{"id":3954,"date":"2021-01-18T22:51:08","date_gmt":"2021-01-18T21:51:34","guid":{"rendered":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/arm\/neurovasculature-of-the-arm-2\/"},"modified":"2021-02-06T18:22:36","modified_gmt":"2021-02-06T17:22:36","slug":"neurovasculature-of-the-anterior-compartment-of-the-arm","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/forearm\/neurovasculature-of-the-forearm\/neurovasculature-of-the-anterior-compartment-of-the-arm\/","title":{"rendered":"Neurovasculature of the anterior compartment of the arm"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"intro\">Similar to the muscles, the neurovasculature of the forearm can be conveniently categorized into <strong>anterior <\/strong>and <strong>posterior compartments<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The anterior compartment is larger and slightly more complicated than the posterior one.<\/div><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h2 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Blood supply<\/h2>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<p class=\"wp-block-paragraph\">The anterior compartment is supplied by branches of the <strong>brachial artery<\/strong>, which enters the forearm by passing through the cubital fossa and dividing into the <strong>radial <\/strong>and <strong>ulnar arteries<\/strong>.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Radial artery<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Course and description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<p class=\"wp-block-paragraph\">The<strong> radial artery<\/strong> originates at the neck of the radius bone and transverses along the lateral aspect of the forearm. In the proximal half of the forearm, the radial artery lies deep to the brachioradialis muscle, while in the distal part it lies immediately lateral to the tendon of flexor carpi radialis. It leaves the forearm by passing around the lateral aspect of the wrist and penetrating the hand posterolaterally.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Branches<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<p class=\"wp-block-paragraph\">The radial artery gives off 3 main&nbsp;branches:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The <strong>radial recurrent artery<\/strong> supplies the muscles on the lateral forearm and contributes to the anastomotic network around the elbow joint.<\/li><li>The <strong>palmar carpal artery <\/strong>supplies the carpal bones and joints.<\/li><li>The <strong>superficial palmar branch<\/strong> is the largest of the branches. It enters the hand by superficially passing the thenar muscles and anastomosing with the superficial palmar arch.<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_5\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Ulnar artery<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_5\">\n\n<\/span><span class=\"block-heading\" id=\"header_6\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Course and description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_6\">\n\n\n<p class=\"wp-block-paragraph\">The larger <strong>ulnar artery <\/strong>passes along the medial part of the forearm, deep to the pronator teres muscle and into the fascial plane between the flexor carpi ulnaris and the flexor digitorum profundus muscles. It enters the hand by passing lateral to the pisiform and superficial to the flexor retinaculum. It is the main blood supply of the medial three and one-half digits.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_7\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Branches<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_7\">\n\n\n<p class=\"wp-block-paragraph\">The ulnar artery gives off the following branches:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The <strong>ulnar recurrent artery<\/strong>, dividing into anterior and posterior branches that supply the elbow joint.<\/li><li>The <strong>common interosseous arteries<\/strong> supply the interosseous muscles and can be divided into anterior and posterior arteries.<ul><li>The <strong>posterior interosseous artery <\/strong>passes dorsally above the proximal margin of the interosseous membrane and into the posterior aspect of the forearm.<\/li><li>The <strong>anterior interosseous artery passes distally anterior to the interosseous membrane and supplies the deep muscles of the forearm and the interosseous membrane.&nbsp;<\/strong><\/li><\/ul><\/li><li><strong>Two small carpal arteries <\/strong>supplying the wrist.&nbsp;<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n<\/span><span class=\"block-heading\" id=\"header_8\">\n<h2 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Venous drainage<\/h2>\n<\/span><span class=\"block-content\" id=\"contents_8\">\n\n\n<p class=\"wp-block-paragraph\">The veins in the anterior compartment generally accompany the arteries. The veins can be categorized into <strong>superficial<\/strong> and <strong>deep<\/strong> veins. Superficial veins tend to be visible on the skin and are highly variable while deep veins run along the arteries.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_9\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Superficial veins<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_9\">\n\n\n<ul class=\"wp-block-list\"><li>The <strong>basilic vein<\/strong> begins at the medial end of the dorsal venous arch of the hand, ascending on the medial aspect in the palmar surface of the forearm, entering the cubital fossa and arm on the medial side.