Elbow and Forearm Flashcards
Purpose of the Elbow and Forearm
to position the hand in space
the joints at the elbow
the humeroulnar joint and the humeroradial joint
motions that occur at the humeroulnar joint
flexion and extension
motions that occur at the humeroradial joint
pronation and supination
Spin of the radial head, glide of the proximal and distal radio-ulnar joints
interosseous membranes fibers allow spin but not seperation
how is the carrying angle formed?
because the medial humeral condyle is longer then the radial which makes the hand go out laterally
what is acceptable carrying angle range
5-15 degrees; should check the end feel to see if function is ok
ligaments at the elbow
medial collateral (ulnar side)
annular ligaments (radial side)
medial collateral ligament (ulnar side)
sprain is most common with a fall onto outstretched hand
annular ligaments
contains the radial head while allowing spin to happen
stress/ injury at the elbow PT considerations
can live with an elbow flexion contracture. Need to get elbows moving as soon as possible to get proteoglycans and GAGs to function properly and prevent stiffness
compensatory motion of pronation
shoulder abduction and internal rotation (need pronation to eat)
with an epicondylar fracture
anticipate flexion/extension contractures
with a radial head fracture
anticipate pronation and supination problems