ARTERIAL ANATOMY OF THE THUMB

被引：14

作者：

AMES, EL ^{[1
]}

BISSONNETTE, M ^{[1
]}

ACLAND, R ^{[1
]}

LISTER, G ^{[1
]}

FIRRELL, J ^{[1
]}

机构：

[1] CHRISTINE M KLEINERT INST HAND & MICROSURG,LOUISVILLE,KY

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 04期

关键词：

D O I：

10.1016/0266-7681(93)90141-2

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The anatomical literature has indicated that the arterial supply to the thumb comes from the princeps pollicis artery. However, this simplified description does not often correlate with intraoperative findings. The purpose of this study was to investigate and clarify this important area of anatomy by dissection of fresh cadaver hands. 40 dissections were completed on 35 intravascularly injected and five non-injected hands. Five patterns were identified. The most common pattern showed both a superficial and deep vessel to the first web space in 54% of specimens. Dominant vessels included the superficial palmar branch of the radial artery in 8%, first palmar metacarpal artery in 18% and dorsal metacarpal artery in 8%. Only three specimens correlated with the textbook description. We conclude that the term ''princeps pollicis'' is actually a misnomer.

引用

页码：427 / 436

页数：10

共 10 条

[1]

Coleman, Anson, Arterial patterns in the hand based upon a study of 650 specimens, Surgery, Gynecology and Obstetrics, 113, 4, pp. 409-424, (1961)

[2]

Earley, The arterial supply of the thumb, first web and index finger and its surgical application, Journal of Hand Surgery, 11B3, 2, pp. 163-174, (1986)

[3]

Edwards, Organization of the small arteries of the hand and digits, American Journal of Surgery, 99, pp. 837-846, (1960)

[4]

Goss, Gray's Anatomy, pp. 621-628, (1969)

[5]

Grant, An Atlas of Anatomy, (1962)

[6]

Johnson, Cohen, The Hand Atlas, (1975)

[7]

Karlsson, Niechajev, Arterial anatomy of the upper extremity, Acta Radiologica Diagnosis Stockholm, 23, 2, pp. 115-121, (1982)

[8]

Parks, Arbelaez, Horner, Medical and surgical importance of the arterial blood supply of the thumb, Journal of Hand Surgery, 3, 4, pp. 383-385, (1978)

[9]

Tonkin, Ames, Wolff, Larsen, Transmetacarpal amputations and replantation: The importance of the normal vascular anatomy, Journal of Hand Surgery, 13 B, 2, pp. 204-209, (1988)

[10]

Wilgis, Kaplan, The Blood Supply of the Hand, Kaplan's Functional and Surgical Anatomy of the Hand, pp. 203-213, (1984)

← 1 →