{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:40:29Z","timestamp":1782520829541,"version":"3.54.5"},"reference-count":21,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Background: Arterial variations in the upper limb, although infrequent, carry critical clinical implications. The presence of superficial ulnar and radial arteries, especially when originating from high levels, increases the risk of iatrogenic injury, misdiagnosis, and surgical complications. To confirm and describe, through ultrasound and anatomical dissection, the presence of a high-origin superficial ulnar artery and a superficial radial artery in a cadaver, highlighting their anatomical trajectory and clinical relevance. Methods: A cross-sectional ultrasound and anatomical study was conducted on 150 upper limbs from fresh-frozen cadavers. High-frequency ultrasound was used to scan the vasculature from the axilla to the wrist. Subsequently, dissection was performed to confirm sonographic findings. Results: One case (0.66%) of concurrent superficial ulnar artery and superficial radial artery was identified in the left arm of a 79-year-old male cadaver. The superficial ulnar artery originated from the axillary artery and coursed superficially along the forearm, anterior to the flexor muscles. The superficial radial artery emerged from the brachial artery and ran subcutaneously in the distal forearm. These arteries remained in close relation to key neural and venous structures, increasing their vulnerability to clinical error. Conclusions: The identification of high-origin superficial arteries is essential for clinical practice. Ultrasound serves as a reliable, non-invasive method for detecting such variations preoperatively. Awareness of these anomalies can prevent inadvertent vascular injuries, improve diagnostic accuracy, and inform safer surgical and anesthetic approaches in upper limb interventions.<\/jats:p>","DOI":"10.3390\/jfmk10030246","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T10:03:48Z","timestamp":1751277828000},"page":"246","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Superficial Arterial Variants of the Upper Limb: Clinical Implications of High-Origin Ulnar and Radial Arteries Detected by Ultrasound and Anatomy Study"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1359-1543","authenticated-orcid":false,"given":"Maribel","family":"Miguel-P\u00e9rez","sequence":"first","affiliation":[{"name":"Unit of Human Anatomy and Embryology, Department of Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, 08007 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Ortiz-Miguel","sequence":"additional","affiliation":[{"name":"Unit of Human Anatomy and Embryology, Department of Surgery and Medical-Surgical Specialities, Faculty of Medicine and Health Sciences (Clinic Campus), University of Barcelona, 08007 Barcelona, Spain"},{"name":"Medicine Department, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, 08017 Barcelona, Spain"},{"name":"Actium Functional Anatomy Research Group, 08195 Sant Cugat del Vall\u00e8s, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Unit of Human Anatomy and Embryology, Department of Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, 08007 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Ortiz-Sagrist\u00e0","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Fundaci\u00f3 Puigvert, 08025 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Unit of Human Anatomy and Embryology, Department of Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences (Bellvitge Campus), University of Barcelona, 08007 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Martinoli","sequence":"additional","affiliation":[{"name":"Cattedra di Radiologia \u201cR\u201d-DICMI, Universita di Genova, 16126 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5607-0708","authenticated-orcid":false,"given":"Albert","family":"P\u00e9rez-Bellmunt","sequence":"additional","affiliation":[{"name":"Medicine Department, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, 08017 Barcelona, Spain"},{"name":"Actium Functional Anatomy Research Group, 08195 Sant Cugat del Vall\u00e8s, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"ref_1","first-page":"65","article-title":"Superficial Ulnar Artery: A Case Report of its Unusual Course","volume":"22","author":"Quadros","year":"2015","journal-title":"Malays. Med. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1046\/j.1469-7580.2001.19950547.x","article-title":"Variations of the arterial pattern in the upper limb revisited: A morphological and statistical study, with a review of the literature","volume":"199","author":"Nearn","year":"2001","journal-title":"J. Anat."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"258","DOI":"10.4103\/0970-0358.191314","article-title":"Superficial upper limb vasculature and its surgical implications","volume":"49","author":"Gupta","year":"2016","journal-title":"Indian. J. Plast. