Morphology of the bicipital aponeurosis: a cadaveric study

• Autorzy: Joshi S.D. , Yogesh A.S. , Mittal P.S. , Joshi S.S.
• Języki publikacji: EN

Abstrakty

EN

The bicipital aponeurosis (BA) is a fascial expansion which arises from the tendon of biceps brachii and dissipates some of the force away from its enthesis. It helps in dual action of biceps brachii as supinator and flexor of forearm. The aim of the present work was to study the morphology of BA. Thirty cadaveric upper limbs (16 right and 14 left side limbs) were dissected and dimensions of the BA were noted. The average width of aponeurosis at its commencement on the right was 15.74 mm while on the left it was 17.57 mm. The average angle between tendon and aponeurosis on the right was 21.16° and on the left it was 21.78°. The fibres from the short head of the biceps brachii contributed to the formation of proximal part of aponeurosis. Fascial sheath over the tendon of long head of biceps brachii was seen to form the distal part of the aponeurosis. In 5 cases, large fat globules were present between the sheath and the tendon. Histologically: The aponeurosis showed presence of thick collagen bundles. Fascial sheath covering the tendon of long head extended towards the aponeurosis and passed superficial to the tendon of biceps. Blood vessels and adipose tissue were found to be present between fascial sheath and the tendon. This morphological description of BA may be helpful 1) in elucidating the dynamic role that BA plays in normal functioning and 2) to the surgeons in the repair of ruptured biceps brachii tendon. (Folia Morphol 2014; 73, 1: 79–83)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2014
• Tom: 73
• Numer: 1
• Opis fizyczny: p.79-83,fig.,ref.

Twórcy

autor

Joshi S.D.

• Department of Anatomy, Postgraduate Institute, Sri Aurobindo Medical College, Indore, India

autor

Yogesh A.S.

• Department of Anatomy, Postgraduate Institute, Sri Aurobindo Medical College, Indore, India

autor

Mittal P.S.

• Department of Anatomy, Postgraduate Institute, Sri Aurobindo Medical College, Indore, India

autor

Joshi S.S.

• Department of Anatomy, Postgraduate Institute, Sri Aurobindo Medical College, Indore, India

Bibliografia

• 1. Athwal GS, Steinmann SP, Rispoli DM (2007) The distal biceps tendon: footprint and relevant clinical anatomy. J Hand Surg Am, 32: 1225–1229.
• 2. Bain GI, Prem H, Heptinstall RJ, Verhellen R, Paix D (2000) Repair of distal biceps tendon rupture: a new technique using the endobutton. J Shoulder Elbow Surg, 9: 120–126.
• 3. Bell HR, Wiley WB, Noble JS, Kuczynski DJ (2000) Repair of distal biceps tendon ruptures. J Shoulder Elbow Surg, 9: 223–226.
• 4. Chew ML, Giuffre BM (2005) Disorders of the distal biceps brachii tendon. Radiographics, 25: 1227–1237.
• 5. Davison BL, Engber WD, Tigert LJ (1996) Long term evaluation of repaired distal biceps brachii tendon rupture. Clin Orthop Relat Res, 333: 186–191.
• 6. Dirim B, Brouha SS, Pretterklieber ML, Wolff KS, Frank A, Pathria MN, Chung CB (2008) Terminal bifurcation of the biceps brachii muscle and tendon: anatomic considerations and clinical implications. Am J Roentgenol, 191: W248–W255.
• 7. Eames MH, Bain GI, Fogg QA, van Riet RP (2007) Distal biceps tendon anatomy: a cadaveric study. J Bone Joint Surg Am, 89: 1044–1049.
• 8. Hearon BF (2008) Distal biceps repair. Available at http://www.drhearon.com/WTL%20December%2008.htm.
• 9. Kulshreshtha R, Singh R, Sinha J, Hall S (2007) Anatomy of the distal biceps brachii tendon and its clinical relevance. Clin Orthop Relat Res, 456: 117–120.
• 10. Martinelli P, Gabellini AS, Poppi M, Gallassi R, Pozzati E (1982) Pronator syndrome due to thickened bicipital aponeurosis. J Neurol Neurosurg Psychiatry, 45: 181–182.
• 11. Standring S (2008) Gray’s anatomy. 40th Ed. Churchill Livingstone Elsevier, Edinburgh, pp. 825–826.

Identyfikatory

DOI

10.5603/FM.2014.0011