The success rate of accessing the superficial palmar branch was 90.8%. The aim of this study was to describe the branching pattern of this vessel related to the morphometric characteristics and variations of this artery. On entering 1. Click card to see definition . During regular dissections for undergraduate medical students, we encountered a unique variation in the superficial palmar arch as it was completed by one of the large terminal branches of radial artery. Thrombosis and traumatic aneurysms of the distal ulnar artery and the superficial Fig. Superficial Volar Branch. 6. It is formed mainly from the ulnar artery and completed by the superficial palmar branch of the radial artery. Kamei et al. The superficial palmar arch ( superficial volar arch; arcus volaris superficialis) is formed by the ulnar artery, and is usually completed by a branch from the a. volaris indicis radialis, but sometimes by the superficial volar or by a branch from the a. princeps pollicis of the radial artery. The superficial palmar branch (SPB) of the radial artery (RA) is an important blood vessel in plastic surgery procedures of the hand. From May of 2005 to June of 2009, the senior author (F.C.I.) Tap card to see definition . Superficial palmar branch of the radial artery - arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist. In 175 patients, the superficial palmar branch of the ulnar artery in the hand was accessed. Superficial palmar arch: It lies deep to palmar aponeurosis, at the level of the distal border of fully extended thumb. Blood supply predominant supply is ulnar artery. minor supply from superficial branch of radial artery. Branches of superficial arch (from ulnar to radial) 1st branch is the deep branch that provides the minor supply to the deep palmar arch. The superficial palmar branch of the radial artery arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist.. Running forward, it passes through, occasionally over, the thenar muscles, which it supplies, and sometimes anastomoses with the terminal portion of the ulnar artery, completing the superficial palmar arch. Branches.—The branches of the radial artery may be divided into three groups, corresponding with the three regions in which the vessel is situated. Insertion: ulnar side of base of PPx of thumb along with AP. direct continuation of ulnar artery; arch is completed on lateral side by superficial branch of radial artery or another branch of radial. The FCR sheath is opened as far distally as possible, and the tendon retracted towards the ulnar side. Superficial palmar arch : Origin. The external diameters of these vessels were 1.8, 1.9, and 1.8 mm, respectively. We have modified this flap to enable the harvest of a longer flap and a more aesthetically placed donor-site scar. The superficial palmar arch starts with the superficial palmar branch of the radial artery and forms an anastomosis with the terminal branch of the ulnar artery. The superficial palmar arch is an anastomotic vessel found in the palmar (volar) compartment of the hand. Its main source is the ulnar artery, with a smaller contribution from the radial artery. In some cases, the radialis indicis, or the princeps pollicis arteries participate in this anastomosis instead of the radial artery. The superficial palmar branch of radial artery was very thin and ended as muscular artery supplying the abductor pollicis brevis. Classical anatomical textbooks describe the su-perficial palmar branch (SPB) as the last side branch of the radial artery (RA) before it enters the ana-tomical snuff-box and makes the curve around the carpus. In the forearm: radial recurrent, muscular, palmar carpal, superficial palmar; At the wrist: dorsal carpal, first dorsal metacarpal It supplies the proximal, middle and distal phalanges of fingers II-IV. . The damage is reduced, and can be made to carry the composite flap with nerve, tendon, and skin … 7. Synonym (s): ramus palmaris superficialis arteriae radialis [TA], superficial palmar artery, superficial volar artery, superficialis volae Background: Surgical procedures such as thenar flaps and radial artery (RA) harvesting call for an elaborate anatomical study of the RA’s superficial palmar branch (SPB). Superficial palmar arch (SPA) is the dominant vascular structure of the hand and is mainly formed by the anastomosis of ulnar artery (UA) with superficial branch of radial artery (RA), or arteria radialis indicis or arteria princeps pollicis from RA. The superficial palmar branch of the radial artery flap is an ideal flap for flow-through arterial reconstruction. • Palmar carpal branch – Arises near lower border of the pronator quadratus – Run medially deep to the flexor tendon – End by anastomosing with the palmar carpal branch of ulnar artery. 2 in 1993 reported the use of a free thenar flap based on the superficial branch of the radial artery in two patients. Gravity. The deep palmar arch was found to be less variable with 44.4% formed by an anastomosis between the deep volar branch of the radial artery and the inferior deep branch of the ulnar artery. is formed mainly by by the superficial palmar branch of the ulnar artery (on medial side) and contribution from one of the branches of radial artery ( lateral side). We treated 125 patients with various finger injuries who underwent free radial artery superficial palmar branch flap reconstruction between October 2010 and March 2015. The superficial palmar branch of the radial artery was partly responsible for the distal irrigation of the hand in 48 cases (47%); and in three hands (3%) it passed through the carpal tunnel. origin: terminal branch of the brachial artery; location: inferior aspect of the cubital fossa; supply: elbow joint, medial and central forearm muscles, median and ulnar nerves, and common flexor sheath; main branches: anterior and posterior ulnar recurrent arteries, common interosseous artery, palmar carpal arch, superficial palmar arch, and dorsal carpal branch radial recurrent artery path -arises from the radial artery just below its origin and ascends on the supinator and then between the brachioradialis and brachialis muscles Blood supply. minor supply from the deep branch of the ulnar artery. 