Department of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, 150 06, Prague 5-Motol, Czech Republic.
Second Faculty of Medicine, Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Charles University, Prague, Czech Republic.
Surg Radiol Anat. 2024 Jan;46(1):85-89. doi: 10.1007/s00276-023-03262-0. Epub 2023 Nov 25.
Arterial variations of the upper limb may bear high importance for many clinical procedures, including the use of flaps in plastic surgery. We present a feasible way for visualization and confirmation of presence of these variations.
All variations were detected by ultrasonography and confirmed by Color Doppler Imaging. Proper documentation was taken in order to present our findings.
We report a case of a 19-year-old female who showed two concomitant arterial variations of the forearm and the hand bilaterally. These two variations were the persistent median artery and the superficial dorsal branch of the radial artery which both significantly contributed to the blood supply of the hand. All examinations were performed by the same investigator and all findings were reviewed by an experienced sonographist.
An unusual arrangement of the arterial system can be easily detected. We present a feasible way to prevent iatrogenic injuries and increase utilization of anatomical variants knowledge in surgery by using ultrasound prior to planning surgical procedures.
上肢动脉的变异对许多临床操作都具有重要意义，包括在整形手术中使用皮瓣。我们提出了一种可视化和确认这些变异存在的可行方法。
所有变异均通过超声检查检测，并通过彩色多普勒成像确认。为了呈现我们的发现，进行了适当的记录。
我们报告了一例 19 岁女性双侧前臂和手部同时出现两种动脉变异的病例。这两种变异分别是持续的正中动脉和桡动脉的浅背支，它们都对手部的血液供应有重要贡献。所有检查均由同一位研究者进行，所有结果均由一位经验丰富的超声医师进行审查。
可以很容易地检测到动脉系统的异常排列。我们提出了一种可行的方法，即在计划手术前使用超声，以防止医源性损伤，并增加对解剖变异知识在手术中的利用。
