Elbow Flashcards

1
Q

function of elbow in CKC

A

stability and power

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2
Q

function of elbow in OKC

A

hand position and function

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3
Q

major landmarks of the humerus

A

condyles, epicondyle, trochlear, capitulum, capitotrochlear groove and trochlear groove, coronoid fossa, radial fossa, olecranon fossa

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4
Q

important landmarks of the ulna

A

olecranon, ulnar groove, trochlear (semilunar notch), trochlear (longitudinal ridge), ulnar tuberosity, radial notch

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5
Q

important landmarks of the radius

A

radial head (fovea), radial neck, radial tuberosity, interosseous border

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6
Q

what kind of joint in the trochlear (humeroulnar)

what it is shape

A

modified uniaxial hinge joint

oblique with trochlea (medial) more distal than capitulum (lateral)

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7
Q

rotation of distal humerus related to shaft and rotation o f proximal ulan related to shaft

what is the function of these rotations

A
humerus = rotated anteriorly 
ulna = rotated posteriorly 

function: increase ROM (145)

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8
Q

more flexion in supination or pronation

A

supination

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9
Q

resting position of the radiohumeral joint and closed position of the trochlear joint

A

full extension and supination

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10
Q

open position of the trochlear joint

A

70 degree flexion and 10 degree supination

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11
Q

closed position of the radiohumeral joint

A

90 flexion, 5 supination

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12
Q

resting position of superior radioulnar

A

35 supination and 70 flexion

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13
Q

closed position of super radioulnar

A

full supination or full pronation

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14
Q

what is the cubital angle

A

result of oblique axis through trochlea and capitulum
combo of GH external rotation, elbow extension and supination
“carrying angle”
larger in females than males

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15
Q

what is cubital varus

A

carrying angle abnormality
result of distal humeral fracture
causes straight line at elbow or hand pointing medially instead of laterally

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16
Q

ROM of supination and pronation

A

90 degrees each

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17
Q

how many bursa at elbow
name 3 associated with triceps
what is the main force absorption bursa

A

7 bursa
Triceps: intratendinous, subtendinous, subcutaneous
Olecranon bursa

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18
Q

ligaments at the elbow

A

medial collateral - anterior, posterior and transverse

lateral collateral

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19
Q

stability at proximal radioulnar joint provided by

A

annular ligament
lateral collateral
oblique cord
quadrate

20
Q

stability at distal radioulnar joint provided by

A
articular disc (TFCC)
Doral and palmar radioulnar ligaments 
interosseous ligaments
21
Q

what ligaments blend with the capsule

A

annular

ulnar (medial) collateral ligament

22
Q

what does the medial collateral ligament stabilize against

A

valgus force

23
Q

what is the cubital tunnel made by

A

the MCL

24
Q

function of radial collateral ligaments

A

stabilize against varus forces
stabilize against humeroradial subluxation
assist annular ligaments

25
Q

what is the function and location of the quadrate ligaments

A

inferior to ulnar notch and attaches to radial neck
resist excessive supination (more than resting pronation)
limits spin of the joint, contributes to radioulnar stability

26
Q

what is the oblique cord

A

facial band running lateral from below radial notch on teh ulna to below radial tuberosity of the radius
runs in opposition to the fibres of the Interosseous membrane

27
Q

when is the oblique cords tight

A

in supination

28
Q

function of teh interosseous membrane

A

reinforce proximal and distal joints
does not limit supination or pronation
shock absorber
muscle attachment site

29
Q

dorsal and palmer radioulnar ligaments

  • continuous with?
  • support what
A

continuous with TFCC and joint capsule

support radius against ulna

30
Q

motion where biceps and triceps are synergists

A

turning the doorknob (twisting)

31
Q

strength peak position of elbow

A

90-120 degree flexion

32
Q

flexors of the elbow and nerve innervation

A

brachialis - muscularcutaneous
biceps - musculocutaneous
brachioradialis - radial
pronator teres - median

33
Q

recruitment order of the triceps

A

single before two joint, smaller before larger
medial, lateral long
long head = strongest and largest

34
Q

peak force position of triceps

A

70-90 degrees flexion

35
Q

function of triceps of CKC

A

UE stabilizer

36
Q

function of anconeous

A

tightens loose posterior capsule during extension

37
Q

elbow extensors and innervation

A

triceps
anconeous
radial nerve

38
Q

when is supinator able to supinate

A

motion is slow, resistance is light or elbow is extended

39
Q

does position effects ability of supinator to supinate

A

no

40
Q

which pronator probates regardless of arm position

A

pronator Quadratus

41
Q

pronators/supinators and innervation

A

supinator - radial
biceps - musculocutaneous
pronator teres - medial
pronator Quadratus - median

42
Q

which is recruited first for elbow flexion

A

brachialis before biceps brachii

43
Q

active insufficient for biceps

A

full shoulder and bled flexion and supinator

44
Q

active insufficiency for triceps

A

full shoulders and elbow extension

45
Q

what muscles can extend the elbow in CKC

A

pectoralis major

46
Q

what muscles are involved in pull ups and how

A

biceps and brachialis flex elbow concentrically and contrail extension eccentrically

supinator and biceps supinate