<\/li><li>The <strong>cephalic vein<\/strong> begins in the lateral end of the dorsal venous arch of the hand, ascending on the lateral aspect of the palmar surface of the forearm, entering the cubital fossa and arm on the lateral side (exactly the opposite of the basilic vein).<\/li><li>The <strong>median cubital vein<\/strong> forms a communication between the basilic and cephalic veins at the cubital fossa, crossing it obliquely.<\/li><li>The <strong>median antebrachial vein<\/strong> begins in the lateral end of the dorsal venous arch at the base of the thumb, and runs along the arm in a middle position between the basilic and cephalic veins, typically ending in the basilic or median cubital vein.<ul><li>Sometimes, it appears as two parallel veins which then are known as the <strong>median basilic <\/strong>and <strong>median cephalic veins.<\/strong><\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_10\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Mnemonic<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_10\">\n\n\n<p class=\"wp-block-paragraph\">To memorize the two veins and on which side they are located, use the mnemonic <strong>M<\/strong>en <strong>B<\/strong>uild, <strong>L<\/strong>adies <strong>C<\/strong>ook:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>M: medial, B: basilic<\/li><li>L: lateral, C: cephalic<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>The actual meaning of the words cephalic and basilic was lost in the translation from Arabic. The names were &#8220;kifal&#8221; for cephalic and &#8220;basilik&#8221; for basilic; they meant &#8220;outer&#8221; and &#8220;inner&#8221;, respectively.<\/em><\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_11\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Deep veins<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_11\">\n\n\n<ul class=\"wp-block-list\"><li>The <strong>radial<\/strong> and <strong>ulnar<\/strong> <strong>veins<\/strong> arise laterally and medially from the deep palmar arch of the palm, respectively. <ul><li>They follow the course of the arteries and anastomoses freely with one another to drain the forearm.&nbsp;<\/li><\/ul><\/li><li>The <strong>deep interosseous veins <\/strong>accompany the corresponding artery and unite with the ulnar and radial veins. <ul><li>In the cubital fossa, all deep veins drain to the superficial <strong>median cubital vein<\/strong>.<\/li><\/ul><\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n<\/span><span class=\"block-heading\" id=\"header_12\">\n<h2 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Innervation<\/h2>\n<\/span><span class=\"block-content\" id=\"contents_12\">\n\n\n<p class=\"wp-block-paragraph\">The <strong>nerves <\/strong>in the anterior compartment of the forearm are the <strong>median <\/strong>and <strong>ulnar nerves <\/strong>as well as the <strong>superficial branch of the radial nerve<\/strong>.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_13\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Median nerve<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_13\">\n\n<\/span><span class=\"block-heading\" id=\"header_14\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Course and description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_14\">\n\n\n<p class=\"wp-block-paragraph\">The <strong>median nerve <\/strong>leaves the cubital fossa by passing along both heads of pronator teres and travelling distally along the humero-ulnar and radial heads of the flexor digitorum superficialis muscle. Just proximal to the wrist, the nerve transverses laterally and superficially and lies between the tendons of palmaris longus and flexor carpi radialis. The median nerve innervates all the anterior compartment of the forearm except the flexor carpi ulnaris and the medial part of the flexor digitorum profundus.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_15\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Branches<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_15\">\n\n\n<p class=\"wp-block-paragraph\">The median nerve gives off two branches:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The <strong>anterior interosseous nerve <\/strong>is the larger branch of the two. It originates between both heads of pronator teres and travels distally, following the same path of the anterior interosseous artery and terminating as the articular branches distal to the wrist. It innervates the muscles of the deep layer of the forearm.&nbsp;<\/li><li>The <strong>palmar nerve <\/strong>originates proximal to the flexor retinaculum, passes superficial to the flexor retinaculum and along with the hand. It innervates the skin over the base and central palm.&nbsp;<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_16\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Ulnar nerve<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_16\">\n\n<\/span><span class=\"block-heading\" id=\"header_17\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Course and description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_17\">\n\n\n<p class=\"wp-block-paragraph\">The <strong>ulnar nerve <\/strong>passes posteriorly to the medial epicondyle of the humerus and enters the forearm. It then courses distally in the medial side of the forearm between the heads of flexor carpi ulnaris and flexor digitorum profundus. The ulnar nerve enters the hand by passing superficial to the flexor retinaculum and lateral to the pisiform bone. It innervates the flexor carpi ulnaris and the medial aspect of flexor digitorum profundus.