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Sanjay Kumar Yadav
BDS 1: 24/06/2020
Extend from shoulder to the elbow
Divides into 2 compartments- anterior and posterior by
med. and lat. intermuscular septa.
Extension of deep fascia enter to form lateral and medial
intermuscular septum.
Provide muscular attachment and the passage for the
neurovascular structures
Muscles -Biceps Brachii, Corachobrachialis
and Brachialis.
Arteries- Brachial Artery.
Nerves- Musculocutaneous, Median, Ulnar
and part of Radial Nerves
Biceps brachii-
Origin- short head- tip of coracoid process and
long head-supraglenoid tubercle and the
glenoidal labrum.
Insertion- radial tuberosity, also gives an expansion called bicipital aponeurosis and
attached to the deep fascia of forearm.
Nerve supply- musculocutaneous nerve.(C5,6,7)
Action- powerful supinator of the forearm and flexor of elbow Joint. Long head
prevents upward displacementof the head of the humerus.
Coracobrachialis
Origin- tip of coracoid process.
Insertion- medial border of the middle of shaft of
humerus.
Nerve supply- musculocutaneous nerve
Action- flexes the forearm, weak flexor of shoulder
joint and also weak adductor of arm.
Brachialis
Origin- anteromedial and anterolateral surface of the lower
½ of shaft of humerus.
Insertion- anterior surface of the coronoid process of ulna
and ulnar tuberosity.
Nerve supply- musculocutaneous nerve.
Action- main flexor of forearm
Musculocutaneous nerve- Branch of the lateral cord of brachial
plexus. In the lower part of axilla it passes along the 3rd part of axillary
artery.
medially related to axillary artery and laterally with coracobrachialis
muscle.
It pierces the coracobrachialis muscle to enter inside the arm.
• Musculocutaneous nerve:
• It runs downward and laterally
between the biceps and
brachialis and ends above the
elbow and continuous as the
lateral cutaneous nerve of
forearm.
• Branches-
• Muscular branches• Muscular branches
• Cutaneous branch
• Articular branch to elbow.
• Communicating branches e.g.
superficial branch of radial
nerve, posterior cutaneous
branch of the median nerve.
Brachial artery
Continuation of axillary artery.
Start - inferior border of the teres major
Terminate : cubital fossa opposite neck of radius
Palpable and superficial throughout its course.
Unnamed muscular branches.
Deep artery of arm (profunda
brachii)
Superior ulnar collateral
Nutrient artery
Inferior ulnar collateral
Branches of brachial artery
Inferior ulnar collateral
Terminal branches( radial and
ulnar artery)
Applied anatomy- Pulsation of
the brachial artery is felt in
front of the elbow during
recording the blood pressure.
Triceps muscle- 3 heads- long, lateral and medial
Origin- long head- from infraglenoid tubercle of the scapula.
Lateral head- from upper half of the post. surface of the shaft of the humerus above
the spiral groove.
Medial head- lower half of the post. surface of the shaft of the humerus below the
spiral groove and med. and lat. Intermuscular septa.
Insertion- into the posterior part of the superior surface of the olecranon process the
ulna.
Nerve supply- radial nerve.
Action- powerful extensor of the elbow joint and long head supports the humeral
head in abducted shoulder joint.
Branch from the posterior
cord of brachial plexus.
Enter in the lower
triangular space and
traverse through the radial
groove with deep branch
Radial nerve in the arm
groove with deep branch
of brachial artery.
Pierces the lateral
intermuscular septum
comes on the front of arm
between the brachialis and
brachioradialis.
Muscular Spaces
Quadrangular Space
Superior Triangular space
Inferior Triangular space
Muscular branches-
Spiral groove above: Long and
medial head of triceps
Spiral groove : Lateral head and
medial heads of triceps
Below spiral groove: Brachialis
Brachioradialis
Extensor carpi radialis longusExtensor carpi radialis longus
Cutaneous branches
Above radial groove: post
Cutaneous nerve of arm,
In radial groove: lower lateral
cutaneous branch,
Post. Cutaneous nerve of the
forearm.
Articular branch- to elbow Joint
Branches of
profunda artery:
1.Radial collateral
artery.
2.Middle collateral
artery.
3.Deltoid branch3.Deltoid branch
4.Nutrient artery to
humerus.
