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From Musculoskeletal System
Brachioradialis
Muscle responsible for forearm flexion.
1. Overview
The brachioradialis is a superficial muscle of the lateral forearm that plays a key role in elbow flexion. Although it anatomically belongs to the posterior (extensor) compartment of the forearm, it acts functionally as a flexor. It is most active when the forearm is in a mid-pronated (neutral) position, such as during a handshake or when lifting with a hammer grip. The brachioradialis is also useful in clinical assessments of the radial nerve through the brachioradialis reflex.
2. Location
The brachioradialis is located in the lateral aspect of the forearm, stretching from the arm to the distal forearm:
Origin: Lateral supracondylar ridge of the humerus, just above the lateral epicondyle.
Insertion: Lateral surface of the distal radius, near the styloid process.
It lies superficially and forms the lateral border of the cubital fossa, visible and palpable when the elbow is flexed against resistance.
3. Structure
The brachioradialis has the following structural features:
Muscle type: Fusiform (spindle-shaped), with a long belly and narrow distal tendon.
Innervation: Radial nerve (C5–C6), despite its role as a flexor (most flexors are innervated by the musculocutaneous nerve).
Vascular supply: Receives blood from the radial recurrent artery.
It does not cross the wrist joint and thus does not contribute to wrist movement.
4. Function
The brachioradialis performs the following functions:
Primary action: Flexes the elbow, especially when the forearm is in a neutral (midway between pronation and supination) position.
Secondary role: Assists in stabilizing the elbow during rapid or forceful flexion.
Minimal contribution: Weakly aids in pronation or supination to bring the forearm to the neutral position.
5. Physiological role(s)
The brachioradialis is involved in several physiological and functional activities:
Functional movements: Important in lifting objects, turning doorknobs, or using tools in a neutral grip.
Reflex testing: The brachioradialis reflex (C6) is used in neurological exams to test the integrity of the radial nerve and spinal cord segments.
Dynamic stability: Assists with elbow joint stability during fast upper limb motions.
6. Clinical Significance
The brachioradialis is involved in a number of clinical conditions and is important in diagnostics:
Brachioradialis reflex: A diminished or absent reflex may indicate radial nerve injury or C6 spinal nerve involvement.
Overuse injuries: May be strained in individuals who perform repetitive elbow flexion with a neutral grip, such as construction workers or athletes.
Radial tunnel syndrome: Compression of the radial nerve near the elbow may affect brachioradialis function, causing pain or weakness.
Differential diagnosis: Pain over the lateral forearm may mimic lateral epicondylitis (tennis elbow), but brachioradialis tenderness is more distal.
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