Anconeus epitrochlearis muscle
Updates to Article Attributes
The anconeus epitrochlearis is an accessory muscle at the medial aspect of the elbow. It is also known as the accessory anconeus muscle or epitrochleoanconeus muscle and should not be confused with the anconeus muscle which is present at the lateral aspect of the elbow.
Epidemiology
The muscle may be unilateral but has been found to be bilateral in one of four patients with cubital tunnel syndrome 2. It is present in ~15% (range 3-28%) of the population 3.
Clinical presentation
It can be asymptomatic or symptomatic when there is compression of the ulnar nerve within the cubital tunnel, leading to ulnar neuritis.
Gross anatomy
- origin: medial epicondyle (inferior surface)
- insertion: olecranon (medial cortex)
Forms the roof of the cubital tunnel when present, running superficial to the ulnar nerve in the posteromedial aspect of the elbow.
Radiographic features
Ultrasound
content pending
Thin hypoechoic mass superficial to the ulnar nerve. May also demonstrate underlying ulnar nerve changes (thickening and oedema) suggestive of cubital tunnel syndrome 4.
MRI
Axial MR images may demonstrate a mass superficial to the cubital tunnel, where there should normally only be fat.
-<p>The<strong> anconeus epitrochlearis</strong> is an accessory muscle at the medial aspect of the elbow. It is also known as the <strong>accessory anconeus muscle</strong> or <strong>epitrochleoanconeus muscle</strong> and should not be confused with the <a href="/articles/anconeus">anconeus muscle</a> which is present at the lateral aspect of the elbow. </p><h4>Epidemiology</h4><p>The muscle may be unilateral but has been found to be bilateral in one of four patients with <a href="/articles/cubital-tunnel-syndrome">cubital tunnel syndrome</a> <sup>2</sup>. It is present in ~15% (range 3-28%) of the population <sup>3</sup>. </p><h4>Clinical presentation</h4><p>It can be asymptomatic or symptomatic when there is compression of the <a href="/articles/ulnar-nerve">ulnar nerve</a> within the <a href="/articles/cubital-tunnel">cubital tunnel</a>, leading to ulnar neuritis.</p><h4>Gross anatomy</h4><ul>- +<p>The<strong> anconeus epitrochlearis</strong> is an accessory muscle at the medial aspect of the elbow. It is also known as the <strong>accessory anconeus muscle</strong> or <strong>epitrochleoanconeus muscle</strong> and should not be confused with the <a href="/articles/anconeus-muscle">anconeus muscle</a> which is present at the lateral aspect of the elbow. </p><h4>Epidemiology</h4><p>The muscle may be unilateral but has been found to be bilateral in one of four patients with <a href="/articles/cubital-tunnel-syndrome">cubital tunnel syndrome</a> <sup>2</sup>. It is present in ~15% (range 3-28%) of the population <sup>3</sup>. </p><h4>Clinical presentation</h4><p>It can be asymptomatic or symptomatic when there is compression of the <a href="/articles/ulnar-nerve">ulnar nerve</a> within the <a href="/articles/cubital-tunnel">cubital tunnel</a>, leading to ulnar neuritis.</p><h4>Gross anatomy</h4><ul>
-<strong>origin:</strong> medial epicondyle</li>- +<strong>origin:</strong> medial epicondyle (inferior surface)</li>
-<strong>insertion:</strong> olecranon</li>-</ul><p>Forms the roof of the <a href="/articles/cubital-tunnel">cubital tunnel</a> when present. </p><h4>Radiographic features</h4><h5>Ultrasound</h5><ul><li><em>content pending</em></li></ul><h5>MRI</h5><p>Axial MR images may demonstrate a mass superficial to the cubital tunnel, where there should normally only be fat.</p>- +<strong>insertion:</strong> olecranon (medial cortex)</li>
- +</ul><p>Forms the roof of the <a href="/articles/cubital-tunnel">cubital tunnel</a> when present, running superficial to the ulnar nerve in the posteromedial aspect of the elbow.</p><h4>Radiographic features</h4><h5>Ultrasound</h5><p>Thin hypoechoic mass superficial to the ulnar nerve. May also demonstrate underlying ulnar nerve changes (thickening and oedema) suggestive of cubital tunnel syndrome <sup>4</sup>.</p><h5>MRI</h5><p>Axial MR images may demonstrate a mass superficial to the cubital tunnel, where there should normally only be fat.</p>
References changed:
- 4. Okamoto M, Abe M, Shirai H, Ueda N. Diagnostic ultrasonography of the ulnar nerve in cubital tunnel syndrome. (2000) Journal of hand surgery (Edinburgh, Scotland). 25 (5): 499-502. <a href="https://doi.org/10.1054/jhsb.1999.0350">doi:10.1054/jhsb.1999.0350</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/10991822">Pubmed</a> <span class="ref_v4"></span>
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