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Bicipital Aponeurosis Information

The bicipital aponeurosis (also known as lacertus fibrosus) is a broad aponeurosis of the biceps brachii which is located in the cubital fossa of the elbow and separates superficial from deep structures in much of the fossa.

The bicipital aponeurosis originates from the distal insertion of the biceps brachii. While the tendon of the biceps inserts on the radial tuberosity, the aponeurosis reinforces the cubital fossa, and helps to protect the brachial artery and the median nerve running underneath. This protection is important during venipuncture (taking blood) from the median cubital vein.

Some individuals (about 3% of the population) have a superficial ulnar artery that runs superficially to the bicipital aponeurosis instead of underneath it. These individuals are at risk for accidental injury to the ulnar artery during venipuncture.[1]

References

  1. ^ Chin and Singh; Singh, K (2005). "The superficial ulnar artery--a potential hazard in patients with difficult venous access". British Journal of Anaesthesia 94 (5): 692–3. doi:10.1093/bja/aei548. PMID 15814810. http://bja.oxfordjournals.org/cgi/content/full/94/5/692. Retrieved 2008-01-05.

External links

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

· · List of muscles of upper limbs (TA A04.6, GA 4.432)
Shoulder

deltoid · rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis) · teres major

fascia: Deltoid fascia · Supraspinous fascia · Infraspinous fascia
Arm (compartments)
Anterior coracobrachialis · biceps brachii · brachialis
Posterior triceps brachii · anconeus · Articularis cubiti
Fascia Axillary sheath · Axillary fascia · Brachial fascia · intermuscular septa (Lateral, Medial)
Other spaces (Quadrangular space, Triangular space, Triangular interval)
Forearm
Anterior

superficial: pronator teres · palmaris longus · flexor carpi radialis · flexor carpi ulnaris · flexor digitorum superficialis

deep: pronator quadratus · flexor digitorum profundus · flexor pollicis longus
Posterior

superficial: mobile wad (brachioradialis, extensor carpi radialis longus and brevis) · extensor digitorum · extensor digiti minimi · extensor carpi ulnaris

deep: supinator · anatomical snuff box (abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus) · extensor indicis
Fascia Bicipital aponeurosis · common tendons (Extensor, Flexor) · Antebrachial fascia
Other Cubital tunnel
Hand
Lateral volar thenar (opponens pollicis, flexor pollicis brevis, abductor pollicis brevis) · adductor pollicis
Medial volar hypothenar (opponens digiti minimi, flexor digiti minimi brevis, abductor digiti minimi) · palmaris brevis
Intermediate lumbrical · interossei (dorsal, palmar)
Fascia

posterior: Extensor retinaculum · Extensor expansion

anterior: Flexor retinaculum · Palmar aponeurosis

: MUS, DF+DRCT

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