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Biceps Reflex
Biceps reflex is a reflex test that examines the function of the C5 reflex arc and the C6 reflex arc. The test is performed by using a tendon hammer to quickly depress the biceps brachii tendon as it passes through the cubital fossa. Specifically, the test activates the stretch receptors inside the biceps brachii muscle which communicates mainly with the C5 spinal nerve and partially with the C6 spinal nerve to induce a reflex contraction of the biceps muscle and jerk of the forearm. A strong contraction indicates a "brisk" reflex, and a weak or absent reflex is known as "diminished". Brisk or absent reflexes are used as clues to the location of neurological disease. Typically, brisk reflexes are found in lesions of upper motor neurons, and absent or reduced reflexes are found in lower motor neuron lesions. A change in the biceps reflex indicates pathology at the level of musculocutaneous nerve The musculocutaneous nerve arises from the lateral cord of the brachial plexus, op ...
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Tendon Hammer
A reflex hammer is a medical instrument used by practitioners to test deep tendon reflexes. Testing for reflexes is an important part of the neurological physical examination in order to detect abnormalities in the central or peripheral nervous system. Reflex hammers can also be used for chest percussion.Swartz MH. ''Textbook of Physical Diagnosis: History and Examination.'' Third edition. Philadelphia: WB Saunders; 1998 Models of reflex hammer Prior to the development of specialized reflex hammers, hammers specific for percussion of the chest were used to elicit reflexes.Lanska DJ. The history of reflex hammers. ''Neurology''. 1989 Nov;39(11):1542-9. However, this proved to be cumbersome, as the weight of the chest percussion hammer was insufficient to generate an adequate stimulus for a reflex. Starting in the late 19th century, several models of specific reflex hammers were created: *The Taylor or tomahawk reflex hammer was designed by John Madison Taylor in 1888 and ...
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Biceps Brachii Muscle
The biceps or biceps brachii ( la, musculus biceps brachii, "two-headed muscle of the arm") is 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). Structure The biceps is one of three muscles in the anterior compartment of the upper arm, along with the brachialis muscle and the coracobrachialis muscle, with which the biceps shares a nerve supply. The biceps muscle has two heads, the short head and the long head, distinguished according to their origin at the coracoid process and supraglenoid tubercle of the sc ...
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Cubital Fossa
The cubital fossa, chelidon, or elbow pit, is the triangular area on the anterior side of the upper limb between the arm and forearm of a human or other hominid animals. It lies anteriorly to the elbow (Latin ) when in standard anatomical position. Boundaries * superior (proximal) boundary – an imaginary horizontal line connecting the medial epicondyle of the humerus to the lateral epicondyle of the humerus * medial (ulnar) boundary – lateral border of pronator teres muscle originating from the medial epicondyle of the humerus. * lateral (radial) boundary – medial border of brachioradialis muscle originating from the lateral supraepicondylar ridge of the humerus. * apex – it is directed inferiorly, and is formed by the meeting point of the lateral and medial boundaries * superficial boundary (roof) – skin, superficial fascia containing the median cubital vein, the lateral cutaneous nerve of the forearm and the medial cutaneous nerve of the forearm, deep fascia reinforce ...
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Forearm
The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is most often used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus. The forearm contains two long bones, the radius and the ulna, forming the two radioulnar joints. The interosseous membrane connects these bones. Ultimately, the forearm is covered by skin, the anterior surface usually being less hairy than the posterior surface. The forearm contains many muscles, including the flexors and extensors of the wrist, flexors and extensors of the digits, a flexor of the elbow (brachioradialis), and pronators and supinators that turn the hand to face down or upwards, respectively. In cross-section, ...
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Musculocutaneous Nerve
The musculocutaneous nerve arises from the lateral cord of the brachial plexus, opposite the lower border of the pectoralis major, its fibers being derived from C5, C6 and C7. Structure The musculocutaneous nerve arises from the lateral cord of the brachial plexus, courses through the anterior part of the arm, and terminates at 2 cm above elbow as the lateral cutaneous nerve of the forearm. Musculocutaneous nerve arises from the lateral cord of the brachial plexus with root value of C5 to C7 of the spinal cord. It follows the course of the third part of the axillary artery (part of the axillary artery distal to the pectoralis minor) laterally and enters the frontal aspect of the arm where it penetrates the coracobrachialis muscle. It then passes downwards and laterally between the biceps brachii (above) and the brachialis muscles (below), to the lateral side of the arm; at 2 cm above the elbow it pierces the deep fascia lateral to the tendon of the biceps brachii ...
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