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Passive strain on the Brachialis

A traumatic strain of the brachialis may result from a sudden hyperextension of the elbow.
The clinical examination shows, apart from a capsular pattern (traumatic arthritis) , also pain on resisted flexion of the elbow; the pain is situated mainly at the upper arm.

The statement of a traumatic strain of the brachialis muscle is very important as the injury can lead to the eventual development of an ossification in the brachialis muscle, the so-called myositis ossificans.

Attention: Pain on resisted flexion and -supination (in combination with a capsular pattern) will merely indicate a fracture of the head of the radius.

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