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ANATOMY UPPER ARM SENSORY N. SUPPLY Supraclavicular n.(C3,4);to the skin over the point of the shoulder to the half way down the deltoid m. Upper lat.cut.n.of the arm(C5,6); abranch of axillary n.to the skin over half of the deltoid. Lower lat.cut.n.of the arm(C5,6); lateral surface of the arm below the deltoid. Medial cut.n. of the arm (T1,intercostobrachial n.T2); medial side of the arm. Post.cut.n.of the arm(C6); branch of radial n. back of the arm Superficial veins Lie in the super facial fascia. Cephalic v.;ascend on the lat.side of biceps m.on reaching the infraclavicular fosse, pierces the clavipectoral fascia to drain in to the axillary vein. Basilic v.;ascend on the med. Side of biceps m. half way up the arm it pierces the deep fascia and at the lower border of teres major m. joins the venae comoitantes of the brachial artery to form the axillary vein. Superficial veins The median cubital vein (or median basilic vein) a superficial vein of the upper limb. It connects the basilic and cephalic vein and is often used for venipuncture (taking blood). It lies in the cubital fossa superficial to the bicipital aponeurosis Superficial lymphatic's Those from lat.side of the arm follow the cephalic vein to infraclavicular groups of nodes. Those from from medial side follow the basilic vein to the lateral group of axillary nodes THE DEEP LYMPH VESSELS : drain the ms& deep structures of the arm in to lateral group of axillary nodes FASCIAL COMPARTMENTS OF THE ARM The upper arm is enclosed in a sheat of deep fascia. two fascial septa one on the medial &one on the lateral side,extend from the sheah &are attached to the medial &lateral supracondylar ridges of the humerus. so the arm is divided in to anterior&posterior fascial compartments. The medial septum is pierced by the ulnar n.&ulnar collateral a. The lateral septum septum is piereced by the radial n.&profunda brachie a.(anterior descending branch ANTERIOR COMPARTMENT. CONTENT M. Biceps brachii. Coracobrachialis Brachialis. A. Brachial a. N. Musculocutaneo us n. STRUCTURES PASSING THROUGH THE COMPARTMENT; Median&ulnar ns.Basilic v.The radial n.is present in the lower part of the compartment. Biceps brachii Origin; Long head;supraglenoid tubercle of the scapula. short head; tip of the coracoid process of the scapula Insertion; Post. part of the tuberosity of the radius&by aponeurotic band called the bicipital aponeurosis in to the deep fascia of the medial aspect of the forearm. N.Supply Musculocutaneous Action Strong supinater of the forearm. Powerful flexor of the elbow joint. Weak flexor of the shoulder joint Origin; Tip of the coracoid process. Insertion; middle of the medial side of the humersl shaft. N.supply; musculocutaneous. Action; flexor of the arm. Weak adductor. CORACOBRA CHIALIS Origin; from the lower half of the humerus. Insertion; Anterior surface of the coronoid process of the ulna. N.supply; Musculocutaneous &small part radial n. Action; Strong flexor of the elbow joint. Brachialis Brachial artery Begin in the lower border of the teres major as a continuation of the axillary a. it terminate opposite the neck of the radius by dividing into radial &ulnar a. RELATIONS; ANT.;it overlapped from lat.side bycoracobrachialis&biceps ms. Upper part; medial cut.n.of forearm lies infront. Middle part; crosses by the median n. Lower part; bicepital aponeurosis cross it. POST.the A.lies on triceps,coracobrachialis insertion&brachialis m. ulnar n. above. MED; Upper part; ulnar n&basilic v. Lower part; median n. LAT; Above: median n. corahobrachialis,biceps ms. Lowe : tendon of biceps. BRANCHES OF BRACHIAL ARTERY 1-Muscular branches to the ant.compartment of the arm. 2-The nuterient a.to the humerus. 3-Profunda a. arise near the begining of the brachial a.&follow the radial n. 4-Superior ulnar collateral a.arise near the middle of the upper arm and follow the ulnar n. 5-Inferior ulnar collateral (supratrochlear) a. arise near the terminal of a.&take part in the anastomosis around the elbow joint. 6-Terminal ulnar&radial arteries. AXILLARY VEIN Lie on the medial side of the artery. formed from the venae comitantes to the brachial a. strongly reinforced above by the basilic vein.