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The brachialis muscle is innervated by the musculocutaneous nerve, which runs on its superficial surface, between it and the biceps brachii. [2] However, in 70-80% of people, the muscle has double innervation with the radial nerve (C5-T1). The divide between the two innervations is at the insertion of the deltoid. [3]
The antebrachial fascia (antibrachial fascia or deep fascia of forearm) continuous above with the brachial fascia, is a dense, membranous investment, which forms a general sheath for the muscles in this region; it is attached, behind, to the olecranon and dorsal border of the ulna, and gives off from its deep surface numerous intermuscular septa, which enclose each muscle separately.
The median nerve innervates all the muscles of the anterior compartment of the forearm except flexor carpi ulnaris and the ulnar part of the flexor digitorum profundus. It also innervates the three thenar muscles and the first and second lumbricals. The ulnar nerve innervates the muscles of the forearm and hand not innervated by the median nerve.
It gives off a branch near the axilla, which pierces the fascia and supplies the skin covering the biceps brachii, nearly as far as the elbow.. The nerve then runs down the ulnar side of the arm medial to the brachial artery, pierces the deep fascia with the basilic vein, about the middle of the arm, and divides into a volar and an ulnar branch.
The lateral intermuscular septum extends from the lower part of the crest of the greater tubercle of the humerus, along the lateral supracondylar ridge, to the lateral epicondyle; it is blended with the tendon of the deltoid muscle, gives attachment to the triceps brachii behind, and to the brachialis, brachioradialis, and extensor carpi radialis longus muscles in front.
The dorsal branch (ramus dorsalis; posterior branch) descends, along the dorsal surface of the radial side of the forearm to the wrist.. It supplies the skin of the lower two-thirds of the dorso-lateral surface of the forearm, communicating with the superficial branch of the radial nerve and the posterior cutaneous nerve of forearm of the radial nerve.
The posterior cutaneous nerve of forearm is a nerve found in humans and other animals. It is also known as the dorsal antebrachial cutaneous nerve, the external cutaneous branch of the musculospiral nerve, and the posterior antebrachial cutaneous nerve.
The brachial artery continues to the cubital fossa in the anterior compartment of the arm. It travels in a plane between the biceps and triceps muscles, the same as the median nerve and basilic vein. It is accompanied by venae comitantes (accompanying veins). It gives branches to the muscles of the anterior compartment.