PMID- 29625252
OWN - NLM
STAT- MEDLINE
DCOM- 20181107
LR  - 20181107
IS  - 1618-0402 (Electronic)
IS  - 0940-9602 (Linking)
VI  - 218
DP  - 2018 Jul
TI  - The deep lymphatic anatomy of the hand.
PG  - 105-109
LID - S0940-9602(18)30032-3 [pii]
LID - 10.1016/j.aanat.2018.03.001 [doi]
AB  - BACKGROUND: The deep lymphatic anatomy of the hand still remains the least 
      described in medical literature. METHODS: Eight hands were harvested from four 
      nonembalmed human cadavers amputated above the wrist. A small amount of 6% 
      hydrogen peroxide was employed to detect the lymphatic vessels around the 
      superficial and deep palmar vascular arches, in webs from the index to little 
      fingers, the thenar and hypothenar areas. A 30-gauge needle was inserted into the 
      vessels and injected with a barium sulphate compound. Each specimen was 
      dissected, photographed and radiographed to demonstrate deep lymphatic 
      distribution of the hand. RESULTS: Five groups of deep collecting lymph vessels 
      were found in the hand: superficial palmar arch lymph vessel (SPALV); deep palmar 
      arch lymph vessel (DPALV); thenar lymph vessel (TLV); hypothenar lymph vessel 
      (HTLV); deep finger web lymph vessel (DFWLV). Each group of vessels drained in 
      different directions first, then all turned and ran towards the wrist in 
      different layers. CONCLUSION: The deep lymphatic drainage of the hand has been 
      presented. The results will provide an anatomical basis for clinical management, 
      educational reference and scientific research.
CI  - Copyright (c) 2018 Elsevier GmbH. All rights reserved.
FAU - Ma, Chuan-Xiang
AU  - Ma CX
AD  - Department of Anatomy, College of Biomedical Sciences, Xuzhou Medical University, 
      Xuzhou, Jiangsu, PR China.
FAU - Pan, Wei-Ren
AU  - Pan WR
AD  - Department of Anatomy, College of Biomedical Sciences, Xuzhou Medical University, 
      Xuzhou, Jiangsu, PR China. Electronic address: weirenpan@126.com.
FAU - Liu, Zhi-An
AU  - Liu ZA
AD  - Department of Anatomy, College of Biomedical Sciences, Xuzhou Medical University, 
      Xuzhou, Jiangsu, PR China.
FAU - Zeng, Fan-Qiang
AU  - Zeng FQ
AD  - Department of Anatomy, College of Biomedical Sciences, Xuzhou Medical University, 
      Xuzhou, Jiangsu, PR China.
FAU - Qiu, Zhi-Qiang
AU  - Qiu ZQ
AD  - Department of Radiology, Xuzhou Oriental People's Hospital, Xuzhou Medical 
      University, Xuzhou, Jiangsu, PR China.
LA  - eng
PT  - Journal Article
DEP - 20180403
PL  - Germany
TA  - Ann Anat
JT  - Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische 
      Gesellschaft
JID - 100963897
RN  - 0 (Contrast Media)
RN  - 25BB7EKE2E (Barium Sulfate)
RN  - BBX060AN9V (Hydrogen Peroxide)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Barium Sulfate
MH  - Cadaver
MH  - Contrast Media
MH  - Female
MH  - Fingers/anatomy & histology
MH  - Hand/*anatomy & histology/diagnostic imaging
MH  - Humans
MH  - Hydrogen Peroxide
MH  - Lymphatic System/*anatomy & histology/diagnostic imaging
MH  - Lymphatic Vessels/anatomy & histology
MH  - Male
OTO - NOTNLM
OT  - Deep lymphatic vessels
OT  - Deep palmar arch
OT  - Finger web
OT  - Hand
OT  - Superficial palmar arch
EDAT- 2018/04/07 06:00
MHDA- 2018/11/08 06:00
CRDT- 2018/04/07 06:00
PHST- 2017/11/28 00:00 [received]
PHST- 2018/03/12 00:00 [accepted]
PHST- 2018/04/07 06:00 [pubmed]
PHST- 2018/11/08 06:00 [medline]
PHST- 2018/04/07 06:00 [entrez]
AID - S0940-9602(18)30032-3 [pii]
AID - 10.1016/j.aanat.2018.03.001 [doi]
PST - ppublish
SO  - Ann Anat. 2018 Jul;218:105-109. doi: 10.1016/j.aanat.2018.03.001. Epub 2018 Apr 
      3.