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Elbow Joint Muscles The elbow muscles can be grouped into those which bend and straighten the elbow joint, and those which act on the radio-ulnar joints, to supinate (turn the palm up) and pronate (palm down) the wrist. Click the muscles below for further information, including attachment points, actions and nerve supplies. Biceps Brachii The main muscle in the arm for bending the elbow. more Anconeus A small muscle at the back of the elbow. more Brachialis Assists the Biceps muscle in bending the elbow. more Supinator Helps to turn the palm of the hand upwards. more Brachioradialis Helps in flexing the elbow and turning the hand over. more Pronator Teres Helps to turn the palm of the hand downeards. more Triceps Brachii The main muscle which straightens the elbow. more Pronator Quadratus Also helps to turn the palm down (pronate). more Movements of the Elbow Muscles Flexion - bending the arm at the elbow. Extension - straightening the arm at the elbow. Supination - turning the palm of the hand upwards. Pronation - turning the palm of the hand downwards. (The bottom two are technically movements at the radio-ulna joints, rather than the elbow. However, the movements are produced by some of the muscles around the elbow joint). Biceps Brachii The Biceps brachii crosses both the elbow and shoulder joints. Its action on the shoulder joint is very weak flexion. The Biceps Brachii works most efficiently in flexing the elbow joint when the forearm is supinated (palm facing up). The bicep curl is the most commonly used exercise to strengthen this muscle. Origin Long head - top of the glenoid fossa. Short head - coracoid process. Insertion Bicipital tuberosity of the radius. Bicipital aponeurosis into the deep fascia of the forearm. Actions Elbow flexion. Supination of the forearm. Innervation Musculocutaneus nerve. Daily uses Picking up a shopping bag. Biceps curl using a resistance band or dumbbell. Example exercises Bicep curl. Related injuries Biceps tendon inflammation. Related muscles Brachioradialis Brachialis. Brachialis The Brachialis acts to flex the elbow whether in pronation or supination, along with Biceps Brachii. As Brachialis is attached to the Ulna, which cannot rotate, it is the only true flexor of the elbow. Origin Lower half of the anterior humerus. Insertion Coronoid process of the ulna. Actions Elbow flexion. Innervation Musculocutaneous nerve. Daily uses Picking up shopping bags. Example strengthening exercises Bicep curls using a resistance band. Related muscles Biceps brachii. Brachioradialis. Brachioradialis The Brachioradialis muscle acts to supinate the forearm from a pronated position, when it flexes the elbow. When starting in a supinated position, it acts to pronate the hand as it flexes the elbow. Origin Lower 2/3 of the lateral supracondylar ridge of the humerus. Insertion Styloid process of the radius. Actions Elbow flexion. Pronation. Supination. Innervation Radial nerve. Daily uses Turning a corkscrew. Example strengthening exercises Bicep curls using a resistance band. Related muscles Biceps Brachii. Brachialis. Triceps Brachii The Triceps Brachii also assists Latissimus Dorsi in extending the shoulder joint. It contracts strongly during the up phase of a push up, to straighten the arm. Origin Long head - Lower part of the glenoid cavity of the scapula Lateral head - Upper half of the posterior surface of the humerus Medial head - Lower 2/3 of the posterior surface of the humerus Insertion Olecranon process of the ulna Actions Elbow extension Innervation Radial nerve Daily uses Pushing a door closed Example strengthening exercises Tricep extension Overhead tricep extension Tricep dips Example stretches Tricep stretch Related injuries Inflammation or rupture of the triceps tendon Related muscles Anconeus Anconeus The Anconeus works alongside Triceps Brachii in extending the elbow. It also acts to pull the synovial membrane out of the way of the olecranon process when the elbow is extending. Origin Posterior surface of the lateral condyle of the humerus. Insertion Posterior surface of the upper ulna and its olecranon process. Actions Elbow extension. Innervation Radial nerve. Daily uses Pushing a door closed. Example strengthening exercises Tricep extension with a resistance band. Overhead triceps extension with a resistance band. Example stretches Tricep stretch. Related muscles Triceps brachii. Supinator The Supinator muscle assists Biceps Brachii in supinating the hand, that is turning it over so that the palm faces up. To isolate the supinator muscle, supinate the hand whilst extending the elbow as this takes out the Biceps muscle. Origin Lateral supracondylar ridge of the humerus. Posterior part of the ulna. Insertion Outer surface of the upper third of the radius. Actions Supination. Innervation Posterior interosseous branch of the radial nerve. Daily uses Turning a screwdriver. Example strengthening exercises Supination using a resistance band. Related muscles Biceps brachii. Brachioradialis. Pronator Teres Pronator Teres works the hardest when the elbow is flexing and the hand simultaneously pronating. Origin Medial supracondylar ridge of the humerus. Medial side of the coronoid process of the ulna. Insertion Middle 1/3 of the outer surface of the radius. Actions Pronation. Elbow flexion. Innervation Median nerve. Daily uses Turning a screwdriver. Example strengthening exercises Pronation using a resistance band. Related muscles Pronator quadratus Pronator Quadratus Pronator Quadratus works in conjunction with Triceps Brachii during pronation with elbow extension. Origin Lower quarter of the anterior surface of the ulna Insertion Lower quarter of the anterior side of the radius Actions Pronation Innervation Median nerve Daily uses Turning a screwdriver Example strengthening exercises Pronation using a resistance band Related muscles Triceps brachii Pronator teres