Ulnar artery

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Ulnar artery
Gray1237.svg
Palm of (corrected) right hand, showing position of skin creases and bones, and surface markings for the volar arches.
Gray1235.png
Front of right upper extremity, showing surface markings for bones, arteries, and nerves.
Details
Source Brachial artery
Branches Anterior ulnar recurrent artery
posterior ulnar recurrent artery
common interosseous artery (volar, dorsal, recurrent interosseous artery)
muscular artery
volar carpal
dorsal carpal
deep volar
superficial volar arch
Vein Ulnar vein
Identifiers
Latin arteria ulnaris
MeSH D017535
TA98 A12.2.09.041
TA2 4655
FMA 22796
Anatomical terminology

The ulnar artery is the main blood vessel, with oxygenated blood, of the medial aspects of the forearm. It arises from the brachial artery and terminates in the superficial palmar arch, which joins with the superficial branch of the radial artery. It is palpable on the anterior and medial aspect of the wrist.

Contents

Along its course, it is accompanied by a similarly named vein or veins, the ulnar vein or ulnar veins.

The ulnar artery, the larger of the two terminal branches of the brachial, begins a little below the bend of the elbow in the cubital fossa, and, passing obliquely downward, reaches the ulnar side of the forearm at a point about midway between the elbow and the wrist. It then runs along the ulnar border to the wrist, crosses the transverse carpal ligament on the radial side of the pisiform bone, and immediately beyond this bone divides into two branches, which enter into the formation of the superficial and deep volar arches.

Branches

Forearm: Anterior ulnar recurrent artery, Posterior ulnar recurrent artery, Common interosseous is very short, around 1 cm, and gives rise to the anterior, posterior, and recurrent interosseous arteries and close to the wrist it gives off the palmar carpal branch which is the ulnar contribution to the palmar carpal arch and it also gives a dorsal carpal branch which is the ulnar contribution to dorsal carpal arch.

Hand: Deep palmar branch of ulnar artery which passes through the hypothenar muscles to anastomose with the deep palmar arch which is formed predominantly by the radial artery and the terminal branch of the ulnar artery is then to form the superficial palmar arch.

Relations

In its upper half, it is deeply seated, being covered by the Pronator teres, Flexor carpi radialis, Palmaris longus, and Flexor digitorum superficialis; it lies upon the Brachialis and Flexor digitorum profundus.

The median nerve is in relation with the medial side of the artery for about 2.5 cm. and then crosses the vessel, being separated from it by the ulnar head of the Pronator teres.

In the lower half of the forearm it lies upon the Flexor digitorum profundus, being covered by the integument and the superficial and deep fasciæ, and placed between the Flexor carpi ulnaris and Flexor digitorum superficialis.

It is accompanied by two venæ comitantes, and is overlapped in its middle third by the Flexor carpi ulnaris; the ulnar nerve lies on the medial side of the lower two-thirds of the artery, and the palmar cutaneous branch of the nerve descends on the lower part of the vessel to the palm of the hand.

Wrist

At the wrist the ulnar artery is covered by the integument and the volar carpal ligament, and lies upon the Flexor retinaculum of the hand. On its medial side is the pisiform bone, and, somewhat behind the artery, the ulnar nerve.

Peculiarities

The ulnar artery varies in its origin in the proportion of about one in thirteen cases; it may arise about 5 to 7 cm. below the elbow, but more frequently higher, the brachial being more often the source of origin than the axillary.

Variations in the position of this vessel are more common than in the radial. When its origin is normal, the course of the vessel is rarely changed.

When it arises high up, it is almost invariably superficial to the Flexor muscles in the forearm, lying commonly beneath the fascia, more rarely between the fascia and integument.

In a few cases, its position is subcutaneous in the upper part of the forearm, and subaponeurotic in the lower part.

See also

Additional images

Related Research Articles

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The flexor carpi ulnaris (FCU) is a muscle of the forearm that flexes and adducts at the wrist joint.

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<span class="mw-page-title-main">Medial cutaneous nerve of forearm</span>

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<span class="mw-page-title-main">Anterior interosseous nerve</span>

The anterior interosseous nerve is a branch of the median nerve that supplies the deep muscles on the anterior of the forearm, except the ulnar (medial) half of the flexor digitorum profundus. Its nerve roots come from C8 and T1.

<span class="mw-page-title-main">Carpal tunnel</span> Structure of human wrist

In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor (palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the tendons of the extrinsic flexor muscles of the hand from the forearm to the hand. There are described cases of the anatomical variant median artery occurrence.

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<span class="mw-page-title-main">Median nerve palsy</span> Medical condition

Injuries to the arm, forearm or wrist area can lead to various nerve disorders. One such disorder is median nerve palsy. The median nerve controls the majority of the muscles in the forearm. It controls abduction of the thumb, flexion of hand at wrist, flexion of digital phalanx of the fingers, is the sensory nerve for the first three fingers, etc. Because of this major role of the median nerve, it is also called the eye of the hand. If the median nerve is damaged, the ability to abduct and oppose the thumb may be lost due to paralysis of the thenar muscles. Various other symptoms can occur which may be repaired through surgery and tendon transfers. Tendon transfers have been very successful in restoring motor function and improving functional outcomes in patients with median nerve palsy.

References

PD-icon.svgThis article incorporates text in the public domain from page 595 of the 20th edition of Gray's Anatomy (1918)