Title: A Cadaveric Study on Division of Brachial Artery with Its Embyological Basis and Clinical Significance
Authors: Dr Gopal Bagal, Dr Savita Takale
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.41
The brachial artery begins as a continuation of third part of axillary artery at the distal border of teres major muscle and terminates by dividing into the radial and the ulnar arteries at a point about finger’s breadth below the bend of elbow at the level of neck of radius. The present study was done on 30 cadavers in department of anatomy to find out any variations in the branching pattern of the brachial artery. In our study variation was found in one cadaver only. An unusual short segment of the brachial artery was found in the upper part of the arm on right side. It was dividing into radial and ulnar arteries at the level of insertion of the coracobrachialis muscle. High division of the brachial artery has a profound applied importance especially in the field of vascular surgery and radiology. This variation should be bore in mind before any vascular surgery in the region of the forearm or while interpreting arteriograms of the upper limb. Thus the knowledge of branching pattern of brachial artery is useful for physicians, surgeons, radiologist and interventionist in various surgical procedures and also for diagnostic and therapeutic approaches. KEY WORDS: Brachial artery, High up division, Radial artery, Ulnar artery. 1. Shewale SN, Sukre SB, Diwan CV. Bifurcation of brachial artery at its commencement: A case report. Biomedical research.2012: 23(3):453-456. 2. Ozcan H, Oztekin PS, Zergeroglu AM, Ersoz G. Doppler ultrasound evaluationof the structural and hemodynamic changes in the brachial artery following two different exercise protocol. Diagn.Interven.Radiol.2006: 12(2):80-84. 3. Chandni Gupta, Vikram Palimar, Murlimanju BV, Vaishali R. A morphological study of variatiions in the origin and course of radial artery. Research Journal of Pharmaceutical, Biological and Chemical sciences.2012: 3(2):333. 4. Bidarkotimath S, Avadhani R, Kumar A. An anatomical study of primary pattern of arteries of upper limb with relevance to their variations. Int. J. Morphol.2011: 29(4):1422-1428. 5. Agrawal D, Singh N, Mohanti BB, Chinara PK. Variation in the branching pattern of axillary artery-a case report. Int J Anat Var.2013: 6:31-33. 6. Kachlik D, Konarik M, Baca V. Vascular patterns of upper limb: an anatomical study with accent on superficial brachial artery. Bosnian Journal of Basic medical Sciences.2011: 11(1):4-10. 7. Keen JA. A study of the arterial variations in the limb, with special reference to symmetry of vascular patterns. Am J Anat.1981: 108:245-261. 8. Guha R, Palit S. A rare variation of anomalous median nerve with absent musculocutaneous nerve and high up division of brachial artery. J Interacad.2005: 9:398-403. 9. Subhas M, Gujar et al. A study on division of brachial artery and its clinical correlation. Int J Anat Res.2014: 2(1):208-212. 10. Namanni Satyanarayana et al. Brachial artery with high up division with its embryological basis and clinical significance. Int. J Anatomical variations.2010: 3:58. 11. Vandana R et al. Variation in course and branching pattern of brachial artery. Anatomica Karnataka 2012: 6(3):42-48. 12. Jitendra Gupta et al. A study of brachial artery with high up division and its clinical significance. Int J Bioassay.2012: 01(11):116-118. 13. Padma Varlekar et al. Higher bifurcation of brachial artery with superficial course of radial artery in forearm. Int. J of Med Sci. Public Health.2013: 2:703-706. 14. Pokhrel r, Bhatnagar R. Unilateral high bifurcation of brachial artery. OA Anatomy.2013; 1(4):34. 15. Patnaik, VVG, Kalsey G, Singlarajan K. Branching pattern of brachial artery-A morphological study. J Anat. Soc India.2002: 51(2):176-186. 16. Satyanarayan N, Sunita P, Sheikh MM, Devi SP. Brachial artery with high up division with its embryological basis and clinical significance. Int. J Anat. Var. 2010: 3:56-58.Abstract
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