Anatomical variations in 3D imaging: a case report of a dorsal metacarpal artery anomaly

Abstract

This report presents a novel anatomical variant of the second dorsal metacarpal artery (SDMA). In this unique case, the SDMA abnormally penetrates the second dorsal interosseous muscle (SDIM), dividing into two major branches. A deep dorsal branch of the SDMA (dbSDMA) is located within the SDIM and extends to the distal end of the metacarpal. The other branch forms a perforating branch called the P-SDMA, which anastomoses with the palmar metacarpal artery branch (PMAb) and the deep palmar arch branch (DPAcb) in the deep palmar area. The discovery of this SDMA variant is significant for procedures involving complex hand surgeries such as DMA flaps. Understanding this anatomical variation is crucial for accurate surgical planning and can help avoid potential complications during surgery. To elucidate these unique variations, we employ three-dimensional (3D) imaging techniques, demonstrating the potential of these technologies to advance the visualization of anatomical structures and enhance medical education. 3D imaging also facilitates augmented reality applications and 3D printing. Our findings underscore the possible applications of 3D imaging in medical practice and education, potentially transforming anatomy education and surgical planning.