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7/25/2019 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!