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Updated: May 7, 2026
10:53
A Novel Application of Musculoskeletal Ultrasound Imaging
Published on: September 17, 2013
25.1K
Charting Variant Vascular Pathways in Musculoskeletal Imaging: Clinical and Surgical Implications
Maya Patel1, Sara R Silberstein1, Michael J Ferra1
1Department of Radiology, Jefferson Einstein Healthcare Network, 5501 Old York Rd, Philadelphia, PA 19141.
Summary
Recognizing variant vascular pathways in musculoskeletal imaging is crucial. Aberrant vessels like the persistent median artery and corona mortis pose risks for neuropathy, ischemia, and hemorrhage during surgery.
Area of Science:
- Radiology
- Anatomy
- Vascular Surgery
Background:
- Variant vascular pathways can complicate musculoskeletal imaging interpretation.
- Understanding these variations is key for radiologists and surgeons.
Purpose of the Study:
- To review the prevalence, anatomy, clinical significance, and surgical risks of variant vascular pathways.
Main Methods:
- Review of anatomical literature and case studies focusing on variant vasculature.
- Discussion of specific variant pathways in the upper extremity, pelvis, posterior thigh, and lower extremity.
Main Results:
- Identified variant pathways include persistent median artery, brachioradial artery, corona mortis, persistent sciatic artery, aberrant anterior tibial artery, and peroneal arteria magna.
- These variants are associated with risks such as neuropathy, ischemia, hemorrhage, compartment syndrome, and aneurysm formation.
Conclusions:
- Recognition of common and uncommon vascular variants is essential for preventing surgical complications and guiding treatment.
- Awareness of aberrant vasculature improves patient safety in orthopedic and trauma procedures.
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