Research Article
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Year 2015, Volume: 9 Issue: 2, 94 - 99, 10.09.2015
https://doi.org/10.2399/ana.15.008

Abstract

References

  • Bannister L, Dyson M, Warwick R, Williams P. Gray’s anatomy.
  • th ed. Edinburgh: Churchill Livingstone; 1989.
  • Tallapaneni S, Vemavarapu M, Ismail M, Mohammed M, Uddin
  • A, Mariya ST. Infero-medial humeral head (Caput Accessorium)
  • of biceps brachii. History 2014;7:68–73.
  • Tountas CP, Bergman R. Anatomic variations of the upper
  • extremity. New York: Churchill Livingstone; 1993. p. 286.
  • Sargon MF, Tuncali D, Celik HH. An unusual origin for the
  • accessory head of biceps brachii muscle. Clin Anat 1996;9:160–2.
  • Brasseur JL. The biceps tendons: from the top and from the bottom.
  • J Ultrasound 2012;15:29–38.
  • Bergman R, Thompson S, Afifi A. Catalogue of human variations.
  • Munich: Urban and Schwarzenberg; 1984.
  • Kervancioglu P, Orhan M. An anatomical study on the three-headed
  • biceps brachii in human foetuses, and clinical relevance. Folia
  • Morphol (Warsz) 2011;70:116–20.
  • Le Double A. Traite des variations due systeme musculaire de
  • homme et de leur signification au point de vue de anthropologie
  • zoologique. Paris: Schicicher Freres; 1897.
  • Greig H, Anson B, Budinger J. Variations in the form and attachments
  • of the biceps brachii muscle. Quarterly Bulletin
  • Northwestern University (Evanston, Ill) Medical School 1951;26:
  • –4.
  • Higashi N, Sone C. A case of brachial biceps with bilaterally
  • abnormal bundles of origin and insertion. Okaj Folia Anat Jpn
  • ;64:147–55.
  • Rodriguez-Niedenfuhr M, Vazquez T, Choi D, Parkin I, Sanudo
  • JR. Supernumerary humeral heads of the biceps brachii muscle
  • revisited. Clin Anat 2003:16:197–203.
  • Abu-Hijleh MF. Three-headed biceps brachii muscle associated
  • with duplicated musculocutaneous nerve. Clin Anat 2005;18:376–
  • -
  • Cerda A. Third head of biceps brachii muscle, associated with
  • musculocutaneous and median nerve bilateral communication and
  • with a communicating branch between median nerve roots. Int J
  • Morphol 2014;32:510–4.
  • Cucca YY, McLay SV, Okamoto T, Ecker J, McMenamin PG. The
  • biceps brachii muscle and its distal insertion: observations of surgical
  • and evolutionary relevance. Surg Radiol Anat 2010;32: 371–5.
  • Lee SE, Jung C, Ahn KY, Nam KI. Bilateral asymmetric supernumerary
  • heads of biceps brachii. Anat Cell Biol 2011;44:238–40.
  • Mas N, Pelin C, Zagyapan R, Bahar H. Una rara relación del
  • nervio mediano con la cabeza accesoria del músculo bíceps
  • braquial: Reporte de caso. Int J Morphol 2006;24:561–4.
  • Nakatani T, Tanaka S, Mizukami S. Bilateral four-headed biceps
  • brachii muscles: the median nerve and brachial artery passing
  • through a tunnel formed by a muscle slip from the accessory head.
  • Clin Anat 1998;11:209–12.
  • Poudel PP, Bhattarai C. Study on the supernumerary heads of
  • biceps brachii muscle in Nepalese. Nepal Med Coll J 2009;11:
  • –8.
  • Swieter MG, Carmichael SW. Bilateral three-headed biceps
  • brachii muscles. Anat Anz 1980;148:346–9.
  • Vazquez T, Rodriguez-Niedenfuhr M, Parkin I, Sanudo JR. A rare
  • case of a four-headed biceps brachii muscle with a double piercing
  • by the musculocutaneous nerve. Surg Radiol Anat 2003;25:462–4.
  • Abuel-Makarem SM, Ibrahim AF, Darwish HH. Absence of musculocutaneous
  • nerve associated with a third head of biceps brachii
  • muscle and entrapment of ulnar nerve. Neurosciences (Riyadh)
  • ;12:340–2.
  • Kumar H, Das S, Rath G. An anatomical insight into the third
  • head of biceps brachii muscle. Bratisl Lek Listy 2008;109:76–8.
  • Nayak SR, Krishnamurthy A. An unusual supernumerary head of
  • biceps brachii muscle. Clin Anat 2008;21:788–9.
  • Nayak SR, Krishnamurthy A, Prabhu LV, Jiji PJ, Ramanathan L,
  • Kumar S. Multiple supernumerary muscles of the arm and its clinical
  • significance. Bratisl Lek Listy 2008;109:74–5.
  • Nayak SR, Prabhu LV, Sivanandan R. Third head of biceps
  • brachii: a rare occurrence in the Indian population. Ann Anat
  • ;188:159– 61.
  • Ozan H, Atasever A, Sinav A, Simsek C, Basar R. An unusual insertion
  • of accessory biceps brachii muscle. Kaibogaku Zasshi
  • ;72:515–9.
  • Rai R, Ranade AV, Prabhu LV, Pai MM, Prakash. Third head of
  • biceps brachii in an Indian population. Singapore Med J 2007;48:
  • –31.
  • Singla RK, Gupta R, Sachdeva K. Multiple musculovascular anomalies
  • in the superior extremities of a cadaver: a case report. J Clin
  • Diagn Res 2013;7:342–6.
  • Warner JJ, Paletta GA, Warren RF. Accessory head of the biceps
  • brachii. Case report demonstrating clinical relevance. Clin Orthop
  • Relat Res 1992:179–81.
  • Kopuz C, Sancak B, Ozbenli S. On the incidence of third head of
  • biceps brachii in Turkish neonates and adults. Kaibogaku Zasshi
  • ;74:301–5.
  • Rodriguez-Vazquez JF, Merida-Velasco JR, Jimenez-Collado J.
  • Unusual variation of a third head of the biceps brachii muscle. Ann
  • Anat1999;181:573–5.
  • Asvat R, Candler P, Sarmiento E. High incidence of the third head
  • of biceps brachii in South African populations. J Anat 1993;182:
  • -
  • Nasr AY, Hussein AM. Morphology and clinical implication of the
  • extra-head of biceps brachii muscle. Folia Morphol (Warsz)
  • ;72:349–56.
  • Kosugi K, Shibata S, Yamashita H. Supernumerary head of biceps
  • brachii and branching pattern of the musculocutaneus nerve in
  • Japanese. Surg Radiol Anat 1992;14:175–85.
  • Ozturk NC, Uzmansel D, Ozturk H. An unreported pattern of
  • musculocutaneous and median nerve communication with multiple
  • variations of biceps brachii: a case report. Surg Radiol Anat
  • ;32:887– 90.
  • Ongeti K, Pulei A, Ogeng'o J, Saidi H. Unusual formation of the
  • median nerve associated with the third head of biceps brachii. Clin
  • Anat 2012;25:961–2.
  • Lee JH. Reply: unusual formation of the median nerve associated
  • with the third head of biceps brachii. Clin Anat 2013;26:920.
  • Ekstrom JE, Shuman WP, Mack LA. MR imaging of accessory
  • soleus muscle. J Comput Assist Tomogr 1990;14:239–42.
  • Sonntag CF, editor. On the anatomy, physiology, and pathology of
  • the orang?outan. Proceedings of the Zoological Society of
  • London; 1924.
  • Paraskevas G, Natsis K, Ioannidis O, Papaziogas B, Kitsoulis P,
  • Spanidou S. Accessory muscles in the lower part of the anterior
  • compartment of the arm that may entrap neurovascular elements.
  • Clin Anat 2008;21:246–51.

