Elbow muscles (anatomy)

Sam Webster
3 Jul 201825:37

Summary

TLDRThis educational video delves into upper limb anatomy, focusing on the muscles involved in elbow flexion and extension. It covers key terms, bony landmarks, and the roles of muscles like biceps brachii, brachialis, and triceps brachii in forearm movements, emphasizing their attachments and functions.

Takeaways

  • πŸ“š The speaker acknowledges a gap in their knowledge of upper limb anatomy, specifically around elbow flexion and extension.
  • πŸƒβ€β™‚οΈ The speaker is preparing for an ultra-marathon, which adds a layer of nervous excitement to the discussion.
  • πŸ’ͺ The focus of the discussion is on the major muscles involved in flexion and extension of the forearm at the elbow joint.
  • πŸ” The speaker introduces terminology for different parts of the upper limb, including the glenohumeral joint, brachium, antebrachium, and upper limb.
  • 🦴 The elbow joint is described as a hinge joint, but with additional capabilities due to the movement of the radius and ulna bones.
  • 🀲 The importance of understanding muscle attachments is emphasized, as it helps determine the functions of muscles in relation to joint movements.
  • πŸ‹οΈβ€β™‚οΈ Biceps brachii is highlighted as a key muscle for elbow flexion, with its two heads attaching at different points on the scapula and inserting at the radial tuberosity.
  • πŸ€Έβ€β™‚οΈ Brachialis is identified as a deep muscle that plays a significant role in elbow flexion, attaching to the distal half of the humerus and inserting into the ulnar tuberosity.
  • 🀞 Brachioradialis is mentioned as a muscle involved in elbow flexion, particularly when the forearm is partially pronated.
  • πŸ’ͺ Triceps brachii is described as the primary muscle for extending the forearm at the elbow, with three heads attaching to different parts of the humerus and inserting into the ulna.
  • πŸ€” The speaker also discusses the role of the anconeus muscle in stabilizing the elbow joint during pronation and supination, and its attachment to the joint capsule.

Q & A

  • What is the main focus of the video script?

    -The main focus of the video script is to discuss the anatomy of the upper limb, specifically the muscles involved in flexion and extension of the forearm at the elbow joint.

  • What are the terms used to describe different parts of the arm?

    -The terms used include 'humerus' for the upper arm bone, 'radius' and 'ulna' for the forearm bones, 'glenohumeral joint' for the shoulder joint, 'antebrachium' for the forearm, and 'brachialis' for a muscle in the arm.

  • What is the function of the biceps brachii muscle?

    -The biceps brachii muscle is primarily responsible for flexion of the forearm at the elbow joint. It also assists in supination of the forearm when the elbow is flexed at around 90 degrees.

  • How does the biceps brachii muscle attach to the bones?

    -The biceps brachii has two heads: the long head attaches to the supraglenoid tubercle of the scapula and the short head attaches to the coracoid process of the scapula. Both heads converge and insert into the radial tuberosity on the radius bone.

  • What is the role of the brachialis muscle in elbow flexion?

    -The brachialis muscle is a powerful flexor of the forearm at the elbow joint. It runs from the distal half to two-thirds of the humerus to the ulnar tuberosity and the coronoid process of the ulna.

  • What is the significance of the radial and ulnar tuberosities in muscle attachment?

    -The radial and ulnar tuberosities are bony prominences where muscles attach. The radial tuberosity is where the biceps brachii attaches, and the ulnar tuberosity is where the brachialis attaches. These tuberosities provide leverage for the muscles to perform their functions.

  • What muscle is involved in both elbow flexion and extension, and what is its role?

    -The brachioradialis muscle is involved in elbow flexion, particularly when the forearm is partially pronated. It runs from the distal part of the humerus to the distal radius.

  • What are the three heads of the triceps brachii muscle and their origins?

    -The triceps brachii has three heads: the long head, which originates from the infraglenoid tubercle of the scapula; the lateral head, which originates from the proximal third of the humerus; and the medial head, which has a large attachment site across the posterior surface of the humerus.

  • What is the function of the anconeus muscle?

    -The anconeus muscle assists in extension of the forearm at the elbow joint and helps stabilize the elbow joint during pronation and supination. It also puts tension on the joint capsule, preventing impingement.

  • Why is it important to understand the attachment points of muscles?

    -Understanding the attachment points of muscles is crucial as it helps determine the actions and functions of the muscles. It also provides insights into how muscles contribute to movements and potential issues like muscle strains or joint instability.

