scholarly journals Pattern study of union of two heads of biceps and its clinical significance

Author(s):  
Jyoti Rohilla ◽  
Aarti Rohilla ◽  
Kamal Singh ◽  
Suresh Kanta Rathee

Background: Biceps brachii derives its name from its two proximally attached parts or ‘heads’ that is known as long head and short head. Two tendons form elongated bellies that though closely applied get fused within 7cm or so above the elbow joint. These variations should be kept in mind during surgical and diagnostic procedures done by clinicians.Methods: A total of 18 cadavers were dissected for two successive years during undergraduate and were observed for different patterns of fusion of two heads of biceps brachii.Results: The present study showed that frequency of fusion of heads of biceps brachii in its upper one-third part was observed less commonly while it was frequently observed in its middle one-third part.Conclusions: Variation in union of heads might be significant in causing compression of neurovascular structures because of their close relationship to the brachial artery and median nerve.

2015 ◽  
Vol 04 (01) ◽  
pp. 030-034
Author(s):  
Gurbachan Singh Gindha ◽  
Anand Kumar Sharma ◽  
Ratesh Kumar Munjal

Abstract Background and aims : The biceps brachii is the large muscle of flexor compartment of arm. Normally it arises by two heads (long head and short head) and gets insertion in two parts (tendinous part and aponeurotic parts). The biceps brachii muscle is well known for variation in its origin. These variations can cause compression of brachial artery and median nerve which may pass deep to the accessory head of biceps brachii muscle, and can create problems for surgeons. So the surgeons should keep in mind such variations of biceps brachii muscle. The present study is to find out the variations in the origin of biceps brachii muscle. Material and methods: The present study was conducted in the department of anatomy of Gian Sagar Medical College, Ramnagar, Rajpura district Patiala (Punjab). In this study 32 human cadaveric limbs which were embalmed and fixed in 10% formaldehyde solution were used and these limbs were dissected and variations in origin of the biceps brachii muscle were noted. Results : Out of 32 limbs, 3 limbs (9.38%) were having three heads of biceps brachii muscle in its origin. The variations were found in the right limbs only. Conclusions : The knowledge of accessory head of biceps brachii muscle is important for the surgeons and troumatologists because there can be iatrogenic injury to the third head of biceps brachii muscle.


2007 ◽  
Vol 6 (3) ◽  
pp. 284-287
Author(s):  
Srinivasulu Reddy ◽  
Venkata Ramana Vollala

The principal arteries of the upper limb show a wide range of variation that is of considerable interest to orthopedic surgeons, plastic surgeons, radiologists and anatomists. We present here a case of superficial ulnar artery found during the routine dissection of right upper limb of a 50-year-old male cadaver. The superficial ulnar artery originated from the brachial artery, crossed the median nerve anteriorly and ran lateral to this nerve and the brachial artery. The superficial ulnar artery in the arm gave rise to a narrow muscular branch to the biceps brachii. At the elbow level the artery ran superficial to the bicipital aponeurosis where it was crossed by the median cubital vein. It then ran downward and medially superficial to the forearm flexor muscles, and then downward to enter the hand. At the palm, it formed the superficial and deep palmar arches together with the branches of the radial artery. The presence of a superficial ulnar artery is clinically important when raising forearm flaps in reconstructive surgery. The embryology and clinical significance of the variation are discussed.


2015 ◽  
Vol 116 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Danylo Yershov ◽  
Radovan Hudák

The biceps brachii is one of three muscles of the anterior compartment of arm. Variations of the biceps brachii are not rare. The most frequent is the existence of a third head called the humeral head by Le Double (1897) (Rodríguez-Vázquez et al., 1999). Our article is based on the unexpected result of a routine dissection class held for medical students. Dissection was performed according to the guidelines accepted by the anatomy department (Seichert, 1999). We describe a third (accessory) head of the biceps brachii. In addition of two regular heads, the third head originated together with the short head from the coracoid process and had three insertions on the humerus after enfolding the median nerve and the brachial artery. This particular variation is important from a clinical perspective as the third head may cause entrapment syndrome of the median nerve and hypoperfusion of the upper limb due to compression of the brachial artery.


2018 ◽  
Vol 11 (1) ◽  
pp. 56-57
Author(s):  
S Kumar ◽  
R Baidya ◽  
P Baral

Introduction: Biceps brachii is a muscle of arm which brings about supination when fore-arm is flexed and flexion of elbow joint. Proximally it is attached with two heads: long and short heads.Case report: The absence of long head of biceps brachii muscle is very rare anomaly. It may be unilateral or bilateral with or without other congenital anomalies. The exact prevalence of this anomaly is unknown. This anomaly has been reported to occur as the result of an insult to the fetus during the sixth or seventh week of gestation, at which time the long head of the biceps tendon is developing. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page:56-57


2012 ◽  
Vol 02 (03) ◽  
pp. 02-05
Author(s):  
Ramakrishna Avadhani ◽  
K. Kalyan Chakravarthi

AbstractThe anatomical variations and abnormalities of the muscles of the upper limb have become significant because of new imaging techniques, such as computed tomography and magnetic resonance imaging. Among the three muscles of the anterior compartment of the arm, a very uncommon anomaly of the biceps is having three or more heads. Knowledge of the existence of the three headed or four headed biceps brachii may become significant in preoperative diagnosis and during surgery of the upper limb. The present study was undertaken to observe the anomalous origin, insertion and the incidence of three or more heads biceps brachii in the adult human cadavers. This study was carried out on 24 human cadavers at Dr. Pinnamaneni Siddhartha institute of medical sciences & research foundation (Dr. PSIMS & R.F) Gannavaram; Krishna Dist; A.P. Variant biceps brachii may cause compression of neurovascular structures because of their close relationship to brachial artery and median nerve. The surgeons and traumatologists have to keep such muscular variations in mind.


Author(s):  
B Muraleedhar ◽  
M. S. Danigond ◽  
Hanamanth Bagi

Biceps brachii is a flexor of elbow joint and also a powerful supinator of the forearm present in the anterior compartment of arm and usually it originates from two head as its name indicating one is long head of biceps originating from supraglenoid tubercle of scapula and another one is short head which is originating from coracoids process of scapula. During routine dissection for Ayurvedic undergraduates, In the department of Shareera Rachana (Anatomy) in SDM Trust’s Ayurvedic Medical College, Terdal, Tq. Jamakhandi, Dist. Bagalkot, we found that third head of biceps brachii was originating from medial side of shaft of humerus which is just below the insertion of coracobrachialis along with the intramuscular septa and inserting into the radial tuberosity along with long and short head of biceps. Such variations are important for clinicians and surgeons for diagnostic and surgical procedures of the upper limb.


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