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Arm

From Wikipedia, the free encyclopedia
Proximal part of the free upper limb between the shoulder and the elbow
This article is about the upper part of the limb in humans and other animals. For the British semiconductor and software design company, seeArm Holdings. For other uses, seeArm (disambiguation).
Arm
The left arm of a human male
Details
ArteryAxillary artery
VeinAxillary vein
NerveBrachial plexus
Identifiers
Latinbrachium
Anatomical terminology

Inhuman anatomy, thearm refers to theupper limb in common usage, although academically the term specifically means theupper arm[1][2] between theglenohumeral joint (shoulder joint) and theelbow joint. The distal part of the upper limb between the elbow and theradiocarpal joint (wrist joint) is known as theforearm or "lower" arm, and the extremity beyond the wrist is thehand.

By anatomical definitions, thebones,ligaments andskeletal muscles of theshoulder girdle, as well as theaxilla between them, are considered parts of the upper limb, and thus also components of the arm. TheLatin termbrachium, which serves as aroot word for naming many anatomical structures, may refer to either the upper limb as a whole or to the upper arm on its own.[3][4][5]

Structure

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Bones

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Bones of theupper limbs, together withshoulder girdles, that compose the human arm.

Thehumerus is one of the threelong bones of the arm. It joins with thescapula at theshoulder joint and with the other long bones of the arm, theulna andradius at theelbow joint.[6] The elbow is a complexhinge joint between the end of the humerus and the ends of the radius and ulna.[7]

Muscles

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The arm is divided by afascial layer (known as lateral and medialintermuscular septa) separating the muscles into twoosteofascial compartments: theanterior and theposterior compartments of the arm. The fascia merges with theperiosteum (outer bone layer) of the humerus.[8]

The anterior compartment contains three muscles:biceps brachii,brachialis andcoracobrachialis muscles. They are all innervated by themusculocutaneous nerve. The posterior compartment contains only thetriceps brachii muscle, supplied by theradial nerve.[9][10][11]

Nerve supply

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Further information:Cutaneous innervation of the upper limbs
Cutaneous innervation of the right upper extremity.

Themusculocutaneous nerve, from C5, C6, C7, is the main supplier of muscles of the anterior compartment. It originates from the lateral cord of thebrachial plexus of nerves. It pierces thecoracobrachialis muscle and gives off branches to the muscle, as well as tobrachialis and biceps brachii. It terminates as theanterior cutaneous nerve of the forearm.

The radial nerve, which is from the fifth cervical spinal nerve to the first thoracic spinal nerve, originates as the continuation of the posterior cord of the brachial plexus. This nerve enters thelower triangular space (an imaginary space bounded by, amongst others, the shaft of the humerus and the triceps brachii) of the arm and lies deep to the triceps brachii. Here it travels with thedeep artery of the arm, which sits in theradial groove of the humerus. This fact is very important clinically as a fracture of the shaft of the bone here can causelesions or even transections in the nerve.

Other nerves passing through give no supply to the arm. These include:

  • Themedian nerve, nerve origin C5-T1, which is a branch of the lateral and medial cords of thebrachial plexus. This nerve continues in the arm, travelling in a plane between the biceps and triceps muscles. At the cubital fossa, this nerve is deep to thepronator teres muscle and is the most medial structure in the fossa. The nerve passes into theforearm.
  • Theulnar nerve, origin C8-T1, is a continuation of the medial cord of thebrachial plexus. This nerve passes in the same plane as themedian nerve, between the biceps and triceps muscles. At the elbow, this nerve travels posterior to themedial epicondyle of the humerus. This means thatcondylarfractures can cause lesion to this nerve.

Blood supply

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Main arteries of the arm.

The main artery in the arm is thebrachial artery. This artery is a big continuation of theaxillary artery. The point at which the axillary becomes the brachial is distal to the lower border of teres major. Thebrachial artery gives off an unimportant branch, thedeep artery of arm. This branching occurs just below the lower border ofteres major.

The brachial artery continues to thecubital fossa in the anterior compartment of the arm. It travels in a plane between thebiceps andtriceps muscles, the same as themedian nerve andbasilic vein. It is accompanied byvenae comitantes (accompanying veins). It gives branches to the muscles of the anterior compartment. The artery is in between themedian nerve and the tendon of thebiceps muscle in thecubital fossa. It then continues into theforearm.

The deep artery of the arm travels through thelower triangular space with theradial nerve. From here onwards it has an intimate relationship with the radial nerve. They are both found deep to the triceps muscle and are located on the spiral groove of thehumerus. Therefore,fracture of the bone may not only lead to lesion of theradial nerve, but alsohaematoma of the internal structures of the arm. The artery then continues on toanastamose with therecurrent radial branch of thebrachial artery, providing a diffuse blood supply for theelbow joint.

Veins

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The veins of the arm carry blood from the extremities of the limb, as well as drain the arm itself. The two main veins are thebasilic and thecephalic veins. There is a connecting vein between the two, themedian cubital vein, which passes through thecubital fossa and is clinically important forvenepuncture (withdrawing blood).

The basilic vein travels on the medial side of the arm and terminates at the level of the seventh rib.

The cephalic vein travels on the lateral side of the arm and terminates as the axillary vein. It passes through thedeltopectoral triangle, a space between the deltoid and the pectoralis major muscles.

Society and culture

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In Hindu, Buddhist and Egyptian iconography the symbol of the arm is used to illustrate the power of the sovereign. In Hindu tradition gods are depicted with several arms which carry specific symbols of their powers. It is believed that several arms depict omnipotence of gods. In popular culture Thakur did not have arms in the movie Sholay.

In West Africa, the Bambara use forearm to symbolize the spirit, which is a link between God and man.