  • What is the role of the pronator teres muscle in forearm movement?

    -The pronator teres muscle is primarily responsible for pronation of the forearm. It is also described as having a role in elbow flexion due to the power it exerts during the movement.

Outlines

00:00

πŸ’ͺ Upper Limb Anatomy and Elbow Joint

The speaker acknowledges a gap in their upper limb anatomy knowledge, specifically around elbow flexion and extension. They express nervousness due to an upcoming ultra-marathon. The focus shifts to the major muscles involved in forearm flexion and extension at the elbow. The speaker introduces the terminology for different parts of the arm, such as the glenohumeral joint, brachium, antebrachia, and upper limb. They also discuss the elbow joint's structure, highlighting the humerus, radius, and ulna, and their roles in pronation and supination. The importance of understanding muscle attachment points is emphasized for determining muscle functions.

05:02

πŸ‹οΈβ€β™‚οΈ Biceps Brachii and Its Functions

The speaker delves into the anatomy of the biceps brachii, a muscle with two heads known for its role in flexing the forearm at the elbow. They describe the biceps' origins from the scapula's coracoid process and supraglenoid tubercle, and its insertion at the radial tuberosity. The biceps' dual role in flexion and supination is discussed, with emphasis on its effectiveness when the forearm is supinated. The speaker also explains the biceps' aponeurosis, which provides protection to the brachial artery and median nerve in the cubital fossa.

10:04

πŸ€” Biceps and Its Role in Pronation and Supination

Continuing the discussion on biceps, the speaker explores how the muscle's attachment to the radius affects its function in pronation and supination. They illustrate that biceps is less effective in flexing the forearm when the forearm is pronated, but becomes a powerful supinator when the forearm is supinated. The speaker also connects this to practical activities like screwing and climbing, highlighting biceps' utility in underhand pull-ups and its lesser role in overhand pull-ups.

15:05

πŸ’ͺ Brachialis and Brachioradialis: Deep Flexors of the Elbow

The speaker introduces brachialis and brachioradialis, two muscles crucial for elbow flexion. Brachialis is described as attaching to the distal half of the humerus and inserting into the ulnar tuberosity, making it a powerful flexor. Brachioradialis, originating from the distal humerus, is noted for its role in flexion when the forearm is partially pronated. The speaker also mentions the innervation of these muscles by the musculocutaneous nerve and the radial nerve, respectively.

20:08

🀲 Muscles Involved in Wrist Flexion and Extension

The speaker discusses the muscles that cross the elbow joint and are primarily involved in wrist flexion and extension. They mention flexor carpi and extensor carpi muscles, emphasizing their role in stabilizing the wrist. The speaker also touches on the pronator teres and its potential role in elbow flexion. The focus then shifts to the posterior arm muscles, highlighting triceps brachii as the main extensor of the forearm at the elbow, with its three heads (long, lateral, and medial) and their attachments.

25:13

πŸ’ͺ Triceps Brachii and Anconeus: Extending the Forearm

The speaker concludes with a detailed look at triceps brachii, the primary muscle for extending the forearm at the elbow. They describe the muscle's three heads and their origins, and how they converge to insert into the olecranon of the ulna. The role of triceps in everyday activities like pushing up from chairs is highlighted. The anconeus muscle is also introduced as a stabilizer of the elbow joint during pronation and supination, with its attachment to the lateral epicondyle and the ulna.

πŸ‘‹ Wrapping Up the Discussion on Arm Muscles

In the final paragraph, the speaker briefly mentions that they have covered most aspects of the arm muscles and looks forward to continuing the discussion in the next session. The focus is on the practical application of this knowledge, hinting at the importance of understanding muscle functions in various activities.

Mindmap

Keywords

πŸ’‘Upper Limb Anatomy

Upper Limb Anatomy refers to the study of the structures and functions of the arm, forearm, and hand. In the video, the speaker discusses this topic in the context of muscles and joints involved in elbow flexion and extension, highlighting the importance of understanding the anatomy for activities like running an ultra-marathon.

πŸ’‘Elbow Flexion and Extension

Elbow flexion and extension are movements that involve bending and straightening the arm at the elbow joint. The speaker focuses on these movements to explain the role of various muscles in the forearm and upper arm, emphasizing the importance of these muscles in daily activities and sports.

