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A Case of Bilateral Superficial Ulnar Artery Variation

Year 2014, Volume: 16 Issue: 1, 63 - 65, 01.03.2014

Abstract

During routine dissection of a 60- 65 years old Caucasian, male cadaver, we found that the ulnarartery is coursing superficially on both forearms. These superficial ulnar arteries (SUA) wereoriginating 2 cm above from termination of the brachial arteries and were running superficiallyto the flexor muscles in forearm. The brachial artery was terminated in the cubital fossa anddivided as radial, common interosseal and recurrent radial arteries. Variations of arteries, muscles and nerves of the upper limb are well documented. Variations ofthe radial artery is most frequent arterial anomaly of the forearm (15,6%), whereas theprevalence of the superficial ulnar artery is less frequent and given as the percentage of 0.7-9.4.Furthermore, its bilateral prevalence is very rare (0.01-0.62%). If it is present, the superficialulnar artery is vulnerable to traumas which may be a cause of hemorrhage and it may be riskfor misguided intra-arterial injections that may be a cause of ischemia, even non-reversiblenecrosis and gangrene in the distal portion of the forearm. Additionally, SUA may be valuablefor arterial cannulations and harvesting fasciocutaneous forearm flaps

References

  • Williams Peter L: Arteries of the upper limb. Gray’s anatomy 38:318-20.
  • Rodriguez-Niedenfuhr M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR: Variation of the arterial pattern of the upper limb revisited. J Anat 2001; 199:547-66.
  • D'costa S, Shenoy BM, Narayana K: The incidence of superficial arterial pattern in the human upper limb extremities. Folia Morphol (Warsz) 2004; 63:459-63.
  • Dartnell, P. Sekaran, and H. Ellis: The superficial ulnar artery: Incidence and calibre in 95 cadaveric specimens. J. Clinical Anatomy 2007; 20:929–32.
  • Sieg P, Jacobsen HC, Hakim SG, Hermes D. Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps Head Neck. 2006; 28.447-52.
  • Sanudo JR, Mirapeix RM, Garcia R, Rodriguez--Nidenfunr M A superficial ulnar artery anastomosing with a larger anterior interosseous artery to supply the wrist and hand. J Anat 1998; 192: 439-41.
  • Rodriguez-Niedenfuhr , Sanudo JR, Vazquez T,Nearn L, Logan B, Parkın I Median artery revisited. Journal of Anatomy 1999; 195: 57-63.
  • Chin KJ, Sing K: The superficial ulnar artery- a potential hazardin patients with difficult venous access. Br J Anaesth 2005; 94:692-3.
  • Ohana E, Sheiner E, Gurman GM: Accidental intra-arterial injection of propofol. Eur J Anesthesiol 1999; 16:569-70.
  • Duggan M, Braude BM. Accidental intra-arterial injection through an‘intravenous’ cannula on the dorsum of the hand. Paediatr Anaesth 2004; 14: 611–12.
  • Hazlett JW. The superficial ulnar artery with reference to accidental intra-arterial injection. Can Med Assoc J 1949; 61.289-93.

İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU

Year 2014, Volume: 16 Issue: 1, 63 - 65, 01.03.2014

Abstract

Eğitim amaçlı olarak yapılan rutin diseksiyon sırasında, beyaz ırka ait, 60-65 yaşlarında, erkekkadavrada, her iki taraf önkolda yüzeyel seyirli arteria ulnaris varlığı görüldü. Yüzeyel seyirliarteria ulnaris, arteria brachialis’in fossa cubiti içerisinde sonlandığı seviyenin yaklaşık 2 cmkadar proksimalinden ayrılarak, önkolun fleksor kaslarının yüzeyelinde seyretmekteydi. Arteriabrachialis ise fossa cubiti sınırları içerisinde, a. radialis, a. interossea communis ve a. radialisrecurrens olarak üç dala ayrılmaktaydı. Literatürde, üst ekstremitenin damar, sinir ve kas varyasyonları kapsamlı olarak ele alınmıştırve hala önemini koruyan bir konu olarak ele alınmaya devam etmektedir. Üst ekstremitede ensık %15,6 ile a. radialis’e ait varyasyonlar gözlemlenirken, yüzeyel seyirli arteria ulnarisvaryasyonunun görülme sıklığı çok daha azdır (%0,9-9,4). Her iki önkolda varyasyonun görülmedurumu ise oldukça enderdir (%0.01-0.62) ve bu durum kadınlarda daha sık olarakgörülmektedir. A. ulnaris’in cilt altında yüzeyel olarak seyrettiği durumlarda, basit travmalarlabirlikte ciddi kanamaların ortaya çıkması, yanlışlıkla arter içi ilaç verilmesi gibi nedenlerleoluşan iskemiye bağlı nekrozların meydana gelmesi gibi komplikasyonlar ortayaçıkabilmektedir. Ayrıca, yüzeyel seyirli arteria ulnaris varlığının bilinmesi ve akılda tutulması,bölgeye yönelik kanülasyonlar, graft operasyonları gibi girişimler açısından da önemtaşımaktadır

