The interosseous recurrent artery arises from the posterior interosseous artery and ascends between the anconeus and supinator to anastomose with the middle collateral and radial collateral arteries around the lateral elbow, completing the lateral elbow arterial anastomosis.
The interosseous recurrent artery is a component of the lateral elbow arterial anastomosis that provides collateral circulation during radial or brachial artery injury proximal to the elbow. It is encountered during the Kocher approach to the lateral elbow and during anconeus flap elevation. Its anastomosis with the profunda brachii system maintains lateral elbow perfusion.
Combined injury of the radial collateral and interosseous recurrent arteries in severe lateral elbow trauma compromising lateral elbow perfusion and affecting the common extensor and supinator blood supply.
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