πŸ’‘Glenohumeral Joint

The glenohumeral joint is the ball-and-socket joint that connects the arm (humerus) to the shoulder blade (scapula). It is mentioned in the script to illustrate the broader context of upper limb anatomy, showing how the movements of the arm are interconnected with the shoulder joint.

πŸ’‘Humerus

The humerus is the long bone of the upper arm that extends from the shoulder to the elbow. It is a key bone discussed in the video, especially in relation to the attachment points of muscles that facilitate elbow flexion and extension.

πŸ’‘Radius and Ulna

The radius and ulna are the two bones of the forearm that work together to allow for movement and rotation of the wrist and hand. The speaker discusses these bones in the context of pronation and supination, explaining how they move in relation to each other and the humerus during these movements.

πŸ’‘Biceps Brachii

Biceps brachii is a muscle with two heads that is well-known for its role in flexing the forearm at the elbow. The speaker explains that this muscle also plays a role in supination when the forearm is in a certain position, highlighting its dual function in both flexion and rotation.

πŸ’‘Brachialis

Brachialis is a muscle located deep in the arm that is primarily responsible for flexing the forearm at the elbow. The speaker describes it as an 'unsung' muscle, indicating that while it is crucial for elbow flexion, it is often overlooked compared to more visible muscles like the biceps.

πŸ’‘Triceps Brachii

Triceps brachii is a large muscle on the back of the upper arm that is responsible for extending the forearm at the elbow. The speaker emphasizes its importance in activities that require pushing, such as getting up from a chair, and notes that it is a key muscle for achieving functional strength.

πŸ’‘Pronation and Supination

Pronation and supination are movements that allow the forearm to rotate, turning the palm downward and upward, respectively. The speaker discusses these movements in relation to the actions of the biceps and how the position of the forearm affects the muscle's ability to flex the elbow.

πŸ’‘Anterior and Posterior Muscles

Anterior and posterior muscles refer to the muscles located at the front and back of the body, respectively. In the context of the video, the speaker uses these terms to categorize the muscles that cross the elbow joint, explaining their roles in flexion and extension.

πŸ’‘Epicondyles

The medial and lateral epicondyles are bony prominences on either side of the elbow joint. The speaker mentions these as attachment sites for several muscles that cross the elbow, playing a crucial role in the mechanics of elbow flexion and extension.

Highlights

Introduction to upper limb anatomy, focusing on muscles involved in elbow flexion and extension.

Terminology review: distinction between upper limb, arm, and antebrachium.

Explanation of the elbow joint as a hinge joint with additional movements like pronation and supination.

Importance of the radius and ulna in forearm movements, including their role in pronation and supination.

Identification of bony landmarks such as the radial and ulnar tuberosities and their relevance to muscle attachment.

Discussion on the muscles that cross the elbow joint and their potential roles in flexion, extension, pronation, and supination.

Detailed anatomy of the biceps brachii, including its two heads and their origins on the scapula.

Function of biceps brachii in flexion of the forearm and its interaction with pronation and supination.

Role of the brachialis muscle in elbow flexion and its attachment to the ulnar tuberosity.

Influence of the brachioradialis muscle in elbow flexion, especially when the forearm is partially pronated.

Description of the coracobrachialis muscle and its function in shoulder stability rather than elbow movement.

Overview of the triceps brachii muscle, its three heads, and its primary role in forearm extension.

Importance of the triceps brachii in stabilizing the elbow joint during movements.

Introduction to the anconeus muscle, its attachment to the lateral epicondyle, and its role in elbow extension and joint stabilization.

Discussion on the practical application of this anatomy knowledge in activities like climbing and swimming.

Emphasis on the importance of studying anatomy through practical dissection in addition to theoretical learning.

Summary of the key muscles involved in elbow flexion and extension, and their functional significance.

Transcripts

play00:00

so one of you guys are possibly more

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than one of you guys pointed out to me

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that although I've done an awful lot of

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upper limb Anatomy I missed out a bit

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I've missed out this bit here as easily

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have missed out elbow flexion and

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extension so I'm a little bit antsy

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today because um I'm running an ultra

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marathon tomorrow you know kind of

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excitement puts you on edge nervousness

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all that sort of thing so I'm not

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talking about my legs I'm going to talk

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about the major muscles of flexion of

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the forearm at the elbow and extension

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of the forearm at the elbow so him and

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him and need three amigos I get a

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copyright strike for that the three of

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us are gonna teach you a little bit of

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upper limb anatomy okay so we need to do

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let's go back and do a little bit of

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terminology first so if this is the

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shoulder region this under here is the

