Elbow and wrist Flashcards
Which ligament restricts supination/pronation of the elbow joint?
Ligamentous
QUADRATE LIGAMENT
Name the attachments of the ulnar collateral ligament f the elbow.
Anterior
(medial epicondyle to the coronoid process of the ulnar.
Posterior
(Lateral epicondlye to the olecrannon process of the ulnar)
Inferior
(Binds the anterior and posterior bands together)
Name the joints of the elbow.
Superior Radio-ulnar joint
Humeroulnar joint
humeroradial joint
Where does the quadrate ligament attach from/to?
From the Radial notch of the ulnar to the neck of the radius
Which ligament of the elbow joint resists a valgus stress?
The medial collateral ligament
Which ligament of the elbow joint resists a varus stress?
Lateral collateral ligament
Describe the articulation of the Humeroradial Joint.
What type of joint is this?
Concave head of the radius articulates with the convexity of the capitulum of the humerus.
Synovial hinge joint
Describe the articulation of the Humeroulnar Joint.
What type of joint is this?
The articulation is formed by the junction between the trochlear notch of ulna and the trochlea of humerus.
Synovial hinge joint
Describe the articulation of the superior radioulnar joint.
What type of joint is this?
The head of the radius is enclosed within?
A synovial, pivot joint. An articulation between the head of the radius articulating with the radial notch of the ulna.
The annular ligament.
Where does the annular ligament attach to/from?
Head of the radius to the radial Notch of
the ulnar
Which ligament attaches from the radial notch to..
The head of the radius
The neck of the radius
Head (annular ligament)
Neck (Quadrate ligament)
Describe the articulates of the distal radio ulnar joint.
This distal radioulnar joint is located just proximally to the wrist joint. It is an articulation between the ulnar notch of the radius, and the ulnar head.
Which muscle inserts into the styloid process of the radius?
Which nerve/level innervates this muscle?
Brachioradialis
Radial Nerve,
C5,6
Which ligament attaches to the styloid process of the radius?
Radial collateral ligament
Which ligament stabilizes the distal radioulnar joint?
Tip
D.R.M.A.L
Dorsal radial metaphyseal arcuate ligament
The Dorsal radial metaphyseal arcuate ligament attaches from/to?
Ulnar styloid process
Distal radius
Then radial collateral ligament attaches from the styloid process of the radius to?
The trapezium
The ulnar collateral ligament attaches from the styloid process of the ulnar to?
Triquetal/um
How many carpal bones do we have in the wrist.
Name them.
What type of bones are they categorized as ?
8 carpals Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate
All of the carpals are short bones, except for the pisiform. This bone is a sesamoid bone.
The pisiform is enclosed within which mucles?
Pisiform (a sesamoid bone, formed within the tendon of the flexor carpi ulnaris)
Palpate the 8 carpal bones on your patient.
…
The wrist joint is medically known as?
What type of joint is this?
The radiocarpal joint
Synovial ellipsoid joint
What is the difference between the condyloid and ellipsoid joint?
Condyloid is convex an ellipsoid is convex
State the bones which form the proximal and distal carpal bones.
The proximal row of carpal bones (moving from radial to ulnar) are the scaphoid, lunate, triquetrum, and pisiform, while the distal row of carpal bones (also from radial to ulnar) comprises the trapezium, trapezoid, capitate, and hamate.
How many structures pass through the carpal tunnel?
Name them.
10 The tendons of flexor digitorum superficialis (4) The tendons of flexor digitorum profundus (4) Median nerve (1) Flexor pollicus longus (1)
Inflmmation of the tendon sheath of the carpal tunnel is known as?
Tip.. begins with a T.
tenosynovitis
Which 4 carpals make up the boundaries of the carpal tunnel?
hamate, capitate, trapezoid and trapezium
Which ligament contributes towards the formation of the roof of the carpal tunnel?
Transverse ligament
Which nerve supplies Opponens Pollicis?
Median nerve
Which arteries supply the hand?
deep palmar arch and superficial palmar arch
Which veins drain the fingers?
Digital
Listers tubercle acts as a pully system for which muscle?
extensor pollicis longus
Which ligament helps to stabilize the radio carpal joint?
Doral radio carpal ligament
The radio carpal ligament runs from the dorsal surface of the distal radius to the ?
Triquetrum
Which two tendons contribute towards the formation of the anatomical snuff box?
abductor pollicis longus and extensor pollicis brevis
What type of joint is the metatarsal phalangeal joint?
Synovial condyloid joint
How many bones are in the hand?
27 bones
8 carpals
5 metacarpals
14 phalanges
Which ligaments prevents valgus/varus stress of the articulation between the metacarpal and phalanges?
Collateral ligament metcarpophalangeal
Which ligament stabilizes the metacarpal phalangeal junction?
Transverse metacarpal ligament
Which ligaments prevents displacement of the metatarsal bones?
What is the articulation between the metacarpal joints called? What type of joint is this?
Dorsal and palmar metacarpal ligaments
Intermetacarpal joints
Synovial plane joint
Which ligament extends from the radius to the lunate?
Short & long radiolunate ligament
Which ligaments prevents displacement between the radius/ulnar and the proximal row of the carpals?
Short & long radiolunate ligament radioscapholunate ligament Medial and lateral collateral ligaments Ulnolunate Ulnotriquetal radiocarpal ligament
Describe the movement of the wrist and the expected ROM
Flexion 80 to 90
Extension 70 to 90
Ulnar deviation 30 to 45
Radial Deviation 15
Why is radial deviation restricted in comparison to to ulnar deviation?
The extension of the radial styloid process generates a restrictive barrier.
State the four accessory movements of the wrist joint.
Compression
Decompression
Anterior and posterior glide
Medial and lateral shear
Which muscles perform ulnar deviation?
Flexor Carpi Ulnaris.
Extensor Carpi Ulnaris.
Which muscles perform radial deviation?
Flexor Carpi Radialis.
Extensor Carpi Radialis Longus.
Extensor Carpi Radialis Brevis.