Additional Muscle Slip of Bicipital Aponeurosis and its Anomalous Relationship with the Median Cubital Vein
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 1
Abstract
Te cubital region of the arm is a common site for recording blood pressure, taking blood for analysis and administering intravenous therapy and blood transfusions. During the routine dissection of a 70-year-old male cadaver at the Kasturba Medical College, Manipal, Karnataka, India, in 2015, it was observed that the aponeurotic insertion of the biceps brachii muscle divided into two slips. Te medial slip fused normally with the deep fascia of the forearm, while flexor carpi radialis muscle fbres originated from the lateral slip. Tere was also a single vein in the forearm, the cephalic vein, which bifurcated to form the median cubital vein and the cephalic vein proper. Te median cubital vein, further reinforced by the radial vein, passed deep to the two slips of the bicipital aponeurosis and then continued as the basilic vein. During venepuncture, medical practitioners should be aware of potential cubital fossa variations which could lead to nerve entrapment syndromes.
Authors and Affiliations
Nandini Bhat| Department of Anatomy, Kasturba Medical College, Manipal, Karnataka, India, Kumar M. R. Bhat| Department of Anatomy, College of Medical Sciences, Ras Al-Khaimah Medical & Health Sciences University, Ras Al-Khaimah, United Arab Emirates, Antony S. D’Souza| Department of Anatomy, Kasturba Medical College, Manipal, Karnataka, India, Sushma R. Kotian| Department of Anatomy, Kasturba Medical College, Manipal, Karnataka, India
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