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A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY

Yıl 2023, Cilt: 4 Sayı: 2, 154 - 158, 28.07.2023

Rasim Hamutoğlu Mehmet Yıldırım Şükrü Turan Peştemalcı Ahmet Ertaş Özge Irmak Doğancı

https://doi.org/10.48176/esmj.2023.125

Öz

Accurate information about the arterial anatomy of the upper extremities and their common variations is essential for limb surgeons.
Persistent median artery (PMA) was examined in 6 cadavers (12 upper limbs). We encountered one case of bilateral the absence of superficial palmar arch (SPA), a bifid median nerve (MN) and the presence of the PMA originating from the ulnar artery (UA) during dissection. The incidence of the PMA in this study was 17%. It was determined that PMA and UA supplied the palm on both extremities of the cadaver without forming an arch. This specimen showed a radio-mediano-ulnar type of incomplete SPA. The UA was the dominant vessel of the palm in almost all cadavers compared to the other vessels.
Awareness of variations in the vascular pattern of the palm will be of considerable help for clinical, plastic surgeons in their reconstructive surgery because such an artery may result in complications such as carpal tunnel syndrome.

Anahtar Kelimeler

Anatomy Hand Palmar type Persistent median artery Superficial palmar arch

Destekleyen Kurum

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Proje Numarası

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Teşekkür

We would like to express our intimate gratitude to those who donated their bodies to science for the furthering of understanding and treatment of the living.

Kaynakça

  • Referans1. Henneberg M, George BJ. A further study of the high incidence of the median artery of the forearm in Southern Africa. J Anat. 1992;181:151–4.
  • Referans2. Kopuz C, Baris S, Gulman B. A further morphological study of the persistent median artery in neonatal cadavers. Surg Radiol Anat. 1997;19:403–6.
  • Referans3. Singh S, Lazarus L, De-Gama BZ, Satyapal KS. An anatomical investigation of the superficial and deep palmar arches. Folia Morphol. (Warsz) 2017;76:219–25.
  • Referans4. Rapotra M, Sharma A, Sharma M, Singh R. Absence of Superficial Palmar Arch with Persistent Median Artery - A Study. Int J Sci Study. 2017;5:130–3.
  • Referans5. Coleman S, Anson J. Arterial pattern in handbased upon a study of 650 specimens. Surg Gynecol Obstet. 1961;113:409–24.
  • Referans6. Rodríguez-Niedenführ M, Sañudo JR, Vázquez T, Nearn L, Logan B, Parkin I. Median artery revisited. J Anat. 1999;195:57–63.
  • Referans7. Nayak SR, Krishnamurthy A, Kumar SM, et al. Palmar type of median artery as a source of superficial palmar arch: A cadaveric study with its clinical significance. Hand (N Y) 2010;5:31–6.
  • Referans8. Kavitha K, Sushma, D’Souza P, Kumar V. Absence of superficial palmar arch with persistent median artery - a case report. NUJHS. 2014;4:109–11.
  • Referans9. Olave E, Prates JC. Deep palmar arch pattern in Brazilian individuals. Surg Radiol Anat. 1999;21:267–71.
  • Referans10. Haladaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M. 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. 2019;25:32–9.
  • Referans11. Agarwal P, Gupta S, Yadav P, Sharma D. Cadaveric study of anatomical variations of the median nerve and persistent median artery at wrist. Indian J Plast Surg. 2014;7:95–101.
  • Referans12. Tsuruo Y, Ueyama T, Ito T, et al. Persistent median artery in the hand: A report with a brief review of the literature. Anat Sci Int. 2006;81:242–52.
  • Referans13. Kumar MR. Multiple Arterial Variations in the Upper Limb of a South Indian Female Cadaver. Clin Anat. 2004;17:233–5.
  • Referans14. Feintisch AM, Ayyala HS, Datiashvili R. An Anatomic Variant of Persistent Median Artery in Association with Carpal Tunnel Syndrome: Case Report and Review of the Literature. J Hand Surg. 2017;22:523–5.
  • Referans15. Buch C, Devora CM, Johnson LY, Rahimi OB, Kar R. Incomplete superficial palmar arch and bilateral persistent median artery. Int J Surg Case Reports 2019;58:205–7.
  • Referans16. Claassen H, Schmitt O, Wree A. Large patent median arteries and their relation to the superficial palmar arch with respect to history, size consideration and clinic consequences. Surg Radiol Anat. 2008;30:57–63.
  • Referans17. Jones NF, Ming NL. Persistent median artery as a cause of pronator syndrome. J Hand Surg. 1988;13:728–32.
  • Referans18. Saenz C, Rahimi OB, Kar R. Cadaveric study of division of the median nerve by the persistent median artery. Surg Radiol Anat. 2022;44:1455–60.
  • Referans19. Raviprasanna KH, Dakshayani KR. Persistent median artery in the carpal tunnel. Int J Anat Res. 2014;2:589–93.
  • Referans20. Gassner EM, Schocke M, Peer S, Schwabegger A, Jaschke W, Bodner G. Persistent median artery in the carpal tunnel: color Doppler ultrasonographic findings. J Ultrasound Med. 2002;21:455–61.

