- See: Arterial Development of the Limbs:
- Embryologic Anatomy:
- subclavian artery projects into early upper limb bud in axial position, its proximal portion becoming subclavian-axillary- brachial
trunk, & its distal portion becoming interosseous artery that initially supplies a plexus of arteries in the primitive hand;
- branch of trunk artery, median artery, temporarily replaces interosseous artery in supplying hand;
- later, ulnar & then radial artery are formed & supply majority of forearm & of superficial & deep palmar arches of hand that arise
from primitive plexus;
- Adult Anatomy:
- absent < 5% of population;
- originates from interossea communis artery in 38%, from interossea anterior artery in 35%, and the ulnaris-interossea communis
artery in 10%;
- in majority of cases, median artery ends principally with many branches in the FDS, proximal to the wrist level;
- less than 2% participate in the palmar vascular arches of the hand;
- when present at the wrist, the median artery is often associated w/ a bifid (high division) of the median nerve
Can simple release relieve symptoms of carpal tunnel syndrome caused by a persistent median artery? Clinical experience.