The Upper Extremity 419
Triceps Brachii
The triceps brachii (triceps, three heads + brachi, arm) is located superficially and makes up the muscle
mass of the back of the arm (figure 7.44A). As its name suggests, this muscle contains three heads—the
long, medial, and lateral heads. The long head arises proximally from just below the glenoid cavity of
the scapula. The lateral head arises proximally from the posterolateral upper half of the humerus. The
medial head originates from approximately the lower two-thirds of the posterior humerus. All three heads
join and then attach distally via a strong flat tendon to the olecranon process of the ulna. The triceps
is a powerful extensor of the elbow that is not influenced by pronation or supination of the forearm.
However, the long head of the triceps brachii crosses the shoulder and so is influenced by the position
of the shoulder. Its actions at the shoulder are extension and adduction. So, for example, performing
elbow extension with the arm behind the body, as in triceps kick back (table 7.10E, p. 436), will put
the long head at a disadvantage (length–tension principle) and provide greater overload.
FIGURE 7.44 Triceps brachii, supinator, and anconeus (right arm, posterior view). (A) Superficial view, (B) deeper view.
Palpation: Sit in a chair with the fingers of the left hand placed midway on the posterior aspect of
the right arm and the right palm resting on the right edge of the seat of the chair. The triceps brachii
can be felt contracting under your fingers when the right hand presses down on the seat of the chair
to lift the body (elbow extension).
Attachments and Primary Actions of Anconeus
Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Anconeus
(an-KO-nee-us)
Posterior aspect of lateral
epicondyle of humerus
Lateral aspect of olecranon
process of ulna
Upper posterior ulna
Assists with elbow extension