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glenohumeral joint and excuse me we've

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got you know flexion extension abduction

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so abduction adduction of the humerus at

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the glenohumeral joint the arm or break

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IAM runs from the shoulder region up

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here down to the the elbow joint that's

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the break IAM because the word breaking

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gets used in a number of structures

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around here and then this down here from

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the elbow to the wrist this is the

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antebrachium or the forearm and that

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plus the hand in the wrist all of this

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stuff gets called the upper limb I like

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that I like upper limb up a limb works

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for me we don't tend to use arm not you

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see because um some people call it the

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upper extremity mmm doesn't sit inside

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my brain that upper limbs fine up for

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extremity mmm kind of like chewing sand

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so what I want to do is I want to group

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the muscles that are anterior and

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posterior and we'll talk about the

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muscles and cross the elbow joint we'll

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talk about what they do with the elbow

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joint and we'll talk about their

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attachment points their innovation and a

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so

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thing and there aren't very many so if

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we're gonna talk about the movements of

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the elbow joint we're gonna need to look

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at the elbow joint itself we have looked

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at the humerus the radius and the ulna

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in three separate videos called the

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humerus the radius nil so we've looked

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at these bones in detail we've looked at

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the elbow joint essentially the elbow

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joint is a is a hinge but there is more

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to it than that so it's it's um it's

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largely a hinge joint this is the

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forearm so the on the thumb side that's

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where the radius is and on the little

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finger side that's where the ulna bone

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is that's these two bones here and we

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have these two bones because that allows

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us to do a royal wave it's how royal

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wave it allows you to pronate so yet to

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pronate and supinate right so you can

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pronate and supinate your forearm and

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what happens when you do that is that

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the the the ulna remains in in place the

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owner doesn't move the radius moves

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about it the mate radius moves around

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which means that any bone that's pulling

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on the radius has the potential to cause

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pronation or supination

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this is suppon ated this is pronated

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supination pronation so we've got the

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hinge so both the the radius and the

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ulna will move about the the humerus to

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give that hinging movement so really I

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mean to look at these bones in details

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go watch those other videos but really

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what we're interested in is a few bony

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bits this is the radius there's the

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radial tuberosity on the other side

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there's the ulnar tuberosity little

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bulge there if you've got a little lump

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that's where muscles are attaching and

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here all right the bony bit of your

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elbow

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that's your electron on and that is part

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of the ulna and that's a big lumpy bit

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again so the muscles can attach to it

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right

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the humerus is got the other thing on

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the humerus I guess it's most

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interesting today these these

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epicondyles these are the bony bits on

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on either side so we have medial and

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lateral epicondyles we have a whole

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bunch of muscles attaching there so if

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we talk about the elbow joint today and

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the muscles of the elbow joint any

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muscles we should consider there any

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muscles that cross the elbow joint as

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potentially having a role in flexion of

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the forearm at the elbow joint or

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extension of the forearm of the elbow

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joint and maybe also having a role in

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pronation or supination all right

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depending upon where they attach so

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that's why it's important to learn where

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muscles attach because you can work out

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what's going on well look at the

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posterior layers of muscles here and

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then we'll add in the muscles of the

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forearm not also cross across this joint

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con can't link it all together we'll

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make it sense

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we'll make it make sense the reason

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we're in here again today is because

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we've got an exam coming up so the lab

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is full of students and that is a good

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thing just because you're watching some

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bloke on the internet talking about

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Anatomy doesn't mean you're studying

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Anatomy the way to study Anatomy is to

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get in the lab and look at these things

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there's more to Anatomy than just

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reading books and and being taught it a

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big part of studying Anatomy is studying

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Anatomy if you're lucky enough to have

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these resources right so first muscle

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pretty straightforward is biceps isn't a

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biceps brachii and you know biceps

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brachii because everybody knows biceps

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you know why it's called biceps because

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SEPs comes from the word kaput cept

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means head by two so this is a muscle

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with two heads and what we're talking

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about here is we're talking about we

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have the origin up here and then we have

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the insertion down here talking about

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the two heads of the muscle coming from

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two separate origins right first of all

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they're figures and bony bits this all

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this here that's the scapula all right

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scapula around here here's the clavicle

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we're not interested in the clavicle

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stay we're interested in the scapula

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scapula clavicle I have to be careful I

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get those two words backwards like like

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I get a red and blue back

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in stuff like that you know I mean I

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some people get left and right the wrong

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way around its scapula and clavicle for

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me scapula club definitely scapula right

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so this is the scapula and see this

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little this shallow depression here this

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is the the glenoid fossa we've talked

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about this before this is kind of the

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socket of the ball and socket joint of

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the glenohumeral joint this here they're

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sticky empty bit this is the coracoid

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process so we've got the coracoid

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process the glenoid fossa now can you

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see that's the coracoid process up here

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there's a little tiny lump

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natella tubercle that's the supra

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glenoid tubercle and those are the two

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attachment sites for biceps brachii and

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the long head has to take the longest

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route so the long head actually comes

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off this supraglenoid tubercle and then

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it runs through this groove here this

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intertubercular sulcus because what

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these two tubercles here runs through

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the intertubercular sulcus is held down

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by a ligament and then runs into the

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into the young into their right or is

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the short head starts off from the

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coracoid process and runs across we've

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got deltoid here in the waist and

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deltoid is yeah of your shoulder isn't

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in there so take gal Toit off now look

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now you can see biceps brachii and we

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can see what it means by the two heads

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now here's the long head so there it is

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disappearing into that intertubercular

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sulcus there's that ligament that's

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tying it down she was going through the

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groove over the top and over the top of

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the glenoid fossa into that supraglenoid

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tubercle you know this is a short head

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which isn't traveling as far as going in

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a straight line it's not looping over

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the top where the bone head does long

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head looks a bit short here because we

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got the arm sticking out if you had it

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down by the side a bit further anyway so

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the short head is coming off that

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coracoid process of the scapula there in

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book

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see those two heads coming together here

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so there's that that muscle bulk that

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we're very used to seeing in the the

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theoria arm and look what's it doing

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okay so it carries on through and it

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becomes a single tendon here well

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actually that's will meet the sanctum

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you'll see a bit more just a single 10

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if I take my take that off what can we

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see yeah I we go now you see that single

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tendon look so this is the thumb up here

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so this is your radial pulse the radial

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artery so the radial bones on this side

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on the bones on that side so that biceps

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is inserting into the radial tuberosity

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that little lumpy bit in the very

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proximal part of the radial bone in fact

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when we're the setting we see a bit more

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than this and you can probably feel it

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in yourself you can feel the tender nail

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it's not just a tendon it's very much a

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flat sheet of connective tissue coming

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across here right so we have the tendon

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inserting into the radial tuberosity we

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also have like a fanning out we have a

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bicep petal aponeurosis and aponeurosis

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is like a a flattened sheet of tendon

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and that bicep to aponeurosis expands

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out into the forearm and it attaches

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into the the antebrachial fascia the

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deep fashion of the forearm which means

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that see this is quite painful a

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difficult area to dissect because you

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don't just dissect out of this single

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tendon you get there's a pony rope this

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comes out if I'm gonna take away the

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fash you have to decide where do i where

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do i you know where do I cut it out what

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do we leave us or think anyway in life

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that bicipital pony ropes this is quite

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useful because in here you've got your

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median nerve ulnar nerve brachial artery

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and that sort of thing right so this is

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the cubital fossa then coming in for

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cubital fossa you have your brachial

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artery which is going to split into two

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and you have your median nerve so that

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bicipital aponeurosis there that is is

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covering the brachial artery and the

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median nerve or giving them a bit of

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protection here which is a good thing

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right

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so that's how biceps attach it have you

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know it's what it's done it's not

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attaching to the humerus

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anywhere right it's attached to the

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scapula

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at two points up here and is attached to

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the radius

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down here completely mr. the humorous

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hasn't bothered attaching so humorous at

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all did you know that its top fact now

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the fact that it attaches to the radius

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means we have to think about pronation

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and supination so if if biceps is well

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you know it's got a couple of actions

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hasn't it because it's crossed in the

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shoulder joint it can help with holding

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the humerus into the glenohumeral joint

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right which is a good thing so helps

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prevent dislocation and stuff but if

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we're considering the elbow today then

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the main job of biceps is flexion of the

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forearm at the elbow alright it's very

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good at that but because it attaches to

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the radial tuberosity because it goes in

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here and attaches the Ray which made

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with tuberosity it means that when when

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you are when your forearms are supine it

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finds that job easy it's very good at

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that job it's great you're going from

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extension to 90 degrees and Beyond very