Unusual origin of three headed biceps brachii muscle

Year 2015, Volume: 9 Issue: 2, 94 - 99, 10.09.2015
https://doi.org/10.2399/ana.15.008

Abstract

The biceps brachii is one of the most variable muscles in the human body in terms of the number of heads contributing to the muscle. The most common origin of these supernumerary heads is along the humeral shaft. We document a previously unreported point of origin for a supernumerary head. Routine dissection of a 10% formalin fixed upper extremity of a 72 year old Caucasian male, revealed a tricipital biceps brachii muscle. The third head took its origin from the deep investing fascia of the brachialis muscle and inserted onto the tendon of the short head of the biceps brachii. We believe this to be a previously unreported point of origin for a supernumerary head of the biceps brachii muscle. Supernumerary heads become clinically important as they can be a source of confusion for surgeons operating in this region and may be mistaken for soft tissue tumors when they are unilateral. An understanding of such variations is important. 

References

  • Bannister L, Dyson M, Warwick R, Williams P. Gray’s anatomy.
  • th ed. Edinburgh: Churchill Livingstone; 1989.
  • Tallapaneni S, Vemavarapu M, Ismail M, Mohammed M, Uddin
  • A, Mariya ST. Infero-medial humeral head (Caput Accessorium)
  • of biceps brachii. History 2014;7:68–73.
  • Tountas CP, Bergman R. Anatomic variations of the upper
  • extremity. New York: Churchill Livingstone; 1993. p. 286.
  • Sargon MF, Tuncali D, Celik HH. An unusual origin for the
  • accessory head of biceps brachii muscle. Clin Anat 1996;9:160–2.
  • Brasseur JL. The biceps tendons: from the top and from the bottom.
  • J Ultrasound 2012;15:29–38.
  • Bergman R, Thompson S, Afifi A. Catalogue of human variations.
  • Munich: Urban and Schwarzenberg; 1984.
  • Kervancioglu P, Orhan M. An anatomical study on the three-headed
  • biceps brachii in human foetuses, and clinical relevance. Folia
  • Morphol (Warsz) 2011;70:116–20.
  • Le Double A. Traite des variations due systeme musculaire de
  • homme et de leur signification au point de vue de anthropologie
  • zoologique. Paris: Schicicher Freres; 1897.
  • Greig H, Anson B, Budinger J. Variations in the form and attachments
  • of the biceps brachii muscle. Quarterly Bulletin
  • Northwestern University (Evanston, Ill) Medical School 1951;26:
  • –4.
  • Higashi N, Sone C. A case of brachial biceps with bilaterally
  • abnormal bundles of origin and insertion. Okaj Folia Anat Jpn
  • ;64:147–55.
  • Rodriguez-Niedenfuhr M, Vazquez T, Choi D, Parkin I, Sanudo
  • JR. Supernumerary humeral heads of the biceps brachii muscle
  • revisited. Clin Anat 2003:16:197–203.
  • Abu-Hijleh MF. Three-headed biceps brachii muscle associated
  • with duplicated musculocutaneous nerve. Clin Anat 2005;18:376–
  • -
  • Cerda A. Third head of biceps brachii muscle, associated with
  • musculocutaneous and median nerve bilateral communication and
  • with a communicating branch between median nerve roots. Int J
  • Morphol 2014;32:510–4.
  • Cucca YY, McLay SV, Okamoto T, Ecker J, McMenamin PG. The
  • biceps brachii muscle and its distal insertion: observations of surgical
  • and evolutionary relevance. Surg Radiol Anat 2010;32: 371–5.
  • Lee SE, Jung C, Ahn KY, Nam KI. Bilateral asymmetric supernumerary
  • heads of biceps brachii. Anat Cell Biol 2011;44:238–40.
  • Mas N, Pelin C, Zagyapan R, Bahar H. Una rara relación del
  • nervio mediano con la cabeza accesoria del músculo bíceps
  • braquial: Reporte de caso. Int J Morphol 2006;24:561–4.
  • Nakatani T, Tanaka S, Mizukami S. Bilateral four-headed biceps
  • brachii muscles: the median nerve and brachial artery passing
  • through a tunnel formed by a muscle slip from the accessory head.
