Topic
Superior ulnar collateral artery
About: Superior ulnar collateral artery is a research topic. Over the lifetime, 43 publications have been published within this topic receiving 359 citations.
Papers
TL;DR: A medial arm free flap is a plausible reconstructive option with good knowledge of the anatomical variations, as the defect on the medial arm is cosmetically more acceptable and has a better color match for head and neck reconstructions.
Abstract: Background: Free transfer of the medial arm flap has not gained popularity despite the hidden donor-site scar as well as the hairless and elastic skin. This may be because of variations in vascular anatomy, leading to confusion during dissection of the flap. Methods: In five preserved cadaver arms, the vascular pattern of medial arm skin was examined. Twenty-two upper extremity angiograms were examined, and 12 free medial arm flaps were elevated for various defects in 12 patients. Results: In cadaver and clinical dissections, the authors found that blood supply to the flap is multiple: from the superior ulnar collateral artery, the direct cutaneous artery, or both. A superficial brachial artery may also be present, which was observed in four angiograms and two clinical cases (15 percent). Dissections showed that the medial arm skin may be elevated based on the superficial brachial artery, direct cutaneous artery, or superior ulnar collateral artery. A neurosensory flap may be obtained by including the medial brachial cutaneous nerve of the arm. Conclusions: A medial arm free flap is a plausible reconstructive option with good knowledge of the anatomical variations, as the defect on the medial arm is cosmetically more acceptable and has a better color match for head and neck reconstructions.
48 citations
TL;DR: The inner arm perforator flap is a valuable new option for the reconstruction of axillary defects and provides a tensionless wound closure and a generally unremarkable postoperative course in a short hospital stay.
Abstract: Summary Axillary hidradenitis suppurativa is a chronic and debilitating disease that primarily affects the axillae, perineum, and inframammary areas. Surgical removal of all the diseased skin constitutes the only efficient treatment. Covering an axillary fossa defect is challenging, due to the range of shoulder movement required. Indeed, shoulder movement may be compromised by scar contraction after inadequate surgery. The present study is the first to apply an inner arm perforator flap to the treatment of twelve axillary skin defects in 10 patients. The defect originated from extensive excision of recurrent hidradenitis suppurativa in the axilla. The technique used to cover the defect is a V-Y advancement flap or a propeller flap from the inner arm based on one to three perforators arising from the brachial artery or the superior ulnar collateral artery. The flap provides a tensionless wound closure and a generally unremarkable postoperative course in a short hospital stay. No major complications occurred. Two patients had minor delayed wound healing. Outcomes (including donor site morbidity, function and the cosmetic outcome) were very satisfactory in all cases. We consider that the inner arm perforator flap is a valuable new option for the reconstruction of axillary defects.
32 citations
TL;DR: This case is a report of a trifurcation of the brachial artery that divided into radial, ulnar, and superior ulnar collateral arteries high in the arm, and the clinical significance of the variation has been addressed.
Abstract: The variability of the arteries in the upper extremity is considerable. This case is a report of a trifurcation of the brachial artery that divided into radial, ulnar, and superior ulnar collateral arteries high in the arm; the length of the brachial artery was only 4.9 cm. Because the upper extremity is a frequent site of injury, various surgical and invasive procedures are performed in this region; consequently, it is of utmost importance to be aware of arterial variations. For some medical procedures, there may be an increased risk of complications because of variant vessels; however, for other procedures, they may be beneficial. In addition to presenting a detailed anatomic study of the case, the clinical significance of the variation has been addressed. Clin. Anat. 15:224–227, 2002. © 2002 Wiley-Liss, Inc.
30 citations
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TL;DR: The superior ulnar collateral artery was present in 39 of 40 dissections and was the most consistent prominent blood supply to this area, making the medial arm flap a plausible reconstructive option.
Abstract: The reports of transfer of the medial arm flap have been inconsistent, and confusion remains about its anatomy and use. In 40 fresh cadaver arms, the vascular supply to the medial side of the arm was studied after latex injection. The superior ulnar collateral artery was present in 39 of 40 dissections and was the most consistent prominent blood supply to this area. In 57.5% of dissections, direct cutaneous arteries > 1.0 mm were present, and in 47.5%, multiple muscular cutaneous arteries > 1.0 mm were present. Although the blood supply to the medial arm flap is multiple, at least one pedicle > 1.0 mm can be found in all dissections. To date, 10 consecutive medial arm flaps were used to cover upper and lower extremity defects without any flap loss. With knowledge of the anatomical variations, the medial arm flap is a plausible reconstructive option.
28 citations
TL;DR: The development of perforator flaps’ concept based on knowledge on vascular anatomy of the skin represents a major improvement in reconstructive surgery and the study of hidden donor sites, such as medial upper arm, constitutes a new step and an additional refinement.
Abstract: The development of perforator flaps' concept based on knowledge on vascular anatomy of the skin represents a major improvement in reconstructive surgery. Succeeding description about vascular territories and anatomical basics of the main donor sites, the study of hidden donor sites, such as medial upper arm, constitutes a new step and an additional refinement. 20 upper limbs of 10 fresh adult cadavers were studied with colored latex injections. The origin and distribution of the perforator arteries of the superior ulnar collateral artery and the brachial artery were investigated. We have noted constant perforator arteries and described the limits of vascular territories of the medial upper arm.
28 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 2 |
| 2020 | 1 |
| 2019 | 2 |
| 2017 | 1 |
| 2016 | 1 |
| 2015 | 2 |