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happy because it's attaching here right

play12:17

very straight forward but what happens

play12:20

to the radial tuberosity

play12:22

if you pronate oh that's awkward

play12:26

now if your biceps you oh you know all

play12:29

the way around there that's a pain in it

play12:31

so if your pronated and biceps contract

play12:34

what's going to happen well it's gonna

play12:36

want to pull the radius around this way

play12:38

isn't it do you see so if you're like

play12:41

this and you use bicep feel like you can

play12:45

see this because if you if we flex the

play12:49

forearm there but make sense really

play12:52

isn't that strong it's not really doing

play12:55

much when I'm flexing the forearm at the

play12:59

elbow joint when I'm pronated right it's

play13:01

kind of a bit squidgy but when I flex

play13:05

the forearm at the elbow against

play13:07

resistance when suppon ated I need

play13:10

someone to push against ah now it's it's

play13:13

gone solid now it's doing a good job now

play13:14

it's more useful right so what that

play13:16

means is that

play13:17

when the elbow joint is about 90 degrees

play13:20

biceps actually becomes a very good very

play13:23

powerful sup inator of the forearm so

play13:26

when you're screwing a screw in right

play13:29

you're doing it with a belt don't do it

play13:31

like that D that's that's just too hard

play13:32

if you if you're screwing a screw into

play13:34

some wood or wherever and you need

play13:35

really good supination you do it with a

play13:39

bent elbow and the reason you do with

play13:40

the bent elbow is because you get to get

play13:41

used biceps to help you do that alright

play13:44

so I'm doing that other biceps is it's

play13:46

busyness see that's the importance of

play13:49

biceps inserting into the radial

play13:52

tuberosity and the radius moving about

play13:54

the ulna in pronation and supination

play13:59

what this also means that if you're a

play14:02

climber like me or a swimmer it means

play14:05

that so doing an an overhand pull up

play14:09

alright so with a pull-up you're mostly

play14:11

using latissimus dorsi that's the muscle

play14:13

of power but also you wanna you gotta

play14:15

flex your elbows right it means that

play14:18

when you're doing an overhand pull up

play14:20

biceps is not actually a lot of use if

play14:23

you're doing an underhand pull-up you

play14:25

get to work biceps a lot more allright

play14:28

biceps is great when you're doing an

play14:30

underhand pull up at flexing the elbow

play14:32

okay so there must be other muscles that

play14:37

we use that are also very powerful when

play14:41

we're doing say an overhand pull up what

play14:43

we're doing front crawl and we want to

play14:46

flex the elbow with some power all there

play14:49

is and if we take off biceps we're going

play14:52

to see a couple of things the muscle

play14:56

deep - biceps is brachialis well that's

play15:00

very sensible because of course this is

play15:02

the the brachial bit in it the brachial

play15:05

and brachialis runs from below you can

play15:08

see the brachialis is is the muscle

play15:10

that's attaching to much of the humerus

play15:12

here so if the humerus is going from

play15:14

here to here it's kind of like the

play15:16

distal half distal two-thirds of the

play15:18

humerus anteriorly a rat by brachialis

play15:21

and brachialis is then crossing the

play15:23

elbow joint and it's actually going to

play15:25

insert into the the ulnar tuberosity and

play15:28

a little bit of bone

play15:30

along to the tuberosity which gets

play15:31

called the kind of the coronoid process

play15:36

coronoid coracoid sorry I'm didn't name

play15:38

all these things anyway if you want to

play15:40

look at the detail bits of the own

play15:41

they're going to see that video but so

play15:43

breaking on ice goes across the elbow

play15:45

here which means that brachialis is a

play15:49

very powerful and effective flexor of

play15:53

the forearm of the elbow so break down

play15:56

is actually doing a lot of work but it's

play15:58

a very you know it's kind of an unsung

play15:59

muscle so that lies deep - biceps

play16:03

brachii look we can see the nerve

play16:05

innervates these two muscles here this

play16:07

is the musculocutaneous nerve a branch

play16:10

of the brachial plexus must and it's the

play16:13

muscular job that it does is it runs

play16:16

into this anterior in anterior arm and

play16:18

innovates brachialis and boy shows

play16:22

breaking I break Yaris does in a by I

play16:25

think in most people it also gets a

play16:28

little bit of innovation from the radial

play16:30

nerve so watch out for that but we tend

play16:31

to describe brachialis advices brachii

play16:34

has been innovated by I must go to

play16:35

cutaneous nerve here right and if we

play16:37

take off brachialis we just see the

play16:39

humerus so that's it for the anterior

play16:41

muscles there and we've got this guy

play16:43

here was this guy crossing the elbow

play16:46

joint then right want to show you this

play16:48

let's this muscle here we've got a bunch

play16:53

of muscles here but it's the one here

play16:55

closer to the cubital fossa this one

play16:57

[Music]

play17:00

if the Swansea Air Show this weekend it

play17:03

sound like they're warming up okay

play17:06

anyway so this is brachioradialis right

play17:09

so from the name that means it goes from

play17:10

the brachial to the radial bone

play17:12

brachioradialis comes from the the

play17:17

distal part of the humerus here just

play17:20

proximal to the epicondyle

play17:28

so that's the break you're

play17:29

brachioradialis goes from here and then

play17:31

it runs all the way down to like the

play17:33

distal radius down here so it's quite a

play17:36

long muscle and we can see this on

play17:38

ourselves when you have you so again

play17:41

going from supine to pronated Supper

play17:46

needed to pronated when you're partially

play17:52

like 90 degrees pronated when you then

play17:55

flex the elbow it's this that pops up

play17:58

here right so that's brachioradialis so

play18:01

obviously then break your radiolysis

play18:03

involved in elbow flexion but it's only

play18:05

really involved in elbow flexion when

play18:08

you're partially pronated all right

play18:11

it's innervated by the radial nerve and

play18:13

apparently it's some fairly weak at

play18:16

flexing the elbow but there you go

play18:20

there is another muscle isn't there so

play18:22

there's this guy here this is

play18:25

coracobrachialis so Conoco breaking are

play18:28

this also seems to be names going to go

play18:29

from that coracoid process of the

play18:31

scapula to the humerus the breaking the

play18:35

breaking part of the armour

play18:36

coracobrachialis though it's not

play18:37

crossing the elbow so we're not really

play18:39

talking about it today again it's

play18:41

involved in you know holding the

play18:42

shoulder together

play18:43

Toriko brachii right now so we do the

play18:50

akan let's do this side first and we go

play18:51

to choice if now we can see down here

play18:55

this week on time to break your radius

play18:56

we can see there are a lot of other

play18:58

muscles running from the epicondyles of

play19:03

the humerus and cross therefore crossing

play19:07

the elbow joint because the epicondyles

play19:08

are part of the humerus crossing the

play19:11

elbow joint and going into the forearm

play19:14

and we've got all of these flexors here

play19:16

which are going to the wrist so flexor

play19:18

carpi this that and the other and so on

play19:20

and then on the other side we've got

play19:23

extends to copy this than the other

play19:25

extensor carpi radialis print that's

play19:27

actually giving me a bit my extensor

play19:29

carpi radialis brevis to give me a bit

play19:30

of at the moment from what climbing

play19:33

swimming bit of all that as is

play19:34

stabilizes the wrist anyway extensor

play19:37

carpi radialis longus

play19:39

crosses the elbow a bit further against

play19:42

the other side lyrical anyway we have a

play19:45

lot of muscles which will run into the

play19:47

forearm which are primarily involved in

play19:49

say wrist flexion and extension and

play19:52

stabilizing the wrist that also crossed

play19:54

the elbow joint they are not generally

play19:56

considered to have a role in elbow

play19:59

flexion or extension pruney Tutera's

play20:02

here its main job is pronation it pulls

play20:08

the radius around we've talked about the

play20:10

forearm muscles elsewhere go and watch

play20:12

that video if you want more the pronator

play20:13

teres does get described as also having

play20:15

a role in elbow flexion because

play20:17

scissoring the power these muscles exert

play20:19

it's kind of a dv1 right so it helps

play20:21

imprint

play20:21

anyway pronator terrorism so that these

play20:23

guys right last of all then we need to

play20:26

go to the posterior braking and think

play20:28

about these muscles really most of the

play20:30

work is done by triceps triceps brachii

play20:34

but there's also another little muscle

play20:36

called Antonius so if we if we go back

play20:40

to the skeleton then and we look at the

play20:42

bony bits first again scapula glenoid

play20:47

fossa humerus

play20:49

there's the electron on of the ulna the

play20:53

triceps muscle has three heads triceps

play20:57

so twice abs brachii it has a long head

play20:59

a lateral head and a medial head now the

play21:02

long head crosses the glenohumeral joint

play21:07

and it comes from the infra glenoid

play21:10

tubercle down here and then runs down

play21:13

the the lateral head it's kind of got

play21:20

like a fairly thin skinny attachment

play21:24

site to the humerus but that's coming

play21:26

from the humerus up here kind of in the

play21:28

proximal third and we talked about these

play21:31

the spiral groove and we look to the

play21:33

