Brachial fascia the epicondyles of the humerus: it is strengthened by fibrous aponeuroses, derived from the pectoralis major and latissimus dorsi medially, and from the deltoideus laterally. On either side it gives off a strong intermuscular septum, which is attached to the corresponding supracondylar ridge and epicondyle of the humerus. Brachial fascia The brachial fascia (deep fascia of the arm) is continuous with that covering the deltoideus and the pectoralis major muscle, by means of which it is attached, above, to the clavicle, acromion, and spine of the scapula; it forms a thin, loose, membranous sheath for the muscles of the arm,
Brachial plexus block represent the limit below which the needle must not be directed (the pleural cavity and uppermost part of the lung are located at this level). Palpation or ultrasound visualization of the subclavian artery just above the clavicle provides a useful anatomic landmark for locating the brachial plexus, which is lateral to the artery at this level. Proximity to the brachial plexus can be determined using by elicitation of a paresthesia, use of a peripheral nerve stimulator, or ultrasound guidance. Compared to the interscalene block, the supraclavicular block — despite eliciting a more complete block of the median, radial ulnar and