By Karuna K. Chatterji
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Additional info for A Handbook of Operative Surgery and Surgical Anatomy. With Chapters on Instruments
The line joining these two points is the line of the artery. The last point represents its bifurcation into radial and ulnar arteries (see Fig. 13). A. In the Middle of the Arm POSITION Abduct arm to a right angle and supinate forearm. between the limb and the trunk. Place assistant opposite, other side of the arm. The arm rests on a small block under the olecranon. The middle of the upper arm should from any pressure from underneath to avoid pushing forwards. Stand on the placed be free triceps OPERATION Make an incision two and a half inches in length along the inner (medial) edge of the biceps in the line of artery.
This exposes supinator longus (brachio-radialis). Define its inner (medial) border. Retract it outwards. The artery is found lying on the insertion of pronator radii teres (pronator teres). Separate venre comités. Pass needle from the radial side as the nerve lies on this side (see Figs. 17, 18). C. In the Lower Third of the Forearm OPERATION Make an incision one and a half inches long in the line of t h e artery between the tendons of brachio-radialis and flexor carpi radialis. Divide the thin fascia.
Join the three points (d, c, b). This represents the line of the artery (see Fig. 13). This artery can be ligatured in the middle or the lower third of the forearm. A. In the Middle of the Forearm OPERATION Make an incision three inches in length along the line of the artery exposing the thin deep fascia. Incise the fascia a little to the outer side of the skin incision. This exposes the white intermuscular line between flexor carpi ulnaris and flexor sublimis digitorum. Now, flex the wrist to relax the muscles.
A Handbook of Operative Surgery and Surgical Anatomy. With Chapters on Instruments by Karuna K. Chatterji