IJAR.2018.385

Type of Article:  Original Research

Volume 6; Issue 4.3 (December 2018)

Page No.: 5963-5969

DOI: https://dx.doi.org/10.16965/ijar.2018.385

MORPHOLOGICAL STUDY OF BRACHIAL ARTERY AND ITS VARIATIONS IN BRANCHING PATTERN

Sushma *1,Kavitha K  2, Satheesha K S 3.

*1 Assistant Professor, Department of Anatomy, Srinivas Institute of Medical Sciences and Research Centre, Mukka, Mangalore, Karnataka, India.

2 Lecturer, Department of Anatomy, K.L.E. Society’s Institute of Dental Sciences, Bangalore, Karnataka, India.

3 Professor and HOD, Department of Anatomy,Srinivas Institute of Medical Sciences and Research Centre, Mukka, Mangalore, Karnataka, India.

Address for correspondence: Dr.Sushma,Department of Anatomy,Srinivas Institute of Medical Sciences and Research centre, Mukka, Surathkal, Mangalore-574146, Karnataka, India. E-Mail: sushmavasudev@gmail.com

ABSTRACT:

Background: The brachial artery, a continuation of the axillary artery, begins at the distal (inferior) border of the tendon of teres major and ends distal to the elbow joint (at the level of the neck of the radius) by dividing into radial and ulnar arteries. The brachial artery is wholly superficial, covered anteriorly only by skin and superficial and deep fascia. In the present study we aimed to describe the high origin of brachial artery and its branching variations.

Materials and methods: The present study was conducted in 40 formalin fixed upper limbs selected by convenient sampling irrespective of age and sex over a period of 6 months. The brachial artery was exposed and the length of the brachial artery and the distance of the profunda brachii artery from the lower border of teres major were measured using a thread and a measuring tape. Variations of brachial artery and its branches were noted.

Results: In the present study, arterial variations can be classified as high division of brachial artery in five limbs, which is 12.5% of the 40 limbs dissected.  Origin of profundabrachii artery is quite variable in 15℅ (6 limbs) of cases.

Conclusion: Variations of Brachial artery and its branches are common both in respect of formation and termination.Knowledge of the vascular variations will increase the success of the surgical and radiological procedures.

Key words: Brachial Artery, Radial Artery, Ulnar Artery, Profunda Brachii Artery.

REFERENCES

  1. Susan Standring. Gray’s anatomy. 39th edition-The Anatomical Basis of Clinical Practice; 2008; 855 – 56.
  2. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MW, eds. Gray’s Anatomy. 38th Ed., London, Churchill Livingstone. 1999; 319, 1539
  3. Karlsson S, Niechajev IA. Arterial anatomy of the upper extremity. Acta Radiologica.1982;23,115-121.
  4. Muller E. Beitra$gezurMorphologie des Gefa$sssystems.I. Die Armarterien des Menschen. Anatomische Hefte 1903; 22,377-575.
  5. Rodriguez-Baeza A, Nebot, J, Ferreira, B, Reina F, Perez, J,Sanudo,J R.&Roig M. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J. Anat. 1995;187(2):473-9.
  6. Suresh B, Ramakrishna A, Arunachalam K. Primary Pattern of Arteries of Upper Limb with Relevance to their Variations. Int. J. Morphol. , 2011;29(4):1422-1428.
  7. McCormack, L. J.Cauldwell, W. & Anson, B. J. Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg.Gynecol. Obstet., 1953;96(1):43-54.
  8. Nakatani T, Tanaka S, Mizukami S. Superficial brachial artery continuing as the common interosseous artery. J. Anat. 1997;191(1):155-7.
  9. Patnaik, V.V.G; Branching pattern of Brachial artery-Morphological study,J Anat. Soc. India 2002;51(2):176-186.
  10. Susan Standring. Grays Anatomy 40th Edition. 2008.
  11. David B Jenkins. Hollinsheads’s Functional anatomy of the limbs and back. 9th ed, 2009. 107-121.
  12. Shewale SN, Sukre SB, Diwan CV. Bifurcation Of brachial artery at its commencement-A case report. Biomedical Research 2012;23(3):453-456.
  13. V.mane and S.R.Pandhare .Unusual Arterial Variation of Upper Limb – Case Report. IJRTST. 2011;1(2):61-64.
  14. Sharadkumar PS, Shaguphta TS, S. D. Lele, ShaheenR,S.R.Menon, R.Uma, Rakhi MM. A case report on two profundabrachii artery originating from the brachial and the posterior circumflex humeral arteries. IJRRPAS. 2012;2(6):1008-1013.
  15. Bojana K, Bijana SRDC, Dusica M, Radmila G, SasaMijatov, Sinisa SB. An anatomical study of double brachial arteries-a case report. IJAV. 2010;3:8-8.
  16. Ozisik, K.Dural, C.CemDenk, B.Kocer, U.Sakinci. Brachial artery occlusion in patients with b/l high origin of radial artery. Ejves. 2003;20-20.
  17. Bilodi AK and Sanikop MB Variations in termination of brachial artery – A case report. Kathmandu University Medical Journal 2004;2(1):49-51.
  18. Chandrika T, Nilesh NK, Paarthipan N. High division and variation in brachial artery branching pattern. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). Jan.- Feb. 2013;3(6):68-70.
  19. Sawant SP. A case report on cadaveric variation of trifurcation of the brachial artery and its developmental basis. World research journal of cardiology. 2013;1(1):01-03.
  20. Sharadkumar PS, Shaguphta TS, Rakhi MM, Shaheen R, S.R.Menon, R. Uma. A case report on variant termination of the brachial artery (GARJSHPS). Dec 2012; Vol. 1(1): pp. 007-010.
  21. Mehmet MC, Umut O, Yasemin K, Arzu H, Fatos BY, Levent S. Four-headed biceps brachii, three-headed coracobrachialis muscles associated with arterial and nervous anomalies in the upper limb. Anat Cell Biol 2012;45:136-139.
  22. W. Sadler. Langmans Medical Embryology: 8th Edition.pp180-183.
  23. Bergman RA, Thompson SA, Afifi AK. Catalog of human variation. Baltimore: Urban and Schwarzenberg; 1985; 108-14.
  24. Anson,B.J:morris. Human Anatomy in; the cardiovascular system-Arteries and veins. Thoms, M.Edr.Mc Grow Hill Book c. new York. 1966; 708-724.
  25. De Garis CF, Swartley WB. The axillary artery in white and Negro stocks. Am J Anat. 1928;41;353-97.
  26. Peter LW, Dyson B. Gray’s Textbook of Anatomy – 37th edition. Elsevier Churchill Livingstone, London. 1993;299-300.
  27. Keen JA. A study of the arterial variations in the limb with special reference to symmetry of vascular patterns.Am J Anat, 1961;108:245-261.
  28. Adachi, B: Das Arteriensystem des japaner, Kyoto 1928;1:205-10.

Cite this article: Sushma, Kavitha K, Satheesha K S. MORPHOLOGICAL STUDY OF BRACHIAL ARTERY AND ITS VARIATIONS IN BRANCHING PATTERN. Int J Anat Res 2018;6(4.3):5963-5969. DOI: 10.16965/ijar.2018.385