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Musculoskeletal System

Biceps brachii as a supinator of the forearm

The biceps brachii turns the palm upwards (supination) because its tendon attaches to the radial tuberosity, a rough bump on the radius.

Remember

The biceps brachii is a powerful supinator, turning the palm up, because its tendon attaches to the radial tuberosity and rotates the radius, most powerfully with the elbow flexed (bent). Its origin (where it begins) explains its action at the shoulder, and its crossing in front of the elbow explains why it flexes the elbow, but neither explains supination.

The biceps brachii is described as the main muscle for supination of the forearm. Supination is the movement that turns the forearm so the palm faces upwards when the elbow is bent. For supination, what matters is the lower attachment of the muscle (its moving end), not the origin (where it begins).

The muscle has two heads, both beginning on the scapula (the shoulder blade). Those origins explain what the muscle does at the shoulder, but not what it does at the forearm. For that, look at where the tendon inserts, meaning where it attaches at its moving end. It attaches to the radial tuberosity, a rough bump on the upper radius, the forearm bone on the thumb side.

The tendon pulls on one side of the radius rather than straight along it, so contraction twists the radius around the ulna. That twisting is supination.

Supination by the biceps is described as most powerful with the elbow flexed. With the elbow fully extended (straight), the supinator muscle, a smaller muscle deep in the forearm, does most of the work.

The biceps also flexes the elbow and the shoulder, because it crosses both joints, but these are secondary actions that do not turn the forearm. Pronation is the opposite movement, turning the palm downwards. In the forearm, the muscles pronator teres and pronator quadratus produce it.

For a memory aid, think of a screwdriver: in the right hand, supination turns it clockwise, which tightens an ordinary screw.

Memory aid

the biceps is the screwdriver muscle

Turning a screw in with the right hand is supination, and the biceps does that turning.

Key facts

Main action
supination, which turns the forearm so the palm faces upwards.
Insertion
the radial tuberosity, a rough bump on the upper radius, reached through the biceps tendon.
Mechanism
the tendon pulls on one side of the radius, so the radius twists around the ulna.
Elbow position
supination by the biceps is described as most powerful with the elbow flexed.
Opposite movement
pronation, turning the palm downwards, comes from pronator teres and pronator quadratus.
Secondary actions
flexion at the elbow and the shoulder, because the muscle crosses both joints.

Exam traps

  • The short head begins on the scapula, which gives the muscle an attachment at the shoulder. Supination depends on the tendon at the lower end pulling on the radius, so this origin does not explain it.
  • Pronation is the opposite movement. It turns the palm downwards and, in the right hand, would turn a screwdriver anticlockwise, loosening the screw, and it comes from pronator teres and pronator quadratus rather than the biceps.
  • The ulnar tuberosity receives the tendon of brachialis, the main elbow flexor, not the biceps tendon. Elbow flexion also bends the joint without turning the forearm, so it would not tighten a screw.
  • Crossing in front of the elbow is why the biceps flexes the elbow. Flexion bends the joint but does not rotate the forearm, so it does not explain supination.

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Based on 6 SimpleMed+ questions written and peer-reviewed by UK doctors.

Last updated 24 October 2026. For medical education only, not clinical advice.