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IJAR.2019.158

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Type of Article:  Case Report

Volume 7; Issue 2.2 (May 2019)

Page No.: 6527-6530

DOI: https://dx.doi.org/10.16965/ijar.2019.158

ARTERIAL AND NEURAL VARIATIONS IN THE RIGHT UPPER LIMB: A CASE REPORT

Mohd Arshad 1, Fateh Mohammad *2, Rajesh Kumar 3, Kamil Khan 4, Md Tabrej Alam 5.

1,3,4,5 Assistant Professor, Department of Anatomy, Glocal Medical College, Super Specialty Hospital & Research Center, Saharanpur, U.P., India.

*2 Associate Professor, Department of Anatomy, Hind Medical Sciences, Sitapur, U.P., India.

Address For Correspondence:  Dr. Fateh Mohammad, Associate Professor. Department Of Anatomy, Glocal Medical College, Super Specialty Hospital & Research Center, Saharanpur, U.P., India. E-Mail: f.mohd98@gmail.com

ABSTRACT:

Background: Variations of the arteries, nerves and muscles of the upper limb have both clinical and surgical importance. The superficial brachial artery origination from the third part of the axillary artery, communications between the musculocutaneous and median nerves, variant formation of the brachial plexus, origination of the Profunda brachii artery from the posterior circumflex humeral artery have been well documented. We describe here the other variations in the upper limbs of a male cadaver.

Case Report: During our routine dissection studies on a 50year old male cadaver we encountered variations in Right upper limb.

Observations: In this case we observed the axillary artery    gives two terminal branches the first was the superficial brachial artery and the second was a common trunk for the sub scapular,

brachial, posterior circumflex humeral and anterior circumflex humeral arteries. Superficial brachial artery give Radial and Ulnar arteries. Variant formations of the brachial plexus i.e., medial root of median nerve originate from both lateral and medial cord.

Conclusion: We think that such variations should be kept in mind during surgical and diagnostic procedures. Variation in the brachial plexus medial root of median nerve originate from both lateral and medial cord might be of significance in diagnostic clinical neurophysiology.

Key words: Superficial Brachial Artery, Deep Brachial Artery, Axillary Artery, Median Nerve, Profunda Brachii Artery.

REFERENCES

  1. Rodriguez-Niedenfuhr M, Vazquez T, Nearn L,  Ferreira B, Parkin I, Sanudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat, 2001;199:547–566.
  2. Susan Standring. Gray’s Anatomy (London, Elsevie Churchill Livingstone   Publishers, 2008) 856.
  3. Jacquemin G, Lemaire V, Medot M, Fissette J. Bilateral case of superficial ulnar artery originating    from axillary artery. Surg Radiol Anat. 2001;23:139-143.
  4. Casal D, Pais D, Toscano T, Bilhim T, RodriguesL, Figueiredo I,Aradio S,Angelica-Almeida M, Goyri-O’Neill J. A rare variant of the ulnar artery with important clinical implications:  a case. 2012- Published in 2013
  5. Bergman R, Thompson SA, Afifi AK. Catalog of human anatomical variation. Urban Schwarzenberg, Baltimore 1985;108–114.
  6. Adachi B. Das arteriensystem der Japaner. Maruzen Co, Kyoto, 1928;326–374.
  7. McCormack LJ, Claudwell EW, Anson BJ. Brachial and antebrachial arterial patterns.A study of 750 extremities. Surg Gynecol Obstet, 1953;96: 43–54.
  8. Müller E. Beitrage zur morphologie des gefasssystems. Anat Hafte, 1903;22: 379–574.
  9. Miller RA. Observations upon the arrangement of the axillary artery and brachial plexus. J Am Anat Rec, 1939;64:143–163.
  10. Fuss FK, Matula CW, Tschabitscher M. Die arteria brachialis superficialis. Anat Anz, 1985;160:285–2947.
  11. Jurjus AR, Correa-De-Aruaujo R, Bohn RC. Bilateral double axillary artery: embryological basis and  clinical implications. Clin Anat, 1999;12:135–140.
  12. Cavdar S, Zeybek A, Bayramicli M. Rare variation of the axillary artery. Clin Anat. 2000;13:66–68.
  13. Gonzalez-Compta X. Origin of the radial artery from the axillary artery and associated hand vascular J Hand Surg Am. 1991;16:293–296.
  14. Sarikcioglu L, Coskun N, Ozkan O. A case with multiple anomalies in the upper limb. Surg Radiol Anat 2001;23:65–68.
  15. Anagnostopoulou S, Venieratos D. An unusual branching pattern of the superficial brachial artery   accompanied by an ulnar nerve with two roots. J Anat. 1999;195:471–476.
  16. Sahin B, Seelig LL. Arterial, neural and muscular variations in the upper limbs of a single cadaver. Surg Radiol Anat. 2000;22:305–308.
  17. Sarikcioglu L, Yildirim FB. High origin of the radial artery accompanied by muscular and neural anomalies. Ann Anat. 2003;185:179–182.
  18. George BM, Nayak S and Kumar P. Clinically significant neurovascular variations in the axilla and the arm – a case report. Neuroanat 2007;6:36-38.
  19. Rao TR, Shetty P and Suresh R. Abnormal branching pattern of the axillary artery and its clinical significance. Int. J. Morphol 2008;26(2):389-392.

Cite this article: Mohd Arshad, Fateh Mohammad, Rajesh Kumar, Kamil Khan, Md Tabrej Alam. ARTERIAL AND NEURAL VARIATIONS IN THE RIGHT UPPER LIMB: A CASE REPORT. Int J Anat Res 2019;7(2.2):6527-6530. DOI: 10.16965/ijar.2019.158