Gross anatomy of arm

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Gross anatomy of arm

  • 1. Sanjay Kumar Yadav BDS 1: 24/06/2020
  • 2. Extend from shoulder to the elbow
  • 3. Divides into 2 compartments- anterior and posterior by med. and lat. intermuscular septa. Extension of deep fascia enter to form lateral and medial intermuscular septum. Provide muscular attachment and the passage for the neurovascular structures
  • 4. Muscles -Biceps Brachii, Corachobrachialis and Brachialis. Arteries- Brachial Artery. Nerves- Musculocutaneous, Median, Ulnar and part of Radial Nerves
  • 5. Biceps brachii- Origin- short head- tip of coracoid process and long head-supraglenoid tubercle and the glenoidal labrum. Insertion- radial tuberosity, also gives an expansion called bicipital aponeurosis and attached to the deep fascia of forearm. Nerve supply- musculocutaneous nerve.(C5,6,7) Action- powerful supinator of the forearm and flexor of elbow Joint. Long head prevents upward displacementof the head of the humerus.
  • 6. Coracobrachialis Origin- tip of coracoid process. Insertion- medial border of the middle of shaft of humerus. Nerve supply- musculocutaneous nerve Action- flexes the forearm, weak flexor of shoulder joint and also weak adductor of arm.
  • 7. Brachialis Origin- anteromedial and anterolateral surface of the lower ½ of shaft of humerus. Insertion- anterior surface of the coronoid process of ulna and ulnar tuberosity. Nerve supply- musculocutaneous nerve. Action- main flexor of forearm
  • 8. Musculocutaneous nerve- Branch of the lateral cord of brachial plexus. In the lower part of axilla it passes along the 3rd part of axillary artery. medially related to axillary artery and laterally with coracobrachialis muscle. It pierces the coracobrachialis muscle to enter inside the arm.
  • 9.
  • 10. • Musculocutaneous nerve: • It runs downward and laterally between the biceps and brachialis and ends above the elbow and continuous as the lateral cutaneous nerve of forearm. • Branches- • Muscular branches• Muscular branches • Cutaneous branch • Articular branch to elbow. • Communicating branches e.g. superficial branch of radial nerve, posterior cutaneous branch of the median nerve.
  • 11. Brachial artery Continuation of axillary artery. Start - inferior border of the teres major Terminate : cubital fossa opposite neck of radius Palpable and superficial throughout its course.
  • 12. Unnamed muscular branches. Deep artery of arm (profunda brachii) Superior ulnar collateral Nutrient artery Inferior ulnar collateral Branches of brachial artery Inferior ulnar collateral Terminal branches( radial and ulnar artery) Applied anatomy- Pulsation of the brachial artery is felt in front of the elbow during recording the blood pressure.
  • 13. Triceps muscle- 3 heads- long, lateral and medial Origin- long head- from infraglenoid tubercle of the scapula. Lateral head- from upper half of the post. surface of the shaft of the humerus above the spiral groove. Medial head- lower half of the post. surface of the shaft of the humerus below the spiral groove and med. and lat. Intermuscular septa. Insertion- into the posterior part of the superior surface of the olecranon process the ulna. Nerve supply- radial nerve. Action- powerful extensor of the elbow joint and long head supports the humeral head in abducted shoulder joint.
  • 14. Branch from the posterior cord of brachial plexus. Enter in the lower triangular space and traverse through the radial groove with deep branch Radial nerve in the arm groove with deep branch of brachial artery. Pierces the lateral intermuscular septum comes on the front of arm between the brachialis and brachioradialis.
  • 15. Muscular Spaces Quadrangular Space Superior Triangular space Inferior Triangular space
  • 16. Muscular branches- Spiral groove above: Long and medial head of triceps Spiral groove : Lateral head and medial heads of triceps Below spiral groove: Brachialis Brachioradialis Extensor carpi radialis longusExtensor carpi radialis longus Cutaneous branches Above radial groove: post Cutaneous nerve of arm, In radial groove: lower lateral cutaneous branch, Post. Cutaneous nerve of the forearm. Articular branch- to elbow Joint
  • 17. Branches of profunda artery: 1.Radial collateral artery. 2.Middle collateral artery. 3.Deltoid branch3.Deltoid branch 4.Nutrient artery to humerus.