scholarly journals Highest extent of lateral and medial heads of triceps brachii muscle

2015 ◽  
Vol 32 (02) ◽  
pp. 063-065
Author(s):  
S. Lovesh ◽  
D. Kaur ◽  
M. Jain ◽  
S. Pandey

Abstract Introduction: Various studies have been done on triceps brachii muscle but the description of the highest extent of lateral and medial head of triceps brachii muscle remained unexplored that is why this study was undertaken to know the extent of their proximal attachments in relation to anatomical neck of humerus and capsule of shoulder joint. Materials and Methods: The shoulder region of 50 formalin fixed upper limbs were dissected to explore the capsule of shoulder joint to reach the highest extent of lateral & medial head of triceps brachii muscle where the nature of fibres, fleshy or tendinous was noted. Oblique and vertical distances of proximal attachment of lateral & medial head of triceps brachii muscle to the anatomical neck of humerous was measured with the help of a sliding caliper. Results: Medial head of triceps brachii muscle in all the cases was fleshy in origin while that of lateral head; fibres were fleshy and tendinous in 82% & 18% of cases, respectively. Fibres of lateral and medial head were blending with the capsule of shoulder joint in 28% & 6% of cases respectively. Maximum cases of lateral head were having their oblique and vertical distances between 21-40 mm (64% & 58% respectively) while those for medial head were >40 mm (68% & 74% respectively). Conclusion: Accurate knowledge of these anatomical patterns of triceps brachii muscle are of considerable clinical importance in the conduct of reparative open access and arthroscpic surgeries around the shoulder and the fracture management of the upper end of humerus.

1970 ◽  
Vol 6 (1) ◽  
pp. 834-839
Author(s):  
DLR Silva ◽  
MP Barros ◽  
TGS Freire ◽  
L Firmino Júnior ◽  
WRB Almeida Filho ◽  
...  

The ulnar nerve is considered the thickest terminal branch of the medial cord in the brachial plexus and most authors does not mention the possibility of this nerve emitting branches to the arm. However, some studies reported that the ulnar nerve could supply the medial head of triceps brachii muscle. The main objective in this study was identifying the presence of ulnar nerve branches in triceps brachii muscle. Sixty upper limbs of adult Brazilian corpses of both sexes were used. The estimated age was between 25 and 80 years old. Every studied piece had the nerves and their branches quantified and measured with a manual mechanic caliper. The branches were photographed and had the data registered in individual files. Were found ulnar nerve branches for all the heads of triceps brachii muscle: 1 branch (9,1%) to lateral head, 2 branches (18,1%) to long head and 8 branches (72,7%) to medial head. Thus, we can conclude that the contribution of ulnar nerve to triceps brachii muscle constitutes an important anatomical variation.Key words: Ulnar nerve; Triceps brachii muscle; Innervation.


2009 ◽  
Vol 8 (4) ◽  
pp. 374-378
Author(s):  
Sampath Madhyastha ◽  
Soubhagya R. Nayak ◽  
Ashwin Krishnamurthy ◽  
Sujatha D’Costa ◽  
Asha Anu Jose ◽  
...  

Arterial variations in the arm are of potential clinical implications as it is a frequent site of injury and also involved in many surgical and invasive procedures. During a dissection of the right upper extremity, an abnormal high origin of the radial and ulnar arteries was found. The brachial artery had a very short segment without any branches, divided into the radial and ulnar arteries at the upper third of the arm. The course and branching pattern of these radial and ulnar arteries in the arm are discussed. It was also observed that the profunda brachii artery was represented by two separate branches arising from the posterior circumflex humeral artery. Accurate knowledge of these variation patterns is of considerable clinical importance in the conduct of reparative surgeries around the shoulder and fracture management of the humerus. These additional data of arterial anomalies to contemporary anatomical literature are of interest to clinicians, in particular vascular and plastic surgeons and radiologists.


1994 ◽  
Vol 19 (1) ◽  
pp. 38-39 ◽  
Author(s):  
S. MATSUURA ◽  
T. KOJIMA ◽  
Y. KINOSHITA

Some cases of cubital tunnel syndrome are caused by anatomical abnormalities such as the epitrochleo-anconeus muscle or snapping and bulkiness of the medial head of the triceps brachii muscle. We report a rare cause of cubital tunnel syndrome that has not been reported previously. It was caused by an abnormal insertion of the medial head of the triceps muscle into the medial epicondyle. The clinical course and operative findings are described.


