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British Journal of Anaesthesia, 1978, Vol. 50, No. 9 913-916
© 1978 The Board of Management and Trustees of the British Journal of Anaesthesia

other

ARTERIAL DOMINANCE IN THE HAND

B. HUSUM, M.D. and T. PALM, M.D.

Department of Anaesthesia, Gentofte Hospital DK 2900 Hellerup, Denmark

Arterial pressure was measured simultaneously in the thumb and in the contralateral arm using strain-gauge plethysmography in 100 healthy persons aged 13–43 yr, before and after compression of the radial or the ulnar artery. The radial and ulnar pulses were palpable in all instances. In 29 (14.5%) hands compression of either artery did not reduce the thumb pressure. In 152 (76%) occlusion of the radial artery caused a decrease of more than 10 mm Hg, but never to less than 40 mm Hg. In 91 (45.5%) occlusion of the ulnar artery reduced thumb pressure, on three occasions to less than 40 mm Hg. Radial dominance was shown in 110 hands (55.0%), 24 (12.0%) showed ulnar dominance and in 66 (33.0%) neither vessel dominated.


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