Elbow Lecutre Flashcards

1
Q

What is the humeroulnar articulation comprised of

A

The medial lip of the trochlea and the trochlear notch of the ulna

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2
Q

What is referenced as teh “true elbow joint”

A

Humeroluna articulation

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3
Q

What is the humeroulnar articulation of the trochlea

A

The concave on the medial lateral surface and convex on the AP surface

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4
Q

What is the humeroulnar articulation of the ulnar

A

Convex on the medial lateral surface and concave on the AP surface

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5
Q

How does the trochlea and ulna move for flexion and extension

A

Concave ulna(trochlear notch) moving on convex trochlea (humerus) AP

Roll and glide anterior for flexion and posterior for extension

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6
Q

During weight bearing activities how much does the humeroulnar articulation support the weight

A

40%

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7
Q

How does the trochlea angle in the humerolunar articulation to allow for more flexion and room for the biceps brachii

A

Angles forwards 45°

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8
Q

What kind of joint is the humeroradial joint

A

Uniaxial hinge joint

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9
Q

What is the humeroradial comprised of

A

Head of the radius and the capitellum of the distal humerus

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10
Q

How is the humeroradial articulation on the lateral aspect of the elbow

A

Concave radial head and the convex capitellum of the humerus

Tubercle/groove on the lateral lip of the trochlea of the humerus capitellum

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11
Q

What happens during flexion and extension at the humeroradial articulation

A

Flexion: radial head glides anteriorly into the radial fossa (concave on convex)

Extension: glides posteriorly

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12
Q

During weight bearing activities how much does the humeroradial articulation joint support

A

60%

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13
Q

What does the proximal radioulnar joint consist of

A

The radial head , AL ring , radial fossa of the ulna

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14
Q

What is supporting the radial head proximally

A

Annular ligament

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15
Q

Where does the annular ligament attach

A

Posterior radial notch of the ulna

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16
Q

What is the articulation of the proximal radioulnar articulation

A

Convex radial head articulates with the concave radial notch of the ulna

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17
Q

What is the movement of the proximal radioulnar joint

A

Radius moving on the ulna so convex on concave so role and glide in opposite

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18
Q

What is the movement of the proximal radioulnar joint movement during supination

A

Rolls posterior/laterally
Glides anteriorly

(Thinks where ur thumb is going and that’s the way the bone will roll)

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19
Q

What is the movement of the proximal radioulnar joint movement during pronation

A

Roll anteriorly/medially
Glides posterior

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20
Q

How does the ulna move with pronation and supination at the proximal radioulnar joint

A

Pronation: lateral/posterior
Supination: medial/anterior

21
Q

What is a complex structure consisting of a central band and several additional accessory bands that are inconsistently present across cadaver specimens.

A

Interrrosseous membrane (aka medial radioulnar joint)

22
Q

What maintains joint space between he ulnar and radius during rotational movements

23
Q

What is the central brand of the IOM essential for

A

Distribution of loads and communication between the PRUJ to the distal radioulnar joint

24
Q

When is the PEAK STRAIN to the IOM central band

A

During neutral forearm rotation

25
What is the function of the IOM
To inhibit displacement of the radial head from its superior articulation with the ulna
26
What does the central band of the IOM resist
Longitudinal and transverse displacement of the radius relative to the ulna
27
What does the dorsal oblique accessory cord of the IOM limit
Supination via passive tensioning
28
What is the normal ROM for extension , flexion , pronation and supination
Extension: 0-5° (hard end feel) Flexion: 150° (soft end feel) Pronation/Supination: 70-80°/80-90° (both with a firm muscular end feel
29
What is the functional ROM of the elbow for flexion and supination/pronation
Flexion: 30-130° Pronation/Supination: 50°
30
What is the OPP for the humeroulnar joint
70° flexion and 10° supination
31
What is the OPP for the radiohumeral joint
Full extension and full supination
32
What is the OPP for the proximal radioulnar joint
70° flexion , 35° supination
33
What is the OPP for the distal radioulnar joint
10° supination
34
What is the CPP for the distal radioulnar joint
5° supination
35
What is the CPP for the proximal radioulnar joint
5° supination
36
What is the CPP for the radiohumeral joint
90° flexion , 5° supination
37
What is the CPP for the humeroulnar joint
Full extension and full supination
38
What is the capsular pattern of the joint of the elbow
Flexion mor limited then extension
39
What is the capsular pattern of the forearm
Rwual limitation of supination and pronation with pain at extremes of end of ROM
40
What are the lateral forearm extensors/supinators
ECRL ECRB (most common tendon invovled) ED EDM ECU Supinator
41
42
What is included in the medial forearm flexors/prontators
Pronator Teres (main one) FCR FCU FDS FDP Palmaris Longus
43
44
What is pronation limited by
Bony contact (hard end feel)
45
What is supination limited by
* quadratus ligament * anterior ligametns of the distal radioulnar joints * IOM Firm end feel
46
What is the IOM designed to shift
Compressive loads from the distal radius to the proximal ulnar
47
How are the fibers with in the IOM orientated
Obliquely so when force is applied the fibers are drawn taut , shifting more of the load on the ulna
48