Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this SubjectNunnamaker, Albert John
Science
Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this Subject
Nunnamaker, Albert John
Embalming
=How to Locate, Raise and Inject the Ulnar Artery.=—The ulnar is the
larger branch of the brachial artery. It crosses obliquely the inner
side of the forearm, to the beginning of its lower half, it then runs
along the ulnar border to the wrist, crosses the annular ligament on
the radial side of the pisiform bone (wrist bone), and immediately
beyond this bone into two branches, the superficial and deep palmar
arch. In its upper half it is deeply seated, being covered by all the
surface muscles. It is crossed by the median nerve, which lies to
the inner side for about an inch. In the lower half of the forearm
the artery runs more superficially, and is covered only by the skin
and superficial and deep fascia, but at that, the ulnar lies a little
deeper in the wrist than the radial. The ulnar nerve lies to the inner
side in the lower half and the ulnar artery is accompanied by two ulnar
veins, one on either side, called the venae comites.
_The Linear Guide._—Is a line drawn from the center of the bend of the
elbow, to the inside of the pisiform bone in the wrist.
_The Anatomical Guide._—The artery lies in a groove in the wrist,
made by the flexor carpi ulnaris muscle on the outside, and the flexor
digitorum sublimis on the inside.
To raise the ulnar artery, locate the valley in the lower third about
one to two inches above the pisiform bone. Make an incision about an
inch in length, cutting first the skin, superficial fascia, layer of
fat, which will vary in thickness. The deep fascia is now reached,
which should be split by means of the fascia needle and bistoury. Then
separate with the handle of the knife or bone separator, the artery
from its connective tissue on either side. Then with the hook raise it
to the surface, and place the bone separator beneath, remove the hook,
and tear off the individual sheath.
The two ulnar veins will be separated from the artery by taking away
the individual sheath, which should be allowed to drop back into the
incision. Proceed now to open and inject the artery the same as you
would the radial or the brachial. While this artery may seem just a
little more difficult to raise, still at times it has its place in
arterial embalming.
=How to Locate, Raise and Inject the Femoral Artery.=—The femoral
artery is usually objected to, because, situated as it is, it requires
an undue exposure of the limb, especially in ladies. For this reason,
then, the femoral artery should never be raised in the female,
excepting in accidental case when it is impossible to raise any other
artery. In the male, however, the femoral with many is a favorite. The
artery should be raised either in the upper or the middle thirds, but
preferably in the former, as by raising at this point the artery is
not very deep in the tissues as it will be further down, and at the
same time one is able to get collateral circulation to the lower leg
and foot by means of the deep femoral and the recurrent anterior and
posterior tibials.
Public-domain text, read in full here on John Shaqi.
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