Abstract
A radial artery running beneath the biceps tendon was found in the cadaver of a Japanese woman during a student dissection course at Kumamoto University School of Medicine in 2006. The brachial artery bifurcated into the radial artery and the ulnar artery in the cubital fossa, and the radial artery twisted laterally running beneath the biceps tendon, and when it was situated laterally to the tendon, twisted distally at the level of the radial tuberosity, and then twisted medially again. After the radial artery passed over the biceps tendon, it turned distally and continued as a normal radial artery. The superficial brachial artery, which coexisted with the brachial artery, was given off from the axillary artery and it continued to the final twist of the radial artery. The course of this radial artery is similar to the arterial rings surrounding the biceps tendon, found during the same dissection course. The arterial rings were formed between the brachial artery and the radial artery, and their proximal origins ran beneath the biceps tendon, while the distal origins were superficial. The present arterial variation is thought to have occurred when the normal part of the radial artery in the cubital fossa was substituted by the arterial ring, coexisting with the superficial brachial artery, which usually disappears during normal development. Furthermore, it is suggested that a part of the arterial ring always remains as a radial recurrent artery.
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References
Adachi B (1928) Das Arteriensystem der Japaner, Vol. 1. Maruzen, Kyoto, 288–9, 356–7.
Chouéki-Guttenbrunner K, Fuss FK, Podesser B (1990) Die Schlingenbildung der Arteria radialis an ihrem Ursprung. Acta Anat 138, 270–2.
Collins P (2005) Development of the pectoral girdle and upper limb. In: Gray’s Anatomy, 39th edn (Standring S, ed.). Elsevier Churchill Livingstone, New York, 941–2.
Dubreuil-Chambardel L (1926) Variations des Arteres du Membre Supérieur. In: Traité des Variations du Systéme Artériel. Masson et Cie, Paris, 164–7.
Hollinshead WH (1969) Vessels and nerves of the flexor forearms. In: Anatomy for Surgeons, Vol. 3, 2nd edn. Harper & Row, New York, 411–23.
Honma S, Kawai K, Koizumi M, Tokiyoshi A, Kodama K (2006) The deep axillary artery. Anat Sci Int 81, 29–33.
Hoppenfeld S, DeBoer P (1994) Applied surgical anatomy of the anterior compartment of the forearm. In: Surgical Exposures in Orthopaedics, 2nd edn. Lippincott Company, Philadelphia, 99–100, 125–31.
Ikeda K, Yokoyama M, Okada K, Tomita T (1999) Obstruction of the radial artery passing beneath the biceps brachii tendon: A case report. Hand Surg 4, 101–3.
Kodama K, Yamada M, Kawai K, Okamoto K, Mizukami S (1987) The inferior pectoral artery, a new definition. Okajima Folia Anat Jpn 64, 47–58.
Ljubomudroff AP (1927) Zur morphologie der Arterienanastomosen in der Fossa cubiti. Z Anat Entwicklungs 84, 795–813.
McCormack LJ, Cauldwell EW, Anson BJ (1953) Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet 96, 43–54.
McMurrich JP (1930) The radial artery. In: Piersol’s Human Anatomy (Huber GC, ed.), Vol. 1, 9th edn. Lippincott Company, Philadelphia, 785–91.
Quain R (1844) Anatomy of the Arteries of the Human Boby. Taylor & Walton, London.
Rodriguez-Baeza A, Nebot J, Ferreira B et al. (1995) An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachioantebrachial arteries. J Anat 187, 473–9.
Rodríguez-Niedenführ M, Sañudo JR, Vázquez T, Nearn L, Logan B, Parkin I (2000) Anastomosis at the level of the elbow joint connecting the deep, or normal, brachial artery with major arterial variations of the upper limb. J Anat 196, 115–19.
Senior HD (1926) A note on the development of the radial artery. Anat Rec 32, 220–1.
Singer E (1933) Embryological pattern persisting in the arteries of the arm. Anat Rec 55, 403–9.
Skopakoff C (1959) Über die variabilität der Ab- und Verzweigung der A. brachialis superficialis. Anat Anz 106, 356–68.
Spinner M (1978) The Radial Nerve. In: Injuries to the Major Branches of Peripheral Nerves of the Forearm. 2nd edn. WB Saunders, Philadelphia, 79–158.
Spinner M, Linschied RL (1985) Nerve entrapment syndromes. In: The Elbow and its Disorders (Morrey BF, ed.), WB Saunders, Philadelphia, 691–712.
Thane GD (1894) Radial artery. In: Quain’s Elements of Anatomy (Schäfer EA, Thane GD, eds). Vol. 2, part 2, 10th edn. Longmans, London, 447–51.
Uzun A, Seelig Jr LL (2000) The anastomotic artery connecting the axillary or brachial artery to one of the forearm arteries. Folia Morphol 59, 217–20.
Woodburne RT, Burkel WE (1994) The upper limb. In: Essentials of Human Anatomy, 9th edn. Oxford University Press, New York, 87–186.
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Honma, S., Tokiyoshi, A., Kawai, K. et al. Radial artery running beneath the biceps tendon and its interrelation between the radial recurrent arteries. Anato Sci Int 83, 232–238 (2008). https://doi.org/10.1111/j.1447-073X.2008.00231.x
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DOI: https://doi.org/10.1111/j.1447-073X.2008.00231.x