2013 ◽  
Vol 26 (8) ◽  
pp. 1028-1030 ◽  
Author(s):  
Marios Loukas ◽  
Sharath S. Bellary ◽  
Neslihan Yüzbaşioğlu ◽  
Mohammadali M. Shoja ◽  
R. Shane Tubbs ◽  
...  

Author(s):  
Shveta Swami ◽  
Virendra Budhiraja ◽  
Deepak Sharma ◽  
Rimpi Gupta ◽  
Swati Bansal

Abstract Introduction Triceps brachii muscle is the only muscle of posterior compartment of arm, consisting of three heads—long, lateral, and medial. Radial nerve and profunda brachii artery run in the radial groove that separate lateral and medial head. Evolutionarily, triceps has many subheads which either fused or disappeared. Therefore, the knowledge of muscle is essential anthropologically and clinically, and this study aims to study the anatomical variations of triceps brachii muscle. Case Report In the present case, during routine dissections of undergraduate MBBS students, a fourth head of origin of triceps brachii muscle was seen in a male cadaver in the right arm. The variation was seen only unilaterally in cadaver. The origin was tendinous arising from the posteromedial aspect of upper part of the shaft of the humerus close to the surgical neck above the radial groove. This tendon was arching over the neurovascular bundle containing radial nerve and profunda brachii artery. Discussion and Conclusion The variations of triceps brachii muscles are mentioned in literature but are uncommon and if tendinous fourth head is present over the neurovascular bundles, it may lead to compression syndrome. Hence, these variations are of great importance to the radiologists, surgeons, and orthopaedicians while dealing with posterior compartment of arm.


1998 ◽  
Vol 37 (08) ◽  
pp. 272-278 ◽  
Author(s):  
S. Gratz ◽  
G. Köster ◽  
T. Behr ◽  
R. Vosshenrich ◽  
E. Grabbe ◽  
...  

Summary Aim: In order to evaluate the diagnostic efficiency of arthroscintigraphy in suspected rotator cuff ruptures this new imaging procedure was performed 20 times in 17 patients with clinical signs of a rotator cuff lesion. The scintigraphic results were compared with sonography (n = 20), contrast arthrography (n = 20) and arthroscopy (n = 10) of the shoulder joint. Methods: After performing a standard bone scintigraphy with intravenous application of 300 MBq 99m-Tc-methylene diphosphonate (MDP) for landmarking of the shoulder region arthroscintigraphy was performed after an intraarticular injection of 99m-Tc microcolloid (ALBURES 400 μCi/5 ml). The application was performed either in direct combination with contrast arthrography (n = 10) or ultrasound conducted mixed with a local anesthetic (n = 10). Findings at arthroscopical surgery (n = 10) were used as the gold standard. Results: In case of complete rotator cuff rupture (n = 5), arthroscintigraphy and radiographic arthrography were identical in 5/5. In one patient with advanced degenerative alterations of the shoulder joint radiographic arthrography incorrectly showed a complete rupture which was not seen by arthroscintigraphy and endoscopy. In 3 patients with incomplete rupture, 2/3 results were consistant. A difference was seen in one patient with a rotator cuff, that has been already revised in the past and that suffered of capsulitis and calcification. Conclusion: Arthroscintigraphy is a sensitive technique for detection of rotator cuff ruptures. Because of the lower viscosity of the active compound, small ruptures can be easily detected, offering additional value over radiographic arthrography and ultrasound, especially for evaluation of incomplete cuff ruptures.


Author(s):  
Łukasz Olewnik ◽  
Nicol Zielinska ◽  
Łukasz Gołek ◽  
Paloma Aragonés ◽  
Jose Ramon Sanudo

AbstractThe coracobrachialis muscle (CBM) originates from the apex of the coracoid process, in common with the short head of the biceps brachii muscle, and from the intermuscular septum. The CBM demonstrates variability in both the proximal and distal attachment, with some extremely rare varieties, such as the coracobrachialis superior, coracobrachialis longus and coracocapsularis muscle. This case report describes an extremely rare variant of the coracobrachialis superior muscle, or a very rare variant of the CBM. Our findings highlight the importance of muscle variants in the shoulder region, especially the coracoid region, and are significant for radiologists, anatomists, physiotherapists and surgeons specializing in the shoulder joint.


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