Lab 6: Arm and Cubital Fossa Flashcards
Contents of the Anterior compartment of the arm
- 3 muscles
- Biceps brachii
- Coracobrachialis
- Brachialis
- 1 Nerve
- Musculocutaneous
Contents of the Posterior compartment of the arm
- 2 muscles
- Triceps brachii
- anconeus
- Neurovasculature
- Radial N
- Profunda Brachii A, V
- Basilica Veins
Components of the intermuscular septum
- Brachial A
- Brachial and basilica V
- Median N
- Ulnar N
- MABC N
Path of tendon of long head of biceps brachii
- Passes deep to enter bicipital groove
- courses over top of glenohumeral joint
- Merges with superior portion of glenoid labrum
- attaches to the supraglenoid tubercle of the scapula
What nerve pierces the coracobrachialis
musculocutaneous
Attachment of coracobrachialis
- distal insertion at midshaft of humerus
what muscle lies deep to the biceps brachii
Brachialis
brachialis (location and insertion)
deep to biceps brachii
distal half of arm
crosses elbow joint
Inserts on ulnar tuberosity
Biceps brachii tendon attachment
attaches to radial tuberosity
Bicipital aponeurosis attachment
spreads out medially to antebrachial fascia
Lateral Cutaneous Nerve of forearm
Musculocutaneous nerve named lateral cutaneous nerve after innervating anterior compartment muscles
What nerve runs along side the cephalic being from the cubital fossa to the forearm?
Lateral cutaneous nerve (distal musculocutaneous)
Pathway of Musculocutaneous nerve
- emerges from lateral cord of brachial plexus
- Through coracobrachialis
- Runs in plane between biceps brachii and brachialis muscles
- continues distally as the lateral cutaneous nerve after innervating anterior compartment muscles
What nerve follows the Basilic vein from plexus to elbow
Medial Cutaneous Nerve of forearm (MABC)
Median nerve pathway in arm
no branching
crosses from lateral to medical side of the brachial artery at midarm
Ulnar nerve pathway in distal arm
leaves medial intermuscular septum and travels to posterior compartment toward cubital tunnel
accompanied by superior ulnar collateral branch of brachial artery
Which artery does the ulnar nerve follow through the distal arm
Superior ulnar collateral branch of the brachial artery
Axillary A –> Brachial A transition
changes names at the inferior border of teres major
Triangular interval contents
- Profunda brachii artery (deep brachial)
- Radial Nerve
Branches of the brachial artery
Profunda Brachial Artery (1st branch)
Superior Ulnar Collateral Artery
Inferior Ulnar Collateral Artery
Inferior ulnar collateral artery pathway
- passes anterior to the elbow
lateral boundary of the cubital fossa
brachiradialis
medial boundary of the cubital fossa
pronator teres
superior boundary of cubital fossa
epicondyle line
roof of cubital fossa
bicipital aponeurosis
floor of cubital fossa
brachialis and supinator
Order of large structures on the cubital fossa
lateral- tendons of biceps brachii
intermediate- brachial artery
Medial- median nerve
terminal bifurcation of brachial artery
Ulnar artery (medial) Radial artery (lateral)
Vena comitantes
veins in distal limbs are paired
Major functions
1.) heat exchange
2.) arterial venous pump
Aponeurosis as barrier
provides a barrier to deeper structures (Median N and Brachial A) but allow for puncture of superficial veins
Attachment of heads of triceps brachii
- all three heads ( long, lateral, and medial) attach distally to the olecrenon processof the ulna
NOTE: Medial head is found deep to the long head
What lies in radial groove of the humerus
Radial nerve and profunda brachii artery
Bifurcation of profunda brachii
occurs near shaft of humerus
- middle collateral artery
- Radial collateral artery
What artery follows the radial nerve into the intermuscular septum
Radial artery (bifurcation of profunda brachii)
Point of triangle surrounding anconeus muscle
- lateral epicondyle
- olecranon process
- 3 inches down exposed ulnar shaft
Which ligament is the most lateral in attaching the coracoid process and the clavicle?
Trapezoid ligament
which two muscles originate from the coracoid process
Coracobrachialis
Short head of biceps brachii