[Anatomical study of the distal tendon of the brachial biceps muscle. Application to biceps-triceps transfer in tetraplegic patients].
In some cases of biceps-to-triceps transfer the muscle fibres of the biceps are inserted very distally, preventing correct setting of the transfer. A knowledge of the anatomy of the intramuscular part of the distal tendon of the biceps is useful to lengthen this tendon proximally. A study of 40 specimens showed that the intramuscular part of the distal tendon of the biceps is a large flattened lozenge-shaped aponeurosis located in a frontal plane. It receives muscle fibre insertions on both aspects. The length of the invisible part of the tendon can be estimated by a simple formula: 0.55 a + 4 cm, where "a" represents the length of the tendon between the most proximal tendinous point visible, and the most distal muscle point visible.
Bottero
L
L
Service de Chirurgie Plastique Reconstructrice et Esthétique, Hôpitaux de Paris, France.
Revol
M
M
Servant
J M
JM
D002102:Cadaver; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D018482:Muscle, Skeletal / Q000033:anatomy & histology*; D011782:Quadriplegia / Q000601:surgery*; D013709:Tendon Transfer; D013710:Tendons / Q000033:anatomy & histology*