Arcus Palmaris Superficialis
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The superficial palmar arch is formed predominantly by the
ulnar artery The ulnar artery is the main blood vessel, with oxygenated blood, of the medial aspects of the forearm. It arises from the brachial artery and terminates in the superficial palmar arch, which joins with the superficial branch of the radial ar ...
, with a contribution from the
superficial palmar branch of the radial artery The superficial palmar branch of the radial artery arises from the radial artery, just where this vessel is about to wind around the lateral side of the wrist. Running forward, it passes through, occasionally over, the thenar muscles, which it sup ...
. However, in some individuals the contribution from the radial artery might be absent, and instead anastomoses with either the
princeps pollicis artery The princeps pollicis artery, or principal artery of the thumb, arises from the radial artery just as it turns medially towards the deep part of the hand; it descends between the first dorsal interosseous muscle and the oblique head of the adduct ...
, the radialis indicis artery, or the
median artery The median artery is an artery that is occasionally found in humans and other animals. The prevalence was around 10% in people born in the mid-1880s compared to 30% in those born in the late 20th century, and 35% of people born as of 2020; a sig ...
, the former two of which are branches from the radial artery. Alternative names for this arterial arch are: superficial volar arch, superficial ulnar arch, arcus palmaris superficialis, or arcus volaris superficialis.Again, ''palmar'' and ''volar'' may be used synonymously, but ''arcus volaris superficialis'' does not occur in the TA, and can therefore be considered deprecated. The arch passes across the
palm Palm most commonly refers to: * Palm of the hand, the central region of the front of the hand * Palm plants, of family Arecaceae **List of Arecaceae genera * Several other plants known as "palm" Palm or Palms may also refer to: Music * Palm (ba ...
in a curve (Boeckel's line) with its convexity downward, If one were to fully extend the thumb, the superficial palmar arch would lie approximately 1 cm distal from a line drawn between the first web space to the Hook of Hamate (Kaplan's Cardinal Line). The superficial palmar arch extends more
distally Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position pro ...
than the
deep palmar arch The deep palmar arch (deep volar arch) is an arterial network found in the palm. It is usually primarily formed from the terminal part of the radial artery. The ulnar artery also contributes through an anastomosis. This is in contrast to the supe ...
. The connection between the deep and superficial palmar arterial arches is an example of
anastomosis An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection m ...
, and can be tested for using
Allen's test In medicine, Allen's test or the Allen test is a medical sign used in physical examination of arterial blood flow to the hands. It was named for Edgar Van Nuys Allen, who described the original version of the test in 1942. An altered test, first s ...
. Three
common palmar digital arteries Three common palmar digital arteries arise from the wikt:convex, convexity of the superficial palmar arch and proceed Anatomical terms of location#Proximal and distal, distally on the second, third, and fourth lumbricals of the hand, lumbricales mu ...
arise from the arch, proceeding down on the second, third, and fourth lumbrical muscles, respectively. They each receive a contribution from a
palmar metacarpal artery The palmar metacarpal arteries (volar metacarpal arteries, palmar interosseous arteries) are three or four arteries that arise from the convexity of the deep palmar arch. Structure The palmar metacarpal arteries arise from the convexity of the ...
. Near the level of the
metacarpophalangeal joints The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavi ...
, each common palmar digital artery divides into two
proper palmar digital arteries The proper palmar digital arteries travel along the sides of the phalanges (along the contiguous sides of the index, middle, ring, and little fingers), each artery lying just below (Ventral, dorsal to) its corresponding Dorsal digital nerves of uln ...
. Four digital branches arise from this palmar arch that supplies the medial/ulnar 3 1/2 fingers.


See also

*
Deep palmar arch The deep palmar arch (deep volar arch) is an arterial network found in the palm. It is usually primarily formed from the terminal part of the radial artery. The ulnar artery also contributes through an anastomosis. This is in contrast to the supe ...
*
Palmar carpal arch The palmar carpal arch is the combination ( anastomosis) of two arteries: the Palmar carpal branch of radial artery and the palmar carpal branch of ulnar artery. This anastomosis is joined by a branch from the anterior interosseous artery abov ...
*
Dorsal carpal arch The dorsal carpal arch (dorsal carpal network, posterior carpal arch) is an anatomical term for the combination ( anastomosis) of dorsal carpal branch of the radial artery and the dorsal carpal branch of the ulnar artery near the back of the wris ...


Additional images

File:Gray425.png, The palmar aponeurosis. File:Gray527.png, The radial and ulnar arteries. File:Slide15RRR.JPG, Superficial palmar arterial and venous arches File:Slide7AAAA.JPG, Superficial palmar arterial and venous arche File:Slide13AAAAA.JPG, Superficial palmar arterial and venous arche File:Slide9HHHH.JPG, Superficial palmar arterial and venous arche File:Slide9IIII.JPG, Superficial palmar arterial and venous arche File:Slide6OOOO.JPG, Superficial palmar arterial and venous arche File:Slide16OOOO.JPG, Superficial palmar arterial and venous arche


Footnotes and references


References


External links

* * - "Palm of the hand, superficial dissection, anterior view" Arteries of the upper limb {{circulatory-stub