ULNAR ARTERDEN ÇIKAN PALMAR TİP BİLATERAL KALICI MEDYAN ARTER OLGUSU

Yıl 2023, Cilt: 4 Sayı: 2, 154 - 158, 28.07.2023

Rasim Hamutoğlu Mehmet Yıldırım Şükrü Turan Peştemalcı Ahmet Ertaş Özge Irmak Doğancı

https://doi.org/10.48176/esmj.2023.125

Öz

Üst ekstremitelerin arteryel anatomisi ve yaygın varyasyonları hakkında doğru bilgi, ekstremite cerrahları için çok önemlidir.
Kalıcı medyan arter, 6 kadavrada (12 üst ekstremite) incelendi. Disseksiyon sırasında yüzeyel palmar kemerin oluşmadığı, bifid median sinirin ve ulnar arterden köken alan kalıcı medyan arterin olduğu bilateral bir olgu ile karşılaştık. Bu çalışmada, kalıcı medyan arterin insidansı %17 idi. Kalıcı medyan arter ve ulnar arterlerin, kadavranın her iki ekstremitesinde de bir kemer oluşturmadan avuç içini beslediği belirlendi. Bu örnek bir radyo-mediyo-ulnar tip-tamamlanmamış yüzeysel palmar kemer oluşumunu gösterdi. Ulnar arter, diğer damarlara göre hemen hemen tüm kadavralarda avuç içi baskın damardı.
Avuç içi vasküler paternindeki varyasyonların bilinmesi, rekonstrüktif cerrahide klinik ve plastik cerrahlara önemli ölçüde yardımcı olacaktır, çünkü böyle bir arter karpal tünel sendromu gibi komplikasyonlara neden olabilir.

Anahtar Kelimeler

Anatomi El Palmar tip Kalıcı medyan arter Yüzeyel palmar kemer

Proje Numarası

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Kaynakça

  • Referans1. Henneberg M, George BJ. A further study of the high incidence of the median artery of the forearm in Southern Africa. J Anat. 1992;181:151–4.
  • Referans2. Kopuz C, Baris S, Gulman B. A further morphological study of the persistent median artery in neonatal cadavers. Surg Radiol Anat. 1997;19:403–6.
  • Referans3. Singh S, Lazarus L, De-Gama BZ, Satyapal KS. An anatomical investigation of the superficial and deep palmar arches. Folia Morphol. (Warsz) 2017;76:219–25.
  • Referans4. Rapotra M, Sharma A, Sharma M, Singh R. Absence of Superficial Palmar Arch with Persistent Median Artery - A Study. Int J Sci Study. 2017;5:130–3.
  • Referans5. Coleman S, Anson J. Arterial pattern in handbased upon a study of 650 specimens. Surg Gynecol Obstet. 1961;113:409–24.
  • Referans6. Rodríguez-Niedenführ M, Sañudo JR, Vázquez T, Nearn L, Logan B, Parkin I. Median artery revisited. J Anat. 1999;195:57–63.
  • Referans7. Nayak SR, Krishnamurthy A, Kumar SM, et al. Palmar type of median artery as a source of superficial palmar arch: A cadaveric study with its clinical significance. Hand (N Y) 2010;5:31–6.
  • Referans8. Kavitha K, Sushma, D’Souza P, Kumar V. Absence of superficial palmar arch with persistent median artery - a case report. NUJHS. 2014;4:109–11.
  • Referans9. Olave E, Prates JC. Deep palmar arch pattern in Brazilian individuals. Surg Radiol Anat. 1999;21:267–71.
  • Referans10. Haladaj R, Wysiadecki G, Dudkiewicz Z, Polguj M, Topol M. 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. 2019;25:32–9.
  • Referans11. Agarwal P, Gupta S, Yadav P, Sharma D. Cadaveric study of anatomical variations of the median nerve and persistent median artery at wrist. Indian J Plast Surg. 2014;7:95–101.
  • Referans12. Tsuruo Y, Ueyama T, Ito T, et al. Persistent median artery in the hand: A report with a brief review of the literature. Anat Sci Int. 2006;81:242–52.
  • Referans13. Kumar MR. Multiple Arterial Variations in the Upper Limb of a South Indian Female Cadaver. Clin Anat. 2004;17:233–5.
  • Referans14. Feintisch AM, Ayyala HS, Datiashvili R. An Anatomic Variant of Persistent Median Artery in Association with Carpal Tunnel Syndrome: Case Report and Review of the Literature. J Hand Surg. 2017;22:523–5.
  • Referans15. Buch C, Devora CM, Johnson LY, Rahimi OB, Kar R. Incomplete superficial palmar arch and bilateral persistent median artery. Int J Surg Case Reports 2019;58:205–7.
  • Referans16. Claassen H, Schmitt O, Wree A. Large patent median arteries and their relation to the superficial palmar arch with respect to history, size consideration and clinic consequences. Surg Radiol Anat. 2008;30:57–63.
  • Referans17. Jones NF, Ming NL. Persistent median artery as a cause of pronator syndrome. J Hand Surg. 1988;13:728–32.
  • Referans18. Saenz C, Rahimi OB, Kar R. Cadaveric study of division of the median nerve by the persistent median artery. Surg Radiol Anat. 2022;44:1455–60.
  • Referans19. Raviprasanna KH, Dakshayani KR. Persistent median artery in the carpal tunnel. Int J Anat Res. 2014;2:589–93.
  • Referans20. Gassner EM, Schocke M, Peer S, Schwabegger A, Jaschke W, Bodner G. Persistent median artery in the carpal tunnel: color Doppler ultrasonographic findings. J Ultrasound Med. 2002;21:455–61.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Rasim Hamutoğlu 0000-0002-2474-5336