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/ca.20150","article-title":"Superficial ulnar artery terminating in a normal ulnar artery","volume":"8","author":"Mannan","year":"2005","journal-title":"Clin. Anat."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1002\/hed.20367","article-title":"Superficial ulnar artery: Curse or blessing in harvesting fasciocutaneous forearm flaps","volume":"28","author":"Sieg","year":"2006","journal-title":"Head Neck"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00276-001-0139-2","article-title":"Bilateral case of superficial ulnar artery originating from axillary artery","volume":"23","author":"Jacquemin","year":"2001","journal-title":"Surg. Radiol. Anat."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/S0929-8266(00)00106-3","article-title":"Doppler ultrasound diagnosis of a superficial ulnar artery","volume":"12","author":"McWilliams","year":"2000","journal-title":"Eur. J. Ultrasound."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1186\/s13019-024-03158-z","article-title":"Rare bilateral vascular variations of the upper limb: A cadaveric case study","volume":"19","author":"Smith","year":"2024","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_9","first-page":"39","article-title":"High origin of an ulnar artery development and surgical significance","volume":"34","author":"Vollala","year":"2011","journal-title":"Chang. Gung Med. J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1142\/S2424835518720074","article-title":"Superficial ulnar artery crossing over the palmaris longus thedon at the wrist in a cadaver: A case report","volume":"23","author":"Sato","year":"2018","journal-title":"J. Hand Surg. Asian-Pac. Vol."},{"key":"ref_11","first-page":"573","article-title":"High origin of ulnar artery on South Indian male cadaver: A case report","volume":"49","author":"Bhat","year":"2008","journal-title":"Rom. J. Morphol. Embryol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1093\/bja\/aei548","article-title":"The superficial ulnar artery\u2014A potential hazard in patients with difficult venous access","volume":"94","author":"Chin","year":"2005","journal-title":"Br. J. Anaesth."},{"key":"ref_13","unstructured":"Williams, P.L., Bannister, L.H., Berry, M.M., Collins, P., Dyson, M., Dussek, J.E., and Ferguson, M.W. (1995). Angiology. Gray\u2019s Anatomy, Churchill Livingstone. [38th ed.]."},{"key":"ref_14","first-page":"4","article-title":"Superficial course of brachial and ulnar arteries and high origin of common interosseous artery","volume":"2","author":"Cherian","year":"2009","journal-title":"Int. J. Anat. Var. (IJAV)"},{"key":"ref_15","first-page":"AD01","article-title":"Superficial ulnar artery associated with anomalous origin of the common interosseous and ulnar recurrent arteries","volume":"10","author":"Sirasanagandla","year":"2016","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s12565-017-0427-5","article-title":"Bifurcation of brachial artery into a common radial-interosseous trunk and superficial ulnar artery: A rare variation","volume":"93","author":"Narayanan","year":"2018","journal-title":"Anat. Sci. Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s00276-999-0155-1","article-title":"An unusual variation of the superficial ulnar artery","volume":"21","author":"Yazar","year":"1999","journal-title":"Surg. Radiol. Anat."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/0970-0358.113738","article-title":"Absence of the palmaris longus is a warning sign for avoiding the superficial ulnar artery \u201ctrap\u201d","volume":"46","author":"Yadav","year":"2013","journal-title":"Indian. J. Plast. Surg."},{"key":"ref_19","first-page":"173","article-title":"Superficial ulnar artery: Case Report","volume":"117","author":"Bondaz","year":"2016","journal-title":"Rev. Stomalog. Chr. Maxillofac. Chir. Orale"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/00003643-199908000-00014","article-title":"Accidental intra-arterial injection of propofol","volume":"16","author":"Sheiner","year":"1999","journal-title":"Eur. J. Anaesthesiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/00003086-198409000-00032","article-title":"Gangrene of upper extremity following intra-arterial injection of drugs. A case report and review of the literature","volume":"188","author":"Goldberg","year":"1984","journal-title":"Clin. Orthop. Relat. Res."}],"container-title":["Journal of Functional Morphology and Kinesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2411-5142\/10\/3\/246\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:00:26Z","timestamp":1760032826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2411-5142\/10\/3\/246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,27]]},"references-count":21,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["jfmk10030246"],"URL":"https:\/\/doi.org\/10.3390\/jfmk10030246","relation":{},"ISSN":["2411-5142"],"issn-type":[{"value":"2411-5142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,27]]}}}