Elbow and Forearm Flashcards
What are the parts of the distal humerus?
What are the parts of the proximal radius?
What are the parts of the proximal ulna?
What bony features are relevant to the elbow joint?
- Humerus
- Trochlea
- Capitulum
- Olecranon fossa
- Coronoid fossa
- Radial fossa
- Ulna
- Coronoid process
- Trochlear notch
- Olecranon process
- Radius
- Head
What ligaments are relevent to the elbow joint?
- Annular - ring shaped ligament. Allows pronation.
- Ulnar collateral ligament
- Radial collateral ligament.
Ligaments strengthen the capsule medially and laterally
Describe the structure of ulnar collateral ligament
- Three bands
- Anterior is the strongest
- Posterior
- Oblique - deepens the socket of the trochlea
Describe the structure of the radial collateral ligament.
- Fan like
- Blends wiht annular ligament.
What is the structure of the annular ligament?
Ligamentous collar
Attatched to ulna anterior and posterior to its radial notch
Supports the head of the radius
What movements are possible at the eblow joint?
The elbow is a hinge joint
Flexion and extension
What muscles produce flexion at the elbow?
- Biceps brachii
- Brachialis
- Brachioradialis
3 B’s = Flexion
What muscles produce extension at the elbow joint?
- Tricepos brachii
- Anconeus (weak extensor)
What movements are possible in the forearm? Using what muscles?
Pronation and supination
Pronation:
- Proximal and distal radioulnar joints
- Pronator teres and pronator quadratus
Supination:
- Proximal and distal radioulnar joint
- Supinator (when no resistance) Biceps brachii (when there is resistance)
Radioulnar joints
Both the proximal and distal radioulnar joints are pivot joints
Interosseous membrane - fibrous joint
Trianglular fibrocartilage complex binds distal radius and ulna together
Separates the distal radioulnar joint from the wrist.
Bursea at the elbow
Fluid filled sacs that help movement
Most give rise to no problems except…
- Subcutaneous olecranon bursa
- Sentendinous olecranon bursa
Olecranon bursitis = students elbow from resting on elbow
What are the borders of the cubital fossa?
Medial border: Lateral border of pronator teres
Superior border: Imaginary line between the epicondyles
Lateral border: Medial border of the brachioradialis
Roof: Skin and Median cubital vein.
- This is the vein of choice for venepuncture.
- It does not slip
- Brachial artery and median nerve protected by biciptal aponeurosis.