6. The superficial palmar branch of the radial artery arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist. A 0.018-inch guidewire was introduced, and sheaths ranging in size from 4 to 6 F were inserted. In 11.1%, the ulnar artery forms the superficial arch but does not contribute to the blood supply to the thumb and index finger. There are two arterial palmar arches in the hand. Radial Artery of the Index finger Near the digital artery to the thumb, the radial artery to the index finger branches off of the deep palmar arch. The branch runs through the thenar muscles before connecting to the terminal part of the ulnar artery to complete the superficial palmar … It lies deep to palmar aponeurosis and superficial to long flexor tendons and lumbricals. The superficial palmar arch (SPA) is a direct continuation of the ulnar artery. Arterial supply: Superficial palmar branch of the radial artery + branches from princeps pollicis and radialis indicis arteries. [14] If elevation of a longer pedicle is intended, distal SUPBRA can be dissected up to its junction with the superficial palmar arch. the superficial palmar branch of the radial artery that supplies the thenar muscles then enters the palm to communicate with the superficial palmar arch from the ulnar artery. The occurrence of this arterial branch is variable, as well as its diameter and course. The superficial palmar branch of the radial artery (also known as the palmar cutaneous branch) is a small branch of the radial artery in the distal forearm. Running forward, it passes through, occasionally over, the thenar muscles , which it supplies, and sometimes anastomoses with the terminal portion of the ulnar artery, completing the superficial palmar arch . It reconnects with the palmar carpal branch of the ulnar artery and the interosseous arteries in the anterior compartment of the forearm, thus forming the palmar carpal arch. Open the FCR sheath. Deep palmar branch. Reports on its abnormal high origin and subsequent superficial course have been well documented. Branches of the deep arch (from radial to ulnar) princeps pollicis. the superficial palmar branch of the radial artery that supplies the thenar muscles then enters the palm to communicate with the superficial palmar arch from the ulnar artery. 1 Introduction The ulnar and radial arteries provide most of the blood supply to the hand (RUENGSAKULRACH, EIZENBERG, FAHRER et al., 2001). Superficial palmar branch of the radial artery; arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist. The superficial palmar arterial arch is the primary extension of ulnar artery, is superficial palmar division of the ulnar artery away from flexor retinaculum.The artery turns laterally after inserting the palm at the back of the palmar aponeurosis and also in front of long flexor tendons. It gives 4 digital arteries. A superficial radial artery branch originates before the major radial artery branch deviates around the thumb and then continues to join the ulnar artery through the superficial palmar arch. The superficial volar branch splits from the radial artery just as … The superficial palmar branch (SPB) of the radial artery (RA) is an important blood vessel in plastic surgery procedures of the hand. The aim of this article was to investigate the clinical application of the radial artery superficial palmar branch flap for soft-tissue reconstruction of the finger. Anastomosis and veins of the upper limb. It is used as the axial artery in a free flap used for finger reconstruction. The convexity of arch is pointed towards the digits. runs … The occurrence of this arterial branch is variable, as well as its diameter and course. The superficial palmar arch (superficial volar arch; arcus volaris superficialis) is formed by the ulnar artery, and is usually completed by a branch from the a. volaris indicis radialis, but sometimes by the superficial volar or by a branch from the a. princeps pollicis of the radial artery.The arch passes across the palm, describing a curve, with its convexity downward. Summary. 1 fingerbreadth proximal to the superficial arch. Keywords: morphology, radial artery, superficial palmar arch, ulnar artery, variation. The superficial palmar branch: The superficial palmar branch develops just before the radial artery exits the forearm by winding backward. If necessary, it can be ligated and divided. • Superficial carpal branch – Arises just before the radial artery leaves the … Synonym (s): ramus palmaris superficialis arteriae radialis [TA], superficial palmar artery, superficial … Description. The hand was hyperextended, and a 21-gauge needle was used to puncture the artery. Superficial Palmar Arch. We performed the replantation anastomosing the superficial palmar branch of the radial artery as donor artery as the proximal part of thumb digital arteries were … Variations of radial artery, in both its course and branching pattern in the anatomical snuffbox, are clinically significant for the plastic surgeons, cardiologists, and radiologists. Click again to see term . -radial recurrent artery, parlar caprla branch, superficial branch, dorsal carpal branch, princeps pollicis artery, radialis indicis artery, deep palmar arch. The most common variation in superficial palmar arch anatomy was the presence of a small radial artery branch to the arch, arising dorsally (dorsalis pollicis artery; Agur & Lee, 1991), at the level of origin of the princeps pollicis artery, which passed into the palm to reach the ulnar artery . The free flap based on superficial palmar branch of the radial artery (SPBRA) from the flexor aspect of the wrist was first described by Sakai in 2003 [ 10 ]. Ulnar artery (1), radial artery (2), superficial palmar branch palmar arch are well documented in literature [2-6, 8, 9, of the radial artery (3), superficial palmar arch (4), flexor pollicis 11, 12, 17]. It brings blood supply to the index finger along its thumb side. The superficial palmar branch of the radial artery: a corrosion cast study Knowledge of the SPB dominance and existence of anastomotic vessels in its field of supply are of importance to avoid the risk of possible ischaemic sequelae in the hand associated with harvesting the RA. Insertion: Radial side of base of PPx of thumb (Note: tendon has a sesamoid bone) Deep part: Origin: Ulnar side of the first metacarpal bone.
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