Anatomske varijacije površinskog luka dlana i njihov klinički značaj

  • Miloš Mališ University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Slobodan Kapor University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Laslo Puškaš University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Milan Aksić University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Valentina Blagojević University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Nikola Žarković University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Ljubomir Djurašić University Clinical Center of Serbia, Department of Physical Medicine and Rehabilitation, Belgrade, Serbia
  • Branislav Filipović University of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, Serbia
  • Biserka Vukomanović Djurdjević University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP201020014M
Ključne reči: anatomija, varijacije, a. ulnaris, šaka

Sažetak


Uvod/Cilj. Detaljno poznavanje vaskularne mreže šake od velikog je značaja u savremenoj medicini. Glavni krvni sud šake jeste površinski arterijski luk dlana (PLD), koji klasično nastaje anastomoziranjem lakatne arterije sa površinskom granom žbične arterije dlana. PLD odlikuje izuzetna varijabilnost koja se manifestuje različitim načinom nastanka i položajem ovog krvnog suda. Cilj rada bio je da se ispita anatomija PLD. Metode. Istraživanje je sprovedeno na Institutu za anatomiju ,,Niko Miljanić” na ukupno 14 kadavera. Nakon pažljive disekcije, na svim desnim šakama analizirane su varijacije u načinu nastanka kao i udaljenost PLD od Kaplanove kardinalne linije. Dobijeni podaci statistički su obrađeni u programu SPSS 11.0 primenom Mann-Whitney testa, pri čemu je prihvaćeni nivo statističke značajnosti bio p < 0,05. Rezultati. Prema Coleman i Anson klasifikaciji uočena je veća učestalost nekompletnog (57,14%) u odnosu na kompletni tip (42,86%) PLD. Takođe, utvrđena je statistički značajna razlika u rastojanju PLD od Kaplanove linije između kompletnog i nekompletnog tipa. Rastojanje kod kompletnog tipa bilo je 2,13 ± 0,32 cm, dok je kod nekompletnog tipa iznosilo 3,33 ± 0,87 cm. Zaključak. Sadašnja studija pokazala je veoma značajnu kompleksnost anatomije PLD, koja povlači za sobom veliki broj kliničkih implikacija. Da bi se izbegle operativne i postoperativne komplikacije neophodna je procena cirkulatornog sistema šake u toku planiranja hirurških procedura.

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Objavljeno
2022/09/21
Broj časopisa
Vol. 79 Br. 7 (2022): Vojnosanitetski pregled
Rubrika
Kratko saopštenje