Elbow Flashcards
What are the 3 joints in the articular capsule?
Humeroradial
Humeroulnar
Proximal radioulnar
Which joints are involved in flexion and extension?
Humeroradial and humeroulnar
Which bone moves in pronation?
Radius
Where does the ulna articulate with the humerus?
Trochlea and trochlea notch
Where does the radius articulate with the humerus?
Capitulum
Where is the medial epicondyl?
Medial
What is the carrying angle? Difference for women?
Angle that the forearm comes out of the elbow
2x wider in women because they have bigger hips
What is the olecranon fossa?
Where the olecranon slots into the humerus when the arm is extended
Depression in the humerus on the lateral side
Where is the olecranon?
It’s the pointy part of the ulna
What do the ulna and radius look like?
The ulna hooks around the humerus
The radius is like a flat head
What is the coronoid fossa?
Depression in the medial part of the humerus
Where the claw of the ulna slots in when the elbow is fully flexed
What 3 bones make up the arm?
Humerus
Radius
Ulna
Which ligaments help with flexion and extension? And what shape are they?
Radial collateral ligament - radial side
Ulna collateral ligament - ulna side
Triangular
Which ligament is involved in pronation and supination?
What is it’s shape?
Anular ligament
Loops around the radius
Which ligament is most likely to tear in children?
Anular ligament
Radius removed from the joint
What is incomplete dislocation called?
Subluxation
Which muscles are involved in flexion?
Biceps brachi
Brachialis
Which muscles are involved in extension?
Triceps brachi
Which muscles are involved in pronation?
Pronator teres
Pronator quadratus
What muscles are involved in supination?
Biceps brachii
Supinator
Which nerve innervates the posterior compartment of the arm?
Radial
Which nerve innervates the anterior compartment of the arm?
Musculocutaneous nerve
Which muscles are in the anterior compartment of the arm?
Shoulder and elbow flexors
BBC
Biceps Brachii
Brachialis
Coracobrachialis
Which muscles are in the posterior compartment of the arm?
Shoulder and elbow extensors
Where does the musculocutaneous nerve originate?
C5
C6
C7
Where does the bicep reflex originate?
C5 C6
What’s the order of the anterior flexor muscles in the arm?
Biceps brachii most superficial
Coracobrachialis
Brachialis
Where does the brachialis run from?
Distal humerus to the coronoid process of the ulna
What joints does brachialis act on? (Shoulder/ elbow or both?)
Only the elbow
Is brachialis affected by pronation or supination? Why?
No
Attached to the ulna
Where does the coracobrachialis run from?
Coronoid process of the scapula to the humerus
What joint does the coracobrachialis work on? Shoulder/ elbow or both?
Shoulder only
What movement does the coracobrachialis do?
Flex and addicts the shoulder
Resist dislocation of the shoulder
Where do the biceps run from and what are they made up of?
Radial tuberosity
Long head attaches to the scapula back
Short head attaches to the coronoid process
Where are the long head and short head of the biceps found in the arm?
Long head - lateral
Short head - medial
What does the biceps brachii do?
Flex at shoulder and elbow
Affected by pronation and supination because it is attached to the radial tuberosity
Powerful supinator
Are the biceps brachii affected by pronation or supination?
Yes
Attached to the radial tuberosity
Which muscles are involved in flexing in pronation?
Brachialis
Which muscles are involved in flexion in supination?
Brachialis and biceps brachii
What are the 5 terminal branches of the brachial plexus and where do they originate from?
Musculocutaneous C5 C7 Axillary C5 C6 Medial C5 T1 Radial C5 T1 Ulnar C8 T1
What do the motor and sensory musculocutaneous nerves do in the arm?
MOTOR in the arm
SENSORY in the lateral aspect of the forearm
What does the radial nerve innervate?
Posterior part of the whole arm
Where does the tricep reflex originate?
C7 C8
What muscles are in the posterior part of the arm?
Triceps
Anconeus
What are the triceps made of?
Long arm
Lateral head
Medial head
Joined as a single tendon at the end
What do the different heads of the tricep act on?
Long head - shoulder and elbow extensor
Lateral head
Medial head
Are elbow extensors
Origin of the axillary nerve?
C5 - C6
Names of the cords of the brachial plexus?
Lateral cord
Posterior cord
Medial cord
Name of the different trunks?
Superior
Middle
Inferior
What are the roots of the brachial plexus?
C5 C6 C7 C8 T1
Origin of the medial nerve?
C5 - T1
Origin of the ulnar nerve?
C8 - T1
Which nerve is runs posteriorly to the humerus?
Radial
Motor action of the musculocutaneous nerve?
BBC anterior flexion
Motor action of axillary nerve?
Deltoid
Teres minor
Sensory of the musculocutaneous nerve?
Lateral forearm
Sensory action of the axillary?
Regimental badge
Motor action of the radial nerve?
Posterior compartment of arm and forearm
Sensory action of radial nerve?
Posterior arm
Name different bursae around the elbow joint
Deep subtendinous olecranon bursa (between olecranon and triceps tendon)
Intratendinous olecranon bursa (sometimes presents in triceps tendon)
Superficial subcutaneous olecranon bursa - in subcutaneous connective tissue
Which bursa most likely to be inflamed? Most affected by bursitis
Superficial subcutaneous olecranon bursa
What is the antecubital fossa?
Triangle in front of the elbow
Between lateral, medial epicondyle and in front of brachioradialis and flexor muscles
What are the 3 cubical veins?
Cephalic vein (lateral) Basilic vein (medial) Median cubital vein (joins them)
What surrounds the cubital fossa?
Lateral epicondyle
Medial epicondyle
Brachioradialis
Flexor muscles (pronator teres)
Bicipital aponeurosis
What does the cubital fossa contain?
Biceps brachii tendons
Terminal part of the brachial artery
Deep veins (brachial veins)
Median nerve