China
Africa
Explore chapters and articles related to this topic
Upper Limb
Published in Bobby Krishnachetty, Abdul Syed, Harriet Scott, Applied Anatomy for the FRCA, 2020
Bobby Krishnachetty, Abdul Syed, Harriet Scott
In the axilla, the radial nerve lies deep to the axillary artery. As it travels down the arm, it dives deep towards the triceps side of the humerus with the profunda brachii artery. It travels between the two heads of the triceps, around the spiral groove of the humerus to the lateral side of the humerus.
Upper Limb
Published in Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno, Understanding Human Anatomy and Pathology, 2018
Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno
Having learned the branches of the axillary artery, it becomes much easier to understand the configuration of the arm and forearm arteries. The continuation of the axillary artery that enters the arm to provide supply to all the arm, forearm, and hand muscles is the brachial artery, which runs on the anterior side of the arm (Plate 4.3). If the body were free from evolutionary and developmental constraints, it would be more logical to have two major arteries, one for each of the two compartments of the arm (anterior and posterior). As this is not the case, the brachial artery has to perform a “trick” to supply to the triceps brachii and the other tissues of the posterior arm: It sends a proximal branch into the posterior arm compartment, as the deep brachial artery (or deep artery of the arm, or profunda brachii artery) (Figure 4.4). This artery courses around the posterior surface of the humerus, where it accompanies the radial nerve in the spiral (radial) groove, and then gives rise to the radial collateral artery that anastomoses with the radial recurrent artery branching from the radial artery (Plate 4.9b). The brachial artery then branches again, more distally, in the middle third of the arm, to give rise to the superior ulnar collateral artery and the inferior ulnar collateral artery. These two collateral arteries anastomose, respectively, with the posterior ulnar recurrent artery and the anterior ulnar recurrent artery branching from the ulnar artery.
The Triple Heater (TH)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Deep brachial artery, middle collateral branch: Participates in the arterial anastomoses around the elbow joint. The middle collateral branch joins with the inferior ulnar collateral artery, the anterior ulnar recurrent artery, the posterior ulnar recurrent artery, and the superior ulnar collateral artery. This deep artery of the arm, also known as the profunda brachii artery, arises from the lateral and posterior portions of the brachial artery, just distal to the teres major muscle. The deep brachial artery closely follows the radial nerve, coursing between the medial and lateral heads of the triceps brachii and then along the radial nerve groove (or sulcus) of the humerus under cover of the lateral head of the triceps. It pierces the lateral intermuscular septum and descends between the brachioradialis and brachialis toward the cranial aspect of the lateral epicondyle of the humerus. It ends in an anastomosis with the radial recurrent artery.
Case report: reverse lateral arm flap in a patient with previously harvested radial artery
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Zahir T. Fadel, Mohammed B. Ashi, Weaam S. Magram
Maruyama and Takeuchi [3] described the RLAF as a modification of fasciocutaneous flaps previously reported in the literature [6,7]. The RCA, a terminal branch off the profunda brachii artery, bifurcates at the level of the brachioradialis origin into the anterior and posterior radial collateral arteries (ARCA & PRCA) [8]. The PRCA travels within this septum and communicates with the IRA. The ARCA passes anterior to the lateral intermuscular septum communicating with the RRA [3]. This artery commonly takes off proximally, which should be preserved during the harvest of the radial artery for coronary artery bypass [9]. Hamahata et al. described four different origins for the RRA, including the radial artery proper, root of the radial, brachial, or ulnar artery [10]. The RRA is often reported as the main pedicle of the RLAF [3]. However, Culbertson and Mutimer described the PRCA-IRA being the main pedicle in their paper [4].