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腋动脉的一种巧合变异:肱桡动脉和异常的旋肱后动脉在背阔肌腱下方通过。

A coincidental variation of the axillary artery: the brachioradial artery and the aberrant posterior humeral circumflex artery passing under the tendon of the latissimus dorsi muscle.

作者信息

Konarik Marek, Kachlik David, Baca Vaclav

机构信息

Department of Anatomy, Third Faculty of Medicine, Charles University in Prague.

出版信息

Bosn J Basic Med Sci. 2014 Sep 11;14(4):239-43. doi: 10.17305/bjbms.2014.4.31.

Abstract

A case of anomalous terminal branching of the axillary artery was encountered and described in a left upper limb of a male cadaver. A series of 214 upper limbs of Caucasian race was dissected. A variant artery, stemming from the very end of the axillary artery followed a superficial course distally. It passed the cubital fossa, ran on the lateral side of the forearm as usual radial artery, crossed ventrally to the palm and terminated in the deep palmar arch. This vessel is a case of the brachioradial artery (incorrectly termed as the "radial artery with high origin"). Moreover, it was associated with another variation, concerning the aberrant posterior humeral circumflex artery passing under the tendon of the latissimus dorsi muscle. The anatomical knowledge of the axillary region is essential for radiodiagnostic, surgical and traumatologic procedures. The superficially located artery brings an elevated danger of heavy bleeding in all unexpected situations, its variant branching can cause problems in radial catheterization procedures and the anomalously coursing other arterial variant poses an elevated danger in surgical procedures concerning the surgical neck of humerus.

摘要

在一具男性尸体的左上肢发现并描述了一例腋动脉终末分支异常的病例。解剖了214例高加索人种的上肢。一条变异动脉起源于腋动脉的最末端,向远端走行于浅面。它穿过肘窝,像正常桡动脉一样在前臂外侧走行,向前穿过手掌并终止于掌深弓。该血管为肱桡动脉(错误地称为“高位起源的桡动脉”)的一例。此外,它还伴有另一种变异,即异常的旋肱后动脉在背阔肌腱下方走行。腋窝区域的解剖学知识对于放射诊断、外科手术和创伤学操作至关重要。位置表浅的动脉在所有意外情况下都有大出血的高风险,其变异分支可能会在桡动脉插管操作中引发问题,而走行异常的其他动脉变异在涉及肱骨外科颈的手术操作中也有较高风险。

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