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The brachial artery entrapment syndrome exhibits a mechanically strong resemblance to the popliteal artery entrapment syndrome, but relates to the brachial artery in the cubital fossa. This is a rare clinical picture. By previous record, the cause is a compression of the brachial artery by strongly developed muscles in the cubital fossa between the pronator teres and the lacertus fibrosus. There is a distinct analogy with the patient described by us, with a popliteal artery entrapment syndrome, developed only by dense lacertus fibrosus. And the other causes are muscular hypertrophy, a supracondylar fracture of humerus, closed elbow dislacation, congenital anomaly(supracondylar process and Struthers ligament). In Augst 1992, a sixty two-year old man who had worked for years in a farm presented as an outpatient. He complained pain in right upper arm for 1 week after heavy work A general physical examination revealed no abnormalities. No neurological abnomalities could be discovered, in the particular the N.C.V. was normal. The right arm showed no atrophy and intermit- tent cludication. The peripheral pulsations were present as normal. And there were no indications of venous congestion and such like. In both arms, normal arterial pressures were mesured, left and right were equal and no difference were shown by adduction,abduction or hyperabduction. A murmur was heard in the cubital fossa. Angiography showed the brachial artery in the area of the elbow was tortuous and compressed and medially displaced. The lacertus fibrosus was cut by surgery. After the operation, the symptom was relieved, the patient resumed his normal work and since then has had no complaint.