  • Clin Anat 1998;11:209–12.
  • Poudel PP, Bhattarai C. Study on the supernumerary heads of
  • biceps brachii muscle in Nepalese. Nepal Med Coll J 2009;11:
  • –8.
  • Swieter MG, Carmichael SW. Bilateral three-headed biceps
  • brachii muscles. Anat Anz 1980;148:346–9.
  • Vazquez T, Rodriguez-Niedenfuhr M, Parkin I, Sanudo JR. A rare
  • case of a four-headed biceps brachii muscle with a double piercing
  • by the musculocutaneous nerve. Surg Radiol Anat 2003;25:462–4.
  • Abuel-Makarem SM, Ibrahim AF, Darwish HH. Absence of musculocutaneous
  • nerve associated with a third head of biceps brachii
  • muscle and entrapment of ulnar nerve. Neurosciences (Riyadh)
  • ;12:340–2.
  • Kumar H, Das S, Rath G. An anatomical insight into the third
  • head of biceps brachii muscle. Bratisl Lek Listy 2008;109:76–8.
  • Nayak SR, Krishnamurthy A. An unusual supernumerary head of
  • biceps brachii muscle. Clin Anat 2008;21:788–9.
  • Nayak SR, Krishnamurthy A, Prabhu LV, Jiji PJ, Ramanathan L,
  • Kumar S. Multiple supernumerary muscles of the arm and its clinical
  • significance. Bratisl Lek Listy 2008;109:74–5.
  • Nayak SR, Prabhu LV, Sivanandan R. Third head of biceps
  • brachii: a rare occurrence in the Indian population. Ann Anat
  • ;188:159– 61.
  • Ozan H, Atasever A, Sinav A, Simsek C, Basar R. An unusual insertion
  • of accessory biceps brachii muscle. Kaibogaku Zasshi
  • ;72:515–9.
  • Rai R, Ranade AV, Prabhu LV, Pai MM, Prakash. Third head of
  • biceps brachii in an Indian population. Singapore Med J 2007;48:
  • –31.
  • Singla RK, Gupta R, Sachdeva K. Multiple musculovascular anomalies
  • in the superior extremities of a cadaver: a case report. J Clin
  • Diagn Res 2013;7:342–6.
  • Warner JJ, Paletta GA, Warren RF. Accessory head of the biceps
  • brachii. Case report demonstrating clinical relevance. Clin Orthop
  • Relat Res 1992:179–81.
  • Kopuz C, Sancak B, Ozbenli S. On the incidence of third head of
  • biceps brachii in Turkish neonates and adults. Kaibogaku Zasshi
  • ;74:301–5.
  • Rodriguez-Vazquez JF, Merida-Velasco JR, Jimenez-Collado J.
  • Unusual variation of a third head of the biceps brachii muscle. Ann
  • Anat1999;181:573–5.
  • Asvat R, Candler P, Sarmiento E. High incidence of the third head
  • of biceps brachii in South African populations. J Anat 1993;182:
  • -
  • Nasr AY, Hussein AM. Morphology and clinical implication of the
  • extra-head of biceps brachii muscle. Folia Morphol (Warsz)
  • ;72:349–56.
  • Kosugi K, Shibata S, Yamashita H. Supernumerary head of biceps
  • brachii and branching pattern of the musculocutaneus nerve in
  • Japanese. Surg Radiol Anat 1992;14:175–85.
  • Ozturk NC, Uzmansel D, Ozturk H. An unreported pattern of
  • musculocutaneous and median nerve communication with multiple
  • variations of biceps brachii: a case report. Surg Radiol Anat
  • ;32:887– 90.
  • Ongeti K, Pulei A, Ogeng'o J, Saidi H. Unusual formation of the
  • median nerve associated with the third head of biceps brachii. Clin
  • Anat 2012;25:961–2.
  • Lee JH. Reply: unusual formation of the median nerve associated
  • with the third head of biceps brachii. Clin Anat 2013;26:920.
  • Ekstrom JE, Shuman WP, Mack LA. MR imaging of accessory
  • soleus muscle. J Comput Assist Tomogr 1990;14:239–42.
  • Sonntag CF, editor. On the anatomy, physiology, and pathology of
  • the orang?outan. Proceedings of the Zoological Society of
  • London; 1924.
  • Paraskevas G, Natsis K, Ioannidis O, Papaziogas B, Kitsoulis P,
  • Spanidou S. Accessory muscles in the lower part of the anterior
  • compartment of the arm that may entrap neurovascular elements.
  • Clin Anat 2008;21:246–51.
There are 115 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Danielle Reilly This is me

