
The anconeus muscle is a small, triangular muscle located in the posterior region of the elbow joint. It is found in the superficial extensor or posterior compartment of the forearm, extending from the distal humerus to the proximal ulna. The anconeus muscle is susceptible to various injuries and conditions, such as myofascial pain syndrome, and plays a role in extending the forearm and stabilizing the elbow joint.
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What You'll Learn

The anconeus muscle is located at the posterior aspect of the elbow
The anconeus muscle is a small, triangular muscle located at the posterior aspect of the elbow. It is part of the superficial extensor compartment, along with several other muscles, including the brachioradialis and extensor carpi radialis longus. The anconeus originates from the lateral epicondyle of the humerus and inserts at the lateral surface of the olecranon of the ulna. It can be easily palpated just lateral to the olecranon process of the ulna, especially during pronation and supination movements.
The function of the anconeus muscle is to assist in the extension of the forearm and provide support for the dorsal capsule of the humeroulnar joint and the ulna itself. It works alongside the triceps brachii muscle, and its contraction leads to the extension of the forearm. The anconeus also helps to stabilize the elbow joint and abduct the ulna during pronation movements of the forearm. This action is important for allowing the rotatory movement of the forearm, such as when using a screwdriver.
The anconeus muscle is susceptible to injuries, particularly stretch or impact injuries sustained while playing tennis or with overuse activities such as excessive handshaking and digging. These injuries can lead to the development of myofascial pain syndrome, also known as anconeus syndrome. Treatment for this condition typically involves blocking the myofascial trigger points and achieving prolonged relaxation of the affected muscle, often through conservative therapy and the administration of antidepressants.
The blood supply to the anconeus muscle primarily comes from a branch of the interosseous recurrent artery, with contributions from the middle collateral artery and the profunda brachii artery. Trauma to the nerve supply of the anconeus muscle can result from a shoulder dislocation or fractures of the upper part of the humerus or around the olecranon. Any injury that damages the radial nerve can paralyze the anconeus muscle, as well as other extensors of the elbow and wrist.
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It assists in the extension of the forearm
The anconeus is a small, triangular muscle in the arm. It is located at the posterior aspect of the elbow, extending from the distal humerus to the proximal ulna. The anconeus muscle assists in the extension of the forearm and provides support for both the dorsal capsule of the humeroulnar joint and the ulna itself.
The anconeus muscle is part of the superficial extensor compartment, along with the brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, and extensor carpi ulnaris muscles. These muscles are all involved in the extension of the forearm. The anconeus muscle is innervated by a branch of the radial nerve (cervical roots 7 and 8) and supplied by the middle collateral artery from the profunda brachii artery.
The function of the anconeus muscle is closely related to the triceps brachii muscle, as they exhibit the same action at the elbow. The contraction of the anconeus leads to the extension of the forearm. This is achieved through its long attachment to the ulna, which allows for the abduction of the ulna during pronation movements of the forearm. This action stabilizes the ulna and enables the rotatory movement of the forearm, such as when using a screwdriver.
The anconeus muscle is easily palpable at the lateral side of the forearm near the elbow, especially during pronation and supination movements. Its tendon lies deep to the muscle belly of the extensor carpi radialis longus and inserts at the lateral surface of the olecranon of the ulna. The anconeus plays a crucial role in assisting the extension of the forearm, working in conjunction with other muscles in the superficial extensor compartment to enable complex movements of the arm, hand, and fingers.
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It is innervated by a branch of the radial nerve
The anconeus is a small, triangular muscle located at the posterior aspect of the elbow, extending from the distal humerus to the proximal ulna. It is innervated by a branch of the radial nerve, with cervical roots C7 and C8, from the posterior cord of the brachial plexus. This branch is known as the nerve to the anconeus. The anconeus muscle is part of the superficial extensor compartment and assists in the extension of the forearm, providing support for the dorsal capsule of the humeroulnar joint and the ulna.
The innervation of the anconeus muscle by the radial nerve is essential for proper muscle function. Damage to the radial nerve can result in paralysis of the anconeus muscle and other extensors of the elbow and wrist. Such nerve damage can occur due to shoulder dislocation, fractures of the upper humerus, or injuries around the olecranon.
