橈骨動脈
WordNet
- relating to or near the radius; "the radial aspect of the forearm"
- pneumatic tire that has radial-ply casing (同)radial tire, radial-ply_tire
- arranged like rays or radii; radiating from a common center; "radial symmetry"; "a starlike or stellate arrangement of petals"; "many cities show a radial pattern of main highways" (同)stellate, radiate
- issuing in rays from a common center; relating to rays of light; "radial heat"
- relating to or moving along or having the direction of a radius; "radial velocity"
PrepTutorEJDIC
- 光線の / 放射状の / 半径の
- =radial-ply tire
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/09/19 15:09:24」(JST)
[Wiki en表示]
Artery: Radial artery |
Palm of left hand, showing position of skin creases and bones, and surface markings for the volar arches.
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Ulnar and radial arteries. Deep view.
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Latin |
Arteria radialis |
Gray's |
p.592 |
Source |
brachial artery |
Branches |
- in the forearm:
Radial recurrent artery
Palmar carpal branch of radial artery
Superficial palmar branch of the radial artery.
Dorsal carpal branch of radial artery
First dorsal metacarpal artery.
Princeps pollicis artery
Radialis indicis
Deep palmar arch
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Vein |
radial vein |
MeSH |
Radial+Artery |
In human anatomy, the radial artery is the main artery of the lateral aspect of the forearm.
Contents
- 1 Course
- 2 Branches
- 2.1 In the Forearm
- 2.2 At the Wrist
- 2.3 In the Hand
- 3 Clinical significance
- 4 See also
- 5 Additional images
- 6 References
- 7 External links
Course
The radial artery arises from the bifurcation of the brachial artery in the cubital fossa. It runs distally on the anterior part of the forearm. There, it serves as a landmark for the division between the anterior and posterior compartments of the forearm, with the posterior compartment beginning just lateral to the artery. The artery winds laterally around the wrist, passing through the anatomical snuff box and between the heads of the first dorsal interosseous muscle. It passes anteriorly between the heads of the adductor pollicis, and becomes the deep palmar arch, which joins with the deep branch of the ulnar artery.
Along its course, it is accompanied by a similarly named vein, the radial vein.
Branches
The named branches of the radial artery may be divided into three groups, corresponding with the three regions in which the vessel is situated.
In the Forearm
- Radial recurrent artery - arises just after the radial artery comes off the brachial artery. It travels superiorly to anastomose with the radial collateral artery around the elbow joint
- Palmar carpal branch of radial artery - a small vessel which arises near the lower border of the pronator quadratus
- 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.
At the Wrist
- Dorsal carpal branch of radial artery - a small vessel which arises beneath the extensor tendons of the thumb
- First dorsal metacarpal artery - arises just before the radial artery passes between the two heads of the first dorsal interosseous muscle and divides almost immediately into two branches which supply the adjacent sides of the thumb and index finger; the lateral side of the thumb receives a branch directly from the radial artery.
In the Hand
- Princeps pollicis artery - arises from the radial artery just as it turns medially to the deep part of the hand.
- Radialis indicis - arises close to the princeps pollicis. The two arteries may arise from a common trunk, the first palmar metacarpal artery.
- Deep palmar arch - terminal part of radial artery.
Clinical significance
The radial artery lies superficially in front of the distal end of the radius, between the tendons of the brachioradialis and flexor carpi radialis; it is here that clinician takes the radial pulse. (where it is commonly used to assess the heart rate and cardiac rhythm). Presence of radial pulse has been estimated to indicate a systolic blood pressure of more than 70 mmHg, as estimated from the 50% percentile.[1] The radial artery can be less easily felt as it crosses the anatomical snuff box. The radial artery is used for coronary artery bypass grafting and is growing in popularity among cardiac surgeons.[1] Recently, it has been shown to have a superior peri-operative and post-operative course when compared to saphenous vein grafts.[2]
See also
- Allen test
- Radial artery puncture
Radial artery cannulation is now a common practice in heart catheter. It is much preferred over femoral approach due to better accessibility, hemostasis and shorter hospital stay.
Additional images
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Tendons of forefinger and vincula tendina.
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Cross-section through the middle of the forearm.
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Transverse section across distal ends of radius and ulna.
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Transverse section across the wrist and digits.
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Diagram of the anastomosis around the elbow-joint.
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The radial and ulnar arteries.
