Superficial brachial artery: a possible cause for idiopathic median nerve entrapment neuropathy

• Autorzy: Nkomozepi P. , Xhakaza N. , Swanepoel E.
• Języki publikacji: EN

Abstrakty

EN

Nerve entrapment syndromes occur because of anatomic constraints at specific locations in both upper and lower limbs. Anatomical locations prone to nerve entrapment syndromes include sites where a nerve courses through fibro-osseous or fibromuscular tunnels or penetrates a muscle. The median nerve (MN) can be entrapped by the ligament of Struthers; thickened biceps aponeurosis; between the superficial and deep heads of the pronator teres muscle and by a thickened proximal edge of flexor digitorum superficialis muscle. A few cases of MN neuropathies encountered are reported to be idiopathic. The superficial branchial artery (SBA) is defined as the artery running superficial to MN or its roots. This divergence from normal anatomy may be the possible explanation for idiopathic MN entrapment neuropathy. This study presents three cases with unilateral presence of the SBA encountered during routine undergraduate dissection at the University of Johannesburg. Case 1 — SBA divided into radial and ulnar arteries. Brachial artery (BA) terminated as deep brachial artery. Case 2 — SBA continued as radial artery (RA). BA terminated as ulnar artery (UA), anterior and posterior interosseous arteries. Case 3 — SBA continued as UA. BA divided into radial and common interosseous arteries. Arteries that take an unusual course are more vulnerable to iatrogenic injury during surgical procedures and may disturb the evaluation of angiographic images during diagnosis. In particular, the presence of SBA may be a course of idiopathic neuropathies. (Folia Morphol 2017; 76, 3: 527–531)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2017
• Tom: 76
• Numer: 3
• Opis fizyczny: p.527-531,fig.

Twórcy

autor

Nkomozepi P.

• Faculty of Health Sciences, Department of Human Anatomy and Physiology, University of Johannesburg, Johannesburg, Gauteng, South Africa

autor

Xhakaza N.

• Faculty of Health Sciences, Department of Human Anatomy and Physiology, University of Johannesburg, Johannesburg, Gauteng, South Africa

autor

Swanepoel E.

• Faculty of Health Sciences, Department of Human Anatomy and Physiology, University of Johannesburg, Johannesburg, Gauteng, South Africa

Bibliografia

• 1. Adachi B. Das Arteriensystem der Japaner. Maruzen Press, Kyoto 1928.
• 2. Andreisek G, Crook DW, Burg D, et al. Peripheral neuropathies of the median, radial, and ulnar nerves: MR imaging features. Radiographics. 2006; 26(5): 1267–1287, doi: 10.1148/rg.265055712, indexed in Pubmed: 16973765.
• 3. Anson BJ. The Cardiovascular system - Arteries & Veins. In: Thomas M (ed) Morris Hum. Anat. McGraw Hill Book Company, New York 1966: 708–724.
• 4. Bilecenoglu B, Uz A, Karalezli N. Possible anatomic structures causing entrapment neuropathies of the median nerve: an anatomic study. Acta Orthop Belg. 2005; 71(2): 169–176, indexed in Pubmed: 16152850.
• 5. Chakravarthi KK, Ks S, Venumadhav N, et al. Anatomical variations of brachial artery - its morphology, embryogenesis and clinical implications. J Clin Diagn Res. 2014; 8(12): AC17–AC20, doi: 10.7860/JCDR/2014/10418.5308, indexed in Pubmed: 25653931.
• 6. Charles CM, Penn L, Holden HF, et al. The origin of the deep brachial artery in American white and in American negro males. Anat Rec. 1931; 50(3): 299–302, doi: 10.1002/ar.1090500307.
• 7. Chauhan K, Udainia A, Bhatt C, et al. Morphological study of variation in branching pattern of brachial artery. Int J Basic Appl Med Sci. 2013; 3: 10–15.
• 8. Gonzalez-Compta X. Origin of the radial artery from the axillary artery and associated hand vascular anomalies. J Hand Surg Am. 1991; 16(2): 293–296, indexed in Pubmed: 2022840.
• 9. Janaki V, Sumalatha T, Veenatai J. Aparna Vedapriya K Variant Course and Anamolous branching Pattern of Major Ateries In Upper Limb in Telangana Region. Indian J Appl Res. 2016; 6: 103–106.
• 10. Khullar M. Superficial brachial artery: its embryological and clinical significance. Indian J Clin Pract. 2014; 24: 925–928.
• 11. Lee MJ, LaStayo PC. Pronator syndrome and other nerve compressions that mimic carpal tunnel syndrome. J Orthop Sports Phys Ther. 2004; 34(10): 601–609, doi: 10.2519/jospt.2004.34.10.601, indexed in Pubmed: 15552706.
• 12. Nakatani T, Tanaka S, Mizukami S, et al. The superficial ulnar artery originating from the axillary artery. Ann Anat. 1996; 178(3): 277–279, doi: 10.1016/S0940-9602(96)80068-9, indexed in Pubmed: 8712378.
• 13. Nandi-Kar M. Kar Proximal entrapment of median nerve associated with axillary artery variation: a case report. Case Rep Int J Anat Var. 2013; 6: 188–190.
• 14. Patnaik V, Kalsey G. Singla Rajan K Branching pattern of brachial artery: a morphological study. J Anat Soc India. 2002; 51: 176–186.
• 15. Rosenbaum RB, Ochoa J. Carpal Tunnel Syndrome and Other Disorders of the Median Nerve, 2e, 2 edition. Butterworth-Heinemann, Woburn, MA 2002.
• 16. Singer E. Embryological pattern persisting in the arteries of the arm. Anat Rec. 1933; 55(4): 406–413, doi: 10.1002/ar.1090550407.
• 17. Spinner RJ, Amadio PC. Compressive neuropathies of the upper extremity. Clin Plast Surg. 2003; 30(2): 155–73, vi, doi: 10.1016/S0094-1298(02)00103-7, indexed in Pubmed: 12737350.
• 18. Tsai P, Steinberg DR. Median and radial nerve compression about the elbow. Instr Course Lect. 2008; 57: 177–185, indexed in Pubmed: 18399579.
• 19. Yang HJ, Gil YC, Jung WS, et al. Variations of the superficial brachial artery in Korean cadavers. J Korean Med Sci. 2008; 23(5): 884–887, doi: 10.3346/jkms.2008.23.5.884, indexed in Pubmed: 18955798.

Identyfikatory

DOI

10.5603/FM.a2017.0013