Rare combined variations of the axillary artery: superficial ulnar artery and circumflex humeral arteries
Authors:
Open Access
- 14 September 2025
- journal article
- case report
- Published by Springer Nature in Anatomical Science International
- p. 1-7
Abstract
The variations in the branching pattern of the axillary artery are clinically significant. We report an extremely rare combination of arterial variations discovered during the routine anatomical dissection of the left upper limb in a 73-year-old male cadaver. The most significant findings were a superficial ulnar artery originating directly from the axillary artery, proximal to the ansa pectoralis. The superficial ulnar artery coursed superficially in the forearm and terminated as the primary contribution to the superficial palmar arch. Additionally, a common trunk for the circumflex scapular and thoracodorsal arteries arose directly from the axillary artery. Finally, the anterior circumflex humeral artery and posterior circumflex humeral artery arose from a common trunk originating from the deep brachial artery. The posterior circumflex humeral artery passed through the triangular interval bordered by the teres major, long head of the triceps brachii, and humerus. A common trunk for the circumflex scapular and thoracodorsal arteries arose directly from the axillary artery, separate from the subscapular artery. The superficial course of the superficial ulnar artery and the atypical posterior circumflex humeral artery course increase the risk of iatrogenic injury during shoulder and arm surgeries.Keywords
Funding Information
- Tokai University, Isehara Campus
This publication has 20 references indexed in Scilit:
- Fluid shear stress induces arterial differentiation of endothelial progenitor cellsJournal of Applied Physiology, 2009
- High origin of a superficial ulnar artery arising from the axillary artery: anatomy, embryology, clinical significance and a review of the literature.2006
- Development of the arterial pattern in the upper limb of staged human embryos: normal development and anatomic variationsJournal of Anatomy, 2001
- Angiogenesis in Embryonic Development—A ReviewPlacenta, 2000
- Bilateral double axillary artery: Embryological basis and clinical implicationsClinical Anatomy, 1999
- Report of a Rare Human VariationOkajimas Folia Anatomica Japonica, 1999
- Superficial ulnar artery originating from the brachial artery and its clinical importanceSurgical and Radiologic Anatomy, 1998
- Superficial Ulnar Artery FlapPlastic and Reconstructive Surgery, 1996
- An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries.1995
- Embryological development of the arterial system of the forelimb inTupaiaThe Anatomical Record, 1994