KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Arm cross section

High YieldShoulderthinKbox SBA

Overview

The arm is divided into anterior and posterior compartments by the medial and lateral intermuscular septa.

Anterior compartment

Muscles

  • Biceps brachii
  • Brachialis
  • Coracobrachialis

Nerve

  • Musculocutaneous nerve

Main arterial supply

  • Brachial artery

Posterior compartment

Muscle

  • Triceps brachii

Nerve

  • Radial nerve

Key relationship

  • Radial nerve and profunda brachii run in the spiral groove posteriorly

Important surface anatomy

  • Median nerve accompanies the brachial artery medially
  • Ulnar nerve passes medially and then posterior to the medial epicondyle distally
  • Basilic vein is medial, cephalic vein lateral

Clinical relevance

  • Compartment syndrome of the arm is uncommon but can occur
  • Shaft humeral fractures may injure the radial nerve
  • Surgical approaches require knowledge of neurovascular relationships

Diagram

Arm cross section

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026