Srinath Kamineni This is me

Publication Date September 10, 2015
Published in Issue Year 2015 Volume: 9 Issue: 2

Cite

APA Reilly, D., & Kamineni, S. (2015). Unusual origin of three headed biceps brachii muscle. Anatomy, 9(2), 94-99. https://doi.org/10.2399/ana.15.008
AMA Reilly D, Kamineni S. Unusual origin of three headed biceps brachii muscle. Anatomy. September 2015;9(2):94-99. doi:10.2399/ana.15.008
Chicago Reilly, Danielle, and Srinath Kamineni. “Unusual Origin of Three Headed Biceps Brachii Muscle”. Anatomy 9, no. 2 (September 2015): 94-99. https://doi.org/10.2399/ana.15.008.
EndNote Reilly D, Kamineni S (September 1, 2015) Unusual origin of three headed biceps brachii muscle. Anatomy 9 2 94–99.
IEEE D. Reilly and S. Kamineni, “Unusual origin of three headed biceps brachii muscle”, Anatomy, vol. 9, no. 2, pp. 94–99, 2015, doi: 10.2399/ana.15.008.
ISNAD Reilly, Danielle - Kamineni, Srinath. “Unusual Origin of Three Headed Biceps Brachii Muscle”. Anatomy 9/2 (September 2015), 94-99. https://doi.org/10.2399/ana.15.008.
JAMA Reilly D, Kamineni S. Unusual origin of three headed biceps brachii muscle. Anatomy. 2015;9:94–99.
MLA Reilly, Danielle and Srinath Kamineni. “Unusual Origin of Three Headed Biceps Brachii Muscle”. Anatomy, vol. 9, no. 2, 2015, pp. 94-99, doi:10.2399/ana.15.008.
Vancouver Reilly D, Kamineni S. Unusual origin of three headed biceps brachii muscle. Anatomy. 2015;9(2):94-9.

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