Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications

Background: Accurate knowledge of variation pattern of the major arteries of upper limb is of considerable practical importance in the conduct of reparative surgery in the arm, forearm and hand however brachial artery and its terminal branches variations are less common. Aim: Accordingly the pr...

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Main Authors: Kosuri Kalyan Chakravarthi, Siddaraju KS, Nelluri Venumadhav, Ashish Sharma, Neeraj Kumar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-12-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5308/10418_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh)_PF2(PAG).pdf
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author Kosuri Kalyan Chakravarthi
Siddaraju KS
Nelluri Venumadhav
Ashish Sharma
Neeraj Kumar
author_facet Kosuri Kalyan Chakravarthi
Siddaraju KS
Nelluri Venumadhav
Ashish Sharma
Neeraj Kumar
author_sort Kosuri Kalyan Chakravarthi
collection DOAJ
description Background: Accurate knowledge of variation pattern of the major arteries of upper limb is of considerable practical importance in the conduct of reparative surgery in the arm, forearm and hand however brachial artery and its terminal branches variations are less common. Aim: Accordingly the present study was designed to evaluate the anatomical variations of the brachial artery and its morphology, embryogenesis and clinical implications. Materials and Methods: In an anatomical study 140 upper limb specimens of 70 cadavers (35 males and 35 females) were used and anatomical variations of the brachial artery have been documented. Results: Accessory brachial artery was noted in eight female cadavers (11.43%). Out of eight cadavers in three cadavers (4.29%) an unusual bilateral accessory brachial artery arising from the axillary artery and it is continuing in the forearm as superficial accessory ulnar artery was noted. Rare unusual variant unilateral accessory brachial artery and its reunion with the main brachial artery in the cubital fossa and its variable course in relation to the musculocutaneous nerve and median nerve were also noted in five cadavers (7.14%). Conclusion: As per our knowledge such anatomical variations of brachial artery and its terminal branches with their relation to the surrounding structures are not reported in the modern medical literature. An awareness of such a presence is valuable for the surgeons and radiologists in evaluation of angiographic images, vascular and re-constructive surgery or appropriate treatment for compressive neuropathies.
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spelling doaj.art-22a791ea1bcc4e7a970feebd8c3f37402022-12-21T22:27:07ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-12-01812AC17AC2010.7860/JCDR/2014/10418.5308Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical ImplicationsKosuri Kalyan Chakravarthi0Siddaraju KS1Nelluri Venumadhav2Ashish Sharma3Neeraj Kumar4Assistant Professor, Department of Anatomy, Mayo Institute of Medical Sciences, Faizabad Road, Gadia, Barabanki, Uttar Pradesh, India. Lecturer, Department of Anatomy, KMCT Medical College, Manassery, Calicut, Kerala, India. Senior Grade Lecture, Department of Anatomy, Melaka Manipal Medical College (MMMC), Manipal University, Manipal, and Karnataka, India.Assistant Professor, Department of Anatomy, Mayo Institute of Medical Sciences, Faizabad Road, Gadia, Barabanki, Uttar Pradesh, India. Assistant Professor, Department of Anatomy, Mayo Institute of Medical Sciences, Faizabad Road, Gadia, Barabanki, Uttar Pradesh, India. Background: Accurate knowledge of variation pattern of the major arteries of upper limb is of considerable practical importance in the conduct of reparative surgery in the arm, forearm and hand however brachial artery and its terminal branches variations are less common. Aim: Accordingly the present study was designed to evaluate the anatomical variations of the brachial artery and its morphology, embryogenesis and clinical implications. Materials and Methods: In an anatomical study 140 upper limb specimens of 70 cadavers (35 males and 35 females) were used and anatomical variations of the brachial artery have been documented. Results: Accessory brachial artery was noted in eight female cadavers (11.43%). Out of eight cadavers in three cadavers (4.29%) an unusual bilateral accessory brachial artery arising from the axillary artery and it is continuing in the forearm as superficial accessory ulnar artery was noted. Rare unusual variant unilateral accessory brachial artery and its reunion with the main brachial artery in the cubital fossa and its variable course in relation to the musculocutaneous nerve and median nerve were also noted in five cadavers (7.14%). Conclusion: As per our knowledge such anatomical variations of brachial artery and its terminal branches with their relation to the surrounding structures are not reported in the modern medical literature. An awareness of such a presence is valuable for the surgeons and radiologists in evaluation of angiographic images, vascular and re-constructive surgery or appropriate treatment for compressive neuropathies.https://jcdr.net/articles/PDF/5308/10418_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh)_PF2(PAG).pdfentrapment neuropathymedian nerveparaesthesia
spellingShingle Kosuri Kalyan Chakravarthi
Siddaraju KS
Nelluri Venumadhav
Ashish Sharma
Neeraj Kumar
Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
Journal of Clinical and Diagnostic Research
entrapment neuropathy
median nerve
paraesthesia
title Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
title_full Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
title_fullStr Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
title_full_unstemmed Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
title_short Anatomical Variations of Brachial Artery - Its Morphology, Embryogenesis and Clinical Implications
title_sort anatomical variations of brachial artery its morphology embryogenesis and clinical implications
topic entrapment neuropathy
median nerve
paraesthesia
url https://jcdr.net/articles/PDF/5308/10418_CE(Ra)_F(Sh)_PF1(AJAK)_PFA(Sh)_PF2(PAG).pdf
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AT nellurivenumadhav anatomicalvariationsofbrachialarteryitsmorphologyembryogenesisandclinicalimplications
AT ashishsharma anatomicalvariationsofbrachialarteryitsmorphologyembryogenesisandclinicalimplications
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