TOPIC:

CUBITAL FOSSA

Presented by:
Muhammad Talha Ghauri
Dept: SIAHS
SARHAD UNIVERSITY

09/23/2023 1
 CUBITAL FOSSA
The cubital fossa is an important area of
transition between the arm and the forearm.
It is located anterior to the elbow joint and is a
triangular depression formed between two
forearm muscles:
The Brachioradialis muscle originating from
the lateral supraepicondylar ridge of the
humerus;
The Pronator Teres muscle originating from
the medial epicondyle of the humerus
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 CUBITAL FOSSA
The boundaries of the cubital fossa are:
Superiorly--an imaginary line connecting the
medial and lateral epicondyles.
• Medially--the Pronator Teres.
• Laterally--the Brachioradialis.
The base of the triangle is an imaginary
horizontal line between the medial and
lateral epicondyles.
The bed or floor of the fossa is formed
mainly by the brachialis muscle.
CUBITAL FOSSA
CONTENTS OF CUBITAL FOSSA

The major contents of the cubital fossa, from

lateral to medial are:
The tendon of the biceps brachi muscle.
The terminal part of brachial artery.
The median nerve.
 CUBITAL FOSSA
The brachial artery normally bifurcates into
the radial and ulnar arteries in the apex of
the fossa, although this bifurcation may
occur much higher in the arm, even in the
axilla.
 When taking a blood pressure reading from
a patient, the clinician places the
stethoscope over the brachial artery in the
cubital fossa .
 CUBITAL FOSSA
The median nerve lies immediately medial to
the brachial artery and leaves the fossa by
passing between the ulnar and humeral
heads of the pronator teres muscle.
The brachial artery and the median nerve
are covered and protected anteriorly in the
distal part of the cubital fossa by the bicipital
aponeurosis .
 CUBITAL FOSSA
The radial nerve lies just under the lip of the
brachioradialis muscle, which forms the
lateral margin of the fossa.
In this position, the radial nerve divides into
superficial and deep branches: the
superficial branch continues into the forearm
just deep to the brachioradialis muscle;
The deep branch passes between the two
heads of the supinator muscle to access the
posterior compartment of the forearm.
 CUBITAL FOSSA
The roof of the cubital fossa is formed by
superficial fascia and skin.
The most important structure within the roof is the
median cubital vein, which passes across the roof
and connects the cephalic vein on the lateral side
of the upper limb with the basilic vein on the medial
side.
The bicipital aponeurosis separates the median
cubital vein from the brachial artery and median
nerve.
Other structures within the roof are cutaneous
nerves-the medial cutaneous and lateral cutaneous
nerves of the forearm.
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