Arm and Cubital Fossa Flashcards
What are the compartments of the arm?
What muscles are found in the flexor compartment (front of the arm)?
Coracobrachialis
Biceps brachii
Brachialis
Which muscle is found in the extensor compartment (back of the arm)?
Triceps brachii
Origin of the coracobrachialis
Apex of coracoid process
Insertion of coracobrachialis
Mid-shaft of the humerus on medial side
Nerve supply of coracobrachialis
Musculocutaneous nerve (C5, C6, C7)
Action of coracobrachialis
Flexion of the arm (shoulder)
Origin of the biceps brachii
Two heads:
* Long head (lateral head): Supra-glenoid tubercle of scapula
* Short head (medial head): Apex of coracoid process
Insertion of the biceps brachii
Radial tuberosity & bicipital aponeurosis in the skin
Nerve supply of biceps brachii
Musculocutaneous nerve (C5,C6,C7)
Action of the biceps brachii
Flexion of the arm (at shoulder joint)
Flexion of the forearm (at the elbow)
Supination in mid-prone position
Origin of the brachialis
Lower part of the anterior surface of humerus
Insertion of the brachialis
Ulnar tuberosity
Nerve supply of the brachialis
Musculocutaneous nerve (C5,C6,C7)
Action of the brachialis
Flexion of the forearm (at the elbow joint)
Origin of the triceps brachii
Three heads
* Long head: Infra-glenoid tubercle of scapula
* Medial head: Posterior surface of humerus, below the radial groove
* Lateral head: Posterior surface of humerus, above the radial groove
Insertion of the triceps brachii
Superior surface of the olecranon of the ulna
Nerve supply of the triceps brachii
Radial nerve
Action of triceps brachii
Extension of the forearm (at elbow joint)
What is the brachial artery?
Continuation of axillary artery at the lower border of teres major muscle
Main arterial supply to arm
Extends to the neck of the radius where it divides into radial & ulnar arteries
Branches of brachial artery
Profunda brachii
Superior ulnar collateral
Inferior ulnar collateral
Radial
Ulnar
What is the cubital fossa?
Triangular depression located anterior to the elbow joint
Boundaries of the cubital fossa
Laterally: Brachioradialis muscle
Medially: Pronator teres muscle
Base: Imaginary horizontal line between medial and lateral condyle
What structures form the roof of the cubital fossa?
Skin
Superficial fascia
Median cubital vein
The bicipital aponeurosis
What structures form the floor of the cubital fossa?
Brachialis & supinator muscles
Contents of the cubital fossa
Radial nerve laterally
Biceps tendon
Brachial artery with its terminal branches (radial & ulnar arteries)
Median nerve medially
What are the applied aspects of the cubital fossa?
Venipuncture: Median cubital vein is used in gathering blood samples and for intravenous injections
Brachial pulse & blood pressure: Easily felt medial to the biceps tendon for recording blood pressure