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    From Musculoskeletal System

    Triceps Brachii

    Reviewed by our medical team

    Muscle responsible for elbow extension.

    1. Overview

    The triceps brachii is a large, three-headed skeletal muscle located on the posterior aspect of the upper arm. As the primary extensor of the elbow joint, it plays a crucial role in straightening the forearm. The triceps is also important for shoulder joint stability and movement. Its powerful action is essential in pushing, throwing, and weight-bearing activities.

    2. Location

    The triceps brachii occupies the posterior compartment of the arm:

    • Proximally: Originates from both the scapula and the humerus.

    • Distally: Inserts on the olecranon process of the ulna.

    • Superficial to: The humerus and deep fascia of the upper arm.

    • Adjacent to: Biceps brachii (anteriorly) and deltoid (superiorly).

    3. Structure

    The triceps brachii has three distinct heads:

    • Long head: Originates from the infraglenoid tubercle of the scapula.

    • Lateral head: Originates from the posterior surface of the humerus, superior to the radial groove.

    • Medial head: Originates from the posterior surface of the humerus, inferior to the radial groove.

    All three heads converge into a common tendon that inserts on the olecranon process of the ulna.

    • Innervation: Radial nerve (C6–C8).

    • Blood supply: Deep brachial artery (profunda brachii) and collateral branches of the brachial artery.

    4. Function

    The triceps brachii has two main actions:

    • Elbow extension: All three heads extend the forearm at the elbow joint.

    • Shoulder extension and adduction: The long head also assists in extension and adduction of the arm at the shoulder joint.

    These actions are essential in movements such as pushing open a door, rising from a chair, or performing a push-up.

    5. Physiological role(s)

    The triceps brachii contributes to several important physiological functions:

    • Upper limb mobility: Allows full range of elbow motion in combination with the biceps brachii.

    • Postural support: Assists in maintaining arm and shoulder posture during load-bearing tasks.

    • Force generation: As a powerful muscle, it generates the force required for explosive movements like throwing or punching.

    • Joint stability: Helps stabilize the shoulder joint, particularly when the arm is adducted or extended behind the body.

    6. Clinical Significance

    The triceps brachii can be affected by various injuries and conditions:

    • Triceps strain or tear:

      • Results from sudden or excessive loading, often seen in athletes performing overhead or pushing motions.

    • Radial nerve palsy:

      • Injury to the radial nerve may weaken or paralyze the triceps, leading to difficulty in elbow extension and “wrist drop.”

    • Tendonitis:

      • Repetitive strain can lead to inflammation of the triceps tendon, especially near the olecranon.

    • Triceps reflex testing:

      • Used clinically to assess the integrity of the C7 and C8 spinal cord segments and radial nerve function.

    • Rehabilitation importance:

      • Commonly targeted in strengthening programs for upper limb recovery, especially after injury or surgery.

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