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双侧持久性正中动脉和双叉正中神经的解剖变异:一例尸体病例报告。

An Anatomical Variant of Bilateral Persistent Median Artery and Bifid Median Nerve: A Cadaveric Case Report.

作者信息

Aribindi Seetha, Wan Eric L, Mahajan Aditi P, Dellon A Lee, Coker Caitlin R

机构信息

Department of Anatomy, Georgetown University School of Medicine, Washington, DC, USA.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, USA.

出版信息

Cureus. 2024 Aug 9;16(8):e66489. doi: 10.7759/cureus.66489. eCollection 2024 Aug.

Abstract

An 89-year-old Caucasian male cadaver with prostate cancer demonstrated bilateral persistence of the median artery and bifid median nerve (BMN) during upper limb dissection. The persistent median artery (PMA) originated from the common interosseous artery and coursed alongside the median nerve. Proximal to the carpal tunnel, the median nerve bifurcated into medial and lateral branches. To our knowledge, this is the first documented case of a bilateral PMA and BMN. While the majority of existing literature focuses on a unilateral PMA or unilateral BMN, bilateral occurrences of either variation are rare. This report presents a novel finding by documenting the simultaneous presence of a bilateral PMA and BMN.

摘要

一名患有前列腺癌的89岁白种男性尸体在进行上肢解剖时,显示出双侧正中动脉持续存在以及正中神经分支(BMN)。持续存在的正中动脉(PMA)起源于骨间总动脉,并与正中神经伴行。在腕管近端,正中神经分为内侧支和外侧支。据我们所知,这是首例双侧PMA和BMN的文献记载病例。虽然现有大多数文献集中于单侧PMA或单侧BMN,但这两种变异的双侧出现均很罕见。本报告通过记录双侧PMA和BMN同时存在这一情况,呈现了一项新发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b311/11380754/6e461024264b/cureus-0016-00000066489-i01.jpg

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