Licence: Public Domain Mark
Credit: Practical anatomy. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![median nerve (but the nerve may pass beneath the ves- sel) ; and at the bend of the elbow it is crossed b}* the bicipital fascia, and has the median basilic vein superficial to it. Behind it has first the musculo-spiral nerve, and then rests upon a small portion of the internal head of the triceps; next, on the insertion of the coraco-brachialis ; and afterwards upon the brachialis anticus for the rest of its course. To the outer side is the median nerve, with the coraco-brachialis muscle for a short distance, and after- wards the biceps muscle, which is the guide to the vessel in applying a ligature. To the inner side is the ulnar nerve as far as the internal intermuscular septum, and afterwards, from a varying point, the median nerve, which continues in close relation to the vessel for the rest of its course. Surgery.— To tie the brachial artery. An incision [two to] three inches long, is to be made close to and exposing the inner edge of the biceps in the middle third of the arm. [Fig. 8.] A little dissection parallel to the muscle will expose the median nerve, and the artery will be found in close relation to it, and generallv to its outer side in this position, but this will vary in different bodies. The needle is to be passed from the nerve [?'.e., between the artery and its most dangerous neighbor], care being taken of the venai comites. Incisions foe Trixa the Brachial. Radial, and Ulnar Arteries (from Fergussuu's Surgery;. The Branches of the brachial arteiy are— 1. Muscular, arising at various points to supply the ad- jacent muscles. 2. Nutritious, which enters the foramen on the inner side of the humerus about the middle of the bone, and has a general direction towards the elbow.](https://iiif.wellcomecollection.org/image/b21020735_0049.jp2/full/800%2C/0/default.jpg)