00:00
So, now, let's concentrate on the
anterior compartment of the arm.
00:05
So, I'm looking at muscles like the
coracobrachialis and the biceps brachii muscles.
00:11
So, here, we can see an anterior view looking
at the anterior compartment of those muscles.
00:17
And the most substantial muscle
we can see here is biceps brachii.
00:21
We can see it nice and clearly.
But here, we have the anterior compartment
indicated by the green dotted lines sitting
on the anterior surface of the brachium.
00:33
Here, we can start looking at the individual
muscles that are forming this compartment.
00:37
And the first one we can see here is a
small slender muscle and that is coracobrachialis.
00:43
Coracobrachialis as its name indicates is running
from the coracoid process through the brachium
and it's running to the humerus of the upper limb.
Another muscle we can see here is biceps brachii
and then, sitting on top of that most superficially
within the anterior compartment, we have brachialis.
01:02
So, let's concentrate in looking
at coracobrachialis to start with
and here, we can start looking
at its origins and its insertions.
01:09
So, where does this
muscle start from?
As I mentioned a moment ago,
it starts from the coracoid process
and it runs all the way down to the
middle third of the humerus.
01:18
So, the inferior aspects of the
humerus is its final third.
01:24
And then, we've got a superior
third up towards the head.
01:26
In the middle of the humerus, we have this middle third and
that is where the coracobrachialis muscle attaches to.
01:34
So, we've got the coracoid process
and the middle third of the humerus.
01:38
And here, we can see coracobrachialis muscle
and it helps to do a couple of things.
01:42
First of all, it helps to
adduct the shoulder joint.
01:45
So, it adducts the arm at the shoulder joint
and that's moving the arm closer to the model body.
01:52
And it also helps to flex the
humerus at the shoulder joint.
01:56
So, here, we've got flexion of the arm at the shoulder joint,
two functions of the coracobrachialis muscle.
02:05
Now, let's move on to biceps brachii.
Biceps brachii as its muscle name suggests has two heads.
02:12
We've got a long head here and we've got
a short head which we'll see in a moment.
02:18
The long head, it gives rise
to a very long tendon
that runs up in the intertubercular sulcus of
the humerus before running towards the scapula.
02:27
The intertubercular sulcus is formed between
the lesser and greater tubercles of the humerus
and here, we can see the
intertubercular sulcus formed.
02:37
There is a ligament that runs between the
two tubercles forming the roof of this sulcus
and that's the transverse
humeral ligament.
02:45
And this helps to keep that tendon of biceps brachii, the tendon
of the long head of biceps brachii within its location.
02:53
It runs up through the glenohumeral joint
and ultimately, runs to the scapula here where we can see,
it's attaching to the superior glenoid
tubercle of the glenoid fossa.
03:05
The short head of the biceps
comes away from the scapula
and that runs towards the single muscle belly of biceps
brachii where it then gives rise to a common single tendon.
03:19
And here, we can see the bicipital
aponeurosis of that tendon.
03:23
The head of the biceps brachii muscle
runs down to the radial tuberosity.
03:29
So, now, let's have a look at these origins
and insertions in a little more detail.
03:34
So, let's start off with
the long head of biceps.
03:37
Long head of biceps passes up through the
intertubercular sulcus over the head of the humerus
and it attaches to
the supraglenoid tubercle.
03:47
The superior aspect of the glenoid fossa of the scapula.
The short head of the biceps doesn't take that path.
03:53
It takes a much shorter path,
hence, why it's called the short head
and that runs up to the coracoid process where
it unites with the insertion of coracobrachialis muscle.
04:04
So, we've got the two heads of biceps attaching
to the scapula but by two very different pathways.
04:09
These two muscle bellies converge
into the primary muscle belly of biceps
which then gives rise to a very thick tendon
which attaches to the radial tuberosity
and also, gives rise to a sheet-like tendon which is the
bicipital aponeurosis and that runs over the cubital fossa.
04:28
Let's have a look at the
function of biceps brachii.
04:31
Here, we can see it is involved in flexing
the arm at the shoulder joint,
so, contraction of these muscle bellies
will lead to flexion of the shoulder.
04:41
We also then have flexion of
the forearm at the elbow joint.
04:45
So, its connection to the radial tuberosity
crossing the elbow joint means the flexion,
contraction of that muscle will lead to
flexion of the forearm at the elbow joint.
04:57
It's also an important
supinator of the forearm.
05:00
So, this is where you move your forearm
so you're holding a cup of soup, so to speak.
05:05
So, here, we've got the supination process
and biceps is involved in supinating the forearm.
05:13
The final muscle in this anterior compartment
of the arm is brachialis muscle.
05:18
And the brachialis muscle is running down
from the anterior aspect of the humeral shaft,
really, in the kind of middle third aspect similar
to the attachment site of coracobrachialis.
05:28
But it runs down all the way through the anterior aspect
of the arm across the elbow joint to the ulnar tuberosity.
05:37
So, this muscle is important as a flexor
of the forearm at the elbow joint.
05:42
And it really is the primary flexor of the forearm
at the elbow joint.
05:46
Biceps brachii helps to flex the forearm
once it's in that supinated position.
05:51
So, the brachialis muscle is very important
in helping to flex the forearm at the elbow joint.
05:58
So, now, let's have a look at the
innervation of the anterior compartment.
06:02
And as we saw in the brachial plexus lecture, these muscles
are innervated by the musculocutaneous nerve.
06:09
So, coracobrachialis, biceps
brachii and brachialis muscles.
06:13
The anterior compartment of the arm
are innervated via the musculocutaneous nerve
which is that branch that
comes from the lateral cord.