Relations of Brachial Artery

The brachial artery is superficial throughout its course and forms a neurovascular bundle with the median nerve.

Anteriorly

  • Upper part: related to the medial cutaneous nerve of the forearm, which lies in front of it.
  • Middle of the arm: crossed by the median nerve, which passes from the lateral to the medial side of the artery here.
  • In the cubital fossa: covered by the bicipital aponeurosis and the median cubital vein.

Posteriorly

From above downwards, the brachial artery lies successively on:

  • Long head of triceps
  • Medial head of triceps
  • Coracobrachialis
  • Brachialis

In the upper part, it is also related posteriorly to the radial nerve and the profunda brachii artery (before these pass into the radial groove).

Medially

  • Upper part: related to the ulnar nerve and the basilic vein.
  • Lower part: related to the median nerve.

Laterally

  • Upper part: related to the coracobrachialis, biceps brachii, and the median nerve.
  • At the elbow: related to the tendon of biceps brachii.

Relation with the Median Nerve (Summary)

The median nerve is closely related to the brachial artery throughout the arm:

  • Upper part: median nerve lies lateral to the artery.
  • Middle of arm: median nerve crosses in front of the artery, from lateral to medial side.
  • Lower part to elbow: median nerve lies medial to the artery.

Structures at the Elbow (Cubital Fossa) — Medial to Lateral

OrderStructure
1 (most medial)Median nerve
2Brachial artery
3Biceps brachii tendon
4 (most lateral, deeper plane)Radial nerve

Mnemonic: MBBR — Median nerve, Brachial artery, Biceps tendon, Radial nerve (medial to lateral).


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