Anatomical considerations and clinical implications of bicipital aponeurosis: A magnetic resonance imaging study.
biceps brachii
bicipital aponeurosis
brachial artery
compression syndrome
elbow
entrapment syndrome
lacertus fibrosus
median nerve
semilunar fascia
Journal
Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
revised:
30
03
2022
received:
15
02
2022
accepted:
31
03
2022
pubmed:
7
4
2022
medline:
11
3
2023
entrez:
6
4
2022
Statut:
ppublish
Résumé
The bicipital aponeurosis (BA) is the distal aponeurosis of the biceps brachii which usually covers the median nerve (MN), and the brachial artery (BrA) and sometimes causes compression of these structures. Since these situations are rarely reported in the literature, BA frequently does not come to mind as a cause of such compression. Therefore, the diagnosis may be delayed. In this study, we aimed to investigate the morphometry of BA and its relationship with the surrounding neurovascular structures and to draw attention to BA as a structure that can cause entrapment of the MN and rarely, the BrA. We examined the MRIs of the elbow of 279 patients (107 women, 172 men) aged between 18 and 72 years. We measured the thickness, length and width of BA, and investigated the anatomical relationship between BA, BrA, and MN. The respective median thickness, width, and length of BA were 0.7 (0.4-1.8 mm), 18.0 (6.0-34.0 mm), and 32.0 (18.0-50.0 mm), respectively. In all sections examined, the BA covered the BrA and MN, and was located immediately anterior to the BrA. In 225 (80.6%) of 279 MRIs, the BrA was located anterior to the MN and posterior to the BA. In the remaining 54 (19.4%) MRIs, the MN was located anterior to the BrA and posterior to the BA. The respective median thickness, width, and length of the BA were 0.7 mm, 18.0 mm, and 32.0 mm, respectively. It covered the BrA and MN and was located immediately anterior to the BrA. The BA sometimes causes compression syndromes of these structures, therefore, for physicians, it is important to understand the anatomy of the BA.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
344-349Informations de copyright
© 2022 American Association for Clinical Anatomists and the British Association for Clinical Anatomists.
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