<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-9534</journal-id>
<journal-title><![CDATA[Colombia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Colomb. Med.]]></abbrev-journal-title>
<issn>1657-9534</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Valle]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-95342021000200502</article-id>
<article-id pub-id-type="doi">10.25100/cm.v52i2.4521</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Traumatic injury of radial and ulnar artery with perfusion of the hand through the median artery: a case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Lesión traumática de arteria radial y ulnar con perfusión de la mano a través de la arteria mediana: reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón Ardila]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Larrota]]></surname>
<given-names><![CDATA[Daniel Raúl Ballesteros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ardila]]></surname>
<given-names><![CDATA[María Andrea Calderón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña]]></surname>
<given-names><![CDATA[Luis Ernesto Ballesteros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Especialización Cirugía Plástica Estética y Reconstructiva]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Rosario Escuela de Medicina Ciencias de la Salud]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Departamento de Ciencias Básicas]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>52</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-95342021000200502&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-95342021000200502&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-95342021000200502&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Case description:  A young male patient with a complete section of the ulnar and radial arteries preserved the perfusion of the hand through an anatomical variant, the median artery, identified by angiotomography.  Clinical Findings:  A wound in the distal third of the left forearm with present pulses and adequate hand coloration. An angiotomography of the upper left limb showed a median artery originating as a continuation of the anterior interosseous artery and ending in the palm of the hand with an incomplete superficial palmar arch.  Treatment and Outcomes:  Ligation of both radial and ulnar arteries was performed. It was not possible to follow up the patient.  Clinical Relevance:  Forming the superficial and deep palmar arches, the irrigation of hand comes from the ulnar and radial arteries, which can compromise the viability of the limb when injured. The median artery is present in 0.6-21.1% of the population, originates from the anterior interosseous artery (branch of the ulnar), accompanies the median nerve in its path and ends in the palm joining the superficial palmar arch. Diagnostic imaging is a key tool for assessing arterial circulation and characterizing upper limb vascular lesions. Knowledge of the anatomical variations of the arterial supply of the hand, including variability of the superficial palmar arch, is crucial for the safety and success of hand surgeries.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso:  Un paciente joven de sexo masculino con sección completa de las arterias cubital y radial conservó la perfusión de la mano a través de una variante anatómica, la arteria mediana, identificada por angiotomografía.  Hallazgos clínicos:  Herida en el tercio distal del antebrazo izquierdo con pulsos presentes y coloración adecuada de la mano. Una angiotomografía del miembro superior izquierdo mostró una arteria mediana que se originaba como continuación de la arteria interósea anterior y terminaba en la palma de la mano con un arco palmar superficial incompleto.  Tratamiento y resultados:  Se realizó la ligadura de las arterias radial y cubital. No fue posible realizar un seguimiento del paciente.  Relevancia clínica:  La irrigación de la mano proviene de las arterias cubital y radial, que forman los arcos palmar superficial y profundo, comprometiendo la viabilidad de la extremidad cuando se lesionan. La arteria mediana está presente en el 0.6-21.1% de la población, se origina en la arteria interósea anterior (rama del cubital), acompaña al nervio mediano en su recorrido y termina en la palma uniéndose al arco palmar superficial. El diagnóstico por imagen es una herramienta clave para evaluar la circulación arterial y caracterizar las lesiones vasculares del miembro superior. El conocimiento de las variaciones anatómicas de la irrigación arterial de la mano, incluida la variabilidad del arco palmar superficial, es de importancia crucial para la seguridad y el éxito de las cirugías de la mano.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Anatomic variation]]></kwd>
<kwd lng="en"><![CDATA[vascular system injuries]]></kwd>
<kwd lng="en"><![CDATA[median artery]]></kwd>
<kwd lng="en"><![CDATA[angiography]]></kwd>
<kwd lng="en"><![CDATA[ulnar artery]]></kwd>
<kwd lng="en"><![CDATA[radial artery]]></kwd>
<kwd lng="en"><![CDATA[anastomosis]]></kwd>
<kwd lng="en"><![CDATA[surgical]]></kwd>
<kwd lng="es"><![CDATA[Lesiones del sistema vascular]]></kwd>
<kwd lng="es"><![CDATA[variación anatómica]]></kwd>
<kwd lng="es"><![CDATA[arteria mediana]]></kwd>
<kwd lng="es"><![CDATA[angiografía por tomografía computarizada]]></kwd>
<kwd lng="es"><![CDATA[informes de casos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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