00:01
So, now, let's have a look at the neurovascular
relations of the muscles within the
anterior compartment of the forearm.
00:10
So, let's remind ourselves of the
muscles very briefly.
00:13
We have the superficial layer, pronator teres,
flexi carpi radialis, palmaris longus, and flexor carpi ulnaris.
00:22
We have the flexor retinaculum which runs
over these tendons in the distal aspect
of the forearm over the wrist.
And we also have brachioradialis.
00:31
Now, this is really part of the posterior compartment
but we can see it here and it's relevant to include.
00:38
In the middle layer, we have
flexor digitorum superficialis.
00:41
And then, in the deep layer, we have those
three muscles, flexor digitorum profundus,
flexor pollicis longus,
and pronator quadratus.
00:51
So, the muscles that are forming the
anterior compartment of the forearm.
00:56
We've mentioned these briefly but we can see
various arteries that are running down,
coming from the brachial
artery within the arm.
01:04
The brachial artery we can see here
bifurcates within the cubital fossa
to form the ulnar artery medially which gives
rise to the common interosseous artery.
01:14
The common interosseous artery gives rise
to the posterior interosseous artery
which passes through the superior aperture
within the interosseous membrane.
01:24
And then, the anterior interosseous artery
continues down, supplying the deep structures
within the anterior compartment
of the forearm.
01:32
So, now, let's have a look at the second
terminal branch of the brachial artery.
01:37
Here, we can see the radial artery and
that's running along the lateral aspect of the forearm.
01:43
And running along the lateral aspect of the forearm, it also gives
rise to some important branches that go to supply the hand.
01:49
So, here, we have a branch that goes
to form the superficial palmar arch.
01:54
And then, deep to that, we have a second
arch which is the deep palmar arch.
01:59
These two branches form an important
anastomosis in the hand with the ulnar artery
and we'll look at that again when we look
at the vasculature around the hand.
02:09
So, now, let's have a look at a number of nerves which supplying
the anterior compartment, primarily, of the forearm.
02:17
Here, we've got the ulnar nerve,
the median nerve, and the radial nerve.
02:21
These are the three terminal branches
that came away from the brachial plexus.
02:26
The ulnar nerve, remember, doesn't pass
through the cubital fossa,
it passes posteriorly to the epicondyle,
the medial epicondyle.
02:33
The median nerve does pass through the cubital
fossa and the radial nerve runs more laterally.
02:40
Here, staying with the radial nerve, we can see
it gives off a superficial and a deep branch of
the radial nerves here. We can see the median nerve is giving off
its anterior interosseous nerve
and the ulnar nerve is giving rise
to the palmar branch here.
02:54
We also have a number of other branches
that are coming from the ulna and the median.
02:59
We'll look at these more when we look
at the wrist and hand.
03:01
But these are branches that go on
to supply the surface of the skin
and the musculature around the
hand and the wrist joint.
03:07
So, we have things like the dorsal branch
of the ulnar nerve and the palmar branch
of the median nerve, supplying
skin around these regions.