J. Menck et al., ARTERIAL ANGIOARCHITECTURE OF THE HUMAN U LNA AND RADIUS AND ITS CLINICAL IMPORTANCE, Langenbecks Archiv fur Chirurgie, 379(2), 1994, pp. 70-75
The periosteal and endosteal blood supply of the human ulna and radius
was investigated by anatomical dissection. The main artery concerned
is the anterior interosseous artery. It supplies the diaphysis of ulna
and radius; its branches feed the distal one-fourths of both the ulna
and the radius. The proximal one-fourth of the ulna is supplied by th
e ulnar artery, the ulnar recurrent artery and the recurrent interosse
ous artery. Periosteal branches of the common interosseous artery, the
ulnar artery and the recurrent interosseous artery supply the proxima
l one-fourth of the radius. In both bones the main branch of the nutri
ent artery has an ascending course. The anterior interosseous artery,
as the main artery of the periosteal and endosteal supply of the human
ulna and radius, is important in transplantation and reconstruction,
especially with a view to reducing the rate of pseudarthrosis. When os
teosynthesis is planned socalled LC-DC plates should be chosen to pres
erve the periosteal branches. When a vascularized bone graft is taken
from the forearm the vascularization of the remaining bones has to be
considered. The vascularity of this area allows various options in gra
fting.