This study confirms that the median artery may persist in adult life in 2 different patterns, palmar and
antebrachial, based on their vascular territory. The palmar type, which represents the embryonic pattern, is
large, long and reaches the palm. The antebrachial type, which represents a partial regression of the
embryonic artery is slender, short, and terminates before reaching the wrist. These 2 arterial patterns appear
with a different incidence. The palmar pattern was studied in the whole sample (120 cadavers) and had an
incidence of 20%, being more frequent in females than in males (1.3[ratio ]1), occurring unilaterally more often
than bilaterally (4[ratio ]1) and slightly more frequently on the right than on the left (1.1[ratio ]1). The antebrachial
pattern was studied in only 79 cadavers and had an incidence of 76%, being more frequent in females than
in males (1.6[ratio ]1); it was commoner unilaterally than bilaterally (1.5[ratio ]1) and was again slightly more prevalent
on the right than on the left (1.2[ratio ]1). The origin of the median artery was variable in both patterns. The
palmar type most frequently arose from the caudal angle between the ulnar artery and its common
interosseous trunk (59%). The antebrachial pattern most frequently originated from the anterior
interosseous artery (55%). Other origins, for both patterns, were from the ulnar artery or from the common
interosseous trunk. The median artery in the antebrachial pattern terminated in the upper third (74%) or in
the distal third of the forearm (26%). However, the palmar pattern ended as the 1st, 2nd or 1st and 2nd
common digital arteries (65%) or joined the superficial palmar arch (35%). The median artery passed either
anterior (67%) or posterior (25%) to the anterior interosseous nerve. It pierced the median nerve in the
upper third of the forearm in 41% of cases with the palmar pattern and in none of the antebrachial cases.
In 1 case the artery pierced both the anterior interosseous and median nerves.