Blast Your Biceps
THE BICEPS FEMORIS MUSCLE The biceps femoris muscle arises as two heads. A long round head arises from the ischial tuberosity as a tendon which is shared with the semitendinous muscle. A short head arises from the outside edged of the linea aspera, about one third of the way down the posterior shaft of the femur. The fibers of the short head feed into those of the long head, which descends and ends in an aponeurosis and tendon. The tendon passes over the lateral condyle of the femur, crosses the joint to insert on the head of the fibula. This muscle arises from the ischial tuberosity of the pelvis as a tendon shared with the biceps femoris and descends as a long round muscle on the medial side of the femur. It becomes a round tendon around the middle of the thigh and descends to curl behind the medial condyle of the femur and to insert on the upper shaft of the tibia.
A technique for maximizing biceps recovery in brachial plexus reconstruction. J Hand Surg Am 1993 18 726-33. 35 Franciosi LF, Modestti C, Mueller SF. Neurotiza-tion ofthe biceps muscle by end-to-side neurorraphy between ulnar and musculocutaneous nerves. A series of five cases. Chir Main 1998 17 262-7. 36 Leechavengvongs S, WitoonchartK, UerpairojkitC, et al. Nerve transfer to biceps muscle using a part of the ulnar nerve in brachial plexus injury (upper arm type) a report of 32 cases. J Hand Surg 1998 23(A) 711-6. 37 Oberlin C, Beal D, Leechavengvongs S, et al. Nerve transfer to biceps muscle using part of ulnar nerve for C5-C6 avulsion of the brachial plexus anatomical study and report of four cases. J Hand Surg 1994 19(A) 232-7. 38 Sungpet A, Suphachatwong C, Kawinwonggowit V. One-fascicle median nerve transfer to biceps muscle in C5 and C6 root avulsions of brachial plexus injury. Microsurgery 2003 23 10-3.
The nerve emerges from the greater sciatic foramen distal to piriformis and under cover of gluteus maximus, crosses the posterior surface of the ischium, crosses obturator internus, with its gemelli, quadratus femoris and descends on adductor magnus (Figs 183, 184). Here it lies deep to the hamstrings and is crossed only by the long head of biceps. Branch from lateral aspect of sciatic nerve to biceps short head Biceps femoris
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