References

  • Williams Peter L: Arteries of the upper limb. Gray’s anatomy 38:318-20.
  • Rodriguez-Niedenfuhr M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR: Variation of the arterial pattern of the upper limb revisited. J Anat 2001; 199:547-66.
  • D'costa S, Shenoy BM, Narayana K: The incidence of superficial arterial pattern in the human upper limb extremities. Folia Morphol (Warsz) 2004; 63:459-63.
  • Dartnell, P. Sekaran, and H. Ellis: The superficial ulnar artery: Incidence and calibre in 95 cadaveric specimens. J. Clinical Anatomy 2007; 20:929–32.
  • Sieg P, Jacobsen HC, Hakim SG, Hermes D. Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps Head Neck. 2006; 28.447-52.
  • Sanudo JR, Mirapeix RM, Garcia R, Rodriguez--Nidenfunr M A superficial ulnar artery anastomosing with a larger anterior interosseous artery to supply the wrist and hand. J Anat 1998; 192: 439-41.
  • Rodriguez-Niedenfuhr , Sanudo JR, Vazquez T,Nearn L, Logan B, Parkın I Median artery revisited. Journal of Anatomy 1999; 195: 57-63.
  • Chin KJ, Sing K: The superficial ulnar artery- a potential hazardin patients with difficult venous access. Br J Anaesth 2005; 94:692-3.
  • Ohana E, Sheiner E, Gurman GM: Accidental intra-arterial injection of propofol. Eur J Anesthesiol 1999; 16:569-70.
  • Duggan M, Braude BM. Accidental intra-arterial injection through an‘intravenous’ cannula on the dorsum of the hand. Paediatr Anaesth 2004; 14: 611–12.
  • Hazlett JW. The superficial ulnar artery with reference to accidental intra-arterial injection. Can Med Assoc J 1949; 61.289-93.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Sinan Bakırcı This is me

İlker Mustafa Kafa This is me

Murat Uysal This is me

Erdoğan Şendemir This is me

Publication Date March 1, 2014
Published in Issue Year 2014 Volume: 16 Issue: 1

Cite

APA Bakırcı, S., Kafa, İ. M., Uysal, M., Şendemir, E. (2014). İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU. Duzce Medical Journal, 16(1), 63-65.
AMA Bakırcı S, Kafa İM, Uysal M, Şendemir E. İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU. Duzce Med J. March 2014;16(1):63-65.
Chicago Bakırcı, Sinan, İlker Mustafa Kafa, Murat Uysal, and Erdoğan Şendemir. “İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU”. Duzce Medical Journal 16, no. 1 (March 2014): 63-65.
EndNote Bakırcı S, Kafa İM, Uysal M, Şendemir E (March 1, 2014) İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU. Duzce Medical Journal 16 1 63–65.
IEEE S. Bakırcı, İ. M. Kafa, M. Uysal, and E. Şendemir, “İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU”, Duzce Med J, vol. 16, no. 1, pp. 63–65, 2014.
ISNAD Bakırcı, Sinan et al. “İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU”. Duzce Medical Journal 16/1 (March 2014), 63-65.
JAMA Bakırcı S, Kafa İM, Uysal M, Şendemir E. İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU. Duzce Med J. 2014;16:63–65.
MLA Bakırcı, Sinan et al. “İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU”. Duzce Medical Journal, vol. 16, no. 1, 2014, pp. 63-65.
Vancouver Bakırcı S, Kafa İM, Uysal M, Şendemir E. İKİ TARAFLI YÜZEYEL ARTERİA ULNARİS OLGUSU. Duzce Med J. 2014;16(1):63-5.