Exam 4 Flashcards
What does the Anular ligament of the radius do?
Holds radial head to humerus; if teared the radius will dislocate.
What does the ulnar collateral ligament do ?
Prevent medial (side to side) movement
What is the carrying angle of the elbow?
Angle which we bend normally when our arms are at our sides. Rest outside of hips, different angle for each person.
How many muscles cross the elbow; what are the two chief flexors? What are the two secondary flexors that assist in the presence of resistance?
17 muscles cross the elbow
Chief flexors: Biceps Brachii, Brachialis
Secondary flexors: In the presence of resistance the brachioradialis and pronator teres assist in slowing flexion. Support/control elbow flexion.
During pronation and supination the radial head rotates within the ______
Anular ligament
What connects the radius and ulna?
The Interosseous membrane
What articulates in distal radioulnar joint?
Head of Ulna articulates wit the ulnar notch on the radius.
Radius is doing the movement, moves over the ulna.
What are the two muscles of supination and the two of pronation?
Supination: supinator and biceps brachii
Pronation: pronator quadratus and pronator teres
OIAN of Supinator
Origin
- Lateral epicondyle of humerus
- Annular and radial collateral ligaments
- Supinator crest of ulna
Insertion - Lateral surface of proximal radius
Action - Supination of forearm
Nerve Supply - Deep branch of radial nerve
OIAN of Pronator Quadratus
Origin - Distal anteromedial ulna
Insertion - Distal anterolateral radius
Action - Pronation of forearm
Nerve Supply - Median nerve
OIAN of Pronator Teres
Origin - Humeral Head – Medial epicondyle of humerus, Ulnar Head – Coronoid process of ulna
Insertion - Middle of lateral radius
Action - Pronation of forearm
- Flexion of elbow
Nerve Supply - Median nerve
OIAN of Biceps Brachii
Origin:
- Short head – Coracoid process
- Long head – Supraglenoid tubercle
Insertion:
- Tendon – Radial tuberosity
- Bicipital aponeurosis – Antebrachial fascia (medial side)
Action:
Both heads:
- Supination of forearm
- Flexion of elbow
Short head:
- Also: Flexion of shoulder
Nerve Supply: - Musculocutaneous nerve
OIAN of brachialis
Origin: - Distal anterior humerus
Insertion:
- Ulnar tuberosity
- Coronoid process
Action: - Flexion of elbow
Nerve Supply: - Musculocutaneous nerve
OIAN of Brachioradialis
Origin: - Supracondylar ridge of humerus
Insertion: - Styloid process of radius
Action: - Flexion of elbow with forearm in neutral position
Nerve Supply: - Radial nerve
OIAN of Pronator Teres
Origin - Humeral Head – Medial epicondyle of humerus, Ulnar Head – Coronoid process of ulna
Insertion - Middle of lateral radius
Action - Pronation of forearm
- Flexion of elbow
Nerve Supply - Median nerve
What are the eight carpal bones
Scaphoid, Lunate, Triquetrum, Pisiform
Hamate, Capitate, Trapezoid, Trapezium (thumb)
What is unique of the pisiform bone?
it is a sesamoid bone, enveloped in the tendon of the flexor carpi ulnaris
What are the 2 proximal distal joints of the wrist complex
Radiocarpal and midcarpal
What are the proximal and distal components of the radiocarpal joint?
Proximal components: radius, articular disc (triangular ligament)
Distal components: scaphoid, lunate, triquetrum
What are the Distal and Proximal components of the Midcarpal Joint?
Distal: Trapezium, trapezoid, capitate, hamate
Proximal: scaphoid, lunate, triquetrium
free :)
What forms the carpal tunnel?
Transverse carpal Ligament/Flexor retinaculum forms the tunnel with the carpals.
What are the joints between carpals and metacarpals?
Carpometacarpals
What are the four tendons that cross the anterior of the wrist (flexion)?
Flexor carpi radialis
Flexor carpi ulnaris
Flexor digitorum superficialis
Flexor digitorum profundis
OIAN of Palmaris Longus
Origin - Medial epicondyle of humerus
Insertion
- Palmar aponeurosis
- Flexor retinaculum
- Bases of proximal phalanges
Action - Flexion of wrist
Nerve Supply - Median nerve
OIAN of Flexor Carpi Radialis
Origin - Medial epicondyle of humerus
Insertion - Base of 2nd and 3rd metacarpals
Action - Flexion of wrist, Radial deviation of wrist
Nerve Supply - Median nerve
OIAN of Flexor Carpi Ulnaris
Origin
- Humeral Head: Medial epicondyle of humerus
- Ulnar Head: Olecranon process and proximal posterior ulna
Insertion
- Pisiform
- Hook of hamate
- Base of 5thmetacarpal
Action - Flexion of wrist
- Ulnar deviation of wrist
Nerve Supply - Ulnar nerve
OIAN of Flexor Digitorum Superficialis
Origin
- Medial epicondyle of humerus
- Coronoid process of ulna
- Proximal anterior surface of radius
Insertion - Middle phalanges of digits 2-5
Action - Flexion of wrist
- Flexion of digits 2-5 at MCP and PIP joints
Nerve Supply - Median nerve
OIAN of Flexor Digitorum Profundus
Origin - Proximal surface of ulna
Insertion - Base of distal phalanges of digits 2-5
Action - Flexion of wrist
- Flexion of digits 2-5 at MCP, PIP and DIP joints
Nerve Supply - Digits 2-3: median nerve
- Digits 4-5: ulnar nerve
OIAN of Flexor Pollicis Longus
Origin - Anterior surface of radius
- Interosseous membrane
Insertion - Base of distal phalanx of digit 1
Action - Flexion of thumb at IP joint
Nerve Supply - Median nerve
OIAN of Extensor Carpi Radialis Longus:
Origin - Lateral supracondylar ridge
- Lateral epicondyle of humerus
Insertion - Base of 2nd metacarpal
Action - Extension of wrist
- Radial deviation of wrist
Nerve Supply - Radial nerve
OIAN of Extensor Carpi Radialis Brevis:
Origin - Lateral epicondyle of humerus
Insertion - Base of 3rd metacarpal
Action - Extension of wrist
Nerve Supply - Deep branch of radial nerve