Three North Koreans surrender toUSS Manchester by raising their arms

Symbolic gestures of raising both hands signal surrender, appeals for mercy, and justice.[12]

The arm, as can be seen here, formed one component ofhieroglyphs

Clinical significance

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Thecubital fossa is clinically important forvenepuncture and forblood pressure measurement.[13]

When the arm isfractured this may refer to afracture of the humerus bone.

Veins on the arm may be taken when acoronary artery bypass graft is needed.

Other animals

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In other animals, the termarm can also be used for homologous or analogous structures (such as one of the pairedforelimbs of afour-legged animal or thearms of cephalopods, respectively). In anatomical usage, the termarm may[3] sometimes refer specifically to the segment between the shoulder and the elbow,[14][15] while the segment between the elbow andwrist is theforearm. However, in common, literary, and historical usage,arm refers to the entire upper limb from shoulder to wrist. This article uses the former definition; seeupper limb for the wider definition.[8]

In primates, the arm is adapted for precise positioning of thehand and thus assist in the hand's manipulative tasks. The ball and socket shoulder joint allows for movement of the arms in a wide circular plane, while the structure of the two forearm bones which can rotate around each other allows for additional range of motion at that level.[16]

Additional images

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  • Gross anatomy of the upper arm and elbow.
    Gross anatomy of the upper arm andelbow.

See also

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This article usesanatomical terminology.
Wikimedia Commons has media related toArm.
Look uparm in Wiktionary, the free dictionary.

References

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  1. ^Gray, Henry (1918)."The Humerus (Arm Bone)".
  2. ^Forro, Stephen D. (July 31, 2021)."Anatomy, Shoulder and Upper Limb, Arm Structure and Function". StatPearls.PMID 29939618.
  3. ^ab"brachium – free dictionary". RetrievedDecember 2, 2013.
  4. ^"Dictionary.com". RetrievedDecember 2, 2013.
  5. ^Encyclopaedia britannica 2013.
  6. ^Sam Jacob (2007).Human Anatomy: A Clinically-Orientated Approach.Elsevier Health Sciences. p. 5.ISBN 978-0443103735. RetrievedJanuary 19, 2018.
  7. ^Doral, Mahmut Nedim; Karlsson, Jon, eds. (2015-03-04).Sports injuries : prevention, diagnosis, treatment and rehabilitation. Berlin.ISBN 9783642368011.OCLC 1111734654.{{cite book}}: CS1 maint: location missing publisher (link)
  8. ^abDrake, Richard L. (Richard Lee) (15 November 2015).Gray's anatomy for students. Vogl, Wayne; Mitchell, Adam W. M.; Gray, Henry (Third ed.). Philadelphia, PA.ISBN 9780702051319.OCLC 881508489.{{cite book}}: CS1 maint: location missing publisher (link)
  9. ^Moore, Keith L. (2013-02-13).Clinically oriented anatomy. Dalley, Arthur F., II,, Agur, A. M. R. (Seventh ed.). Philadelphia.ISBN 978-1451119459.OCLC 813301028.{{cite book}}: CS1 maint: location missing publisher (link)
  10. ^Standring, Susan, ed. (2016).Gray's anatomy : the anatomical basis of clinical practice (Forty-first ed.). [Philadelphia].ISBN 9780702052309.OCLC 920806541.{{cite book}}: CS1 maint: location missing publisher (link)
  11. ^"Elbow and Forearm".Kenhub. Retrieved2019-09-14.
  12. ^Tresidder, Jack (1997).The Hutchinson Dictionary of Symbols. London: Helicon. p. 16.ISBN 1-85986-059-1.
  13. ^"How To Draw Blood Like A Pro: Step-By-Step Guide".nurse.org. Retrieved2019-09-14.
  14. ^"Arm".The Lecturio Medical Concept Library. 3 November 2020. Retrieved2021-06-22.
  15. ^Arm at the U.S. National Library of MedicineMedical Subject Headings (MeSH)
  16. ^Preuschoft, Holger; Hohn, Bianca; Scherf, Heike; Schmidt, Manuela; Krause, Cornelia; Witzel, Ulrich (April 2010)."Functional Analysis of the Primate Shoulder".International Journal of Primatology.31 (2):301–320.doi:10.1007/s10764-010-9399-1.ISSN 0164-0291.PMC 2860095.PMID 20495602.
Body
Head
Neck
Torso (Trunk)
Limbs
Arm
Leg
Anatomy of the arm
Bones of thearm
Shoulder girdle,clavicle
Scapula
Humerus
Forearm
Radius
Ulna
Hand
Carpal bones
Metacarpal bones
Phalanges
Shoulder
Sternoclavicular
Acromioclavicular
Glenohumeral
Elbow
Humeroradial
Humeroulnar
Proximal radioulnar
Forearm
Distal radioulnar
Hand
Wrist/radiocarpal
Intercarpal
Carpometacarpal
Intermetacarpal
Metacarpophalangeal
Interphalangeal
Other
Muscles of thearm
Shoulder
fascia:
Arm
(compartments)
anterior
posterior
fascia
other
Forearm
(compartments)
anterior
superficial:
deep:
posterior
superficial:
deep:
fascia
other
Hand
lateral volar
medial volar
intermediate
fascia
posterior:
anterior:
Axillary
Shoulder
before teres minor
1st part
2nd part
3rd part
Brachial
Arm
beforecubital fossa
Radial artery
forearm
wrist/carpus
hand
Median artery
Ulnar artery
forearm
wrist/carpus
Arterial Arches
Dorsal carpal arch
Palmar carpal arch
Anatomy of thelymphatic system
Head and neck
Head
Back
Front
Cervical
Superficial
Deep
Other
Vessels
Arm and axilla
Nodes
Vessels
Chest
Nodes
Vessels
Abdomen
Nodes
Vessels
Leg
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