open access

Vol 77, No 2 (2018)
Case report
Submitted: 2017-05-21
Accepted: 2017-07-18
Published online: 2017-09-06
Get Citation

Unusual ending of the second dorsal metacarpal artery as proper palmar digital arteries

H.F. Bianchi12, C.A. Vargas3, N.E. Ottone3
·
Pubmed: 28933803
·
Folia Morphol 2018;77(2):393-396.
Affiliations
  1. University of Buenos Aires, Buenos Aires, Argentina
  2. IUCS Barcelo Foundation, Buenos Aires, Argentina
  3. Laboratory of Plastination and Anatomical Techniques, Research Centre for Dental Sciences (CICO), Department of Adults Integral Odontology, Dental School, Universidad de La Frontera, Temuco, Chile

open access

Vol 77, No 2 (2018)
CASE REPORTS
Submitted: 2017-05-21
Accepted: 2017-07-18
Published online: 2017-09-06

Abstract

Background: The proper palmar digital arteries arise infrequently from dorsal metacarpal arteries. This work reports the second dorsal metacarpal artery unusual ending and a vascular variation related to the superficial palmar arch.

Materials and methods: Fresh human upper limbs routine dissection, from a male cadaver, injected with coloured elastomeric material, immersed in 10% formalin.

Results: The second dorsal metacarpal artery presented terminal branches, the index finger medial proper digital palmar artery and the middle finger lateral proper digital palmar artery. At the division point of both terminal branches, the second dorsal metacarpal artery anastomoses with a thin forth common digital palmar artery.

Conclusions: The value of this knowledge about the infrequent vascular dispo­sition lies in vascularised flaps design using the second dorsal metacarpal artery. (Folia Morphol 2018; 77, 2: 393–396)

Abstract

Background: The proper palmar digital arteries arise infrequently from dorsal metacarpal arteries. This work reports the second dorsal metacarpal artery unusual ending and a vascular variation related to the superficial palmar arch.

Materials and methods: Fresh human upper limbs routine dissection, from a male cadaver, injected with coloured elastomeric material, immersed in 10% formalin.

Results: The second dorsal metacarpal artery presented terminal branches, the index finger medial proper digital palmar artery and the middle finger lateral proper digital palmar artery. At the division point of both terminal branches, the second dorsal metacarpal artery anastomoses with a thin forth common digital palmar artery.

Conclusions: The value of this knowledge about the infrequent vascular dispo­sition lies in vascularised flaps design using the second dorsal metacarpal artery. (Folia Morphol 2018; 77, 2: 393–396)

Get Citation

Keywords

second dorsal metacarpal artery, proper palmar digital arteries, superficial palmar arch, vascularised flap

About this article
Title

Unusual ending of the second dorsal metacarpal artery as proper palmar digital arteries

Journal

Folia Morphologica

Issue

Vol 77, No 2 (2018)

Article type

Case report

Pages

393-396

Published online

2017-09-06

Page views

2313

Article views/downloads

1028

DOI

10.5603/FM.a2017.0084

Pubmed

28933803

Bibliographic record

Folia Morphol 2018;77(2):393-396.

Keywords

second dorsal metacarpal artery
proper palmar digital arteries
superficial palmar arch
vascularised flap

Authors

H.F. Bianchi
C.A. Vargas
N.E. Ottone

References (20)
  1. Adachi B. Das Arteriensystem der Japaner. Band I. Kyoto: Maruzen Co. 1928.
  2. Coleman SS, Anson BJ. Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obstet. 1961; 113: 409–424.
  3. Dauphin N, Casoli V. The dorsal metacarpal arteries: anatomical study. Feasibility of pedicled metacarpal bone flaps. J Hand Surg Eur Vol. 2011; 36(9): 787–794.
  4. Dautel G, Merle M. Direct and reverse dorsal metacarpal flaps. Br J Plast Surg. 1992; 45(2): 123–130.
  5. de Rezende MR, Mattar Júnior R, Cho AB, et al. Anatomic study of the dorsal arterial system of the hand. Rev Hosp Clin Fac Med Sao Paulo. 2004; 59(2): 71–76.
  6. Earley MJ. The arterial supply of the thumb, first web and index finger and its surgical application. J Hand Surg Br. 1986; 11(2): 163–174.
  7. Earley MJ. The second dorsal metacarpal artery neurovascular island flap. J Hand Surg Br. 1989; 14(4): 434–440.
  8. Edwards EA. Organization of the small arteries of the hand and digits. Am J Surg. 1960; 99: 837–846.
  9. Germann G, Funk H, Bickert B. The fate of the dorsal metacarpal arterial system following thermal injury to the dorsal hand: A Doppler sonographic study. J Hand Surg Am. 2000; 25(5): 962–968.
  10. Healy C, Mercer NS, Earley MJ, et al. Focusable Doppler ultrasound in mapping dorsal hand flaps. Br J Plast Surg. 1990; 43(3): 296–299.
  11. Ikeda A, Ugawa A, Kazihara Y, et al. Arterial patterns in the hand based on a three-dimensional analysis of 220 cadaver hands. J Hand Surg Am. 1988; 13(4): 501–509.
  12. Karacalar A, Ozcan M. A new approach to the reverse dorsal metacarpal artery flap. J Hand Surg Am. 1997; 22(2): 307–310.
  13. Khan K, Riaz M, Small JO. The use of the second dorsal metacarpal artery for vascularized bone graft. An anatomical study. J Hand Surg Br. 1998; 23(3): 308–310.
  14. Libersa Cl, Francke JP, Mauppin JM, et al. The arterial supply to the palm of the hand (arteriae palmae manus). Anatomia Clinica. 1982; 4(1): 33–45.
  15. Quaba AA, Davison PM. The distally-based dorsal hand flap. Br J Plast Surg. 1990; 43(1): 28–39.
  16. Rodríguez-Niedenführ M, Burton GJ, Deu J, et al. Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variations. J Anat. 2001; 199(Pt 4): 407–417.
  17. Tasom A, Sinthubua A, Sananpanich K, et al. Cadaveric study of superficial palmar arch variations in northern Thai population by using epoxy resin injection technique. J Med Assoc Thai. 2014; 97(12): 1352–1357.
  18. Tonkin MA. Pollicization for congenital thumb aplasia using the second dorsal metacarpal artery as the vascular pedicle: case report. J Hand Surg Am. 2011; 36(3): 502–506.
  19. Yang D, Morris SF. Vascular basis of dorsal digital and metacarpal skin flaps. J Hand Surg Am. 2001; 26(1): 142–146.
  20. Zaidenberg CR, Angrigiani C. Reverse flaps for the treatment of severe finger wounds. Rev Asoc Argent Ortop Traumatol. 1993; 58: 58–65.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl