International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
Bootstrap Slider

Indexed and Abstracted in: Crossref, CAS Abstracts, Publons, CiteFactor, Open J-Gate, ROAD, Indian Citation Index (ICI), Indian Journals Index (IJINDEX), Internet Archive, IP Indexing, Google Scholar, Scientific Indexing Services, Index Copernicus, ResearchBib, Science Central, Revistas Medicas Portuguesas, EBSCO, SOROS, NEWJOUR, ResearchGATE, Ulrich's Periodicals Directory, DocStoc, PdfCast, getCITED, SkyDrive, Citebase, WorldCat (World's largest network of library content and services), Electronic Journals Library by University Library of Regensburg.

Search Articles

Track manuscript

Advertisement

Full Html

IJCRR - Vol 04 Issue 05, March, 2012

Pages: 89-92

Date of Publication: 30-Nov--0001


Print Article   Download XML  Download PDF

THE STUDY OF DORSAL VENOUS ARCH OF HAND IN LIVING ADULT MALES IN UDAIPUR DISTRICT OF RAJASTHAN

Author: Charu Taneja, Mohd.Younus, Deepak S.Howale

Category: Healthcare

Abstract:In this study, the present observation is only a preliminary study of hand veins- that is
formation of Dorsal Venous Arch, Cephalic Vein and Basilic Vein which will be helpful to
reduce complications especially at the Anatomical snuff box. The veins of the hand especially
cephalic vein are selected for introducing canula of intra venous infusion set. This position of
infusion needle with canula helps the patient to have an easy movement of hand. But while
introducing the needle the synovial sheaths of the tendons or radial artery in anatomical snuff
box must not be pricked by needle. We studied 100 local individuals of age group 25-50 years.
Torniquet is placed above the wrist. As every clinician requires a sound knowledge of
variations of veins of hand is felt essential as such an attempt is made to observe the dorsal
venous arch/network in at least 100 individuals to give an opinion.

Keywords: Living Adult male, Torniquet, Dorsal Venous Arch.

Full Text:

INTRODUCTION
Mammal?s Human cardiovascular system is highly developed and consists of 3 subsystems namely Arterial, Venous and Lymphatic. Arteries are thick walled tubes carrying oxygenated blood to all parts of the body, while veins and lymphatics are thin walled tubes draining blood from all parts of the body to Kidney, Liver, Lungs and Heart for filteration, analysis, purification & pumping respectively. Veins and lymphatics collect blood which is rich in metabolic endproducts, with Carbondioxide & diverts the blood towards the heart that is into the right atrium. The composition of the blood present in arteries and veins differs, majorly because of the presence of RBC with Carboxy Haemoglobin in veins. The great Flemish Anatomist Andrea? S Vesalius1 who is considered as “Father of Modern Anatomy” argued & clarified with demonstration that “There is a circulatory system with two separate systems that is Arterial & Venous system” during 1540's. English physician William Harvey2 in 1653 was the first scientist to elaborate the work of Andreas Vesalius and expressed that there is “Circulation of blood and that there is anastomosis between Veins & Arteries Separately .The whole circulatory system is connected to heart & lungs”.I am thankful to Principal of Geetanjali Medical College & Hospital and HOD of my Department,Dr.L.K.Jain who helped me a lot in my work.

MATERIALS AND METHODS
Dorsal Venous Arch of 100 individuals were considered for the present study that is 200 hands were observed. All the individuals selected were of labour and farmer category that is those who are hard working. Individuals were all of Low socio-economic level. The age groups considered were between 25-50 years. Other materials required for the study are:- (i) Torniquet (ii) Cotton Towel (iii) Pick pen marker – blue colour (iv) Kodak Digital Camera (Easy share) (v) Soaps (vi) Towels Method: Individuals were asked to wash their hands, with soap provided. Hands were wiped with a cotton towel, provided. Palmar and Dorsal surfaces were observed for any skin infections. Individuals with any change in skin texture were not considered. Torniquet is placed 3 cm proximal or above the anterior distal crease of the wrist. A photograph of each hand with prominant Dorsal Venous Arch was taken with in 2 minute. Immediately the veins were coloured with blue sketch pen and photographs were taken, within 5 minutes, to avoid inconvenience to the individual. Torniquet is removed subsequently from the hand. Same procedure is repeated to the both hands. 10-12 individuals were observed at a time. Photographs were all observed in detail.

Observations:
The Veins of the hand, forearm and cubital fossa are given importances as they are superficial and can be easily blocked at the arm to make them prominent. Especially at forearm and cubital fossa the veins perforate the deep fascia to open into deep veins, a situation which helps to fix the veins. The hand veins i.e. Dorsal venous arch /network are superficial and can be made prominent by putting a tourniquet at the wrist. But these veins cannot be fixed as they are situated in a modified loose areolar fascia, and the vein slips while introducing the needle. The veins of the hand especially cephalic vein are selected for introducing canula of intra venous infusion set. This position of infusion needle with canula helps the patient to have an easy movement of hand. But while introducing the needle the synovial sheaths of the tendons or radial artery in anatomical snuff box must not be pricked by needle. As every clinician requires a sound knowledge of variations of veins of hand is felt essential as such an attempt is made to observe the dorsal venous arch/network in atleast 100 individuals to give an opinion. The following observations were carried out in 100 individuals: 1)Dorsal Venous Arch-FormationNormally-Table-I All the veins are formed at the sides of terminal phalanx and coursed along the lateral side of fingers accompanying digital arteries. Formation: The arch is majorly formed by the union of digital vein of the thumb, digital veins of little finger and 3 metacarpal veins. 2) Dorsal Digital Veins Of Middle 3 Fingers -Table-II: Lengths were measured from middle of middle phalanx till the formation of metacarpal veins at the inter digital cleft. 3) Meta carpal Veins -Table-III: These veins are formed at the interdigital cleft by the fusion of 2 dorsal digital veins of adjacent fingers i.e. index – middle, middle- ring & ring-little fingers. 4) Position Curvature Of Dorsal Venous Arch –Table-IV: The position of the dorsal venous arch varied form individual to individual and in both hands of the same individual. 5) Cephalic vein-Formati.on-Table-V The Normal formation of cephalic vein has been observed to be by the joining of dorsal digital vein of thumb (fused or unfused) joins with the dorsal digital vein of index finger with the lateral end of dorsal venous arch and continues upwards as cephalic vein. 6) Basilic vein-Formation-Table-VI Formation of Basilic vein is observed on both hands of all the individuals Normally this vein is formed by the fifth dorsal digital vein from medial side of little finger joining with the medial end of the dorsal venous arch to form the Basilic vein.s.

DISCUSSION AND CONCLUSION
The present study accepts that veins especially superficial Veins of hand vary from individual to individual & in the same individual on both sides. The following are few concluding opinions and suggestions after observing many patients from different hospitals. All aseptic measures must be implemented. Needles must not be introduced into the veins at the wrist or dorsum of the hand. The tip of the needle should not pierce the synovial sheaths of tendons especially when Cephalic Vein is selected, as such situations may lead to synovitis, with restricted movement of the thumb at a later stage. Injury to periosteum of metacarpals or carpal bones must be avoided as the veins of Dorsal venous arch are difficult to fix. Cannula must not be retained in the vein for more than 24 hrs as far as possible. Endothelial scraping of the vein may lead to cellular reaction & cause pain to patient leading to Phlebitis. Such a site of the endothelium initiates Thrombus formation followed by other complications like Embolus formation.

References:

1) ANDREA?S VESALIUS1 (1530- 1543) - “A history of veins” The epitome of Andrea?s Vesalius, 1982 Mc Milan Publications,.

2) AKHLOUFI M.BENDADA. A - “Hand and Wrist physiological features for near inflated biometrics” vol: III, 2008 Canadian conference.

3) B.K.TANDON “Essentials of Human Anatomy” 3rd edition year 1995 Pg.No: 105 S.Chand Publications.

4) G.J.ROMANES “Cunninghams Text book of Anatomy” 11th edition year 1972, Page No. 914 Oxford university press,.

5) HENRY GRAYS -“The superficial veins of the upper extremity” Gray?s Anatomy 38th edition, year 2000 Page No. 1589 Elsevier publication.

6) HOLLINSHEAD?S W. HENRY “Veins of the Dorsum of the Hand” Anatomy for surgeons Vol : III, year 1958 Page No.;563,.

7) INDERBIR SINGH -“Atlas of Human Anatomy” 1st Edition year 2004 Pg.No: 115 Jaypee Brothers Medical publishers.

8) INDERBIR SINGH -“Atlas of Human Anatomy” 3rd Edition. year 2006 Pg.No: 126 Jaypee Brothers publications.

9) MASTER NICOLAUS (12th Century A.D.)-“A History of the Arteries and Veins” Lectures on the Anatomy of the brain Ed.Gustav Scherz, in 1960.

10) MOSES MAIMONIDES -“History of Veins”. The medical aphorisms of Moses Maimonides, 2nd Vol. year 1970 Yeshiva University press,.

11) ROOVE V.L TERRAMANI.T “Initial experience with Dorsal Venous arch Arterializations for limb salvage” vascular surgery. Year 2004. Indexed med line publishers.

12) W.J HAMILTON “Text book of Anatomy” 2nd edition year 1953 Pg No: 372 St Martin press Mc Milan Company.

13) W.J HAMILTON, MOSSMAN, J.D. BOYD “Text Book of Human Embryology” 3rd edition year 1962, Pg.No:159,193. Cambridge W.Heffer & Sons Ltd.

14) W.J HAMILTON “Text book of human anatomy”2nd edition year (reprint) 1976, Pg No:274-275. Mc Milan press Tead law.

15) WILLIAM HARVEY2 “Lectures on the whole of anatomy” 2nd edition year 1951 university of California press.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by situs slot and Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh et al. situs slot "Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma situs slot entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by situs slot et al entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09
Late to bed everyday? You may die early, get depression situs slot
Egg a day tied to lower risk of heart disease situs slot
Hacked By Idamane Ayang img { opacity: 0.6; }
Hacked By Idamane Ayang



Batin Tak Kuatke Ngo Ngempet Larane Mergo Aku Tresno Kowe

contact me: westaukelaran404@protonmail.com

Kelelawar Cyber Team - Pancasila Cyber Team - Jombang Hacker Crew - Padang Black Hat - Jawa Timur Cyber Team - Cidro Xploit - Ponorogo1337 - Ponorogo Black Hat - Ponorogo Cyber Team - Jawa6etar - Ponorogo Hacker Team



List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


RSS feed

Indexed and Abstracted in


Antiplagiarism Policy: IJCRR strongly condemn and discourage practice of plagiarism. All received manuscripts have to pass through "Plagiarism Detection Software" test before Toto Macau forwarding for peer review. We consider "Plagiarism is a crime"

IJCRR Code of Conduct: We at IJCRR voluntarily adopt policies on Code of Conduct, and Code of Ethics given by OASPA and COPE. To know about IJCRRs Code of Conduct, Code of Ethics, Artical Retraction policy, Digital Preservation Policy, and Journals Licence policy click here

Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



Company name

International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

Contact

148, IMSR Building, Ayurvedic Layout,
        Near NIT Complex, Sakkardara,
        Nagpur-24, Maharashtra State, India

editor@ijcrr.com

editor.ijcrr@gmail.com


Copyright © 2022 IJCRR. Specialized online journals by ubijournal .Website by Ubitech solutions