Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202300851
Jornal Vascular Brasileiro
Case Report

Artéria ulnar superficial diagnosticada por ultrassom vascular: relato de caso

Superficial ulnar artery diagnosed by vascular ultrasound: case report

Mariana Jordão França; Luciana Akemi Takahashi; Graciliano José França; Luiz Fernando Tosi Ferreira

Downloads: 6
Views: 777

Resumo

O maior ramo da divisão terminal da artéria braquial é a artéria ulnar, que se origina após a fossa cubital. Essa artéria usualmente tem trajeto profundo aos músculos do antebraço anterior e é responsável pela vascularização da musculatura superficial e profunda da região ulnar do antebraço e hipotênar da mão, sendo a principal responsável pela formação do arco palmar superficial após o retináculo dos flexores. Reportamos uma variação anatômica após diagnóstico com ultrassom vascular na qual a artéria ulnar situava-se em posição superficial no antebraço. A ocorrência da artéria ulnar superficial é rara, porém de grande importância para clínicos, cirurgiões e profissionais de enfermagem.

Palavras-chave

ultrassom Doppler, artéria ulnar, variação anatômica, relato de caso

Abstract

The largest branch of the terminal division of the brachial artery is the ulnar artery, which arises after the cubital fossa. This artery usually has a deep path in the muscles of the anterior forearm and is responsible for vascularization of the superficial and deep musculature on the ulnar side of the forearm and hypothenar area of the hand. We report an anatomical variant diagnosed by Doppler ultrasound in which the ulnar artery had a superficial position in the forearm. Occurrence of a superficial ulnar artery is rare, but it is an important fact for clinicians, surgeons, and nursing professionals.

Keywords

 Doppler ultrasound; ulnar artery; anatomical variation; case report

References

1 Gardner E, Gray D, O’Rahilly R. Anatomia. Rio de Janeiro: Guanabara Koogan; 1988. O antebraço, p. 137-8.

2 Green PH. An account of the varieties in the arterial system of the human body. Dublin: James Marshal Leckie; 1830.

3 Sieg P, Jacobsen HC, Hakim SG, Hermes D. Superficial ulnar artery: curse or blessing in harvesting fasciocutaneous forearm flaps. Head Neck. 2006;28(5):447-52. http://dx.doi.org/10.1002/hed.20367. PMid:16388528.

4 Hazlett JW. The superficial ulnar artery. Can Med Assoc J. 1949;61(3):289-93. PMid:18148099.

5 Funk GF, Valentino J, McCulloch TM, Graham SM, Hoffman HT. Anomalies of forearm vascular anatomy encountered during elevation of the radial forearm flap. Head Neck. 1995;17(4):284-92. http://dx.doi.org/10.1002/hed.2880170403. PMid:7672968.

6 Dartnell J, Sekaran P, Ellis H. The superficial ulnar artery: incidence and calibre in 95 cadaveric specimens. Clin Anat. 2007;20(8):929-32. http://dx.doi.org/10.1002/ca.20546. PMid:17907204.

7 Rodríguez-Niedenführ M, Vázquez T, Nearn L, Ferreira B, Parkin I, Sañudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001;199(Pt 5):547-66. http://dx.doi.org/10.1046/j.1469-7580.2001.19950547.x. PMid:11760886.

8 D’Costa S, Shenoy BM, Narayana K. The incidence of a superficial arterial pattern in the human upper extremities. Folia Morphol (Warsz). 2004;63(4):459-63. PMid:15712144.

9 Chin KJ, Singh K. The superficial ulnar artery—a potential hazard in patients with difficult venous access. Br J Anaesth. 2005;94(5):692-3. http://dx.doi.org/10.1093/bja/aei548. PMid:15814810.

10 Coleman SS, Anson BJ. Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obstet. 1961;113:409-24. PMid:13694610.

11 Senanayake KJ, Salgado S, Rathnayake MJ, Fernando R, Somarathne K. A rare variant of the superficial ulnar artery, and its clinical implications: a case report. J Med Case Rep. 2007;1:128. http://dx.doi.org/10.1186/1752-1947-1-128. PMid:17988391.

12 Chin KJ, Singh K. The superficial ulnar artery—a potential hazard in patients with difficult venous access. Br J Anaesth. 2005;94(5):692-3. http://dx.doi.org/10.1093/bja/aei548. PMid:15814810.

13 Quadros LS, Nandini BHAT. Superficial ulnar artery: a case report of its unusual course. Malays J Med Sci. 2015;22(3):65-7. PMid:26715898.

14 McWilliams RG, Sodha I. Doppler ultrasound diagnosis of a superficial ulnar artery. Eur J Ultrasound. 2000;12(2):155-7. http://dx.doi.org/10.1016/S0929-8266(00)00106-3. PMid:11118923.

15 Kirici Y, Ozan H, Aldur MM. An unusual variation of the superficial ulnar artery. Surg Radiol Anat. 1999;21(2):155-7. http://dx.doi.org/10.1007/s00276-999-0155-1. PMid:10399219.
 


Submitted date:
06/20/2023

Accepted date:
11/27/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
65c4fab3a953957f85406f53 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections