Brachialis: Difference between revisions

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== Assessment  ==
== Assessment  ==
To assess the strength of the brachialis place the elbow at 90 degrees of flexion with the forearm fully pronated. Then have the patient resist an inferior force placed on the distal forearm.<ref>Muscolino, J. E. (2011). ''Kinesiology: the skeletal system and muscle function'' (2nd ed.). St. Louis, MO: Mosby/Elsevier.</ref>
To assess the strength of the brachialis place the elbow at 90 degrees of flexion with the forearm fully pronated. Then have the patient resist an inferior force placed on the distal forearm.<ref>Muscolino, J. E. (2011). ''Kinesiology: the skeletal system and muscle function'' (2nd ed.). St. Louis, MO: Mosby/Elsevier.</ref>
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== Resources  ==
== Resources  ==

Revision as of 04:48, 13 March 2018

Original Editor - Eric Henderson

Top Contributors - Eric Henderson, Matthew Chin, Kirenga Bamurange Liliane, Kim Jackson, Joao Costa and Wendy Snyders

Description[edit | edit source]

The brachialis muscle is the primary flexor of the elbow. This muscle is located in the anterior compartment of the arm along with the Biceps brachii and coracobrachialis.

Origin[edit | edit source]

Distal anterior aspect of the humerus, deep to the biceps brachii.[2]

Insertion[edit | edit source]

Coronoid process and the ulnar tuberosity.[2]

Nerve[edit | edit source]

The brachialis muscle is innervated by the musculocutaneous nerve and components of the radial nerve. The radial nerve descends in the groove between the brachialis and brachioradialis muscles, above the elbow. Of the muscles in the anterior compartment, the biceps brachii and the brachialis are innervated by C5 and C6 nerve roots.[3]

Brachial-plexus-2.png

Artery[edit | edit source]

Muscular branches of brachial artery, recurrent radial artery.[2]

Function[edit | edit source]

The brachialis muscle has a large cross sectional area, providing it with more strength than the biceps brachii and the coracobrachialis.[4] In order to isolate the brachialis muscle the forearm needs to be in pronation, due to the biceps brachii function as a supinator and flexor. [4] By pronating the forearm the biceps is put into a mechanical disadvantage.

Clinical relevance[edit | edit source]

Cubital Fossa- the brachialis creates the floor of the cubital fossa[3]

Brachial plexus

Erb's Palsy

Posterior interosseous nerve syndrome

Assessment[edit | edit source]

To assess the strength of the brachialis place the elbow at 90 degrees of flexion with the forearm fully pronated. Then have the patient resist an inferior force placed on the distal forearm.[5]

Resources[edit | edit source]

  1. By Anatomography (en:Anatomography (setting page of this image)) [CC BY-SA 2.1 jp (https://creativecommons.org/licenses/by-sa/2.1/jp/deed.en)], via Wikimedia Commons
  2. 2.0 2.1 2.2 Brachialis. (n.d.). Retrieved March 12, 2018, from https://rad.washington.edu/muscle-atlas/brachialis/
  3. 3.0 3.1 3.2 TWENTIETH EDITION  THOROUGHLY REVISED AND RE-EDITED BY WARREN H. LEWIS  ILLUSTRATED WITH 1247 ENGRAVINGS  PHILADELPHIA: LEA & FEBIGER, 1918  NEW YORK: BARTLEBY.COM, 2000 
  4. 4.0 4.1 Marieb, E. N. (2004). Human anatomy & physiology (6th ed.). San Francisco: Pearson Education.
  5. Muscolino, J. E. (2011). Kinesiology: the skeletal system and muscle function (2nd ed.). St. Louis, MO: Mosby/Elsevier.