Mehmet Yıldırım 0000-0003-2458-6125

Şükrü Turan Peştemalcı 0000-0002-8649-101X

Ahmet Ertaş 0000-0002-5518-4834

Özge Irmak Doğancı 0000-0001-8759-5606

Proje Numarası -
Erken Görünüm Tarihi 28 Temmuz 2023
Yayımlanma Tarihi 28 Temmuz 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 2

Kaynak Göster

APA Hamutoğlu, R., Yıldırım, M., Peştemalcı, Ş. T., Ertaş, A., vd. (2023). A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY. Eskisehir Medical Journal, 4(2), 154-158. https://doi.org/10.48176/esmj.2023.125
AMA Hamutoğlu R, Yıldırım M, Peştemalcı ŞT, Ertaş A, Doğancı ÖI. A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY. Eskisehir Med J. Temmuz 2023;4(2):154-158. doi:10.48176/esmj.2023.125
Chicago Hamutoğlu, Rasim, Mehmet Yıldırım, Şükrü Turan Peştemalcı, Ahmet Ertaş, ve Özge Irmak Doğancı. “A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY”. Eskisehir Medical Journal 4, sy. 2 (Temmuz 2023): 154-58. https://doi.org/10.48176/esmj.2023.125.
EndNote Hamutoğlu R, Yıldırım M, Peştemalcı ŞT, Ertaş A, Doğancı ÖI (01 Temmuz 2023) A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY. Eskisehir Medical Journal 4 2 154–158.
IEEE R. Hamutoğlu, M. Yıldırım, Ş. T. Peştemalcı, A. Ertaş, ve Ö. I. Doğancı, “A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY”, Eskisehir Med J, c. 4, sy. 2, ss. 154–158, 2023, doi: 10.48176/esmj.2023.125.
ISNAD Hamutoğlu, Rasim vd. “A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY”. Eskisehir Medical Journal 4/2 (Temmuz 2023), 154-158. https://doi.org/10.48176/esmj.2023.125.
JAMA Hamutoğlu R, Yıldırım M, Peştemalcı ŞT, Ertaş A, Doğancı ÖI. A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY. Eskisehir Med J. 2023;4:154–158.
MLA Hamutoğlu, Rasim vd. “A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY”. Eskisehir Medical Journal, c. 4, sy. 2, 2023, ss. 154-8, doi:10.48176/esmj.2023.125.
Vancouver Hamutoğlu R, Yıldırım M, Peştemalcı ŞT, Ertaş A, Doğancı ÖI. A CASE OF PALMAR TYPE OF BILATERAL PERSISTENT MEDIAN ARTERY ARISING FROM THE ULNAR ARTERY. Eskisehir Med J. 2023;4(2):154-8.
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