{"id":1903,"date":"2019-06-05T16:59:12","date_gmt":"2019-06-05T16:59:12","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1903"},"modified":"2019-06-05T16:59:12","modified_gmt":"2019-06-05T16:59:12","slug":"ijar-2019-202","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-202","title":{"rendered":"IJAR.2019.202"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.7.2\/IJAR.2019.202.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-7-2.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 2.3 (June 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a06680-6684<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.202<\/h3>\n<h3 style=\"text-align: justify;\">MORPHOLOGY AND VARIATIONS OF BRACHIAL ARTERY IN CADAVERS<\/h3>\n<p style=\"text-align: justify;\"><strong>Jessy Rose George *<sup>1<\/sup>, Joseph Francis <sup>2<\/sup>, Jeffy Elizabeth Samuel <sup>2<\/sup>, Thomas Francis <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1 <\/sup>Associate Professor, Department of Anatomy, Government Medical College, Kozhikode, Kerala, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2 <\/sup>Department of Anatomy, Government Medical College, Kozhikode, Kerala, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: \u00a0<\/strong>Dr. Jessy Rose George, Associate Professor, Department of Anatomy,\u00a0Government Medical College, Kozhikode, Kerala, India.<strong> E-Mail: <\/strong>jessyrose@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> The study of brachial artery is an important arterial conduit from the clinical point of view to anatomists, general surgeons, radiologists, plastic surgeons, and even cardiovascular thoracic surgeons in the conduct of reparative surgery. Therefore, the present study was designed to study the course, branching pattern and termination of Brachial Artery and its clinical significance of these variations.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods:\u00a0 <\/strong>The present study was conducted on 30 upper limbs of 15 cadavers embalmed &amp; belonging to the Department of Anatomy, Govt. Medical College, Alappuzha over the period of 1 year. By conventional dissection method a longitudinal incision was given along the midline of arm through the deep fascia, inferior up to cubital fossa. \u00a0Brachial artery was identified, cleaned &amp; dissected and assessed the length of brachial artery, level of termination of brachial artery, variation in the branching pattern and the course in relation to the median nerve was noted.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>The average length of the brachial artery was 25.23 cms. 73.3% of the brachial artery followed the classical pattern as given in Gray\u2019s Anatomy. \u00a0Variation in the branching pattern, presence of accessory brachial artery, origin of profunda brachial artery was noted. \u00a03.3% trifurcation of brachial artery into Radial, Ulnar &amp; Common interosseous at the level of neck of radius. Brachial artery terminated at the level of neck of radius in 76.67%, radial tuberosity 13.33%, mid arm3.33%, proximal arm 6.67%.<\/p>\n<p style=\"text-align: justify;\"><strong>Discussion and Conclusion: <\/strong>\u00a0Variations of brachial artery in its relationship with the median nerve, pattern and level of termination are common. These may complicate arm surgical exposure, flap and vascular surgery. Hence, Knowledge of possible variations in the branching pattern of various arteries is important during vascular and reconstructive surgery.<\/p>\n<p style=\"text-align: justify;\"><strong>Key Words<\/strong><strong>: <\/strong>Brachial artery; Radial artery; Ulnar artery; interosseous artery; Accessory arteries.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Anagnosto Poulou S, Venieratos D. An unusual branching pattern of the superficial brachial artery accompanied by an ulnar nerve with two roots. J Anat, 1999; 195: 471-476.