Anconeus epitrochlearis

Dr Francis Deng and Dr Imran Jindani et al.

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.

On this page:

Article:

Epidemiology
Clinical presentation
Gross anatomy
Radiographic features
Related articles
References

Images:

Cases and figures

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
insertion: olecranon

Forms the roof of the cubital tunnel when present.

Radiographic features

Ultrasound

content pending

MRI

Axial MR images may demonstrate a mass superficial to the cubital tunnel, where there should normally only be fat.

References

Anatomy: Upper limb

Anatomy: Upper limb

skeleton of the upper limb
- clavicle
  - conoid tubercle
  - supraclavicular foramen
- scapula
- humerus
  - supracondylar spur
  - olecranon foramen
- radius
- ulna
- carpal bones (mnemonic)
  - scaphoid
    - bipartite scaphoid
  - lunate
    - lunate morphology
  - triquetrum
  - pisiform
  - trapezium
  - trapezoid
  - capitate
  - hamate
  - variants
    - carpal coalition
      - lunotriquetral coalition
      - capito-hamate coalition
- metacarpals
- phalanges
  - terminal tuft
- accessory ossicles of the upper limb
  - accessory ossicles of the shoulder
    - os acromiale
  - accessory ossicles of the elbow
    - os supratrochleare dorsale
    - patella cubiti
  - accessory ossicles of the wrist (mnemonic)
    - os centrale carpi
    - os epilunate
    - os styloideum
    - os hamuli proprium
    - lunula
    - os triangulare
    - trapezium secondarium
    - os paratrapezium
    - os radiostyloideum (persistent radial styloid)
joints of the upper limb
- shoulder joint
  - articulations
  - associated structures
    - joint capsule
    - bursae
      - subacromial-subdeltoid (SASD) bursa
      - subscapular recess
      - subcoracoid bursa
      - coracoclavicular bursa
      - supra-acromial bursa
    - ligaments
      - coracoclavicular ligament
        
        conoid ligament
        
        trapezoid ligament
      - costoclavicular ligament
  - movements
    - scapulothoracic joint
      - scapular retraction (adduction)
      - scapular protraction (abduction)
      - scapular elevation
      - scapular depression
      - scapular lateral rotation
      - scapular medial rotation
    - glenohumeral joint
      - arm flexion
      - arm extension
      - arm abduction
      - arm adduction
      - arm internal rotation (medial rotation)
      - arm external rotation (lateral rotation)
      - circumduction
  - blood supply - scapular anastomosis
  - ossification centers
- elbow joint
  - proximal radioulnar joint
  - ligaments
    - medial (ulna) collateral ligament complex
    - lateral (radial) collateral ligament complex
  - associated structures
    - bicipitoradial bursa
    - olecranon bursa
  - movements
  - alignment
  - blood supply - elbow anastomosis
  - development
    - elbow ossification (mnemonic)
    - elbow ossification centers
- wrist joint
  - articulations
  - ligaments
    - intrinsic ligaments
    - extrinsic ligaments
  - associated structures
    - extensor retinaculum
    - flexor retinaculum
    - joint capsule
  - movements
  - alignment
    - carpal arcs
  - ossification
- hand joints
  - articulations
    - carpometacarpal joint
      - triscaphe joint
    - metacarpophalangeal joint
      - palmar ligament (plate)
      - collateral ligament
    - interphalangeal joint
      - palmar ligament (plate)
      - collateral ligament
  - movements
spaces of the upper limb
muscles of the upper limb
blood supply to the upper limb
- arteries
- veins
innervation of the upper limb
- intercostobrachial nerve
- brachial plexus (mnemonic)
  - branches from the roots
  - branches from the trunks
    - suprascapular nerve
  - branches from the cords
    - lateral cord
      - lateral pectoral nerve
    - posterior cord
    - medial cord
  - terminal branches
    - ulnar nerve
    - radial nerve
      - posterior interosseous nerve (deep radial nerve)
      - superficial radial nerve
    - musculocutaneous nerve
    - axillary nerve
    - median nerve
      - anterior interosseous nerve
      - bifid median nerve
lymphatic drainage of the upper limb
- axillary lymph nodes

Article information

rID: 15191

System: Musculoskeletal

Section: Anatomy

Tag: refs, normal variant, muscle, upper limb

Synonyms or Alternate Spellings:

Epitrochleoanconeus muscle
Anconeus epitrochlearis muscle
Accessory anconeus muscle
Accessory anconeus epitrochlearis muscle

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Cases and figures

Case 1Case 1

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Case 2: on ultrasoundCase 2: on ultrasound

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