The anconeus muscle is also supplied by the middle collateral artery, a branch of the profunda brachii artery. It receives arterial blood supply from the recurrent interosseous branch of the posterior interosseous artery and a small number of musculocutaneous perforators. The skin over the anconeus muscle is supplied by the T1 spinal nerve.
The anconeus muscle is considered a continuation of the triceps brachii muscle by some sources, as their fibres are often partially or completely blended together. It originates on the posterior surface of the lateral epicondyle of the humerus and inserts on the superior posterior surface of the ulna and the lateral aspect of the olecranon. This muscle can be easily palpated laterally to the olecranon process of the ulna, especially during pronation and supination movements.
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The anconeus muscle is susceptible to myofascial pain syndrome
The anconeus is a small, triangular muscle in the arm, located at the posterior aspect of the elbow joint. It assists in the extension of the forearm and provides support for the dorsal capsule of the humeroulnar joint and the ulna itself.
The anconeus muscle is susceptible to the development of myofascial pain syndrome, which is a chronic pain syndrome affecting a focal or regional part of the body. This pain is often the result of repetitive microtrauma to the muscle, caused by activities such as prolonged ironing, handshaking, or digging. Stretch and impact injuries to the muscle, such as those sustained while playing tennis, can also cause myofascial pain syndrome. Tennis injuries caused by an improper one-handed backhand technique, as well as blunt trauma to the muscle, have been implicated in the development of this syndrome.
In addition to muscle trauma, other factors can predispose individuals to developing myofascial pain syndrome. For example, individuals who engage in unaccustomed physical activity, such as weekend athletes, may be more susceptible. Poor posture, previous injuries, and psychological factors such as chronic stress and depression can also contribute to the development of myofascial pain syndrome.
The treatment for anconeus syndrome focuses on blocking the myofascial trigger points and achieving prolonged relaxation of the affected muscle. Conservative therapy, including trigger point injections with local anesthetic or saline solution, is typically the first line of treatment. Antidepressants may also be administered as part of the treatment plan, as underlying depression and anxiety are common in patients with anconeus syndrome.
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It is considered a continuation of the triceps brachii muscle
The anconeus muscle is a small, triangular muscle located at the posterior aspect of the elbow joint, extending from the distal humerus to the proximal ulna. It assists in the extension of the forearm and provides support for both the dorsal capsule of the humeroulnar joint and the ulna itself.
The anconeus muscle is considered a continuation of the triceps brachii muscle due to their fibres often being partially or completely blended together. The anconeus and triceps brachii muscles are innervated by the same nerve—a branch of the radial nerve (cervical roots 7 and 8). The anconeus muscle originates on the posterior surface of the lateral epicondyle of the humerus and inserts distally on the superior posterior surface of the ulna and the lateral aspect of the olecranon.
Functionally, the anconeus muscle exhibits the same action at the elbow as the triceps brachii muscle. The contraction of the anconeus leads to the extension of the forearm. This extension of the forearm at the elbow is the same action performed by the triceps brachii muscle.
Furthermore, the anconeus and triceps brachii muscles often work together to stabilise the elbow joint. The anconeus abducts the ulna, especially during pronation movements of the forearm, which allows for rotatory movement of the forearm. This action is essential for activities such as using a screwdriver.
The anconeus muscle is easily palpable just lateral to the olecranon process of the ulna. Its tendon spreads out obliquely and medially into a wide muscle belly. Due to its superficial location, it can be felt at the lateral side of the forearm near the elbow, especially during pronation and supination movements.
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Frequently asked questions
The anconeus muscle is located at the posterior aspect of the elbow, extending from the distal humerus to the proximal ulna.
The anconeus muscle assists in the extension of the forearm and provides support for both the dorsal capsule of the humeroulnar joint and the ulna itself.
The word 'anconeus' is the anglicized form of the Latin expression 'musculus anconaeus', which can be found in the Nomina Anatomica, first ratified in 1895.
Anconeus syndrome is a condition caused by stretch or impact injuries to the anconeus muscle, often sustained while playing tennis or through overuse. Treatment focuses on blocking the myofascial trigger and achieving prolonged relaxation of the affected muscle.





















