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Related Concept Videos

Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
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Related Experiment Video

Updated: May 14, 2025

Two-Dimensional X-Ray Angiography to Examine Fine Vascular Structure Using a Silicone Rubber Injection Compound
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Distal Brachial Artery Perforator: An Anatomic Study.

Hieu Trung Nguyen1, Bao Van Thai Dinh2, Tho Phuoc Pham2

  • 1University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam.

Hand (New York, N.Y.)
|April 12, 2025
PubMed
Summary

The distal brachial artery perforator (DBAp) flap is a viable option for reconstruction. This study mapped the DBAp

Keywords:
distal brachial artery perforatorfree flaplocal flapmedial antebrachial cutaneous nervemedial epicondyle of Humerusperforator flaps

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Area of Science:

  • Anatomy
  • Plastic Surgery
  • Vascular Surgery

Background:

  • The medial upper arm offers ideal characteristics for perforator flap donation.
  • Vascular supply is primarily from the superior ulnar collateral and brachial arteries.
  • Understanding perforator anatomy is crucial for flap elevation.

Purpose of the Study:

  • To precisely locate and characterize the distal brachial artery perforator (DBAp).
  • To establish anatomical databases for optimizing DBAp flap elevation.
  • To evaluate the potential of the DBAp flap for reconstructive purposes.

Main Methods:

  • A cross-sectional cadaveric study involving 24 upper limbs.
  • A 3-stage surgical procedure to identify and analyze DBAp.
  • Detailed measurement of perforator dimensions and fascial entry points.

Main Results:

  • At least one DBAp was identified in all specimens (mean 1.25).
  • Average perforator diameter was 0.95 mm, length 3.52 cm.
  • Perforator entry points clustered near the medial epicondyle, with associated medial antebrachial cutaneous nerve innervation.

Conclusions:

  • The DBAp flap is a reliable source for soft tissue reconstruction.
  • This flap is suitable for defects in the elbow, face, head, and neck.
  • Detailed anatomical data supports the clinical application of DBAp flaps.