Elbow Biomechanics Flashcards
radial head articulates with blank
capitulum
four joints of arm
humeroulnar, humeroradial, proxmial radioulnar, distal radioulnar
ulnar head articulates with blank
trochlea
elbow complex proximal has blank degrees of freedom for blank
1, flexion/extension
sup and inf ru joint is a blank joint for blank
pivot, pronation/supination (uniaxial)
joint capsule of elbow is blank
loose, weak anteriorly and posteriorly
joint capsule encloses all three blank joints
proximal
cross contamination of pathology can occur from one joint capsule bathed in common blank
synovial fluid
attachments of MCL of elbow
medial epicondyle, ulnar coronoid process
four ligaments of elbow
medial collateral (ulnar), lateral collateral (radial), annular ligament, interosseous membrane
posterior mcl attachments
medial epicondyle to ulnar coronoid and olecranon processes
anterior mcl is more significant during blank stability than blank
valgus, posterior
lcl extends from the blank to blank
inferior lateral epicondyle, annular ligament/olecranon
lcl resists blank stress
varus
strong circle ligament that stabilizes head of radius to ulna
annular
ligament between ulna and radius with fibers in all directions for strength
interosseous membrane
humeroulnar joint is blank on blank during flexion and extension
concave, convex
humeroradial joint is blank on blank during flexion and extension
concave, convex
proximal radioulnar joint does pronation and supination and blank spins on blank
radial head, capitulum
distal radioulnar joint does pronation and supination is blank radius on blank ulna
concave, convex
pronation of distal radioulnar joint is blank roll and blank glide
anterior (palmar)
supination of distal radioulnar joint is blank roll and glide
posterior (dorsal)
axis of motion of elbow is blank
oblique
axis of motion is usually blank to blank degrees on average of elbow
5-15
greater than 15 degrees of valgus axis
cubitus valgus
less than 5 degrees of valgus axis
cubitus varus
measuring carrying angle of elbow is done by measuring long axis of blank and blank
humerus, ulna
resting position of elbow, position in which the joint capusle and ligaments have greatest laxity and mobility
open pack position
position in which jooint capsule and ligaments are taut and has greatest congruency
close pack position
normal hyperextension at elbow
5-10 degrees
terminal extension is the blank position for humeroulnar but blank position for humeroradial
closed pack, open pack
humeroulnar joint is open pack at blank degrees flexion
70
humeroradial joint is closed pack at blank degrees flexion
90
any muscle in the body that is a mobility muscle
spurt muscle
biceps brachii is a blank muscle
spurt
spurt muscles can generate a lot of blank
torque
spurt muscles have insertions that are close to blank
joint
moment arm of biceps brachii is greatest between blank degrees of flexion
80-100
stabilizing muscles
shunt muscles
shunt muscle example
brachioradialis
insertion of shunt muscle is blank joint
far from
brachioradialis has a greater blank component than blank
compressive, rotary
moment arm of brachioradialis is greatest between blank and blank of flexion
100-110
brachioradialis is most effective with forearm in blank then blank then blank
neutral, pronation, supination
most important elbow flexor
brachialis
brachialis is a blank muscle
spurt
all positions of brachialis are efficient because it inserts on the blank which doesnt blank
ulna, move
brachialis is the blank muscle for elbow flexion
work horse
moment arm of brachialis is greatest at blank degrees flexion
100
tricep work horse
medial head
triceps active insufficiency shows up during blank
elbow extension
triceps acts blank with biceps during supination
synergistically (stabilizes)
anconeus attachments
lateral epicondyle (annular ligament), olecranon process (posterior capusle)
anconeus initiates blank
elbow extension
anconeus is active with forced finger blank and blank by acting as a blank
flexion, extension, stabilizer
open pack position of proximal radioulnar joint
70 elbow flexion, 35 supination
open pack position for proximal radioulnar joint is good for blank
joint play
closed pack position for proximal radioulnar joint and is a good position for blank
5 supination, elbow extended, stability
two muscles creating supination
supinator, biceps brachii
biceps is most effective for supination at blank degrees flexion
90
supinator is active in supination in all degrees of blank
elbow flexion
muscles creating pronation
pronator quadratus, pronator teres
pronator quadratus is a blank joint muscle
one
pronator teres is a blank joint muscle
2
pronator teres is blank powerful than pronator quadratus
less
golfers elbow is caused by overuse of blank muscles
pronator
pathology that is the annular ligament coming away from radial head
nursemaids elbow
poor pitching mechanics and caused by increased tensile stress throwing a ball
medial collateral ligament sprain
mcl (UCL) sprain at elbow may lead to blank carrying angle
increased valgus
a foosh most commonly fractures proximal blank or distal blank
ulna, radius