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A study was done to note the variations in the termination of brachial artery in relation to the level of termination and the terminal branches. A total of 95 upper limbs (51 Right, 44 Left) were studied. The level of termination of brachial artery was classified into five groups based on the distance between the intercondylar line and the point of termination. There was a significant positive correlation (P=0.031) between the arm length and level of termination. Statistically significant association (P=0.022) was observed between the type of terminal branch and different groups of level of termination. Difference in the mean level of termination between brachial artery bifurcation and trifurcation was found to be statistically significant (P < 0.001). Bifurcation of brachial artery occurred at a proximal level when compared to trifurcation which occurred more distally. Due to higher incidence of anatomical variations of arteries of the upper limb, prior anatomical knowledge of anomalies is of great clinical significance to vascular surgeons, orthopaedicians and radiologists performing angiographic studies.

An anatomical study of variations in termination of brachial artery: embryological basis and clinical implication