10 - Intro to the Elbow Flashcards
What joints make up the elbow?
Humeroulnar
Radiohumeral
Proximal radioulnar
How much percentage of loss of flexion would limit our hand to mouth function?
20-30 degrees
What type of tilt does the distal humerus have and why?
A more valgus tilt as the medial aspect is more distal
What processes contribute to the articular stability of the elbow?
The coranoid and olecranon processes
What type of joint is the humeroulnar joint?
Synovial, compound and modified sellar joint (one degree of freedom)
What is the humeroulnar joints closed packed position?
full extension and supination
What is the humeroulnar joints open packed position?
70 degrees of flexion and 10 degrees of supination
True or false, you will lose flexion before extension at the humeroulnar joint
True
Flexion of the elbow come with conjunct _______
Adduction
Extension of the elbow comes with conjunct _____
Abduction
What causes the conjunct movements at the elbow?
Shape of trochlear groove
In flexion of the elbow what way does the ulna slide and roll/
Anteriorly
In elbow extension what way does the ulna slide and roll?
Posteriorly
What type of joint is the radiohumeral joint?
Synovial
Compound
Unmodified ovoid (3 degrees of freedom but really only acts in one)
What is the closed packed position of the radiohumeral joint?
90 degrees of flecion and 5 degrees of supination
What is the loose packed position of the radiohumeral joint?
full extension and supination
True or false: with the radiohumeral joint you would lose extension before flexion
False, you would lose flexion before extension
What direction does the radius slide and roll move in flexion of the elbow
Anteriorly
True or false: in elbow extension the radius slides proximally and rolls
True
What type of joint is the proximal radioulnar?
Synovial
Compound
Modified sellar joint (one degree of freedom)
What is the closed packed position of the proximal radioulnar joint?
full pronation or full supination
What is the loose packed position of the proximal radioulnar joint?
35 degrees of supination and 70 degrees of flexion
True or false: you will lose supination and pronation equally at the proximal radioulnar joint?
True
What secures the head of the radius to the radial notch on the ulna?
The annular ligament
When the forearm pronates what are the arthrokinematics of the proximal radioulnar joint?
Posterior slide and roll
When the forearm supinates what are the arthrokinematics of the proximal radioulnar joint?
Anterior slide and roll
When you pronate what way does spin occur at the radiohumeral joint?
Medially (internally)
When you supinate what way does the spin occur at the radiohumeral joint?
Laterally (externally)
What muscles are in the flexor pronator group?
Pronator teres Flexor Carpi radialis Palmaris longus Flexor carpi ulnaris Flexor digitorum superficialis Flexor digitorum profundus Pronator quadratus?
What muscles are in the extensor supinator group?
Brachioradialis (functionally a flexor) Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris Anconeus Supinator
What is an age related condition that can occur in children up to the age of 10 that affects the elbow
Panner’s Disease
Affects the male surface (capitulum)
Decrease blood supply causes cartilage and subchondral bone death
What elbow condition is common in people aged 15-20 years old?
Osteochondritis Dissecans (OCD)
What is the common name for lateral epicondylitis and what age population is it commonly found in?
Tennis Elbow, 35+ years old
What is the common name for medial epicondylitis?
Golfers elbow
What is the carrying angle?
The angle formed between the long axis of the humerus and long axis of the ulna
Who has a greater carrying angle males or females?
Females
True or false: males typically have a carrying angle of greater than 10 degrees
False, anything greater than 10 degrees in males is possibly an issue
At what point do you have the greatest valgus position of the elbow?
Full extension
At what point do you have the least valgus position of the elbow?
Full flexion
True or false: in full extension the medial and lateral epicondyles make a straight line with the olecranon?
True