Triceps

Last updated
Triceps
Triceps brachii.png
Triceps brachii seen from behind.
Triceps brachii muscle06.png
Triceps brachii seen from behind. Three different colors represent three different bundles which compose triceps.
  Long head.
  Lateral head.
  Medial head.
Details
Origin Long head: infraglenoid tubercle of scapula
Lateral head: above the radial groove
Medial head: below the radial groove
Insertion Olecranon process of ulna
Artery Deep brachial artery, posterior circumflex humeral artery (long head only)
Nerve Radial nerve
Actions Extends forearm, long head extends, adducts arm, extends shoulder
Antagonist Biceps brachii muscle
Identifiers
Latin musculus triceps brachii
TA98 A04.6.02.019
TA2 2471
FMA 37688
Anatomical terms of muscle

The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates. It consists of 3 parts: the medial, lateral, and long head. [1] It is the muscle principally responsible for extension of the elbow joint (straightening of the arm).

Contents

Structure

The long head arises from the infraglenoid tubercle of the scapula. It extends distally anterior to the teres minor and posterior to the teres major. [2]

Horizontal section of upper arm. Triceps muscle shown in green text Slide9B.JPG
Horizontal section of upper arm. Triceps muscle shown in green text

The medial head arises proximally in the humerus, just inferior to the groove of the radial nerve; from the dorsal (back) surface of the humerus; from the medial intermuscular septum; and its distal part also arises from the lateral intermuscular septum. The medial head is mostly covered by the lateral and long heads, and is only visible distally on the humerus. [2]

The lateral head arises from the dorsal surface of the humerus, lateral and proximal to the groove of the radial nerve, from the greater tubercle down to the region of the lateral intermuscular septum. [2]

Each of the three fascicles has its own motorneuron subnucleus in the motor column in the spinal cord. The medial head is formed predominantly by small type I fibers and motor units, the lateral head of large type IIb fibers and motor units and the long head of a mixture of fiber types and motor units. [3] [4] It has been suggested that each fascicle "may be considered an independent muscle with specific functional roles." [3]

The fibers converge to a single tendon to insert onto the olecranon process of the ulna (though some research indicates that there may be more than one tendon) [5] and to the posterior wall of the capsule of the elbow joint where bursae (cushion sacks) are often found. Parts of the common tendon radiates into the fascia of the forearm and can almost cover the anconeus muscle. [2]

Innervation

All three heads of the triceps brachii are classically believed to be innervated by the radial nerve. [6] However, more recent studies observed that in around 14% of individuals the long head of the triceps brachii was innervated by the axillary nerve, and in 3% it received dual innervation from both the radial nerve and axillary nerve. [7] [8]

Variation

A tendinous arch is frequently the origin of the long head and the tendon of latissimus dorsi. In rare cases, the long head can originate from the lateral margin of the scapula and from the capsule of the shoulder joint. [2]

Function

The triceps is an extensor muscle of the elbow joint and an antagonist of the biceps and brachialis muscles. It can also fixate the elbow joint when the forearm and hand are used for fine movements, e.g., when writing. It has been suggested that the long head fascicle is employed when sustained force generation is demanded, or when there is a need for a synergistic control of the shoulder and elbow or both. The lateral head is used for movements requiring occasional high-intensity force, while the medial fascicle enables more precise, low-force movements. [3]

With its origin on the scapula, the long head also acts on the shoulder joint and is also involved in retroversion and adduction of the arm. It helps stabilise the shoulder joint at the top of the humerus. [2]

Training

The triceps can be worked through either isolation or compound elbow extension movements and can contract statically to keep the arm straightened against resistance.

Isolation movements include cable push-downs, lying triceps extensions and arm extensions behind the back. Examples of compound elbow extension include pressing movements like the push up, bench press, close grip bench press (flat, incline or decline), military press and dips. A closer grip targets the triceps more than wider grip movements.

Static contraction movements include pullovers, straight-arm pulldowns and bent-over lateral raises, which are also used to build the deltoids and latissimus dorsi.

Ruptures of the triceps muscle are rare, and typically only occur in anabolic steroid users. [9]

Clinical significance

The triceps reflex, elicited by hitting the triceps, is often used to test the function of the nerves of the arm. This tests spinal nerves C6 and C7, predominantly C7. [10]

History

Etymology

It is sometimes called a three-headed muscle (Latin literally three-headed, tri - three, and ceps, from caput - head), because there are three bundles of muscles, each of different origins, joining at the elbow. Though a similarly named muscle, the triceps surae, is found on the lower leg, the triceps brachii is commonly called the triceps.

