quiz #3 - elbow Flashcards
proximal joints
GH joint: head of humerus articulates with glenoid fossa of scapula
distal joints
(elbow)
humeroulnar
humeroradial
proximal radioulnar
-mid radioulnar & distal radioulnar
elbow joint complex - 2 main joints & 1 accessory
humeroulnar (trochlear) joint
humeroradial joint
proximal / superior radioulnar joint
also:
-mid radioulnar joint (interosseous membrane)
-distal/ inferior radioulnar joints (wrist)
humeroulnar (trochlear) joint
ulnar bone articulates with trochlea of humerus
humeroulnar (trochlear) joint - type & movements
synovial, hinge, diarthrosis, uniaxial
flexion & extension
humeroulnar (trochlear) joint - articular surfaces
concave surface of trochlear notch of ulna
convex trochlea of humerus
humeroulnar (trochlear) joint - ligaments
joint capsule
radial/ lateral & ulnar/medial collateral ligaments
pronation / supination
during pronation, radius crosses over ulna
humeroulnar (trochlear) joint - loose packed / resting position
70º elbow flexion
10º supination
humeroulnar (trochlear) joint - closed packed position
extension & supination
humeroulnar (trochlear) joint - capsular pattern of restriction
1: flexion
2: extension
humeroulnar (trochlear) & humeroradial joints - ROM
flexion: 140-150º
extension: 0-10º
supination: 90º
pronation: 80-90º
humeroulnar (trochlear) & humeroradial joints - normal end feels
hard & bony / tissue approximation
humeroulnar (trochlear) & humeroradial joints- abnormal end feels
early spasm: muscle/ ligament tear
late spasm: instability
empty: ligament rupture/ tear
hard: bony approximation (osteophyte)
humeroulnar (trochlear) joint - ROLL & GLIDE
flexion: ROLL = anterior, GLIDE = anterior
extension: ROLL = posterior, GLIDE = posterior
humeroradial joint - type & movements
synovial, hinge, diarthrosis, uniaxial
flexion & extension
humeroradial joint - articular surfaces
concave surface of radial head
convex surface of capitulum of humerus
humeroradial joint - ligaments
joint capsule
radial/ lateral & ulnar/ medial collateral ligaments
humeroradial joint - loose packed / resting position
full extension & full supination
humeroradial joint - close packed position
elbow flexed to 90º
forearm supinated to 5º
humeroradial joint - capsular pattern of restriction
1: flexion
2: extension
3: supination
4: pronation
humeroradial joint - ROLL & GLIDE, PRONATION & SUPINATION
flexion: ROLL = anterior, GLIDE = anterior
extension: ROLL = posterior, GLIDE = posterior
pronation/ supination: ROLL = spin
proximal / superior radioulnar joint - type & movements
synovial, pivot, diarthrosis, uniaxial
pronation & supination
proximal / superior radioulnar joint - articular surfaces
convex radial head
concave radial notch of ulnar
proximal / superior radioulnar joint - ligaments
annular ligament
quadrate ligament
proximal / superior radioulnar joint - normal end feels
in supination: firm
in pronation: hard/ firm
proximal / superior radioulnar joint - abnormal end feels
early spasm: muscle ligament/ tear
late spasm: instability
empty: ligament rupture/ tear
hard: bony approximation (osteophyte)
proximal / superior radioulnar joint - loose packed / resting position
35º supination
70º flexion
proximal / superior radioulnar joint - close packed position
forearm supinated to 5º
proximal / superior radioulnar joint - capsular pattern of restriction
1: supination
2: pronation
proximal / superior radioulnar joint - ROLL & GLIDE
pronation: ROLL = anterior, GLIDE: posterior
supination: ROLL = posterior, GLIDE = anterior
elbow joint complex - accessory ligaments
radial/ lateral collateral ligament (LCL)
ulnar/ medial collateral ligament (MCL)
annular ligament
articular/ joint capsule
ulnar/ medial collateral ligament - 3 bundles
anterior
posterior
transverse
annular ligament
-surrounds radial head & radial notch of ulna
-keeps radial head in radial notch
-allows for pronation & supination
joint capsule - anterior portion
from coronoid & radial fossa TO coronoid process of ulna & annular ligament of radius
joint capsule - posterior portion
from capitulum, olecranon fossa & lateral epicondyle of humerus TO annular ligament, olecranon process, & ulna, posterior to radial notch
elbow joint complex - muscle action summary: FLEXION
brachialis
biceps brachii
brachioradialis
elbow joint complex - muscle action summary: EXTENSION
triceps brachii
anconeus
elbow joint complex - muscle action summary: SUPINATION
supinator
biceps brachii
elbow joint complex - muscle action summary: PRONATION
pronator quadratus
pronator teres
mid radioulnar joint - type & movements
fibrous, syndesmosis (interosseous membrane), amphiarthrosis, uniaxial
supination & pronation
mid radioulnar joint - articular surfaces
interosseous margins of radius & ulna
(fibrous tissue binds bones together)
mid radioulnar joint - ligaments
interosseous membrane
mid radioulnar joint - movements
pronation
supination
mid radioulnar joint - pronation & supination (degrees)
pronation: 80-90º
supination: 90º
distal radioulnar joint - type & movements
synovial, pivot, diarthrosis uniaxial
pronation & supination
distal radioulnar joint - articular surfaces
head of ulnar & ulnar notch of distal radius
distal radioulnar joint - ligaments
articular disc (triangular fibrocartilage complex, TFCC)
dorsal & palmar radioulnar ligaments
distal radioulnar joint - ROLL & GLIDE
pronation: ROLL: anterior, GLIDE = anterior
supination: ROLL = posterior, GLIDE = posterior
elbow joint complex bursa
bicipitoradial bursa
olecranon bursa
intratendinous: inside tendon
subtendinous: just below tendon
subcutaneous (olecranon): just below skin
what is the carrying angle?
-angle measured between axis of radius & axis of humerus
-allows arms to bend away from body & swing while walking without hitting hips
-normal to have small cubitus valgus (5-15º)
cubitus valgus
carrying angle = lower than normal
valgus = “L”
cubitus valgus at ELBOW
cubitus varus
carrying angle = higher than normal
cubitus varus at ELBOW