โœ… Dr. Slothic Notes

๐Ÿ“Œ Two Heads, Two Functions: Understanding the Distal Biceps on MRI

MSK MRI 2025. 12. 20. 21:28

https://youtube.com/shorts/wSC1zf-xbaI

 

(Short Head vs Long Head — Anatomy & Function)

1. Basic Structure

  • The biceps brachii is a two-headed muscle
  • The distal biceps tendon is formed by contributions from the
    short head (SHB) and long head (LHB)
  • It is a flat, extrasynovial structure
  • Tendon formation begins approximately 7 cm proximal to the elbow

2. Origin of Each Head

  • Short head
  • Long head

3. Distal Course and Insertion Pattern

  • The two heads gradually coalesce as they course distally
  • The tendon undergoes an approximate 90° rotation distally
  • Short head
  • Long head

4. Functional Differentiation (Key Point)

  • Short head
  • Long head

5. Lacertus Fibrosus (Bicipital Aponeurosis)

  • Formed by superficial fibers of the distal biceps tendon
  • Fans medially and blends with the pronator teres fascia
  • Contributes to elbow flexion and forearm supination

๐Ÿ”‘ SNS Take-Home Message

  • Short head — medial course, distal insertion, flexion dominant
  • Long head — lateral course, proximal insertion, supination dominant

#DistalBicepsTendon, #BicepsBrachii, #ElbowMRI, #MSKRadiology, #RadialTuberosity, #LacertusFibrosus, #BicipitalAponeurosis, #ForearmSupination, #AntecubitalFossa, #MRIAnatomy, #Vibecase


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