Atlas of Human Anatomy by Netter

(Darren Dugan) #1
Continuation of the axillary artery, ends in cubital fossa
Lies anterior to triceps and brachialis throughout its course
Accompanied by median nerve, which crosses anterior to artery and lies medially in cubital fossa
Divides into ulnar and radial arteries under bicipital aponeurosis
Branches
Many muscular branches
Profunda brachii artery from medial aspect
Superior and inferior ulnar collateral branches
Profunda brachii (deep artery of the arm)
Accompanies radial artery in radial groove
Divides into anterior and posterior descending branches to elbow

Arterial Supply to the Forearm


Ulnar artery
Larger of two terminal branches of brachial artery
Begins medial to biceps tendon and descends through anterior compartment deep to pronator teres
Branches
Anterior ulnar recurrent
Posterior ulnar recurrent
Common interosseus, which branches into
Anterior interosseus artery
Posterior interosseus artery
Muscular branches to muscles of medial side of forearm
Branches to the hand
Radial artery
Begins in cubital fossa at neck of radius
Passes distally deep to brachioradialis muscle
Palpable throughout lateral forearm (best felt at the wrist)
Branches
Supplies flexor and extensor muscles on lateral side of forearm
Radial recurrent artery
Branches to the hand

Arterial Supply to the Hand


Branches from the ulnar artery
Palmar carpal branch
Runs across anterior wrist deep to tendons of flexor digitorum profundus (FDP)
Anastomoses with palmar carpal branch of radial artery to form palmar carpal arch
Dorsal carpal branch
Arises proximal to pisiform
Crosses dorsal to wrist
Anastomoses with dorsal carpal branch of radial artery to form dorsal carpal arch
Superficial branch of ulnar artery in hand-continues into palm as superficial palmar arch
Deep (palmar) branch of ulnar artery in the hand
Anastomoses with radial artery
Forms deep palmar arch

Venous Drainage of Hand and Forearm
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page 238


Veins of hand
Superficial and deep palmar venous arches
Dorsal venous network (arch)
Both drain to cephalic and basilic veins
Superficial veins of forearm
Basilic vein ascends posteromedially on forearm
Cephalic vein ascends on lateral border of forearm
Median cubital vein connects cephalic and basilic over cubital fossa
Deep veins of forearm
Paired radial and ulnar veins and interosseus veins accompany arteries of same name
All communicate with superficial veins and median cubital vein

Venous Drainage of Arm


Superficial veins (drain into axillary vein)
Cephalic vein
On anterolateral surface
Enters groove between deltoid and pectoralis major (deltopectoral groove)
Then deltopectoral triangle
Empties into termination of axillary vein
Basilic vein
Medial side, inferior arm
Pierces deep fascia at junction of inferior and middle third of arm
Runs superiorly to axillary vein
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