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The biceps brachii primarily serves to supinate the forearm at the elbow joint. [1] The muscle belly is composed of two heads. The short head is more medial and highlighted in green. The long head is more lateral and highlighted in red. A biceps tendon rupture or bicep tear is a complete or partial rupture of a tendon of the biceps brachii muscle.
The biceps or biceps brachii (Latin: musculus biceps brachii, "two-headed muscle of the arm") is a massive muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join to form a single muscle belly which is attached to the upper forearm.
The interosseous membrane divides the forearm into anterior and posterior compartments, serves as a site of attachment for muscles of the forearm, and transfers loads placed on the forearm. The interosseous membrane is designed to shift compressive loads (as in doing a hand-stand) from the distal radius to the proximal ulna.
Rupture of the SHORT HEAD of the biceps can decrease elbow flexion strength, where the brachialis muscle is intact. Rupture of the LONG HEAD of the biceps results in mild weakening of forearm supination as long as the supinator muscle is intact. Electromyography test is negative. [8]
These three muscles act as flexors at the elbow joint. [5] The extensor carpi radialis brevis and longus are both weak flexors at the elbow joint. Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm.
The intrinsic muscles of the forearm act on the forearm, meaning, across the elbow joint and the proximal and distal radioulnar joints (resulting in pronation or supination), whereas the extrinsic muscles act upon the hand and wrist. In most cases, the extrinsic anterior muscles are flexors, while the extrinsic posterior muscles are extensors.
It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together the flexor pollicis longus, pronator quadratus, and flexor digitorum profundus form the deep layer of ventral forearm muscles. [2] The muscle is named from Latin 'deep bender of the fingers'.
On a person's distal forearm, just before the wrist, there are either two or three tendons. The tendon of the flexor carpi ulnaris is the most medial (closest to the little finger) of these. The most lateral one is the tendon of flexor carpi radialis muscle , and the middle one, not always present, is the tendon of palmaris longus .