Blood Vessels of Forearm 23

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    BLOODBLOODVESSELS OFVESSELS OF

    FOREARMFOREARM

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    ARTERIES OFTHE FOREARM

    Radial artery Ulnar artery

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    Radial arteryRadial artery

    Smaller terminal branch ofSmaller terminal branch ofthe brachial arterythe brachial artery

    Extends from the neck ofExtends from the neck ofthe radi sthe radi s

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    !o rse of the artery!o rse of the art

    ery

    In the forearm

    Extends do"n"ards "ith thelateral con#exity from itsori$in to the front of styloid%rocess of radi s

    &ea#es the c bital fossa

    o#erla%%ed by thebrachioradialis m scle

    In rest of its co rse itinter#enes bet"een tendons of

    'rachioradialis(Flexor car%iradialis m scle

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    At the wrist

    )inds dorsally nder thetendon of abd ctor %ollicislon$ s*extensor %ollicisbre#is*crosses theanatomical sn ff boxEnters the first dorsalinterossei*crossed by thetendon of extensor %ollicislon$ s

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    In the hand

    A%%ears in the %almbet"een the t"o

    heads of add ctor%ollicisAnastomoses "ith

    the dee% branch oflnar artery tocom%lete the dee%%almar arch

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    RE&ATIO+S

    In front'rachioradialis in

    %%er %artSkin (s %erficialfascia in the lo"er%art

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    'ehind ,bed forthe artery-

    Tendon of bice%s

    S %inator.ronator teresFlexor di$itori ms %erficialisFlexor %ollicis lon$ s.ronator / adrat s&o"er end of radi s

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    &ateral

    'rachioradialisS %erficial branch ofradial ner#e

    Medial .ronator teresFlexor car%i radialis

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    'ranches in theforearm ( hand

    Radial rec rrent arteryM sc lar branches.almar car%al branch0orsal car%al branchS %erficial %almar branch

    First dorsal metacar%alarteryArteria %rince%s %ollicisArteria radialis indicis

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    Radial rec rrent artery 1anastomoses "ith radial collateral branchof .rof nda brachii in front of lateral e%icondyle of h mer s

    M sc lar branches 1s %%ly ad2acent m scles .almar car%al branch 1anastomoses "ith %almar car%al branch of

    lnar artery in front of car%al bones 0orsal car%al branch 1anastomoses "ith dorsal car%al branch of

    lnar artery S %erficial %almar branch 1com%letes the s %erficial %almar arch

    formed by the lnar artery in the %alm First dorsal metacar%al artery 1s %%lies the ad2acent sides of

    the th mb(index fin$er on the dors m

    Arteria %rince%s %ollicis1s %%lies the add2acent sides of theth mb($i#es a n trient artery to first metacar%al Arteria radialis indicis1s %%lies the radial side of the index fin$er

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    Clinical anatomy

    . lsation of the radial artery is felt a$ainst thelo"er end of the radi s to meas re the % lse rate A13 fist la is done bet"een the radial artery andce%alic #ein in %atient "ho nder $o dialysis on re$ larbasis,cimini4s fist la-Allen4s test1to see for %atency of artery

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    Ulnar arteryUlnar artery

    &ar$est terminalbranch of thebrachial artery

    Main arterial tr nkthat s %%lies theforearm

    5i#en at the neck ofthe radi s in thec bital fossa

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    In the hand

    0i#ides intos %erficial (dee%branch to form%almar arches

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    Behind'rachialisFlexor di$itor m %rof nd s

    Medial Ulnar ner#e

    LateralFlexor di$itor m s %erficialis

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    Branches

    Anterior lnarrec rrent artery

    .osterior lnarrec rrent artery!ommon interosse sartery.almar (dorsal car%albranchM sc lar branches

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    Anterior lnar rec rrent artery 6anastomoses "ithinferior lnar collateral artery in front of the mediale%icondyle

    .osterior lnar rec rrent artery 1anastomoses "iththe s %erior lnar collateral artery behind the mediale%icondyle

    !ommon interosse s artery 1di#ides into anterior(%osterior interosse s artery to s %%ly the forearm

    .almar car%al artery 1forms anterior car%al arch "ithbranch of radial artery

    0orsal car%al artery 1forms forms dorsal car%al arch"ith branches of the radial artery

    M sc lar branches 1s %%lies the m cles of forearm

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    Common interosseusartery

    &ar$est branch of lnarartery in the c bital fossa0i#ides at the %%erborder of interosse smembrane into anterior(%osterior interosse sartery

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    !ommon interosseo s branch!ommon interosseo s branch

    AAnteriornterior ( .( . osterior interosseo sosterior interosseo s

    branchesbranches

    Ulnar arteryUlnar artery

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    Branches

    + trient branch toradi s( lna

    0escendin$ branch toanterior car%al archOccasional branch1arteria ner#i mediana

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    Posterior interosseusartery

    'ranch from common interosse sartery in the forearmEnters the %osterior com%artmentbet"een the obli/ e cord( %%er

    border of interosse s membrane!losely a%%lied to the %osteriors rface of the interosse smembrane(r ns bet"eens %erficial(dee% $ro % of m scleAccom%anied by the %osteriorinterosse s ner#e&o"er do"n it 2oins the anteriorinterosse s artery to enter into

    %osterior car%al arch

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    Branch

    Interosse s rec rrent branch anastomoses"ith middle collateral branch of %rof nda brachiiartery behind the lateral e%icondyle

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    ARTERIAL ANASTOMOSISAT THE ELBOW

    I+ FRO+T OF THE ME0IA& E.I!O+07&E 8I+FERIOR U&+AR!O&&ATERA&*A+TERIOR U&+ARRE!URRE+T ARTER7

    'EHI+0 THE ME0IA& E.I!O+07&E 8SU.ERIOR U&+AR!O&&ATERA&*.OSTERIOR U&+ARRE!URRE+T ARTER7

    I+ FRO+T OF THE &ATERA& E.I!O+07&E 8RA0IA&!O&&ATERA&*RA0IA& RE!URRE+T ARTER7

    'EHI+0 THE &ATERA&E.I!O+07&E 8MI00&E !O&&ATERA&*I+TEROSSEUS RE!URRE+T'RA+!H

    A'O3E THE O&E!RA+O+ FOSSA 8'RA+!H FROM MI00&E !O&&TERA&( .OSTERIOR0I3ISIO+ I+FERIOR U&+AR !O&&ATERA&

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    May I please be excused? My brain is full!