Historically, the plural form of triceps was tricipites, a form not in general use today; instead, triceps is both singular and plural (i.e., when referring to both arms).

Other animals

In the horse, 84%, 15%, and 3% of the total triceps muscle weight correspond to the long, lateral and medial heads, respectively. [11]

Many mammals, such as dogs, cattle, and pigs, have a fourth head, the accessory head. It lies between the lateral and medial heads. [3] In humans, the anconeus is sometimes loosely called "the fourth head of the triceps brachii".

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Arm</span> Proximal part of the free upper limb between the shoulder and the elbow

In human anatomy, the arm refers to the upper limb in common usage, although academically the term specifically means the upper arm between the glenohumeral joint and the elbow joint. The distal part of the upper limb between the elbow and the radiocarpal joint is known as the forearm or "lower" arm, and the extremity beyond the wrist is the hand.

<span class="mw-page-title-main">Humerus</span> Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

<span class="mw-page-title-main">Biceps</span> Muscle on the front of the upper arm

The biceps or biceps brachii are a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join to form a single muscle belly which is attached to the upper forearm. While the biceps crosses both the shoulder and elbow joints, its main function is at the elbow where it flexes the forearm and supinates the forearm. Both these movements are used when opening a bottle with a corkscrew: first biceps screws in the cork (supination), then it pulls the cork out (flexion).

<span class="mw-page-title-main">Brachioradialis</span> Muscle of the upper limb

The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. It is also capable of both pronation and supination, depending on the position of the forearm. It is attached to the distal styloid process of the radius by way of the brachioradialis tendon, and to the lateral supracondylar ridge of the humerus.

<span class="mw-page-title-main">Radial nerve</span> Nerve in the human body that supplies the posterior portion of the upper limb

The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.

<span class="mw-page-title-main">Brachialis muscle</span> Flexor muscle in the upper arm

The brachialis is a muscle in the upper arm that flexes the elbow. It lies beneath the biceps brachii, and makes up part of the floor of the region known as the cubital fossa. It originates from the anterior aspect of the distal humerus; it inserts onto the tuberosity of the ulna. It is innervated by the musculocutaneous nerve, and commonly also receives additional innervation from the radial nerve. The brachialis is the prime mover of elbow flexion generating about 50% more power than the biceps.

<span class="mw-page-title-main">Deltoid muscle</span> Shoulder muscle

The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up of three distinct sets of muscle fibers, namely the

  1. anterior or clavicular part
  2. posterior or scapular part
  3. intermediate or acromial part
<span class="mw-page-title-main">Upper limb</span> Consists of the arm, forearm, and hand

The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.

<span class="mw-page-title-main">Musculocutaneous nerve</span> Nerve in the arm

The musculocutaneous nerve is a mixed branch of the lateral cord of the brachial plexus derived from cervical spinal nerves C5-C7. It arises opposite the lower border of the pectoralis major. It provides motor innervation to the muscles of the anterior compartment of the arm: the coracobrachialis, biceps brachii, and brachialis. It provides sensory innervation to the lateral forearm. It courses through the anterior part of the arm, terminating 2 cm above elbow; after passing the lateral edge of the tendon of biceps brachii it is becomes known as the lateral cutaneous nerve of the forearm.

<span class="mw-page-title-main">Subscapularis muscle</span> Large triangle muscle of the shoulder

The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint.

<span class="mw-page-title-main">Teres major muscle</span> Muscle of the upper limb

The teres major muscle is a muscle of the upper limb. It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle.

<span class="mw-page-title-main">Coracobrachialis muscle</span> Muscle of the upper arm

The coracobrachialis muscle is a muscle in the upper medial part of the arm. It is located within the anterior compartment of the arm. It originates from the coracoid process of the scapula; it inserts onto the middle of the medial aspect of the body of the humerus. It is innervated by the musculocutaneous nerve. It acts to adduct and flex the arm.

The pronator teres is a muscle that, along with the pronator quadratus, serves to pronate the forearm. It has two origins, at the medial humeral supracondylar ridge and the ulnar tuberosity, and inserts near the middle of the radius.

<span class="mw-page-title-main">Supinator muscle</span> Muscle of the forearm in humans

In human anatomy, the supinator is a broad muscle in the posterior compartment of the forearm, curved around the upper third of the radius. Its function is to supinate the forearm.

<span class="mw-page-title-main">Deep artery of arm</span> Deep arterial system of the arm

The deep artery of arm is a large artery of the arm which arises from the brachial artery. It descends in the arm before ending by anastomosing with the radial recurrent artery.

