Coracobrachialis muscle
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The coracobrachialis muscle is the smallest of the three muscles that attach to the
coracoid process The coracoid process (from Greek κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula (hence: coracoid, or "like a raven's beak"). Pointing laterally forward, it, together with t ...
of the
scapula The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eith ...
. (The other two muscles are pectoralis minor and the short head of the
biceps brachii 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 ...
.) It is situated at the upper and medial part of the arm.


Structure

Coracobrachialis muscle arises from the apex of the
coracoid process The coracoid process (from Greek κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula (hence: coracoid, or "like a raven's beak"). Pointing laterally forward, it, together with t ...
, in common with the short head of the
biceps brachii 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 ...
, and from the intermuscular septum between the two muscles. It is inserted by means of a flat tendon into an impression at the middle of the medial surface and border of the body of the humerus (shaft of the humerus) between the origins of the
triceps brachii 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. It is the muscle principally respon ...
and
brachialis The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow ...
.


Innervation

Coracobrachialis muscle is perforated by and innervated by the musculocutaneous nerve, which arises from the anterior division of the upper trunk ( C5, C6) and middle trunk ( C7) of the
brachial plexus The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in t ...
.


Development


Variation


Function

The action of the coracobrachialis is to flex and adduct the arm at the
glenohumeral joint The shoulder joint (or glenohumeral joint from Greek ''glene'', eyeball, + -''oid'', 'form of', + Latin ''humerus'', shoulder) is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial joint ...
(shoulder joint). Also, the coracobrachialis resists deviation of the arm from the frontal plane during abduction. Therefore, the contraction of the coracobrachialis leads to two distinct movements at the shoulder joint. It both draws the humerus forward, causing flexion of the arm, and draws the humerus toward the torso, causing adduction of the arm. To a smaller extent, it also turns the humerus inwards, causing internal rotation."Coracobrachialis Muscle." Anatomy, Function and Pathology. KenHub. Another important function of the coracobrachialis is the stabilization of the humeral head within the shoulder joint, especially when the arm is hanging freely at a person's side.


Clinical significance

The overuse of the coracobrachialis can lead to stiffening of the muscle. Common causes of injury include chest workouts or activities that require one to press the arm very tight towards the body, e.g. work on the rings in gymnastics. Symptoms of overuse or injury are pain in the arm and shoulder, radiating down to the back of the hand. In more severe cases, the musculocutaneous nerve can get trapped, causing disturbances in sensation to the skin on the radial part of the
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 ...
and weakened
flexion Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relativ ...
of the elbow, as the nerve also supplies the
biceps brachii 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 ...
and
brachialis The brachialis (brachialis anticus), also known as the Teichmann muscle, is a muscle in the upper arm that flexes the elbow. It lies deeper than the biceps brachii, and makes up part of the floor of the region known as the cubital fossa (elbow ...
muscles. Actual rupture to the coracobrachialis muscle is extremely rare. Very few case reports exist in the literature, and it is reported to be caused by direct trauma to the contracted muscle. Avulsion of the muscle's origin from the coracoid as a result of indirect forces is even more unusual.Iannotti, Joseph P. and Gerald R. Williams. ''Disorders of the Shoulder: Diagnosis & Management, Volume 1'' Philadelphia: Lippincott Williams and Wilkins, 2007. 271–73. Print.


References

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Additional images

File:Coracobrachialis muscle - animation01.gif, Position of coracobrachialis muscle (shown in red). Animation. File:Coracobrachialis muscle - animation05.gif, Close up. Seen from below.
Rib In vertebrate anatomy, ribs ( la, costae) are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the chest, enabling the lungs to expand and thus facilitate breathing by expanding the ches ...
s are not shown. File:Coracobrachialis muscle07.png, Still image. Lateral view. File:Gray1231.png, Front of right upper extremity. (Coracobrachialis labeled at right, fourth from the bottom.) File:Slide7n.JPG, Coracobrachialis muscle (shown in green text) File:Slide5B.JPG, Coracobrachialis muscle (shown in green text). Horizontal section of arm. File:Slide1HHH.JPG, Coracobrachialis muscle (shown in green text) File:Slide1JJJ.JPG, Coracobrachialis muscle (shown in green text) File:Slide3OOO.JPG, Coracobrachialis muscle (shown in green text)


External links


PTCentral
{{Authority control Muscles of the upper limb