Anterior Compartment of Arm & Cubital Fossa
Anterior Compartment of Arm & Cubital Fossa
Anterior Compartment of Arm & Cubital Fossa
COMPARTMENT OF ARM
& CUBITAL
FOSSA
www.ipostforyou.info
By
Dr Samina Anjum
FASCIAL COMPARTMENTS OF
THE UPPER ARM
Deep fascia
CONTENTS OF ANTERIOR
FASCIAL COMPARTMENT
Muscles
Blood vessels
Nerves
Structures passing
through the
compartment
MUSCLES OF ANTERIOR
COMPARTMENT
MUSCLES OF ANTERIOR
COMPARTMENT
Origin, insertion, N.S & Action
Dual N.S
coracobrachialis
Cont.
When the forearm is
inpronation, the
brachialis,brachiora
dialis, and supinator
function to flex the
forearm, with minimal
contribution from the
biceps brachii.
Flexed arm in
thepronatedposition (left);
with the biceps partially
contracted and in
asupinatedposition with the
biceps more fully contracted,
approaching minimum length
(right.)
Cont.
The brachialis muscle is innervated
by the musculocutaneous nerve,
which runs on its superficial surface,
between it and the biceps brachii.
Part of it is also innervated by the
radial nerve (proprioceptive branch).
Action: Most powerful flexor at elbow
joint
Cont.
The
coracobrachial
is draws the
humerus forward
(shoulder
flexion) and
towards the
torso (shoulder
adduction).
Muscular branches-1
3-
-2
-4
-5
RELATIONS OF BRACHIAL
ARTERY
MUSCULOCUTANEOUS NERVE
Origin
Course in arm
Branches:
1. Muscular
2. Cutaneous
3. Articular
MEDIAN NERVE
Origin
Course:
Branches:
Vasomotor branches
to brachial artery
ULNAR NERVE
Origin
Course in arm:
pierces the medial
intermuscular septum
and passes behind the
medial epicondyle
Branches: None
RADIAL NERVE
Origin
Course: in posterior the
compartment of arm and
enters the anterior
compartment just above
the lateral epicondyle by
piercing the lateral
intermuscular septum
Branches:
1. Muscular
2. Articular branches to
elbow joint
CUBITAL FOSSA
BOUNDARIES
B
L
M
FLOOR OF CUBITAL
FOSSA
CONTENTS OF CUBITAL
FOSSA
SUPRATROCHLEAR
LYMPH NODES
One or twosupratrochlear
lymph nodeslie in superficial
fascia over the upper part of
fascia.
Are placed above themedial
epicondyle of humerus, medial
to thebasilic vein.
Theirafferentsdrain themiddle,
ring, andlittle fingers, the
medial portion of thehand, and
the medialside of theforearm.
Theirefferentsenter the lateral
axillary lymph nodes
CLINICAL CORRELATES
Duringblood pressure
measurements, the
stethoscopeis placed
over the brachial
artery in the cubital
fossa.
The brachial pulse
may be palpated in
the cubital fossa also
just medial to the
tendon.
Cont
The area just superficial to the
cubital fossa is often used for
obtaining intravenous access
for the purpose of intravenous
therapy or forblood sampling.
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