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Advancing the Science of Ultrasound Guided Regional Anesthesia and Pain Medicine

Peripheral Nerve Block - Radial Region

Radial Nerve in the Upper Arm

Anatomical Correlation

Arrow = deep brachial artery and superficial veins of upper limb
Arrowhead = radial nerve
H = humerus
Arrow = deep brachial artery and superficial veins of upper limb
Arrowhead = radial nerve
B = brachialis muscle
H = humerus
A linear 10 MHz probe over the upper 1/3 of the arm to visualize the radial nerve as it crosses the humeral shaft
A. Transverse scan showing the radial nerve (yellow arrowhead) and the deep brachial artery (red arrowhead).

H = humerus
B. The use of Color Power Doppler to identify the deep brachial artery lateral to the radial nerve (yellow arrowhead).

H = humerus

Radial Nerve Above the Elbow (4-5 cm Above)

Anatomical Correlation

The solitary radial nerve appears predominantly hyperechoic at this region.

B = brachialis muscle
BR = brachioradialis muscle
H = humerus
R = radial nerve
B = brachialis muscle
BR = brachioradialis muscle
Box = scan area
H = humerus
R = radial nerve

Radial Nerve at the Elbow

Anatomical Correlation

The radial nerve (arrowheads) becomes elliptical and linear as it divides into the superficial and deep branches.
Arrowheads = branching of radial nerve
BR = brachioradialis muscle
H = humerus

Radial Nerve Immediately Below the Elbow

The radial nerve (arrowheads) is visualized below the elbow lying immediately next to the radius bone.

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