DESCRIPTION OF THE SUBSCAPULAR ARTERY BRANCHING VARIANT AND ADDITIONAL FIBROUS CORD-LIKE STRUCTURE OF THE ARM (CASE REPORT)
https://doi.org/10.17021/2019.14.1.116.122
Abstract
Variations of the axillary artery and its branches are quite common. Some variations are clinically significant and knowledge of them can be useful for prevention of diagnostic errors during surgical interventions in the axillary fossa. The article deals with a branching pattern of the right subscapular artery (that has not been described in the literature before) from which anterior and posterior circumflex humeral arteries, circumflex scapular, thoracodorsal and profunda brachii artery arise. The latter followed downwards to the canal for radial nerve and didn’t give any branches, except for the superior ulnar collateral artery. The external diameter of the profunda brachii artery was 4 mm. No variations in the first and second parts of the right and all parts of the left axillary arteries were discovered. The branching pattern description of the subscapular artery can be important and essential for surgeons and radiologists. The additional fibrous band was also found during dissection of right arm.
About the Authors
A. V. Tverskoy
Medical Institute, Belgorod State National Research University
Russian Federation
Russian Federation
V. N. Morozov
Medical Institute, Belgorod State National Research University
Russian Federation
Russian Federation
S. A. Petrichko
Medical Institute, Belgorod State National Research University
Russian Federation
Russian Federation
T. S. Mukhina
Medical Institute, Belgorod State National Research University
Russian Federation
Russian Federation
V. V. Pushkarskiy
Medical Institute, Belgorod State National Research University
Russian Federation
Russian Federation
References
1. Волков, Д. А. Вариантная анатомия артерий верхних конечностей / Д. А. Волков // Бюллетень Северного государственного медицинского университета. - 2013. - № 1. - С. 100-101.
2. Гаджиева, Ф. Г. Индивидуальная изменчивость магистральных артерий верхних и нижних конечностей человека / Ф. Г. Гаджиева // Журнал Гродненского государственного медицинского университета. - 2014. - № 2 (46). - С. 105-108.
3. Гончаров, Н. И. Руководство по препарированию и изготовлению анатомических препаратов / Н. И. Гончаров, Л. С. Сперанский, А. И. Краюшкин, С. В. Дмитриенко. - М. : Медицинская книга; Н. Новгород : Изд-во НГМА, 2002. - 192 с.
4. Сапин, М. Р. Анатомия человека : учебник : в 2 т. / М. Р. Сапин, В. Н. Николенко, Д. Б. Никитюк, С. В. Чава. - М. : ГЭОТАР-Медиа, 2015. - Т. 2. - 456 с.
5. Aastha. An unusual variation of axillary artery : a case report / Aastha, A. Jain, M. S. Kumar // J. Clin. Diagn. Res. - 2015. - Vol. 9, № 1. - P. AD05-AD07.
6. Adair, T. H. Angiogenesis / T. H. Adair, J. P. Montani. - San Rafael : Morgan & Claypool Life Sciences, 2010. - 84 p.
7. Ashwini, B. N. Variant Origin of Pronater Teres from Struthers Ligament with Higher Bifurcation of Brachial Artery / B. N. Ashwini, S. D. Desai, S. B. Karjagi, R. S. Bulagouda // J. Pharm. Sci. and Res. - 2012. - Vol. 4, № 11. - P. 1986-1988.
8. Bhat, M. R. A unique branching of the axillary artery in a South Indian male cadaver / M. R. Bhat, S. Gowda, B. K. Potu, M. S. Rao // Bratisl. Lek. Listy. - 2008. - Vol. 109, № 12. - P. 587-589.
9. Caetano, E. B. Struthers' ligament and supracondylar humeral process : an anatomical study and clinical implications / E. B. Caetano, N. J. Sabongi, L. A. Vieira // Acta Ortop. Bras. - 2017. - Vol. 25, № 4. - P. 137-142. doi: 10.1590/1413-785220172504168330.
10. Dimovelis, I. Tetrafurcation of the subscapular artery. Anatomical and clinical implications / I. Dimovelis, A. Michalinos, E. Spartalis, G. Athanasiadis, P. Skandalakis, T. Troupis // Folia Morphologica (Warsz). - 2017. - Vol. 76, № 2. - P. 312-315. doi: 10.5603/FM.a2016.0057.
11. Drake, R. L. Gray's Anatomy for Students / R. L. Drake, A. W. Vogl, A. W. M. Mitchell. - Philadelphia : Elsevier, 2015. - 1161 p.
12. Georgiev, G. P. A rare case of unilateral chondroepitrochlearis muscle / G. P. Georgiev, L. Jelev // Comptes rendus de l’Académie bulgare des Sciences. - 2008. - Vol. 61, № 11. - P. 1481-1484.
13. Iliev, A. Unusual fibrous band in the brachium - a probable remnant from the rare chondroepitrochlearis muscle / A. Iliev, L. Jelev, Y. Kartelov, L. Malinova, D. Hinova-Palova, A. Palof // Scripta Scientifica Medica. - 2013. - Vol. 45, № 1. - P. 115-117.
14. Pushpalatha, M. Variations in subscapular artery : a study / M. Pushpalatha, N. Chitra // J. of Evidence based Medicine and Healthcare. - 2015. - Vol. 2, № 4. - P. 308-312.
15. Saralaya, V. Abnormal branching of the axillary artery : subscapular common trunk. A case report / V. Saralaya, T. Joy, S. Madhyastha, R. Vadgaonkar, S. Saralaya // Int. J. Morphology. - 2008. - Vol. 26, № 4. - P. 963-966.
16. Shivaleela, C. Morphological study of the supracondylar process of the humerus and its clinical implications / C. Shivaleela, B. S. Suresh, S. Lakshmiprabha // J. of Clinical and Diagnostic Research. - 2014. - Vol. 8, № 1. - P. 1-3. doi:10.7860/JCDR/2014/6743.3915.
17. Swamy, R. S. Clinically important unilateral accessory tendinous slip from short head of biceps brachii muscle merged with medial intermuscular septum: a case report / R. S. Swamy, S. B. Nayak, M. K. G. Rao, R. T. Rao, S. R. Sirasanagandla, N. Kumar, J. Patil, P. Abhinitha, A. Guru // OA Anatomy. - 2013. - Vol. 1, № 2. - P. 16.
18. Tubbs, R. S. The arcade of Struthers : An anatomical study with potential neurosurgical significance / R. S. Tubbs, A. Deep, M. M. Shoja, M. M. Mortazavi, M. Loukas, A. A. Cohen-Gadol // Surg. Neurol. - 2011. - Vol. 2. - P. 184. doi: 10.4103/2152-7806.91139.
19. Tubbs, R. S. Bergman's Comprehensive Encyclopedia of Human Anatomic Variation / R. S. Tubbs, M. M. Shoja, M. Loukas. - New Jersey : John Wiley & Sons Inc., 2016. - 1456 p.
20. Venieratos, D. Abnormal ramification of the axillary artery : sub-scapular common trunk / D. Venieratos, E. D. Lolis // Morphologie. - 2001. - Vol. 85, № 270. - P. 23-24
Review
For citations:
Tverskoy A.V., Morozov V.N., Petrichko S.A., Mukhina T.S., Pushkarskiy V.V. DESCRIPTION OF THE SUBSCAPULAR ARTERY BRANCHING VARIANT AND ADDITIONAL FIBROUS CORD-LIKE STRUCTURE OF THE ARM (CASE REPORT). Astrakhan medical journal. 2019;14(1):116-122. (In Russ.) https://doi.org/10.17021/2019.14.1.116.122
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