Disorders of the Elbow: Anterior


Introduction

The principal structures of interest in the anterior elbow are the biceps and brachialis tendons. The biceps tendons form from its two muscle bellies and each inserts, close to one another, on the radial tuberosity. The two muscle heads can easily be distinguished from one another but the tendons are grouped close together, although the two components become more separate as the tendon approaches its insertion.

Practice Tip
It is important to identify both the biceps and brachialis tendons in the antecubital fossa as, if only a single tendon is present, it means that the other, usually the biceps, is ruptured ( Fig. 8.1 ).

Apart from rupture, the principal pathological processes that affect biceps are tendinopathy, cubital and interosseous bursitis. Tendinopathy of brachialis is rare.

Figure 8.1, Axial MRI image of the anterior elbow structures. Two tendons should always be identified: brachialis inserting onto the ulna and biceps on to the radius. The cubital bursa surrounds the biceps tendon, but is not always visualized.

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