERAL

Dr. Mohd Imtesal Ali Zishaan, Dr. Aparna Veda Priya K. , Dr. Tuniki Meena, Dr. Heena Fathima

Abstract :

INTRODUCTION: Brachial artery being the direct continuation of axillary artery at the lower border of teres major.Deviations in the normal course and anching pattern of the achial artery and its detail knowledge of such arterial variations is essential not only to anatomist but also to radiologists,orthopaedicians,Vascular and plastic surgeons. AIMS AND OBJECTIVES: The present study was done to evaluate the incidence of anchial artery anatomical variations & enumerate its impact on clinical implications. METHODOLOGY: This study was conducted in dept of anatomy of Osmania medical college ,koti,Hyderabad. During routine undergraduate dissection on human cadavers(44upperlimbs)–20 males and 2 female cadavers were dissected for the study.The cadavers with visible trauma , pathology or prior surgeries were excluded from study. Routine dissection of the upper limb was followed . During the dissection of the anterior compartment of the arm and flexor compartment of forearm,the achial artery was identified and carefully dissected at first,the achial artery was confirmed that it is continuation of the third part of axillary artery at the lower border of teres major and then , it was traced towards its anches.Any variations found were noted and photographed . The results were analysed and compared to previous studies. RESULTS: Bilateral termination of achial artery was found in a male cadaver at the distal part of front of arm above the elbow joint[on right side 3.5 cms and on left 2.5 cms from the elbow joint] CONCLUSION: High division of achial artery has profound clinical importance varying across the spectrum,from a simple procedure of recording blood pressure using auscultatory method to advanced radiovascular procedures & nevertheless vascular surgeries .These variation are to be considered before proceeding on to any vascular surgeries and interpretation of arteriograms of these vessels. Therefore sound knowledge of unusual variations or deviation in achial artery is important for both radiologist and surgeons for diagnostic and therapeutic uses .