humerus which brownish things running so

play21:35

that the lateral head is kind of high up

play21:37

there and then the medial head that's

play21:41

kind of the part on the muscle that does

play21:43

the bulk of the work that's got a great

play21:45

big attachment site across the humerus

play21:48

like the rest of the posterior surface

play21:50

of the humerus and then all of those

play21:52

three

play21:52

it's come together they cross the elbow

play21:55

joint and they insert into the electron

play21:57

on so that's what's the elect what the

play21:58

electron on is four nice big chunky

play22:01

attachment site for this big muscle also

play22:04

give because it sticks I would get a

play22:06

little bit of a leverage advantage and

play22:08

that's the muscle that's largely

play22:09

involved in extension of the forearm at

play22:13

the elbow so this is it's a big muscle

play22:16

in fact if you want big arms you don't

play22:18

really want big biceps you come on big

play22:20

triceps because it's so much of the

play22:21

muscle but your choice those brachialis

play22:22

and bicycles train all those things

play22:24

anyway I don't functional strength

play22:28

that's what I'm after

play22:29

but triceps then it's the powerful

play22:31

extender of the forearm at the elbow

play22:35

joint very important in you know pushing

play22:37

yourself up from chairs and get all that

play22:39

sort of stuff right

play22:41

it's innervated by the radial nerve from

play22:44

the brachial plexus that winds is way

play22:45

around here because it's also crossing

play22:48

the glenohumeral joint also has a role

play22:50

in holding the humerus into the

play22:53

glenohumeral joint stops to dislocating

play22:55

why it's good to have these strong

play22:57

muscles because it also holds this kind

play23:00

of unstable joint in place right it's

play23:03

not just the rotator cuff it's the other

play23:04

muscles as well to hold this together

play23:06

yes there's a video on the rotator cuff

play23:08

and I think some of the fibers probably

play23:11

also insert into the break your fascia

play23:13

because we get a bit of that one made

play23:14

the second thing it kind of fans out a

play23:16

little bit it's not just like a tendon

play23:18

it's kind of a bit of a pony roses in

play23:21

certainly to the antebrachial fascia

play23:22

there's also a little bursa between the

play23:26

tendon and the electron on here to stop

play23:29

wearing that sort of thing but that's

play23:31

triceps the last muscle is and Konya say

play23:35

let's not look at triceps on the arm

play23:36

Sheree so you can see long head lateral

play23:42

head medial head so the medial head is

play23:45

deep if they all come together inserting

play23:47

the electron there not much to it really

play23:49

can't really see Antonius and Kony's is

play23:54

a little muscle it kind of blends with

play24:00

with triceps so it's often a little bit

play24:03

difficult to detect error and

play24:04

distinguish but it runs

play24:06

the lateral epicondyle of the humerus

play24:08

across to the electron on so to the ulna

play24:12

and the lateral part of the ulna over

play24:14

here so is a very short little muscle

play24:15

it's described as as helping with

play24:18

extension of the forearm at the elbow

play24:21

joint it also kind of stabilizes the

play24:23

elbow joint in pronation and supination

play24:25

and it's described as because it

play24:29

attaches together this is a synovial

play24:30

joint so it has a drink capsule it's

play24:33

described as attachment to the joint

play24:35

capsule so it puts some tension on the

play24:37

joint capsule so when you're flexing the

play24:40

extending the elbow it stops the joint

play24:42

capsule from getting pinched in here it

play24:44

stops in pin Djimon right instead of

play24:46

because joint the joint capsule tends to

play24:47

be the sensitive bit of the joint so by

play24:49

putting on the joint capsule it keeps it

play24:51

out of this this gap here and stops

play24:53

impingement that's how it's being

play24:55

described anyways okay one of those

play24:58

things is a little bit tricky to see

play24:59

when we dissect but that same cone yes

play25:01

right there you go how's that those are

play25:07

the muscles that flex and extend the

play25:13

forearm at the elbow joint mostly

play25:15

talking about muscles of the brachial I

play25:18

think I've probably done most things in

play25:21

the arm now know that I still something

play25:24

to talk about quite see you next week to

play25:26

that

play25:27

[Music]

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Related Tags
AnatomyElbow FlexionElbow ExtensionUpper LimbMusclesBicepsTricepsForearmMedical EducationPhysical Fitness