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Persistent median artery in the carpal tunnel: anatomy, embryology, clinical significance, and review of the literature.

ΤίτλοςPersistent median artery in the carpal tunnel: anatomy, embryology, clinical significance, and review of the literature.
Publication TypeJournal Article
Year of Publication2009
AuthorsNatsis, K., Iordache G., Gigis I., Kyriazidou A., Lazaridis N., Noussios G., & Paraskevas G.
JournalFolia Morphol (Warsz)
Volume68
Issue4
Pagination193-200
Date Published2009 Nov
ISSN0015-5659
Λέξεις κλειδιάAxillary Artery, Carpal Tunnel Syndrome, Female, Forearm, Humans, Incidence, Male, Median Nerve, Middle Aged, Radial Artery, Ulnar Artery
Abstract

The median artery usually regresses after the eighth week of intrauterine life, but in some cases it persists into adulthood. The persistent median artery (PMA) passes through the carpal tunnel of the wrist, accompanying the median nerve. During anatomical dissection in our department, we found two unilateral cases of PMA originating from the ulnar artery. In both cases the PMA passed through the carpal tunnel, reached the palm, and anastomosed with the ulnar artery, forming a medio-ulnar type of superficial palmar arch. In addition, in both cases we observed a high division of the median nerve before entering the carpal tunnel. Such an artery may result in several complications such as carpal tunnel syndrome, pronator syndrome, or compression of the anterior interosseous nerve. Therefore, the presence of a PMA should be taken into consideration in clinical practice. This study presents two cases of PMA along with an embryological explanation, analysis of its clinical significance, and a review of the literature. The review of the literature includes cases observed during surgical procedures or anatomical dissections. Cases observed by means of imaging techniques were not included in the study.

Alternate JournalFolia Morphol (Warsz)
PubMed ID19950066

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