Elbow, Cubital Fossa, and Forearm Flashcards
2 joints of elbow area
- elbow joint (hinging, flexion, extension)
2. proximal radio-ulnar joint (pronation and supination)
3 articulations of elbow area
- trochlear notch of ulna and trochlea of humerus (elbow joint)
- head of radius and capitulum of humerus (elbow joint)
- head of radius and radial notch of ulna
what type of tissue are the ligaments of the elbow area made of?
dense regular connective tissue
what are the three ligament of the elbow area?
- radial collateral ligament
- ulnar collateral ligament
- anular ligament
what does the radial collateral ligament do?
resists varus (from midline) forces
what does the ulnar collateral ligament do?
resists valgus (toward midline) forces
what does the anular ligament do?
connects radius to ulna
What is nursemaid’s elbow?
head of radius displaces from anular ligament
what is involved in vascular supply to the elbow area?
brachial a., profunda brachii, radial a., ulnar a.
what does the superior ulnar collateral a. anastomose with?
posterior ulnar recurrent a.
what does the inferior ulnar collateral a. anastomose with?
anterior ulnar a.
what does the middle collateral a. anastomose with?
recurrent interosseous a.
what does the radial collateral a. anastomose with?
radial recurrent a.
what are the borders of the cubital fossa?
lat: brachioradialis m.
base: “line” from med to lat epicondyle
med: pronator teres m.
floor: brachialis m.
roof: bicipital apo., deep fascia, superficial fascia, skin
contents of cubital fossa
tendon of biceps brachii, brachial a., median n
from lateral to medial
where does the median n. exit the cubital fossa?
through 2 heads of pronator teres
what is the only major structure passing through the elbow posteriorly?
ulnar n. (posterior to medial epicondyle
what is the lateral cutaneous n. a continuation of?
musculocutaneous n.
what are the three layers of the anterior compartment of the forearm?
superficial, intermediate, deep
what is the innervation of the anterior compartment of the forearm?
median n. EXCEPT for flexor carpi ulnaris and 1/2 of flexor digitorum profundum
what are the superficial mm. of the anterior compartment of the forearm from lateral to medial?
- pronator teres
- flexor carpi radialis
- palmaris longus
- flexor carpi ulnaris
action of pronator teres?
pronate forearm
action of flexor carpi radialis?
flex and abduct wrist
action of palmaris longus?
flex wrist, tense hand aponeurosis
action of flexor carpi ulnaris?
flex and adduct wrist
origin of superficial mm. of anterior forearm?
common tendon on medial epicondyle of humerus
intermediate m. of anterior forearm
flexor digitorum superficialis
action and innervation of flexor digitorum superficialis?
A: quick and strong flexion of digits 2-5
N: median n.
deep mm. of the anterior forearm
- flexor digitorum profundus
- flexor pollicis longus
- pronator quadratus
action and innervation of flexor digitorum profundus?
A: slow flexion of digits 2-5
N: median n. (2-3), ulnar n (4-5)
action and innervation of flexor pollicis longus?
A: flex thumb (goes to distal portion)
N: median n.
action and innervation of pronator quadratus?
A: pronation
N: median n
what passes through the carpel tunnel?
- tendons of flexor digitorum superficialis
- tendons of flexor digitorum profundus
- tendon of flexor pollicis longus
- median n.
what actions is the posterior compartment of the forearm usually associated with?
movement of wrist joint, extension of digits, supinaton
what innervates the entire posterior forearm?
radial n.
what are the superficial mm. of the posterior forearm?
- brachioradialis
- anconeus
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitorum
- extensor digiti minimi
- extensor carpi ulnaris
action of brachioradialis?
flexion at elbow
action of anconeus?
accessory flexion at elbow
action of extensor carpi radialis longus?
extend and abduct wrist
action of extensor carpi radialis brevis?
extend and abduct wrist
action of extensor digitorum?
extend digits 2-5
action of extensor digiti minimi?
extend digit 5
action of extensor carpi ulnaris?
extend and adduct wrist
what are the deep mm. of the posterior forearm?
- supinator
- abductor pollicis longus
- extensor pollicis brevis
- extensor pollicis longus
- extensor indicis
action of supinator?
supinate forearm
action of abductor pollicis longus?
abduct thumb
action of extensor pollicis brevis?
extend thumb
action of extensor pollicis longus?
extend all thumb joints
action of extensor indicis?
extend index finger
what do the brachial and cephalic vv. come from?
dorsal venous arch