Henry Gray (18251861). Anatomy of the Human Body. 1918.
Just below the middle of the arm, on its medial side, is an oval opening in the deep fascia, which transmits the basilic vein and some lymphatic vessels.
The Coracobrachialis(Fig. 411), the smallest of the three muscles in this region, is situated at the upper and medial part of the arm. It arises from the apex of the coracoid process, in common with the short head of the Biceps brachii, and from the intermuscular septum between the two muscles; it is inserted by means of a flat tendon into an impression at the middle of the medial surface and border of the body of the humerus between the origins of the Triceps brachii and Brachialis. It is perforated by the musculocutaneous nerve.
FIG. 413 Cross-section through the middle of upper arm. (Eycleshymer and Schoemaker.1) (See enlarged image)
Variations.A bony head may reach the medial epicondyle; a short head more rarely found may insert into the lesser tubercle.
The Biceps brachii (Biceps; Biceps flexor cubiti) (Fig. 411) is a long fusiform muscle, placed on the front of the arm, and arising by two heads, from which circumstance it has received its name. The short headarises by a thick flattened tendon from the apex of the coracoid process, in common with the Coracobrachialis. The long headarises from the supraglenoid tuberosity at the upper margin of the glenoid cavity, and is continuous with the glenoidal labrum. This tendon, enclosed in a special sheath of the synovial membrane of the shoulder-joint, arches over the head of the humerus; it emerges from the capsule through an opening close to the humeral attachment of the ligament, and descends in the intertubercular groove; it is retained in the groove by the transverse humeral ligament and by a fibrous prolongation from the tendon of the Pectoralis major. Each tendon is succeeded by an elongated muscular belly, and the two bellies, although closely applied to each other, can readily be separated until within about 7.5 cm. of the elbow-joint. Here they end in a flattened tendon, which is inserted into the rough posterior portion of the tuberosity of the radius, a bursa being interposed between the tendon and the front part of the tuberosity. As the tendon of the muscle approaches the radius it is twisted upon itself, so that its anterior surface becomes
Note 1. A Cross-section Anatomy, New York, 1911. [back]