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Related Concept Videos

Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
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The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
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Related Experiment Video

Updated: May 6, 2026

Modified Long Head of Biceps Tendon Rerouting and Fixation as Partial Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
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A Modified Surgical Approach to the Distal Humerus: The Triceps Bundle Technique.

Iain A Rankin1, James Dixon1, Joaquim Goffin1

  • 1Department of Orthopaedics, Aberdeen Royal Infirmary, Aberdeen, Scotland, United Kingdom.

Strategies in Trauma and Limb Reconstruction
|October 3, 2024
PubMed
Summary

This study presents a modified surgical approach to the distal humerus using the triceps bundle technique. This method enhances visualization and access for complex fracture fixation and elbow replacement surgeries.

Keywords:
Distal humerusFractureSurgical approachTrauma

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Area of Science:

  • Orthopedic Surgery
  • Surgical Techniques
  • Upper Extremity Reconstruction

Background:

  • Traditional surgical approaches to the distal humerus can have limitations in visualization.
  • Fractures and the need for total elbow replacement necessitate optimal surgical access.

Purpose of the Study:

  • To describe a modified fascial tongue surgical approach to the distal humerus.
  • To enhance visualization and access using the radial and ulnar triceps bundles.

Main Methods:

  • Modification of the traditional fascial tongue approach.
  • Reflection and utilization of radial and ulnar triceps bundles.
  • Surgical technique illustrated with intra-operative photographs.

Main Results:

  • The triceps bundle technique provides complete visualization of the distal humerus.
  • This extensile approach allows access to the entirety of the distal humerus.
  • Excellent visualization is provided to the operating surgeon.

Conclusions:

  • The modified triceps bundle technique improves access and visualization compared to the standard fascial tongue approach.
  • This method offers an alternative to olecranon osteotomy, avoiding associated complications.
  • The technique is suitable for open reduction internal fixation of distal humerus fractures and total elbow replacement.