Persistent median artery inside the carpal tunnel
The median artery is usually a transient vessel during the embryonic period. However, this artery can persist in adult life as the persistent median artery. This paper aims to describe this relevant anatomical variation for surgeons, review the literature and discuss its clinical implications. A rou...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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University of São Paulo
2021-08-01
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Series: | Autopsy and Case Reports |
Subjects: | |
Online Access: | https://www.revistas.usp.br/autopsy/article/view/187830 |
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author | João Gabriel Alexander Matheus Coelho Leal Josemberg da Silva Baptista |
author_facet | João Gabriel Alexander Matheus Coelho Leal Josemberg da Silva Baptista |
author_sort | João Gabriel Alexander |
collection | DOAJ |
description | The median artery is usually a transient vessel during the embryonic period. However, this artery can persist in adult life as the persistent median artery. This paper aims to describe this relevant anatomical variation for surgeons, review the literature and discuss its clinical implications. A routine dissection was performed in the upper left limb of a male adult cadaver of approximately 50-60 years of age, embalmed in formalin 10%. The persistent median artery was identified emerging as a terminal branch of the common interosseous artery with a path along the ulnar side of the median nerve. In the wrist, the persistent median artery passed through the carpal tunnel, deep in the transverse carpal ligament. The dissection in the palmar region revealed no anastomosis with the ulnar artery forming the superficial palmar arch. The common digital arteries emerged from the ulnar artery and the persistent median artery. Such variation has clinical and surgical relevance in approaching carpal tunnel syndrome and other clinical disorders in the wrist. |
first_indexed | 2024-12-19T20:47:32Z |
format | Article |
id | doaj.art-fa282b9fad3a47d3831812cab74f052d |
institution | Directory Open Access Journal |
issn | 2236-1960 |
language | English |
last_indexed | 2024-12-19T20:47:32Z |
publishDate | 2021-08-01 |
publisher | University of São Paulo |
record_format | Article |
series | Autopsy and Case Reports |
spelling | doaj.art-fa282b9fad3a47d3831812cab74f052d2022-12-21T20:06:12ZengUniversity of São PauloAutopsy and Case Reports2236-19602021-08-01104Persistent median artery inside the carpal tunnelJoão Gabriel Alexander0 Matheus Coelho Leal1Josemberg da Silva Baptista2Universidade Federal do Espírito Santo (UFES), Departamento de Morfologia, Laboratório de Estudos em Morfologia Aplicada (LEMA), Vitória, ES, Brasil.Universidade Federal do Espírito Santo (UFES), Departamento de Morfologia, Laboratório de Estudos em Morfologia Aplicada (LEMA), Vitória, ES, Brasil.Universidade Federal do Espírito Santo (UFES), Departamento de Morfologia, Laboratório de Estudos em Morfologia Aplicada (LEMA), Vitória, ES, Brasil.The median artery is usually a transient vessel during the embryonic period. However, this artery can persist in adult life as the persistent median artery. This paper aims to describe this relevant anatomical variation for surgeons, review the literature and discuss its clinical implications. A routine dissection was performed in the upper left limb of a male adult cadaver of approximately 50-60 years of age, embalmed in formalin 10%. The persistent median artery was identified emerging as a terminal branch of the common interosseous artery with a path along the ulnar side of the median nerve. In the wrist, the persistent median artery passed through the carpal tunnel, deep in the transverse carpal ligament. The dissection in the palmar region revealed no anastomosis with the ulnar artery forming the superficial palmar arch. The common digital arteries emerged from the ulnar artery and the persistent median artery. Such variation has clinical and surgical relevance in approaching carpal tunnel syndrome and other clinical disorders in the wrist.https://www.revistas.usp.br/autopsy/article/view/187830Anatomy, regionalBiological Variation, IndividualCarpal Tunnel SyndromeNerve Compression Syndromes |
spellingShingle | João Gabriel Alexander Matheus Coelho Leal Josemberg da Silva Baptista Persistent median artery inside the carpal tunnel Autopsy and Case Reports Anatomy, regional Biological Variation, Individual Carpal Tunnel Syndrome Nerve Compression Syndromes |
title | Persistent median artery inside the carpal tunnel |
title_full | Persistent median artery inside the carpal tunnel |
title_fullStr | Persistent median artery inside the carpal tunnel |
title_full_unstemmed | Persistent median artery inside the carpal tunnel |
title_short | Persistent median artery inside the carpal tunnel |
title_sort | persistent median artery inside the carpal tunnel |
topic | Anatomy, regional Biological Variation, Individual Carpal Tunnel Syndrome Nerve Compression Syndromes |
url | https://www.revistas.usp.br/autopsy/article/view/187830 |
work_keys_str_mv | AT joaogabrielalexander persistentmedianarteryinsidethecarpaltunnel AT matheuscoelholeal persistentmedianarteryinsidethecarpaltunnel AT josembergdasilvabaptista persistentmedianarteryinsidethecarpaltunnel |