Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Universidad del Valle
2021
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| _version_ | 1876447354391887872 |
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| author | Daniela Calderón Ardila |
| author_facet | Daniela Calderón Ardila |
| contents | Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report Daniela Calderón Ardila Daniel Raúl Ballesteros Larrota María Andrea Calderón Ardila Luis Ernesto Ballesteros Acuña Medicina surgical angiography anastomosis ulnar artery median artery Case description: A young male patient with a complete section of the ulnar and radial arteries preserved the perfusion of the hand through an anatomical variant, the median artery, identified by angiotomography.Clinical Findings: A wound in the distal third of the left forearm with present pulses and adequate hand coloration. An angiotomography of the upper left limb showed a median artery originating as a continuation of the anterior interosseous artery and ending in the palm of the hand with an incomplete superficial palmar arch.Treatment and Outcomes: Ligation of both radial and ulnar arteries was performed. It was not possible to follow up the patient.Clinical Relevance: Forming the superficial and deep palmar arches, the irrigation of hand comes from the ulnar and radial arteries, which can compromise the viability of the limb when injured. The median artery is present in 0.6-21.1% of the population, originates from the anterior interosseous artery (branch of the ulnar), accompanies the median nerve in its path and ends in the palm joining the superficial palmar arch. Diagnostic imaging is a key tool for assessing arterial circulation and characterizing upper limb vascular lesions. Knowledge of the anatomical variations of the arterial supply of the hand, including variability of the superficial palmar arch, is crucial for the safety and success of hand surgeries. 2021 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681005 https://www.redalyc.org/journal/283/28366681005/ https://www.redalyc.org/journal/283/28366681005/html/ https://www.redalyc.org/journal/283/28366681005/28366681005.epub https://www.redalyc.org/journal/283/28366681005/movil 10.25100/cm.v52i2.4521 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366681005 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report Daniela Calderón Ardila Medicina surgical angiography anastomosis ulnar artery median artery Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report Daniela Calderón Ardila Daniel Raúl Ballesteros Larrota María Andrea Calderón Ardila Luis Ernesto Ballesteros Acuña Medicina surgical angiography anastomosis ulnar artery median artery Case description: A young male patient with a complete section of the ulnar and radial arteries preserved the perfusion of the hand through an anatomical variant, the median artery, identified by angiotomography.Clinical Findings: A wound in the distal third of the left forearm with present pulses and adequate hand coloration. An angiotomography of the upper left limb showed a median artery originating as a continuation of the anterior interosseous artery and ending in the palm of the hand with an incomplete superficial palmar arch.Treatment and Outcomes: Ligation of both radial and ulnar arteries was performed. It was not possible to follow up the patient.Clinical Relevance: Forming the superficial and deep palmar arches, the irrigation of hand comes from the ulnar and radial arteries, which can compromise the viability of the limb when injured. The median artery is present in 0.6-21.1% of the population, originates from the anterior interosseous artery (branch of the ulnar), accompanies the median nerve in its path and ends in the palm joining the superficial palmar arch. Diagnostic imaging is a key tool for assessing arterial circulation and characterizing upper limb vascular lesions. Knowledge of the anatomical variations of the arterial supply of the hand, including variability of the superficial palmar arch, is crucial for the safety and success of hand surgeries. 2021 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681005 https://www.redalyc.org/journal/283/28366681005/ https://www.redalyc.org/journal/283/28366681005/html/ https://www.redalyc.org/journal/283/28366681005/28366681005.epub https://www.redalyc.org/journal/283/28366681005/movil 10.25100/cm.v52i2.4521 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| title | Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report |
| topic | Medicina surgical angiography anastomosis ulnar artery median artery |
| url | https://www.redalyc.org/articulo.oa?id=28366681005 https://www.redalyc.org/journal/283/28366681005/ https://www.redalyc.org/journal/283/28366681005/html/ https://www.redalyc.org/journal/283/28366681005/28366681005.epub https://www.redalyc.org/journal/283/28366681005/movil |