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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%.
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Article info
Publication history
Accepted:
November 16,
1987
Received:
March 31,
1987
Footnotes
*This work was partly supported by a grant-in-aid 61570020 science research from the ministry of education and culture of Japan.
**The author or one or more of the authors have received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article. In addition, benefits have been or will be directed to a research fund, foundation, education institution, or other nonprofit organization with which one or more of the authors are associated.
***The authors gratefully acknowledge the support of Mr. Kazuo Ikeda, Department of Anatomy, Kawasaki Medical School.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