The brachial fascia is continuous with that covering the deltoideus and the pectoralis major muscle, by means of which it is attached, above, to the clavicle, acromion, and spine of the scapula; it forms a thin, loose, membranous sheath for the muscles of the arm, and sends septa between them; it is composed of fibers disposed in a circular or spiral direction, and connected together by vertical and oblique fibers.

<span class="mw-page-title-main">Fascial compartments of arm</span> Anatomical compartments

The fascial compartments of arm refers to the specific anatomical term of the compartments within the upper segment of the upper limb of the body. The upper limb is divided into two segments, the arm and the forearm. Each of these segments is further divided into two compartments which are formed by deep fascia – tough connective tissue septa (walls). Each compartment encloses specific muscles and nerves.

<span class="mw-page-title-main">Elbow</span> Joint between the upper and lower parts of the arm

The elbow is the region between the upper arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa, and the lateral and the medial epicondyles of the humerus. The elbow joint is a hinge joint between the arm and the forearm; more specifically between the humerus in the upper arm and the radius and ulna in the forearm which allows the forearm and hand to be moved towards and away from the body. The term elbow is specifically used for humans and other primates, and in other vertebrates it is not used. In those cases, forelimb plus joint is used.

<span class="mw-page-title-main">Stay apparatus</span>

The stay apparatus is an arrangement of muscles, tendons and ligaments that work together so that an animal can remain standing with virtually no muscular effort. It is best known as the mechanism by which horses can enter a light sleep while still standing up. The effect is that an animal can distribute its weight on three limbs while resting a fourth in a flexed, non-weight bearing position. The animal can periodically shift its weight to rest a different leg and thus all limbs are able to be individually rested, reducing overall wear and tear. The relatively slim legs of certain large mammals such as horses and cows would be subject to dangerous levels of fatigue if not for the stay apparatus.

References

  1. Casadei, Kyle; Kiel, John; Freidl, Michael (2020). "Triceps Tendon Injuries". Current Sports Medicine Reports. 19 (9): 367–372. doi: 10.1249/JSR.0000000000000749 . PMID   32925376. S2CID   221567814.
  2. 1 2 3 4 5 6 Platzer W (2004). Color Atlas of Human Anatomy, Vol. 1: Locomotor System (5th ed.). Thieme. ISBN   3-13-533305-1.
  3. 1 2 3 4 Lucas-Osma AM, Collazos-Castro JE (September 2009). "Compartmentalization in the triceps brachii motoneuron nucleus and its relation to muscle architecture". The Journal of Comparative Neurology. 516 (3): 226–39. doi:10.1002/cne.22123. PMID   19598170. S2CID   25918513.
  4. See the article "Skeletal striated muscle" for a discussion of type I and type II muscle fibers.
  5. Madsen M, Marx RG, Millett PJ, Rodeo SA, Sperling JW, Warren RF (November 2006). "Surgical anatomy of the triceps brachii tendon: anatomical study and clinical correlation". The American Journal of Sports Medicine. 34 (11): 1839–43. doi:10.1177/0363546506288752. PMID   16735585. S2CID   11671310.
  6. Bekler H, Wolfe VM, Rosenwasser MP (January 2009). "A cadaveric study of ulnar nerve innervation of the medial head of triceps brachii". Clinical Orthopaedics and Related Research. 467 (1): 235–8. doi:10.1007/s11999-008-0535-6. PMC   2600974 . PMID   18850256.
  7. Wade, Michael D.; McDowell, Arthur R.; Ziermann, Janine M. (2018). "Innervation of the Long Head of the Triceps Brachii in Humans-A Fresh Look: INNERVATION OF THE LONG HEAD OF THE TRICEPS BRACHII". The Anatomical Record. 301 (3): 473–483. doi: 10.1002/ar.23741 . PMID   29418118. S2CID   3676096.
  8. Erhardt, Alexandra J.; Futterman, Bennett (2017-01-01). "Variations in the Innervation of the Long Head of the Triceps Brachii: A Cadaveric Investigation". Clinical Orthopaedics and Related Research. 475 (1): 247–250. doi:10.1007/s11999-016-5146-z. ISSN   1528-1132. PMC   5174069 . PMID   27830483.
  9. Keener JD, Sethi PM (November 2015). "Distal Triceps Tendon Injuries". Hand Clinics. 31 (4): 641–50. doi:10.1016/j.hcl.2015.06.010. PMID   26498552.
  10. "The Precise Neurological Exam: Deep Tendon Reflexes". New York University School of Medicine.
  11. Watson JC, Wilson AM (January 2007). "Muscle architecture of biceps brachii, triceps brachii and supraspinatus in the horse". Journal of Anatomy. 210 (1): 32–40. doi:10.1111/j.1469-7580.2006.00669.x. PMC   2100266 . PMID   17229281.