DISSECT!ON
Dissect the brachial artery as it lies on the medial side
of the upper paft of the arm medial to median nerve
and lateral to ulnar nerve (Fig.8.9).
ln the lower half of the upper arm, the brachial artery
is seen lateral to the median nerve as the nerve crosses
the brachial afiery from lateral to medial side. Note that
the median nerve and brachial artery are forming
together a neurovascular bundle.
Ulnar nerve accompanied by the superior ulnar
collateral branch of the brachial artery will be dissected
later as it reaches the posterior (extensor) compafiment
of the upper arm after piercing the medial intermuscular
septum.
Look for the radial nerve on the posterior aspect of
artery before it enters the radial groove.
Clean the branches of brachial ar1ery and identify
other arteries which take part in the arterial
anastomoses around the elbow joint.
Long head of biceps brachii
Short head of biceps brachii
Radial recurrent artery
Radial artery
Brachioradialls
ARM
Feolures
Brachial artery is the continuation of the axillary artery.
It extends from the lower border of the teres major
muscle to a point in front of the elbow, at the level of
the neck of the radius, just medial to the tendon of the
biceps brachii.
Beginning, Course ond lerminolion
Brachial artery begins at the lower border of teres major
muscle as continuation of axillary artery. It runs
downwards and laterally in the front of arm and crosses
the elbow joint. It ends at the level of the neck of radius
in the cubital fossa by dividing into its two terminal
branches, the radial and ulnar arteries.
Relotions
1 It runs downwards and laterally, from the medial
side of the arm to the front of the elbow.
2 It is superficial throughout its extent and is
accompanied by two venae comitantes.
3 Anteriorly, in the middle of the arm it is crossed by
the median nerve from the lateral to the medial side;
Lateral cord
Medial cord
Pectoralis minor
Medial cutaneous nerve
of arm
Brachial artery and median nerve
Ulnar nerve and superior ulnar
collateral artery
Medial cutaneous nerve
of forearm
Ulnar artery
Bicipital aponeurosis
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Fig.8.9: The course and relations of the brachial artery a