Published: 2016-12-16

Unilateral high division of brachial artery and its clinical significance

Aarti Rohilla, Priyanka Parmar, Kamal Singh, Jyoti Rohilla


Upper limb arterial variations are commonly encountered and have been reported in many articles. The present study showed a high division of brachial artery in the middle third of arm into its terminal branches, the radial artery laterally and the ulnar artery medially. This study is an attempt to discuss the anatomy, embryological basis and clinical implications of such variations. Knowledge of such anomalous vessels is significant from clinical point of view.


Brachial artery, Development, Division, Radial artery, Ulnar artery, Variations

Full Text:



Standring S. Grays Anatomy. The Anatomical Basis of Clinical Practice. Edinburg: Churchill Livingstone, 39th edn. 2005:856.

Elizabeth KS. High Division of Brachial Artery-A Case Report. J Evol Med Den Scie. 2013;2(8):938-42.

Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, et al. Grays Anatomy. The Anatomical Basis of Clinical Practice. 38th edn. London: Churchill Livingstone. 1999;319:1539.

Hollinshead WH, Rosse C. Textbook of Anatomy. 4th Ed. New York; Harper and Row. 1962:214.

Bannur BM, Sahana BN, Hadimani GA, Patil BG. Unilateral higher trifurcation of brachial artery-a case report. Int J Cur Res Rev. 2013;5(11):130-2.

Bidarkotimath S, Avadhani R, Kumar A. Primary pattern of arteries of upper limb with relevance to their variations. Int J Morphol. 2011;29(4):1422-8.

Bidarkotimath S, Avadhani R, Kumar A. An anatomical study of primary pattern of arteries of upper limb with relevance to their variations. NUJHS. 2012;2(1):8-14.

Arey LB. Developmental anatomy. 6th edn. Philadelphia, WB. Saunders. 1957:375-7.

Mac Cormack LJ, Cauldevell EW, Anson BJ. Brachial and antebrachial arterial patterns a study of 750 extremities. Surg Gynaecol Obstet. 1953;96:43-54.

Rossi Junior, WC, Esteves A, Simoes JS, Fernandes GJM. Bilateral high division of brachial artery in one human male cadaver; case report. J Morphol Sci. 2011;28(3):204-7.

Rodrigeuz M, Vazquez T, Nearn L, Ferreira B, Parkin I, Sanudo JR. Variations of the arterial pattern in the upper limb revisited: a morphological and statistical study, with a review of the literature. J Anat. 2001;199:547-66.

Guha R, Palit S. A rare variation of anomalous median nerve with absent musculocutaneus nerve and high up division of brachial artery. J Interacad. 2005;9:398-403.

Kumar V, Rathnakar P. Unilateral high division of brachial artery: a case report and literature review. NUJHS. 2014;4(3):115-8.

Satyanarayana N, Sunitha P, Shaik MM, Devi SP. Brachial artery with high up division with its embryological basis & clinical significance. IJAV. 2010;3:56-8.

Mitra B, Sadhu A, Meyur R, Sarkar S. High up division of brachial artery into laterally placed ulnar artery and medially places radial artery. Int J Ant Var. 2013;6:64-5.

Madhyastha S, Nayak SR, Krishnamurthy A, D'Costa S, Jose AA, Bhat KMR. Case report of high origin of radial, ulnar and profunda brachii arteries, its clinical implications and review of literature. J Vasc Bras. 2009;8:374-8.

Baral P, Vijayabhaskar P, Roy S, Kumar S, Ghimire S, Shrestha U. Multiple arterial anomalies in upper limb. KUMJ. 2009;7(3):293-7.

Kumar IJP, Chathu M. A rare, variant overlapping of the brachioradial and the deep brachial artery in the arm: a potential hazard for angiography. JCDR. 2011;5(4):862-4.

Cherukupalli C, Dwivedi A, Dayal R. High bifurcation of brachial artery with acute arterial insufficiency: a case report. Vasc Endovascular Surg. 2007;41:572-4.