The most proximal site at which the median nerve can be compressed is in the distal arm by the ligament of Struthers, an anatomic variant present in 0.7–2.7% of the population. The lacertus fibrosis is an aponeurosis layer of the distal biceps, coursing obliquely in a distal and medial orientation. Between the two heads of pronator teres muscle.Bicipital aponeurosis (lacertus fibrosis).Ligament of Struthers (courses between the supracondylar process and medial epicondyle).
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