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_18\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Branches<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_18\">\n\n\n<p class=\"wp-block-paragraph\">The ulnar nerve gives rise to the following branches:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Muscular branches <\/strong>arise immediately after the ulnar nerve enters the forearm and innervate the flexor carpi ulnaris and the medial half of flexor digitorum profundus.<\/li><li>Two <strong>cutaneous nerves<\/strong>:<ul><li>The <strong>palmar branch<\/strong> originates in the middle of the forearm and passes into the hand, supplying medial side of the palm<\/li><li>The <strong>dorsal branch <\/strong>is larger, and it originates in the distal forearm, passing posteriorly deep to the tendon of flexor carpi ulnaris. It innervates the skin on the posteromedial side of the hand and the posterior surfaces of the medial one and one-half digits.&nbsp;<\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_19\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Radial nerve (superficial branch)<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_19\">\n\n<\/span><span class=\"block-heading\" id=\"header_20\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Course and description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_20\">\n\n\n<p class=\"wp-block-paragraph\">The <strong>radial nerve <\/strong>divides into deep and superficial branches at the lateral border of the cubital fossa, along the margin of the brachioradialis muscle.&nbsp;<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_21\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title3\">Branches<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_21\">\n\n\n<p class=\"wp-block-paragraph\">The radial nerve gives rise to two branches:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The <strong>deep branch <\/strong>passes between the superficial and deep layers of the supinator muscle, to give motor innervation to the muscles of the posterior compartment of the forearm.<\/li><li>The <strong>superficial branch <\/strong>courses in the anterolateral aspect of the forearm, deep to the brachioradialis. Two-thirds of the way down the forearm, the nerve passes laterally and posteriorly around the radial side of the forearm and continues into the hand. It innervates the skin on the posterolateral surface of the hand.<\/li><\/ul>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h2 class=\"wp-block-heading\" class=\"wp-block-heading\">Blood supply<\/h2><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Radial artery<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Course and description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Branches<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Ulnar artery<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Course and description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Branches<\/h4><h2 class=\"wp-block-heading\" class=\"wp-block-heading\">Venous drainage<\/h2><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Superficial veins<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Mnemonic<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Deep veins<\/h3><h2 class=\"wp-block-heading\" class=\"wp-block-heading\">Innervation<\/h2><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Median nerve<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Course and description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Branches<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Ulnar nerve<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Course and description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Branches<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Radial nerve (superficial branch)<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Course and description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Branches<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Blood supply The anterior compartment is supplied by branches of the brachial artery, which enters the forearm by passing through the cubital fossa and dividing into the radial and ulnar arteries.&nbsp; Radial artery Course and description The radial artery originates at the neck of the radius bone and transverses along the lateral aspect of the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3947,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3954","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neurovasculature of the anterior compartment of the arm &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/upper-limb\/forearm\/neurovasculature-of-the-forearm\/neurovasculature-of-the-anterior-compartment-of-the-arm\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/upper-limb\\\/forearm\\\/neurovasculature-of-the-forearm\\\/neurovasculature-of-the-anterior-compartment-of-the-arm\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/upper-limb\\\/forearm\\\/neurovasculature-of-the-forearm\\\/neurovasculature-of-the-anterior-compartment-of-the-arm\\\/\",\"name\":\"Neurovasculature of the anterior compartment of the arm &#8211; 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