Unusual ending of the second dorsal metacarpal artery as proper palmar digital arteries

• Autorzy: Bianchi H.F. , Vargas C.A. , Ottone N.E.
• Języki publikacji: EN

Abstrakty

EN

Background: The proper palmar digital arteries arise infrequently from dorsal metacarpal arteries. This work reports the second dorsal metacarpal artery unusual ending and a vascular variation related to the superficial palmar arch. Materials and methods: Fresh human upper limbs routine dissection, from a male cadaver, injected with coloured elastomeric material, immersed in 10% formalin. Results: The second dorsal metacarpal artery presented terminal branches, the index finger medial proper digital palmar artery and the middle finger lateral proper digital palmar artery. At the division point of both terminal branches, the second dorsal metacarpal artery anastomoses with a thin forth common digital palmar artery. Conclusions: The value of this knowledge about the infrequent vascular disposition lies in vascularised flaps design using the second dorsal metacarpal artery. (Folia Morphol 2018; 77, 2: 393–396)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2018
• Tom: 77
• Numer: 2
• Opis fizyczny: p.393–396,fig.,ref.

Twórcy

autor

Bianchi H.F.

• Medicine School, Buenos Aires University and IUCS Barcelo Foundation, Buenos Aires, Argentina

autor

Vargas C.A.

• Department of Physical Education, Education School, Universidad de La Frontera, Temuco, Chile
• Doctoral Programme in Morphological Sciences, School of Medicine, Universidad de La Frontera, Temuco, Chile

autor

Ottone N.E.

• Laboratory of Plastination and Anatomical Techniques, Research Centre in Dental Sciences (CICO), Dental School, Universidad de La Frontera, Temuco, Chile
• Doctoral Programme in Morphological Sciences, School of Medicine, Universidad de La Frontera, Temuco, Chile
• Centre of Excellence in Morphological and Surgical Studies (CEMyQ), Universidad de La Frontera, Temuco, Chile

Bibliografia

• 1. Adachi B. Das Arteriensystem der Japaner. Band I. Kyoto: Maruzen Co. 1928.
• 2. Coleman SS, Anson BJ. Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obstet. 1961; 113: 409–424, indexed in Pubmed: 13694610.
• 3. Dauphin N, Casoli V. The dorsal metacarpal arteries: anatomical study. Feasibility of pedicled metacarpal bone flaps. J Hand Surg Eur Vol. 2011; 36(9): 787–794, doi: 10.1177/1753193411412872, indexed in Pubmed: 21708840.
• 4. Dautel G, Merle M. Direct and reverse dorsal metacarpal flaps. Br J Plast Surg. 1992; 45(2): 123–130, indexed in Pubmed: 1562836.
• 5. de Rezende MR, Mattar Júnior R, Cho AB, et al. Anatomic study of the dorsal arterial system of the hand. Rev Hosp Clin Fac Med Sao Paulo. 2004; 59(2): 71–76, indexed in Pubmed: 15122421.
• 6. Earley MJ. The arterial supply of the thumb, first web and index finger and its surgical application. J Hand Surg Br. 1986; 11(2): 163–174, indexed in Pubmed: 3734551.
• 7. Earley MJ. The second dorsal metacarpal artery neurovascular island flap. J Hand Surg Br. 1989; 14(4): 434–440, indexed in Pubmed: 2482855.
• 8. Edwards EA. Organization of the small arteries of the hand and digits. Am J Surg. 1960; 99: 837–846, indexed in Pubmed: 13819401.
• 9. Germann G, Funk H, Bickert B. The fate of the dorsal metacarpal arterial system following thermal injury to the dorsal hand: A Doppler sonographic study. J Hand Surg Am. 2000; 25(5): 962–968, doi: 10.1053/jhsu.2000.8638, indexed in Pubmed: 11040314.
• 10. Healy C, Mercer NS, Earley MJ, et al. Focusable Doppler ultrasound in mapping dorsal hand flaps. Br J Plast Surg. 1990; 43(3): 296–299, indexed in Pubmed: 2190663.
• 11. Ikeda A, Ugawa A, Kazihara Y, et al. Arterial patterns in the hand based on a three-dimensional analysis of 220 cadaver hands. J Hand Surg Am. 1988; 13(4): 501–509, indexed in Pubmed: 3418051.
• 12. Karacalar A, Ozcan M. A new approach to the reverse dorsal metacarpal artery flap. J Hand Surg Am. 1997; 22(2): 307–310, doi: 10.1016/S0363-5023(97)80168-2, indexed in Pubmed: 9195431.
• 13. Khan K, Riaz M, Small JO. The use of the second dorsal metacarpal artery for vascularized bone graft. An anatomical study. J Hand Surg Br. 1998; 23(3): 308–310, indexed in Pubmed: 9665515.
• 14. Libersa Cl, Francke JP, Mauppin JM, et al. The arterial supply to the palm of the hand (arteriae palmae manus). Anatomia Clinica. 1982; 4(1): 33–45, doi: 10.1007/bf01811187.
• 15. Quaba AA, Davison PM. The distally-based dorsal hand flap. Br J Plast Surg. 1990; 43(1): 28–39, indexed in Pubmed: 2310896.
• 16. Rodríguez-Niedenführ M, Burton GJ, Deu J, et al. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001; 199(Pt 4): 407–417, indexed in Pubmed: 11693301.
• 17. Tasom A, Sinthubua A, Sananpanich K, et al. Cadaveric study of superficial palmar arch variations in northern Thai population by using epoxy resin injection technique. J Med Assoc Thai. 2014; 97(12): 1352–1357, indexed in Pubmed: 25764646.
• 18. Tonkin MA. Pollicization for congenital thumb aplasia using the second dorsal metacarpal artery as the vascular pedicle: case report. J Hand Surg Am. 2011; 36(3): 502–506, doi: 10.1016/j.jhsa.2010.11.046, indexed in Pubmed: 21295924.
• 19. Yang D, Morris SF. Vascular basis of dorsal digital and metacarpal skin flaps. J Hand Surg Am. 2001; 26(1): 142–146, doi: 10.1053/jhsu.2001.20967, indexed in Pubmed: 11172381.
• 20. Zaidenberg CR, Angrigiani C. Reverse flaps for the treatment of severe finger wounds. Rev Asoc Argent Ortop Traumatol. 1993; 58: 58–65.

Identyfikatory

DOI

10.5603/FM.a2017.0084