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Questions and Answers
What is the primary significance of the cubital fossa in relation to the upper limb?
What is the primary significance of the cubital fossa in relation to the upper limb?
Which structure lies most superficially in the cubital fossa?
Which structure lies most superficially in the cubital fossa?
What shape does the cubital fossa primarily form?
What shape does the cubital fossa primarily form?
Which of the following is NOT a component of the roof of the cubital fossa?
Which of the following is NOT a component of the roof of the cubital fossa?
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Which veins are included in the superficial fascia of the cubital fossa?
Which veins are included in the superficial fascia of the cubital fossa?
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Identify the purpose of the bicipital aponeurosis in the cubital fossa.
Identify the purpose of the bicipital aponeurosis in the cubital fossa.
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Which aspect does NOT define the base of the cubital fossa?
Which aspect does NOT define the base of the cubital fossa?
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What is located at the apex of the cubital fossa?
What is located at the apex of the cubital fossa?
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Where does the brachial artery lie in relation to the biceps brachii tendon?
Where does the brachial artery lie in relation to the biceps brachii tendon?
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Which of the following structures does NOT pass through the cubital fossa?
Which of the following structures does NOT pass through the cubital fossa?
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What is the primary role of the bicipital aponeurosis in relation to the brachial artery?
What is the primary role of the bicipital aponeurosis in relation to the brachial artery?
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Which nerve is most lateral in the cubital fossa and divides into superficial and deep branches?
Which nerve is most lateral in the cubital fossa and divides into superficial and deep branches?
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What is the primary function of the median cubital vein in the upper limb?
What is the primary function of the median cubital vein in the upper limb?
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What happens to the brachial artery when there is a supracondylar fracture of the humerus?
What happens to the brachial artery when there is a supracondylar fracture of the humerus?
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Which artery is NOT a terminal branch of the brachial artery?
Which artery is NOT a terminal branch of the brachial artery?
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What anatomical position is the bicipital aponeurosis situated in relation to the deep fascia of the forearm?
What anatomical position is the bicipital aponeurosis situated in relation to the deep fascia of the forearm?
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What is the orientation of the apex of the cubital fossa?
What is the orientation of the apex of the cubital fossa?
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Which muscle predominantly forms the floor of the cubital fossa?
Which muscle predominantly forms the floor of the cubital fossa?
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What forms the lateral border of the cubital fossa?
What forms the lateral border of the cubital fossa?
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In what order are the contents of the cubital fossa arranged from medial to lateral?
In what order are the contents of the cubital fossa arranged from medial to lateral?
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What is the base of the cubital fossa defined by?
What is the base of the cubital fossa defined by?
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Which of the following nerves is NOT a content of the cubital fossa?
Which of the following nerves is NOT a content of the cubital fossa?
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Where does the median nerve lie in relation to the brachial artery within the cubital fossa?
Where does the median nerve lie in relation to the brachial artery within the cubital fossa?
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What anatomical structure is formed by the two heads of pronator teres in relation to the median nerve?
What anatomical structure is formed by the two heads of pronator teres in relation to the median nerve?
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What condition is associated with ischemic muscles leading to severe contractions in the anterior compartment of the forearm?
What condition is associated with ischemic muscles leading to severe contractions in the anterior compartment of the forearm?
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Where is the brachial artery most commonly palpated for measuring blood pressure?
Where is the brachial artery most commonly palpated for measuring blood pressure?
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What benefit does the median cubital vein's location provide during injection?
What benefit does the median cubital vein's location provide during injection?
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Which of the following findings is most likely in a case of supracondylar fracture of the humerus with anterior displacement of the proximal fragment?
Which of the following findings is most likely in a case of supracondylar fracture of the humerus with anterior displacement of the proximal fragment?
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In a case where a child presents with elbow swelling after a fall, which physical finding is most indicative of a serious injury?
In a case where a child presents with elbow swelling after a fall, which physical finding is most indicative of a serious injury?
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What is the typical direction of displacement in a supracondylar fracture of the humerus?
What is the typical direction of displacement in a supracondylar fracture of the humerus?
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Which of the following conditions is characterized by pain and swelling of the elbow after falling on an outstretched arm?
Which of the following conditions is characterized by pain and swelling of the elbow after falling on an outstretched arm?
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What complication can arise due to anterior compartment ischemia following a fracture?
What complication can arise due to anterior compartment ischemia following a fracture?
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Study Notes
Cubital Fossa
- The cubital fossa is an important area of transition between the arm and the forearm.
- It is triangular in shape and located anterior to the elbow joint.
Cubital Fossa Boundaries
- Lateral Border: Formed by the medial border of the brachioradialis muscle.
- Medial Border: Formed by the lateral border of the pronator teres muscle.
-
Roof:
- Skin
- Superficial fascia containing:
- Cephalic vein
- Basilic vein
- Median cubital vein
- Lateral cutaneous nerve of forearm
- Medial cutaneous nerve of forearm
- Deep fascia
- Bicipital aponeurosis
- Floor: Primarily formed by the brachialis muscle.
- Apex: Formed by the overlapping of the two borders, directed downwards.
- Base: An imaginary horizontal line between the medial and lateral epicondyles, directed upwards.
Cubital Fossa Contents
-
Lateral to Medial:
- Radial nerve (most lateral)
- Biceps brachii tendon
- Brachial artery
- Median nerve (most medial)
- The ulnar nerve does not pass through the cubital fossa.
Arrangement of Contents in Cubital Fossa
-
Median Nerve:
- Lies medial to the brachial artery.
- Exits the fossa between the two heads of the pronator teres.
-
Brachial Artery:
- Lies medial to the tendon of the biceps brachii.
- Divides into the ulnar and radial arteries.
- Covered and protected by the bicipital aponeurosis.
-
Bicipital Aponeurosis:
- Passes between the medial side of the biceps brachii tendon and the deep fascia of the forearm.
-
Radial Nerve:
- Lies just under the brachioradialis muscle.
- Divides into superficial and deep branches.
-
Ulnar Nerve:
- Runs posterior to the medial epicondyle.
-
Median Cubital Vein:
- Obliquely crosses the roof of the fossa.
- Superficial to the bicipital aponeurosis.
- Connects the cephalic vein (lateral) to the basilic vein (medial).
Supracondylar Fracture of the Humerus
- A transverse fracture of the distal humerus, above the epicondyles.
- The distal fragment and soft tissues are pulled posteriorly by the triceps muscle.
- This "bowstrings" the brachial artery over the proximal fracture fragment.
- Muscles in the anterior compartment of the forearm become ischemic, leading to severe contractions (Volkmann's ischemic contracture).
Clinical Correlations
-
Brachial Artery Pulsations:
- The brachial artery lies medial to the biceps brachii tendon.
- This is where a stethoscope is placed to listen for the pulse during blood pressure measurement.
-
Median Cubital Vein Injection:
- The median cubital vein runs superficial to the bicipital aponeurosis.
- This provides benefits during injection:
- It protects the underlying brachial artery and median nerve.
- It provides support for the vein during injection.
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Description
Test your knowledge on the anatomy of the cubital fossa, its boundaries, and contents. This quiz covers key structures and their locations in relation to the arm and forearm. Perfect for students in anatomy and physiology courses!