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Superficial Palmer Arch: Some Interesting Variations

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Abstract (2. Language): 
The superficial palmer arch is formed by superficial division of ulnar artery and completed on radial side by either of the superficial palmar branch of radial artery, arteriaprincepspollicis, arteriaradialisindicis or arterianervimediana. It may be incomplete at times. It lies beneath the palmar aponeurosis and in front of long flexor tendons, lumbricals and palmar digital branches of median nerve.Awareness of the superficial palmer arch variation in the hands is essential for surgeons, radiologists and anatomists because of innovative microsurgical techniques in reconstruction of a traumatized hand, arterial repairs and may be useful for vascular graft surgeries.Variations in the superficial palmer arch have been studied by several authors. We intended to study superficial palmer arch in twenty pairs of hands in a course of two years and report the variations. We dissected forty palms of twenty cadavers over 2 years during routine dissection for undergraduate teaching in a medical college of Kolkata, India.Bilateral variations of superficial palmer arch were observed in three pairs of palms. Of them, one pair was complete arch, other two incomplete, though they again differed in distribution. With high rate of road traffic accidents in today’s world, and increasing needs of surgical reconstruction procedures of hand and vascular graft application, it has become essential to acquire knowledge of anatomical variation of superficial palmer arch. Such knowledge is also essential to have proper interpretation and performance of the diagnostic angiography and therapeutic surgery in case of ischemic changes in fingers.
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REFERENCES

References: 

1) Standring S. Grey’s Anatomy ( 39 eds ). In: Wrist and hand. Elsevier Churchilllivingstone.
Edition London UK, (2005); PP 925-929.
2) Gajisin S, Zbrodowski A. Local vascular contribution of the superficial palmer arch. Acta
.Anat (Basel) 1993; 147: 248-251.
3) Moore KL, Dalley AF. Clinically Oriented Anatomy. 10th ed. Philadelphia: Lippincott, Williams
and Wilkins; 1999. p. 751
4) Coleman , S. And Anson, J.(1961): Arterial pattern in hand- based upon a study of 650
specimens. Surgery. Gynaecology. Obstetrics. [113 (4)]:pp. 409-24.
5) Erbil M, Aktekin M, Denk CC, Onderoglu S, Sürücü HS. Arteries of the thumb originating from
the superficial palmar arch: five cases. SurgRadiol Anat. 1999; 21(3):217-20.
Indian Journal of Basic and Applied Medical Research; December 2014: Vol.-4, Issue- 1, P. 154-159
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6) Valentin N. and Veras W. R. Variation on the Formation of Superficial Palmar Arch. A cadaveric
Study. The FASEB Journal. 2011;25:866.15.
7) Ikeda A, Ugawa A, Kazihara Y, Hamada N. Arterial patterns in the hand based on a threedimensional
analysis of 220 cadaver hands. J Hand Surg 1988; 13: 501-509.
8) Loukas M, Tubbs S, Louis R G, Apaydin N. Princepspollicis artery arising from the superficial
palmar arch. Singapore medical journal. 2009; 50(11):e391-2
9) Adachi B. (1928) Das Arterien System des Japaner, 365, 368, 389.
10) Huber G. C.(1930) Piersol’s Human Anatomy, 9th ed., I, J.B. Lippincot Co. Philadelphia,
785-91.
11) Mookambica R.V., Nair V., Nair N., Somayaji S.N., Pamidi N., Vollala V.R. Incomplete
superficial palmar arch. International Journal of Anatomical Variations 2010; 3:65-66.
12) Gellman H., Botte M.J., Shankwiler J., Gelberman R.H. Arterial patterns of the deep and
superficial palmar arches. ClinOrthop and Related Research 2001; 383: 41-46.
13) Suman.U.,K.S.Jayanthi, A Study of Complete Superficial Palmar Arches formed entirely by Ulnar
Artery. J Anat. Soc. India. 2011; 60(2): 199-201.
14) Ruengsakulrach P, Eizenberg N, Fahrer C, Fahrer M, Buxton BF. Surgical implications of
variations in hand collateral circulation: anatomy revisited. J ThoracCardiovasc Surg. 2001
Oct;122 (4):682-6.
15) Rao S, Vollala VR, Pamidi N, Nagabhooshana S, Potu BK. Variant formation and distribution of
the superficial palmar arch. Indian J PlastSurg 2010;43:116-7.
16) Arey: Developmental anatomy. In: Development of the arteries. 6th Ed. W.b. Saunders Co.,
Philadelphia : pp. 375-377 ( 1957).
17) Senior, H. D. (1926): A note on development of radial artery. Anatomical Record., (32): p.
220.

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