The Incomplete Superficial Palmar Arch
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Updated: Mar 19, 2026

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Published on: April 5, 2024
Anneh Mohammad Gharravi1, Saeed Azandeh2, Mohammad Reza Gholami3
1School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
Introduction:
Superficial palmar arch (SPA) is dominant vascular structure in palm of hand. In present study we described a case of Ulnar / Radiopalmar pattern of incomplete SPA in an Iranian cadaver. When the SPA is complete, the superficial palmer branches of the radial artery contribute to the ulnar artery. In incomplete type of SPA, there was no anastomosis between the ulnar and radial arteries (UA, RA).
Case Report:
In the present case, the brachial artery divided into RA and UA at the cubital fossa. There was no anastomosis between radial and ulnar arteries (RA, UA) in the palm of the hand. UA gave three palmar digital arteries; proper palmar digital artery and two common palmar digital arteries. RA gave proper palmar digital artery and arteria princeps pollicis.
Conclusion:
Knowledge of anatomical variation of SPA is important for the hand surgical interventions and this is a very rare variation which can be easily tested clinically by Allen's test.
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