Lecture 2: Upper limb bones and joints Flashcards
Bones in the upper extremity
30 bones
Lesser tubercle
Anterior side
Greater tubericle
Extends laterally
3 of the 4 muscles of the rotator cuff
Attach to the greater tubercle
Surgical neck
fracture just below the head needs a pin or wire to be inserted
Fracture here compromises the deltoid. SITS muscles will cause the limb to drop
Movement of the arm
Foward -> deltoid and pect
Backward -> deltoid and lats
Epicondyles
5 muscles attach to both lateral to medial
landing on hands with elbow extended
force goes to -> carpal bones -> radius -> interossetus membbrane -> ulna -> humerus -> shoulder -> scapula -> Clavicle = SNAP
Fall on hands with elbow bent
Force -> hands -> carpal bones -> radius = SNAP
2 inches beyond the wrist, sometimes the ulna at the same location = colle’s fracture
Little leaguer elbow
16 yr or less, injured the grwoth plate of epipcondyle medial collateral ligmanet, stretching or tearing it
Pitcher’s elbow
older than 16,
Tear or stretch the medial collateral ligament
You get tommy John surgery (Pitcher)
Tissue from palm is put in the elbow
Wrist and distal radius fractures
most common fractures in indv 50 yrs of age or older