A 17-year-old man noted a painful mass on his wrist while fencing (Kendo). An aneurysm of a dorsal superficial antebrachial artery, which is an anomalous branch of the radial artery in the distal forearm, was diagnosed. He was successfully treated by excision with primary anastomosis; pathologic examination revealed a pseudoaneurysm. The anomalous location of this artery placed it at risk for civilian injury as it ran in the subcutaneous tissue of the dorsal forearm.
Get full access to this article
View all access options for this article.
References
1.
1. Adachi B: Arteria antebrachialis dorsalis superficialis. In: Das Arterien System der Japaner, ed. by Adachi B. Kyoto: Kyoto University Press, 1928, pp 357-364.
2.
2. Lippert H, Pabst R: Arteries of the forearm. In: Arterial Variations in Man, ed. by Lippert H, Pabst R. Munich: JF Bergmann Verlag, 1985, pp 71-73.
3.
3. Brown MJ, Edstrom LE, Zienowicz RJ: A symptomatic radial artery anomaly and its surgical treatment. J Hand Surg24A:178-181, 1999.
4.
4. Loetzke HH, Kleinau W: Gleichzeitiges Vorkommen der Aa. brachialis superficialis, radialis und antebrachialis dors. superfic. sowie deren Aufzweigungen. Anat Anz122:137-141, 1968.
5.
5. Heden P, Gylbert L: Anomaly of the radial artery encountered during elevation of the radial forearm flap. J Reconstr Microsurg6:139-141, 1990.
6.
6. Turowski GA, Amjadi N, Sterling A, et al: Aneurysm of the radial artery following blunt trauma to the wrist. Ann Plast Surg38:527-530, 1997.
7.
7. Monaco DD, Fritsche E, Rigoni G, et al: Hypothenar hammer syndrome: Retrospective study of nine cases. J Hand Surg24B:731-734, 1999.
8.
8. Nakamura T, Kambayashi J, Kawasaki T, et al: Hypothenar hammer syndrome caused by playing tennis. Eur J Vasc Surg11:240-242, 1996.