<\/li>\n<li style=\"text-align: justify;\">Benjamin Le, Heo I, Keshet E. A plasticity window for blood vessel remodeling is defined by pericyte coverage of the preformed endothelial network and is regulated by PDGF-B and VEGF. Development, Anat Res, 1998; 231: 136-144.<\/li>\n<li style=\"text-align: justify;\">Nakatani T, Izumi A, Tanaka S. Bilateral superficial median arteries. J Anat, 1999; 194: 475-477.<\/li>\n<li style=\"text-align: justify;\">Sa\u00f1udo Jr, Mirapeix Rm, Garc\u00eda R, Rodr\u00edguez N. A superficial ulnar artery anastomosing with a larger anterior interosseous artery to supply the wrist and hand. J Anat, 1998;192: 439-441.<\/li>\n<li style=\"text-align: justify;\">Diz JC, Ares X, Tarrazo AM, Alvarez J, Mea\u00f1os ER. Bilateral superficial radial artery at the wrist. Acta Anaesthesiol Scand, 1998; 42: 1020.<\/li>\n<li style=\"text-align: justify;\">Rodr\u00edguez N, Burton GJ, Deu J, Sa\u00f1udo JR. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat, 2001; 199: 407-417.<\/li>\n<li style=\"text-align: justify;\">Quain R. Anatomy of the Arteries of the Human Body. Taylor &amp; Walton, London, 1844; pp 326-337.<\/li>\n<li style=\"text-align: justify;\">Adachi B. The superficial ulnar artery: development and surgical significance. Clin Anat,1928; 9: 128-132.<\/li>\n<li style=\"text-align: justify;\">Anson, Aizawa Y, Isogai S, Izumiyama M, Horiguchi M. Morphogenesis of the primary arterial trunks of the forelimb in the rat embryos. Anat Embryol, 1999; 20: 573-584.<\/li>\n<li style=\"text-align: justify;\">Keen JA. A study of the arterial variations in the limbs with special reference to symmetry of vascular patterns. Am J Anat, 1961; 108: 245-261.<\/li>\n<li style=\"text-align: justify;\">Mc Cormack LJ, Cauldwell EW, Anson J. Brachial and antebrachial arterial patterns. Surg Gynecol Obstetr, 1953; 96: 43-54.<\/li>\n<li style=\"text-align: justify;\">De Garis, Swartley, Deligonul U, Gabliani G, Kern MJ, Vandormel M. Percutaneous brachial catheterization: the hidden hazard of high brachial artery bifurcation Catheter Cardiovasc Diag,1988; 14: 44-45.<\/li>\n<li style=\"text-align: justify;\">Miller Y, Brown MJ, Edstrom LE, Zienowicz RJ. A symptomatic radial artery anomaly and its surgical treatment. J Hand Surg. 1999; 24: 178-181.<\/li>\n<li style=\"text-align: justify;\">Huber I, Heden P, Gylbert L. Anomaly of the radial artery encountered during elevation of the radial forearm flap. J Reconstr Microsurg,1990; 6: 139-141.<\/li>\n<li style=\"text-align: justify;\">Carlson BM, Cohen SM. Accidental intra-arterial injection of drugs. The Lancet, 1999; 255: 409-417.<\/li>\n<li style=\"text-align: justify;\">Coulouma, Larsen WJ. Arterial Variations in Man. JF Bergmann Verlag, M\u00fcnchen,1993; pp 71-73.<\/li>\n<li style=\"text-align: justify;\">Muller E. Beitr\u00e4ge zur Morphologie des Gef\u00e4sssystems. I. Die Armarterien des Menschen. Anat Hefte, 1903; 22:377-575.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Jessy Rose George, Joseph Francis, Jeffy Elizabeth Samuel, Thomas Francis. MORPHOLOGY AND VARIATIONS OF BRACHIAL ARTERY IN CADAVERS. Int J Anat Res 2019;7(2.3):6680-6684.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.171\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 7; Issue 2.3 (June 2019) Page No.:\u00a06680-6684 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.202 MORPHOLOGY AND VARIATIONS OF BRACHIAL ARTERY IN CADAVERS Jessy Rose George *1, Joseph Francis 2, Jeffy Elizabeth Samuel 2, Thomas Francis 2. *1 Associate Professor, Department of Anatomy, Government Medical College, Kozhikode, Kerala, India. 2 Department of Anatomy, Government Medical College, Kozhikode,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-202\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1903"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1903"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1903\/revisions"}],"predecessor-version":[{"id":1930,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1903\/revisions\/1930"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}