Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 4 | Page No. 1466-1470
Date of Publication: 31-10-2015
INCIDENCE OF THIRD HEAD OF BICEPS BRACHII IN INDIAN POPULATION
Subhalakshmi Wahengbam *1, Renuca Karam 2, Kalpana Thounaojam 3, Elizabeth Remei 4.
*1 Associate Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences(JNIMS), Imphal, Manipur, India.
2 Assistant Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences(JNIMS), Imphal, Manipur, India.
3 Associate Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India.
4 Demonstrator, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India.
Address: Dr. Subhalakshmi Wahengbam, Associate Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal-795005, Manipur, India. Mobile no.: (91)8731086918
Background: The biceps brachii is one of the muscles of the anterior compartment of the upper arm. It is characteristically described as a two-headed muscle that originates proximally by a long head and a short head. The present study was carried out to find the occurrence of a third head of biceps brachii among a sample Indian population.
Materials and Methods: The arms of 35 adult cadavers were dissected and observed for variations in the origin and insertion of biceps brachii muscle bilaterally.
Results: Among the 70 arms studied, three had 3-headed biceps brachii, 2 on the left and 1 on the right side. All the third heads were of humeral origin, which inserted into the radial tuberosity by a common tendon with the long and short heads.
Conclusion: Knowledge of the existence of the third head of biceps brachii may enhance pre-operative evaluation, facilitate surgical intervention within the arm and improve postoperative outcomes.
KEY WORDS: Biceps brachii, Scapula, Humerus, Radial tuberosity, Coracobrachialis.
- Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. In upper arm 40th edition, Edinburg: Churchill Livingstone (Elsevier);2008:823-830.
- Testut L. En:Tratado, de Anatomia Humana.1st edition. Salvat, Barcelona;1902:1022.
- Rincon F, Rodriguez IZ, Sanchez A, Leon A, Gonzalez LF. The anatomic characteristics of the third head of biceps brachii muscle in Colombian population. Rev Chis Anat 2002;20:197-200.
- Kopuz C, Sancak B, Ozbenli S. On the incidence of third head of biceps brachii in Turkish neonates and adults. Kaibogaku Zasshi 1999;74:301-305.
- Asvat R, Candler P, Sarmiento EE. High incidence of the third head of biceps brachii in South African populations. J Anat 1993;182:101-104.
- Kosugi K, Shibata S, Yamashita H. Supernumerary head of biceps brachii and branching pattern of the musculocutaneous nerve in Japanese. Surg Radiol Anat 1992;14(2):175-185.
- Kervancioglu P, Orhan M. An anatomical study on the three-headed biceps brachii in human foetuses, and clinical relevance.Folia Morphol 2011;70:116-120.
- Bergman RA, Thompson SA, Afifi AK. Catalogue of Human Variation, Munich: Urban and Schwarzenberg;1984: 27-30.
- Grieg HW, Anson BJ, Budinger JM. Variations in the form and attachment of the biceps brachii muscle. Quarterly Bulletin, Northwestern University Medical School 1952;26:241-244.
- Ashraf YN, Adel MH. Morphology and clinical implication of the extra-head of biceps brachii muscle. Folia Morphol 2013;72(4):349-356
- Rai R, Ranade AV, Prabhu LV, Pai MM, Prakash. Third head of biceps brachii in an Indian population.Singapore Med J 2007;48(10):929-931.
- Sargon MF, Tuncali D, Celik HH. An unusual origin for the accessory head of biceps brachii muscle. Clin Anat 1996;9:160-162.
- Cheema P, Singla R. Lower incidence of the third head of biceps brachii in North Indian Population. J Clin Diagnostic Res 2011;5(Suppl.2):1323-1326.
- Amar J, Elezy MN. Study of variations in the origin of biceps brachii muscle in Kerala. Int J Sci Res 2012;2:1-4.
- Sandeep VP, Borole BS, Mahajan AA. A study on the accessory head of biceps brachii in Indians which was done during cadaver dissections. J Clin Diagnostic Res 2012;6(suppl.):1137-1139.
- Sweiter MG, Carmichael SW. Bilateral three headed biceps brachii muscles. Anatomische Anzeiger 1980;148:346-349.
- Ozan H, Atsev A, Sianau, A, Simsek, C, Basar R. An unusual insertion of the accessory biceps brachii muscle. Am Anat Nippon 1997;72:515-519.
- Mas N, Pelin C, Zagyapan R, Barhar H. Unusual relation of the median nerve with the accessory head of the biceps brachii muscle: an original case report.Int J Morphol 2006;24(4):561-564.
- Fogg QA, Hess BR, Rodgers KG, Ashwood N. Distal biceps brachii tendon anatomy revisited from a surgical perspective.Clin Anat. 2009;22:346-349.
- 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 2007;109:74-76.
- Wood J. Tables of primate head, neck, pectoral and upper limb muscles, anatomy and phylogeny of primate muscles and human evolution comparative. J Anat Physiol 2012;1:44-59.
- Nayak SR, Ashwin K, Madhan KSJ, Latha VP, Vasudha S, Merin MT. Four-headed biceps and triceps brachii muscles with neurovascular variation. Anat Sci Intl 2008;83:107-111.
Subhalakshmi Wahengbam, Renuca Karam, Kalpana Thounaojam, Elizabeth Remei. INCIDENCE OF THIRD HEAD OF BICEPS BRACHII IN INDIAN POPULATION. Int J Anat Res 2015;3(4):1466-1470. DOI: 10.16965/ijar.2015.265