Superficial Palmar Arch: Redefining a Classic

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Pulice, Lucila; Martinez Hinojosa, Pablo Andrés; Pangol Lupi, Malena; Trupia, Nicolás Martin; Lopez Miná, Manuel Ignacio; Gigena, Rafael; Hamermiler, Aldana Paula; Blasi, Esteban Daniel; Shinzato, Sergio Alberto & Bertone, Vicente Hugo

Summary

The superficial palmar arch (SPA) is formed by the union of the ulnar artery and the superficial palmar branch of the radial artery. From its convexity four branches emerge, known as the common palmar digital arteries. We propose to carry out a review of the description of the SPA in contrast to the dissections carried out. Sixty-one hands were dissected and studied. Analysis of the SPA: Classic variant of the SPA: 23 cases (37.7 %). Non- classic variant of the SPA: 15 cases (24.6 %). Type A: 13 cases (86.7 %). Anastomosis between the ulnar artery and the first dor- sal metacarpal artery. Type B: 2 cases (13.3 %). Anastomosis between the ulnar artery and the satellite artery of the median nerve. Absence of the arch: 23 cases (37.7 %) Type A: 19 cases (82.6 %). The ulnar artery is the only one present in the plane of the SPA. Type B: 3 cases (13 %). The ulnar artery and the superficial palmar branch of the radial artery are in the plane of the superficial palmar arch, there is no anastomosis between them. Type C: 1 case (4.4 %). The ulnar artery and the satellite artery for the median nerve are in the plane of the SPA, there is no anastomosis between them. Analysis of the fifth common palmar digital artery: The fifth common palmar digital artery originates from the different variants in 41 cases (67.2 %). Based on the results, we recommend at the time of dissecting consider that: The classic variant is not the most frequent to find. The absence of the arch is verified in the same percentage rate as the classic variant. Even when the SPA is present, the percentage rate of the non-classic variant is significant. The fifth common palmar digital artery is a constant collateral branch of the superficial palmar arch.

KEY WORDS: Superficial palmar arch; Ulnar artery; Anatomy.

How to cite this article

PULICE, L.; MARTINEZ HINOJOSA, P. A.; PANGOL LUPI, M.; TRUPIA, N. M.; LOPEZ MINÁ, M. I.; GIGENA, R.; HAMERMILER, A. P.; BLASI, E. D.; SHINZATO, S. A. & BERTONE, V. H. Superficial palmar arch: Redefining a classic. Int. J. Morphol., 38(3):592-595, 2020.