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近期南部非洲尸体样本中前臂正中动脉的高发生率。

High incidence of the median artery of the forearm in a sample of recent southern African cadavers.

作者信息

Henneberg M, George B J

机构信息

Department of Anatomy and Human Biology, University of the Witwatersrand Medical School, Parktown, South Africa.

出版信息

J Anat. 1992 Feb;180 ( Pt 1)(Pt 1):185-8.

PMID:1452474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1259622/
Abstract

Observations of the presence of the median artery, providing substantial blood supply to the hand, were conducted on 96 dissected forearms of 15 adult African females and 49 adult males. The artery has a much higher incidence (27.1%) than previously reported by any author. There is no significant difference in its occurrence between sexes, nor between right and left limbs. The artery seems to occur more often bilaterally than unilaterally. The presence of the artery is not related to age. From a theoretical standpoint it is difficult to accept that a structure present in more than 1 in 4 of individuals should be considered an 'anomaly' or a 'variant'. A different approach to description of normal human anatomy is therefore necessary--that of presenting alternative anatomical patterns of equal standing rather than a single 'normal' pattern.

摘要

对15名成年非洲女性和49名成年男性的96条解剖前臂进行了观察,以确定正中动脉的存在情况,该动脉为手部提供大量血液供应。该动脉的发生率(27.1%)比以往任何作者报道的都要高得多。其在性别之间以及左右肢体之间的出现率没有显著差异。该动脉似乎双侧出现的情况比单侧出现更为常见。动脉的存在与年龄无关。从理论角度来看,很难接受在超过四分之一的个体中存在的结构应被视为“异常”或“变异”。因此,有必要采用一种不同的方法来描述正常人体解剖结构——即呈现具有同等地位的替代解剖模式,而不是单一的“正常”模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/2ab0dad71d49/janat00150-0181-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/ccb5bdc4395e/janat00150-0180-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/d12a75c99986/janat00150-0181-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/2ab0dad71d49/janat00150-0181-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/ccb5bdc4395e/janat00150-0180-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/d12a75c99986/janat00150-0181-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ae/1259622/2ab0dad71d49/janat00150-0181-b.jpg

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Cadaveric study of division of the median nerve by the persistent median artery.

本文引用的文献

1
The lateral costal branch of the internal mammary artery.胸廓内动脉的肋外侧支。
J Thorac Surg. 1951 Apr;21(4):421-5.
2
Test of socioeconomic causation of secular trend: stature changes among favored and oppressed South Africans are parallel.长期趋势的社会经济因果关系测试:南非受优待群体和受压迫群体的身高变化是平行的。
Am J Phys Anthropol. 1990 Dec;83(4):459-65. doi: 10.1002/ajpa.1330830407.
正中动脉分支处正中神经的尸体研究。
Surg Radiol Anat. 2022 Nov;44(11):1455-1460. doi: 10.1007/s00276-022-03035-1. Epub 2022 Oct 25.
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Recently increased prevalence of the human median artery of the forearm: A microevolutionary change.近期前臂正中动脉流行率增高:一种微观进化改变。
J Anat. 2020 Oct;237(4):623-631. doi: 10.1111/joa.13224. Epub 2020 Sep 10.
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Persistent Median Artery as an Unusual Finding in the Carpal Tunnel: Its Contribution to the Blood Supply of the Hand and Clinical Significance.腕管中罕见的正中动脉永存:对手部血液供应的贡献及其临床意义。
Med Sci Monit. 2019 Jan 2;25:32-39. doi: 10.12659/MSM.912269.
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Prevalence of Persistent Median Arteries in the Pediatric Population on Ultrasonography.超声检查在儿科人群中永存正中动脉的患病率
J Ultrasound Med. 2018 Sep;37(9):2235-2242. doi: 10.1002/jum.14576. Epub 2018 Feb 26.
7
Persistent median artery in the carpal tunnel and anastomosis with superficial palmar arch.腕管内的持久性正中动脉及其与掌浅弓的吻合。
Case Reports Plast Surg Hand Surg. 2016 Apr 18;3(1):25-7. doi: 10.3109/23320885.2016.1166964. eCollection 2016.
8
Brachiomedian artery (arteria brachiomediana) revisited: a comprehensive review.重新审视臂正中动脉(臂正中动脉):全面综述
Bosn J Basic Med Sci. 2016 Mar 10;16(2):91-101. doi: 10.17305/bjbms.2016.801.
9
Prevalence of persistent median artery in carpal tunnel syndrome: sonographic assessment.腕管综合征中正中动脉持续存在的患病率:超声评估
Surg Radiol Anat. 2016 May;38(4):511-5. doi: 10.1007/s00276-015-1544-2. Epub 2015 Sep 1.
10
Coincidence of superficial brachiomedian artery and bitendinous palmaris longus: a case report.肱正中浅动脉与双腱掌长肌并存:一例报告
Surg Radiol Anat. 2016 Jan;38(1):147-51. doi: 10.1007/s00276-015-1512-x. Epub 2015 Jul 2.