Abstract
Purpose
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.
Methods
All variations were detected by ultrasonography and confirmed by Color Doppler Imaging. Proper documentation was taken in order to present our findings.
Results
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.
Conclusion
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.
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Acknowledgements
We would like to thank Arushi Pandey for helping with our article. Also, we would like to express our highest gratitude to the body donors for their valuable gift to science.
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MB: Project development, Data collection, Data analysis, Manuscript writing. PS: Data collection, Data analysis, Manuscript writing. DK: Project development, Manuscript editing.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Charles University (Date 27.1.2021/No. EK-76/21).
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Supplementary file6S5: Course of the right PMA from the middle of the forearm distally (MP4 3453 KB)
Supplementary file7S6: Right SDRA shown in B-mode (MP4 814 KB)
Supplementary file8S7: Right SDRA shown in CDI mode (MP4 430 KB)
Supplementary file9S8: Course of the left PMA from the middle of the forearm distally (MP4 4288 KB)
Supplementary file10S9: Left SDRA shown in B-mode (MP4 2145 KB)
Supplementary file11S10: Left SDRA shown in CDI mode (MP4 6024 KB)
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Belbl, M., Steyerova, P. & Kachlik, D. Two arterial variations of the hand and wrist present bilaterally (persistent median artery and superficial dorsal branch of the radial artery): ultrasound findings. Surg Radiol Anat 46, 85–89 (2024). https://doi.org/10.1007/s00276-023-03262-0
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DOI: https://doi.org/10.1007/s00276-023-03262-0