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How    to    cite    this    Article:     Raviprasanna.K.H,    Dakshayani    K.R .    MORPHOLOGICAL    VARIANTS    AND    THEIR    CLINICAL    SIGNIFICANCE    OF SUPERFICIAL PALMAR ARCH IN HAND SURGERIES.  Int J Anatomy Res 2016;4(4):2967-2972. DOI: 10.16965/ijar.2016.382.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijar.2016.382 Page No.:  2967-2972
MORPHOLOGICAL VARIANTS AND THEIR CLINICAL SIGNIFICANCE OF SUPERFICIAL PALMAR ARCH IN HAND SURGERIES Raviprasanna.K.H * 1 , Dakshayani K.R 2 . *1 Assistant   Professor, Department of Anatomy, Sree Narayana Institute of Medical Sciences, North Kuthiathode, Chalakka, Ernakulum, Kerala, India. 2  Professor and HOD, Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka, India. Correspondence    Address:     Dr.    Raviprasanna.    K.    H,    Assistant    Professor,    Department    of    Anatomy,    Sree    Narayana    Institute    of    Medical    Sciences,    North Kuthiathode, Chalakka, Ernakulum, Kerala-683594, India. Phone no- +919496752619, Fax No- 91484-2478093. E-Mail:  pravi_kh81@yahoo.in ABSTRACT Background:   Superficial   palmar   arch   is   the   dominant   vascular   structure   in   palm   formed   by   the   anastomosis   between   superficial   branch   of   ulnar   and superficial palmar branch of radial arteries. Purpose of the study : To know the different anatomic patterns in the formation of superficial palmar arch in humans and their clinical implications. Materials   and   Methods:   The   study   included   50   hands   from   human   cadavers   from   Department   of   Anatomy,   Mysore   Medical   College   &   Research   Institute, Mysore   and   Sree   Narayana   Institute   of   Medical   Sciences,   Ernakulum.   The   specimens   were   fixed   with   10%   formalin   solution   and   morphology   of   superficial palmar arch was observed for different patterns. Results:   In   the   above   study,   different   variants   of   superficial   palmar   arch   were   observed.   88%   of   specimens   were   of   complete   and   12%   were   incomplete   type of   arch.   The   different   morphological   variants   were   grouped   according   to   the   classification   provided   by   Coleman   and   Anson   in   1961.   42%   of   specimens belonged   to   type-A   variety   in   the   formation   of   superficial   palmar   arch,   26%   to   type-B,   4%   to   type-C,   6%   to   type-D,   10%   were   of   complete   arch-   (not   in   the classification), 4% to type-F, 6% (rare variety) and 2% to type-H variety. Conclusion:   The   present   study   revealed   details   about   different   patterns   of   vascular   anastomosis   which   helps   in   knowing   the   importance   of   arches   in   cases of   reconstructive   hand   surgeries,   preoperative   screening   of   radial   artery   harvesting   for   myocardial   revascularisation   and   arterial   interventions   that   include radial artery cannulation and radial artery arm flap. Lack of knowledge of different patterns might complicate reconstructive hand surgeries. KEY WORDS: Superficial palmar arch, Variations, Radial artery, Ulnar artery, Median artery. References 1 . Standring   S.   Vascular   supply   and   Lymphatic   drainage,   Wrist   and   Hand.   In:   Gray’s   Anatomy.   39 th    ed.   Edinburgh:   Elsevier   Churchill   Livingstone;   2005: 1982-1898. 2 . Snell R S. The upper limb. In: Clinical Anatomy by regions. 8 th  ed. Baltimore: Lippincott Williams and Wilkins; 2008:503-504. 3 . Romanes G.J. The forearm and hand. In: Cunningham’s Manual of Practical Anatomy. 15 th  ed. vol.1Oxford University Press; 1989:74-104. 4 . Coleman, S, and Anson, J. Arterial pattern in hand – based upon a study of 650 specimens. Surgery. Gynaecology. Obstetrics, 1961:113(4):409-24. 5 . Umapathy   Sembian,   Kamala.E,   Muhil   M,   Nalina   Kumari.    A   Study   of   Variations   variation   In   the   Formation   of   Superficial   Palmar   Arch   in   the   Rural Population of Southern Tamil Nadu. International Journal of Anatomy Radiology and Surgery. 2012-June;1(1):7-11. 6 . Süleyman   Murat   Taðýl,   Aynur   Emine   Çiçekcibaþý,   Tunç   Cevat   Öðün,   Mustafa   Büyükmumcu,   Ahmet   Salbacak.   Variations   and   Clinical   Importance   of   the Superficial Palmar Arch. S.D.Ü. Týp Fak. Derg. 2007;14(2):11-16. 7 . Z.M. Bataineh, S.T. Moqattash. A complex variation in the superficial palmar arch. Folia Morphol. 2006;65(4):406-409. 8 . Loukas M, Holdman D & Holdman S. Anatomical variations of the superficial and deep palmar arches: Folia Morphologica (warsz). 2005;64(2):78-83. 9 . Patnaik VVG, Kalsey G & Singla RK. Palmar arterial arches- a morpholo gical study: Journal of Anatomical Society of India. 2002;51(2):187-193. 1 0 . Ikeda   A,   Ugawa   A,   Kazihara   Y,   Hamada   N.   Arterial   patterns   in   the   hand   based   on   a   three   dimensional   analysis   of   220   cadaver   hands:   The   Journal   of Hand Surgery.1988;13(4):501-509. 1 1 . Janevski BK. Angiography of the upper extremity: The Hague: Martinus Nijhoff.1982;73-122. 1 2 . Keen   JA.   Study   of   the   arterial   variations   in   the   limbs,   with   special   reference   to   symmetry   of   vascular   patterns:   American   Journal   of   Anatomy. 1961;108(3):245-61. 1 3 . Rodríquez-Niedenführ M, Sańudo JR, Vásquez T, Nearn L,  Logan B, and Parkin I. Median artery revisited. J Anat. 1999;195:57-63. 1 4 . Latiff   AA,   Othman   F,   Suhaimi   FH   &   Das   S.   Anomalous   superficial   palmar   arch:   a   cadaveric   study   with   clinical   implications:   Archives   of   Medical   Science 2008;4(2):197-199. 1 5 . Arey, L.B. Developmental anatomy. In: Development of the arteries. 6th Edn W.B. Saunder’s Co. Philadelphia. 1957:375-7. 16. Bhargava I. Anomalous branching of axillary artery. Journal of the anatomical society of India.1956;(5):78-80.
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Volume 4 |Issue 4.1 |  2016 Date of Publication:  31 October 2016
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