Kawashima Tomokazu, Yoshitomi Sayaka, Sasaki Hiroshi
Department of Anatomy, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Folia Morphol (Warsz). 2004 Nov;63(4):465-71.
Since the significance of a superficial subscapular artery was reported by Yamada, macroscopic anatomical studies of axillary artery morphogenesis have been conducted by many authors. Notably, Japanese anatomists have reported important and groundbreaking theories on the morphogenesis of normal and aberrant axillary arteries. These include a description of the superficial brachial artery (BS) and Adachi's brachial plexus (AxC) by Chiba, the possible routes of the axillary artery by Aizawa et al. and the morphological significance of the inferior pectoral artery (Pi) by Kodama et al. and the deep axillary artery by Honma et al. We have also identified 11 BS among 322 sides of 161 adult human cadavers. We traced the BS with the AxC in 1 case, the development of a superficial subscapular artery in 3 cases, the development of a Pi in 3 cases, an unclear situation in 3 cases and a lateral median superficial brachial artery (BSML) in 1 case. Moreover, we carried out a fibre analysis of the BSML in order to understand the morphology more completely. Our findings are discussed herein. We have therefore described our cases and compare them with references, presenting gross anatomical data on their morphogenesis in an effort to unify experimental embryological data.
自从山田报道了肩胛下浅动脉的重要性以来，许多作者对腋动脉的形态发生进行了宏观解剖学研究。值得注意的是，日本解剖学家报道了关于正常和异常腋动脉形态发生的重要且具有开创性的理论。这些理论包括千叶对肱浅动脉（BS）和安达氏臂丛（AxC）的描述、相泽等人提出的腋动脉可能的走行、儿玉等人提出的胸小肌动脉（Pi）的形态学意义以及本间等人提出的腋深动脉的形态学意义。我们在161具成人尸体的322侧中也发现了11例肱浅动脉。我们追踪到1例肱浅动脉与臂丛伴行、3例肩胛下浅动脉的发育情况、3例胸小肌动脉的发育情况、3例情况不明以及1例臂外侧正中浅动脉（BSML）。此外，我们对臂外侧正中浅动脉进行了纤维分析，以便更全面地了解其形态。本文对我们的研究结果进行了讨论。因此，我们描述了我们的病例，并将其与参考文献进行比较，展示了它们形态发生的大体解剖学数据，以期统一实验胚胎学数据。
