Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Palpation of soft tissue

Palpation of the biceps muscle and the neurovascular structures in the cubital fossa Keep the subject’s elbow slightly flexed. Ask for an active flexion and palpate meanwhile in the cubital fossa with a pinching grip. Feel for the bicipital tendon as an outstanding taut structure. It runs distally to attach to the radial tuberosity. Medial to the tendon its aponeurosis can be felt, and lateral to the tendon the belly of the brachioradialis muscle.

PrOXimally the biceps broadens and its musculotendinous junction can be perceived, and even more proximally its muscle belly.Medial to the bicipital tendon, deep under the aponeurosis, lie the brachial artery and the median nerve. The former is pulsating, the latter a round strand.

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