Analysis of the vascular pattern in the superficial palmar arch formation
Keywords:
Vascular pattern, superficial palmar arch formation, ulnar artery, superficial palmar archAbstract
Background and Aim: Palmar arterial supply is mainly provided by the superficial palmar arch (SPA). Ulnar artery primarily completes the arterial arcade of the superficial palmar arch. Radial artery grafts and reconstructive hand surgery benefit from understanding the variations in SPA formation. The present study is aimed to analyze the vascular pattern of the superficial palmar arch. Materials and Methods: This cross-sectional study was conducted in the Department of Anatomy, Bacha Khan Medical Complex Mardan and Multan Medical & Dental College, Multan from October 2019 to September 2022 on 60 specimens, 46 male and 14 females. Due to inconvenient sampling, all cadaveric hands studied during the three years in the dissection room of the anatomy department were not calculated. An incision was made along the root of the fingers and another at the wrist joint. The 3rd metacarpo-phalangeal joint was incised vertically from the middle of the wrist. Reflection of the skin and aponeurosis of the palm was done. An area of adipose tissue around the superficial palmar arch was removed to observe the arches and their branches. Variations were noted in the superficial palmar arches.
Downloads
References
Baral P, Shrestha R, Sapkota S, Koju S, Chaudhary B. A study of variations in formation of superficial palmar arch in Nepalese cadavers. JGMC Nepal. 2021;14(1):19-23. DOI: 10.3126/jgmcn.v14i1.33995.
Jose BA, Rekha S, Babu S. Analysis of the vascular pattern in the superficial palmar arch formation. Indian Journal of Clinical Anatomy and Physiology. 2017;4(1):11-5.
Gupta C, Kalthur SG, Nair N, Pai SR. A morphological study of variations in superficial palmar arches of the hand. Journal of Health and Research. 2015;2(2):140-4. DOI: 10.4103/2348-3334.153259.
Ranjan R, Dubey AK, Jain A. Superficial Palmar Arch: a study of morphological Variation patterns. Global journal for research analysis. 2017;6(5):621-3
Mbaka GO, Ejiwunmi AO, Olabiyi OO. Pattern of variations in superficial palmar arch in 134 Negro cadaveric hands. Italian journal of anatomy and embryology. 2014;119(3):153-62.
Gnanasekaran D, Veeramani R. Newer insights in the anatomy of superficial palmar arch. Surgical and Radiologic Anatomy. 2019 July 1;41:791-9.
Singh N. An Assessment of the Contributing Arteries in Superficial Palmar Arch Formation and Variations in its Formation.
Gokhroo R., Bisht D., Gupta S., Kishor K., Ranwa B. Palmar arch anatomy: Ajmer Working Group classification. Vascular 2016:24: 31-36.
Arrchana. S, Arumugam. K, Sreevidya. J, Sudha Seshayyan. Anatomical study of superficial palmar arch and its variations with clinical significance. Int J Anat Res 2018;6(2.1):5127-5133.
Aragão JA, da Silva ACF, Anunciação CB, Reis FP (2017) Median artery of the forearm in human fetuses in northeastern Brazil: anatomical study and review of the literature. Anat Sci Int 92(1):107–111
Arrchana S, Arumugam K, Sreevidya J, Sudha S (2018) Anatomical study of superficial palmar arch and its variations with clinical significance. Int J Anat Res 6(2.1):5127–5133.
Berezowsky CA, Gutiérrez AE, Fresnedo JQ, Montero JAR (2018) Anatomical study of the superficial palmar arch, its relation to the Kaplan cardinal line and literature review. Rev Iberam Cir Mano 46(2):96–105
Bergman RA, Tubbs RS, Shoja MM, Loukas M (2016) Bergman’s comprehensive encyclopedia of human anatomic variation. John Wiley & Sons, Hoboken, New Jersey.
Dawani P, Mahajan A, Mishra S, Vasudeva N (2020) Variations of the superficial palmar arch: A clinico-anatomical consideration. Int J Anat Res 8(4.2):7817–7822.
Gadzhieva F, Senko V (2017) Aspects of the human superficial palmar arch formation in newborns. J Grodno State Med Univ 15(3):315–318.
Gnanasekaran D, Veeramani R (2019) Newer insights in the anatomy of superficial palmar arch. Surg Radiol Anat 41:791–799
Gokhroo R, Bisht D, Gupta S, Kishor K, Ranwa B (2016) Palmar arch anatomy: Ajmer working group classification. Vascular 24(1):31–36
Haładaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M (2019) Persistent median artery as an unusual finding in the carpal tunnel: its contribution to the blood supply of the hand and clinical significance. Med Sci Monit 25:32–39
Hashimoto S, Ikegami S, Nishimura H, Uchiyama S, Takahashi J, Kato H (2020) Prevalence and risk factors of carpal tunnel syndrome in Japanese aged 50 to 89 years. J Hand Surg Asian Pas 25(3):320–327
Jena S, Arora G, Sadananda R, Sahu S, Tudu J (2017) A study on morphological variants of human superficial palmar arch and their clinical importance. S J App Med Sci 5(3C):867–872
Kaplanoglu H, Beton O (2017) Evaluation of anatomy and variations of superficial palmar arch and upper extremity arteries with CT angiography. Surg Radiol Anat 39(4):419–426
Kastamoni Y, Anil A, Peker T, Anil F (2020) Evaluation of vascular and neural anatomy of the hand in adult cadavers. J Anat Soc India 69:171–177
Lucas T, Kumaratilake J, Henneberg M (2020) Recently increased prevalence of the human median artery of the forearm: a microevolutionary change. J Anat 237(4):623–631.
Saha A, Lal N, Pal S (2019) The superficial palmar arch: a morphological study. Int J Anat Res 7(3.3):6918–6923
Sajey PS, Shihas PM, Romi S (2017) A study on the morphological variations of superficial palmar arch. J Evol Med Dent Sci 6(33):2741–2747.
Singh S, Lazarus L, De Gama B, Satyapal K (2017) An anatomical investigation of the superficial and deep palmar arches. Folia Morphol 76(2):219–225
Slobodian O, Guzak V (2020) Typical and variant anatomy of the palmar arteries during perinatal period of ontogenesis. Mold Med J 63(2):44–48
Published
How to Cite
Issue
Section
Copyright (c) 2023 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