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Front of right upper extremity, showing surface markings for bones, arteries, and nerves.
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References
- ^ Deakin CD, Low JL (September 2000). "Accuracy of the advanced trauma life support guidelines for predicting systolic blood pressure using carotid, femoral, and radial pulses: observational study". BMJ 321 (7262): 673–4. doi:10.1136/bmj.321.7262.673. PMC 27481. PMID 10987771.
- ^ Sajja LR, Mannam G, Pantula NR, Sompalli S. Role of radial artery graft in coronary artery bypass grafting. Ann Thorac Surg. 2005 Jun;79(6):2180-8. PMID 15919345
- ^ Cohen G, Tamariz MG, Sever JY, Liaghati N, Guru V, Christakis GT, Bhatnagar G, Cutrara C, Abouzahr L, Goldman BS, Fremes SE. The radial artery versus the saphenous vein graft in contemporary CABG: a case-matched study. Ann Thorac Surg. 2001 Jan;71(1):180-5; discussion 185-6. PMID 11216742
External links
- Image at umich.edu - pulse
- Radial artery puncture - medicalstudents.com
- lesson4artofforearm at The Anatomy Lesson by Wesley Norman (Georgetown University)
List of arteries of upper limbs (TA A12.2.09, GA 6.575)
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Axillary |
Shoulder
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- scapular anastomosis
- 1st part superior thoracic
- 2nd part thoracoacromial
- deltoid branch
- lateral thoracic
- 3rd part subscapular
- circumflex scapular
- thoracodorsal
- anterior humeral circumflex
- posterior humeral circumflex
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Brachial
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Before split
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- profunda brachii
- radial collateral
- medial collateral
- ulnar collateral
- superior
- inferior
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Radial
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- forearm: radial recurrent
- wrist/carpus: dorsal carpal branch
- palmar carpal branch
- hand: superficial palmar branch
- princeps pollicis
- Radialis indices artery
- radial of index finger
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Ulnar
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- forearm: ulnar recurrent
- anterior
- posterior
- common interosseous
- anterior
- posterior
- recurrent
- wrist/carpus: dorsal carpal branch
- palmar carpal branch
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Arches
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- dorsal carpal arch: dorsal metacarpal
- dorsal digital
- superficial palmar arch: common palmar digital
- proper palmar digital
- deep palmar arch: palmar metacarpal
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anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
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noco/syva/cong/lyvd/tumr, sysi/epon, injr
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proc, drug (C2s+n/3/4/5/7/8/9)
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This article incorporates text from a public domain edition of Gray's Anatomy.
UpToDate Contents
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English Journal
- Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study.
- Kim EH1, Lee JH, Song IK, Kim JT, Lee WJ, Kim HS.
- Anesthesiology.Anesthesiology.2017 Sep;127(3):423-431. doi: 10.1097/ALN.0000000000001774.
- PMID 28682811
- Validation of a novel nonlinear black box Wiener System model for arterial pulse transmission.
- Patel AM1, Li JK2.
- Computers in biology and medicine.Comput Biol Med.2017 Sep 1;88:11-17. doi: 10.1016/j.compbiomed.2017.06.020. Epub 2017 Jun 23.
- PMID 28667939
- Ultrastructural and histomorphologic properties of the internal thoracic artery: implications for coronary revascularization.
- Fonseca DA1, Antunes PE, Cotrim MD.
- Coronary artery disease.Coron Artery Dis.2017 Sep;28(6):518-527. doi: 10.1097/MCA.0000000000000527.
- PMID 28678142
Japanese Journal
- Die Arteria radialis superficialis. Eine ungewohnliche Varietat der A. radialis des Menschen und ihre phylogenetische Bedeutung
- 先天性奇形肢の血管系に関する臨床的実験的研究 : 2.先天性奇形手48例における血管系の検討
★リンクテーブル★
[★]
- 英
- radial artery (M)
- ラ
- arteria radialis
- 関
- 上腕動脈
由来
走行
橈骨動脈の脈
M. 440
- 橈骨の遠位端であって、橈側手根屈筋の外側-長母指外転筋・短母指伸筋の腱と長母指伸筋が作る解剖学的嗅ぎタバコ入れの底
Henry Gray (1825-1861). Anatomy of the Human Body. 1918.
[★]
- 関
- radiant、radiata、radiatum、radii、radius