00:01
So, now, let's have a look at the
posterior compartment of the arm.
00:05
We've looked at the anterior compartment.
We've looked at the cubital fossa.
00:08
Now, let's have a look at
the posterior compartment.
00:12
So, here, looking at the posterior aspect of the two upper limbs,
you can see a large muscle mass which is of triceps.
00:19
And we're going to spend a bit of time looking at the three
muscle bellies of triceps brachii which we can see here.
00:25
Another important muscle in
this space is known as anconeus.
00:29
This is a very small muscle and depending on your curricula,
you may not need to know too much about it.
00:34
But it's within this posterior compartment
of the arm. So, triceps brachii.
00:40
Triceps brachii as its name suggest has three heads.
It has a long head. It has a lateral head.
00:48
And it has a medial head. Has three heads which
are running in the posterior aspect of the humerus.
00:56
So, let's have a look at these in more detail
because although they have one large common tendon
that goes and attaches in the forearm,
it actually has three different locations for its origin.
01:08
So, let's have a look at these in a little bit more detail.
Let's start off by looking at the long head.
01:13
The long head has a long tendon
that passes from the infraglenoid tubercle.
01:18
Remember, the long head of biceps
went from the supraglenoid tubercle.
01:23
Here, the long head of triceps runs
from the infraglenoid tubercle.
01:27
The medial and lateral heads, these come
from the posterior surface of the humerus.
01:32
We can see they come from the radial groove.
This is an important space that occupies
the profundabrachii artery that's coming along
from the posterior aspect of the humerus
and the radial groove. And also, the radial nerve.
01:46
Either side of that radial groove, we have the medial head
coming from it medially or inferior to the radial groove.
01:54
And then, coming superior or lateral to
the radial groove, we have the lateral head.
01:59
So, the two heads of triceps, not including the longhead,
is coming from the posterior surface of the humerus,
separated by the radial groove
that's containing the radial nerve.
02:11
And here, we have the lateral head
coming from superior to the radial groove
and the medial head coming
inferiorly from the radial groove.
02:19
All those muscles come away and they
converge on this large common tendon.
02:25
And that large tendon goes and attaches to the
olecranon and that is positioned within the ulna.
02:31
So, an important part of triceps
is actually doing the opposite.
02:35
It's a counter balance to the muscles
in the anterior compartment.
02:40
So, these muscles in the
posterior compartment,
its function is going to be important
in extending the arm at the shoulder joint.
02:47
So, I'm moving the arm backwards,
extending the arm at the shoulder joint.
02:51
And also, because it attaches to the forearm,
it crosses the elbow joint
and it's important, extends
the forearm at the elbow joint.
02:59
And important to know is because of
only the long head crossing the shoulder joint
is only the long head that contributes
to extension of the arm, at the shoulder joint.
03:09
But posterior compartment of the arm is important
in counteracting the work of the anterior compartment.
03:14
So, rather than flexion which biceps
and brachialis, coracobrachialis does,
this is working in extending these bony structures.
03:23
So, now, let's look at the final muscle in the
posterior compartment of the arm and this is anconeus.
03:28
Anconeus is a small muscle and I've only seen
it a handful of times within the dissecting room.
03:33
And here is anconeus. It originate from the lateral epicondyle
of the humerus, looking at the posterior aspect of the elbow.
03:42
And we can see it running from the lateral
epicondyle of the humerus to the olecranon.
03:46
The lateral aspect of the olecranon
which we can see indicated here.
03:52
This helps to extend the forearm at the elbow joint.
As the muscle crosses the elbow joint
when it contracts, it's going to extend
the forearm at the elbow joint.
04:04
So, the innervations of these muscles in the
posterior compartment is by the radial nerve.
04:09
Remember, the radial nerve is the direct
terminal branch of the posterior cord
and it leaves the axilla via the triangular interval to
enter into the posterior compartment of the arm.
04:22
It runs along the radial groove, separating the
two heads of the medial and lateral heads of triceps
and it goes on to supply these two muscles.