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supplying the muscles of the little finger, and the interossei,
and other deep structures in the ulnar side of the palm of
the hand. There is also a dorsal branch of the ulnar nerve
at the lower third of the forearm, that passes backward be-
neath the tendon of the flexor carpi ulnaris, and divides into
two branches which supply the integument along that side of
the forearm, besides two fingers and a half, on their posterior
aspect. Another anastomotic branch of the ulnar nerve arises
about midway down the forearm, and this divides into two;
the one accompanies the ulnar artery, the other pierces the
deep fascia outwards, and is distributed along the integu-
ment.
The musculo-spiral nerve is the largest branch of the brachial
plexus. It passes downward in front of the tendons of the lalis-
simus dorsi and teres major muscles, then winds around the
humerus in the spiral groove to the space between the brachialis
anlicus and supinator longus, and thence downwards to the bend
of the elbow, where it divides into two, the posterior interosseous
and the radial nerve. The branches of the great musculo-spiral
are, first, the muscular, which are distributed to the triceps, to
the supinator longus, and to the extensor carpi radialis longior.
The next is the spired cutaneous, that becomes superficial just
below the insertion of the deltoid muscle, and this passes down
the outer side of the arm and forearm as far as the wrist, and
is lost in the integument. The next branch forms the radial
nerve, which runs along the radial side of the forearm to the
beginning of the lower third of it; and here it passes beneath
the tendon of the supinator longus, but at about two inches
above the wrist joint it comes out again, piercing the deep fascia,
and dividing into two branches. The external of these is dis-
tributed to the upper and outer or radial border of the hand
and thumb. The internal branch crosses obliquely on the dorsum
of the tensor tendons of the thumb, and divides into several fila-
ments for the supply of the ulnar border of the thumb, the radi-
al border of the index finger, and the neighboring borders of the
index and middle fingers. The posterior interosseous branch
separates from the radial at the bend of the elbow, as soon as