Research Article| Volume 13, ISSUE 4, P501-509, July 1988

Download started.


Arterial patterns in the hand based on a three-dimensional analysis of 220 cadaver hands

      This paper is only available as a PDF. To read, Please Download here.
      Three-dimensional analysis of 220 cadaveric hands to the submacroscopic level was done with clear stereoscopic arteriographs. The superficial palmar arch could be grouped into complete (96.4%) and incomplete (3.6%) arches. The complete arch was divided into four types on the basis of the terminal formation of the deep palmar arch. In the deep palmar arch, the complete arch was seen in 76.9% of the hands. This rate was smaller than that in other reports. The second dorsal metacarpal artery was seen in 92%. With regard to formation of the deep palmar arch, half of all the cases exhibited collateral pathways for the palmar side from the dorsum, sometimes the main arterial source of the deep palmar arch. The blood supply of the thumb conies mainly from the princeps pollicis artery, the terminal branch of the superficial palmar arch, and the first dorsal metacarpal artery, which originates from the radial artery or from different combinations of these arteries. The arteries of the thumb are classified by their anatomic course. The princeps pollicis artery (first palmar metacarpal artery) was absent in 2.4%.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • McCormack LJ
        • Cauldwell EW
        • Anson BJ
        Brachial and antebrachial arterial patterns.
        Surg Gynecol Obstet. 1953; 96: 43-54
        • Manners-Smith T
        The limb arteries of primate.
        J Anat Physiol. 1910; 45: 23-64
        • Adachi B
        Das Arteriensystem der Japaner. Band I. Maruzen Co, Kyoto1928: 375-423
        • Coleman SS
        • Anson BJ
        Arterial patterns in the hand based upon a study of 650 specimens.
        Surg Gynecol Obstet. 1961; 113: 409-442
        • Weatheresby HT
        The artery of the index finger.
        Anat Rec. 1955; 122: 57-64
        • Murakami T
        On the position course of the deep palmar arteries with special reference to the so-called palmar metacarpal a.
        Okajimas Folia Anat Jpn. 1969; 46: 177-199
        • Murakami T
        • Takaya K
        • Outi H
        The origin course distribution of arteries to the thumb with special reference to the so-called A. princeps pollicis.
        Okajimas Folia Anat Jpn. 1969; 46: 123-137
        • Earley MJ
        The arterial supply of the thumb first web and index finger and its surgical application.
        J Hand Surg. 1986; 11B: 163-174
        • Parks BJ
        • Arbelaez J
        • Horner RL
        Medical and surgical importance of the arterial blood supply of the thumb.
        J Hand Surg. 1978; 3A: 383-385
        • Yamamoto H
        Anatomisch-stereoskopische Röntgenuntersuchungen über die Hand und Fingerarterien der Japaner (in Japanese).
        Acta Anat Nippon. 1939; 14: 837-980
        • Karlsson S
        • Niechajew IA
        Arterial anatomy of the upper extremity.
        Acta Radiol Diagn. 1982; 23: 115-121
      1. (200–2)
        • Luzsa G
        X-ray anatomy of the vascular system.
        Butterworths, Budapest1974
      2. (73–122)
        • Janevski BK
        Angiography of the upper extremity.
        Martinus Nijhoff, The Hague1982
        • Ikeda A
        • Kajihara Y
        The three dimensional analysis of angiographs observed in living subjects and remains (in Japanese).
        Igaku no ayumi. 1982; 123: 529-541
        • Ugawa A
        • Ikeda A
        Study of arterial patterns of the hand in primates.
        Acta Anat. 1985; 123: 82-89
        • Singer E
        Embryological pattern persisting in the arteries of the arm.
        Anat Rec. 1933; 55: 403-409
        • Jaschtschinski SN
        Morphologie und Topographie des Arcus Volaris Sublimis und Profundus.
        Anat Hefte. 1897; 7: 163-188
      3. (722–8)
        • Clemente CD
        Gray's anatomy.
        30th ed. Lea & Febiger, Philadelphia1985
      4. (Abteilung 3)
        • Rauber AA
        • Kopsch FR
        Lehrbuch und Atlas der Anatomie des Menschen.
        14. Auf. G Thieme, Leipzig1933
        • von Meyer H
        Der Grundtypus des Rete dorsale der Hand wurzelund der Fussworzel.
        Arch Anat Physiol. 1881; 5: 378-391
        • Hollinshead WH
        Anatomy for surgeons; the back and limbs.
        in: 2nd ed. Harper & Row, New York1969: 490-569