Summary
Thirty adult upper extremities were used to study the blood vessels of the hand by angiography, cross-sectional measurement and operative microscopic dissection. The arteries in the middle segment of the palm are arranged in three planes, while in the upper or lower segment there are two planes only. The division of the territories of the radial and ulnar arteries are not same in the three different layers. There are three main anastomotic pathways between the radial and ulnar arteries in the radial-ulnar direction, while in the palmar-dorsal direction there are three anastomotic zones between the palmar and dorsal planes. According to the rate of appearance, sources, cross-sectional area, irrigation territories and anastomoses of the arteries in the three segments, the clinical significance in the reimplantation of the amputated hand through the palm has been discussed.
Résumé
Trente membres supérieurs de sujets adultes ont été étudiés. Les vaisseaux sanguins de la main ont été analysés sur des angiographies, des coupes anatomiques et des dissections sous microscope. Les artères de la paume sont disposées en trois plans dans la partie moyenne, alors que dans les segments sous-jacents, elles sont disposées en deux plans seulement. La disposition des territoires dépendant des aa. radiale et ulnaire n'est pas la même dans chaque plan. Il existe trois voies anastomotiques entre les aa. radiale et ulnaire dans le sens paume-dos de la main. Les possibilités de réimplantation après amputation transpalmaire ont été envisagées grâce à l'étude dynamique de la circulation, à des coupes et à l'analyse des anastomoses artérielles entre ces trois plans.
Similar content being viewed by others
References
Coleman SS, Anson BJ (1961) Arterial patterns in the hand. Surg Gynecol Obstet 113: 409–424
Edwards EA (1960) Organization of the small arteries of the hand and digits. Am J Surg 99: 837–847
Jelicic N, Gajisin S, Zbrodowski A (1988) Arcus palmaris superficialis. Acta Anat 132: 187–190
Kaplan EB (1953) Functional and surgical anatomy of the hand. ed 1. JP Lippincott Camp, Philadelphia
Libersa Cl, Francke JP, Mauppin JM, Bailleul JP, Gamblin PH (1982) The arterial supply to the palm of the hand. Anat Clin 4: 33–45
McDonald DA (1974) Blood flow in arteries. ed. 2. Edward Arnold, Southampton
Wang ZW, Liu ZJ (1988) The arterial architecture of the palmar part of the hand. Acta Anat Sinica 19: 232–239
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Zhang, SX., Ho, GT. & Liu, ZJ. Basic vascular anatomy and the reimplantation of the amputated hand through the palm. Surg Radiol Anat 12, 241–246 (1990). https://doi.org/10.1007/BF01623697
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01623697