The Elbow Flashcards
Describe the location of the ulna
Medial to the forearm
Describe the structure and role of the ulna
Large at the proximal end and thin at distal end, large proximal end allows it to hook onto the humerus. The ulna acts as the stabilising bone of the forearm
Describe the location of the radius
Lateral to the forearm
Describe the role of the radius
It’s the mobile bone of the forearm (allows supination and pronation)
What is the olecranon?
It’s at the top of the ulna (where it hooks over the humerus) and this is felt as the spherical-like bone of the elbow.
What is the olecranon fossa and what is its function?
This is the dent in which the ulna fits into the humerus and therefore it prevents hyperextension as the ulna can only fit into this fossa to a certain extent, preventing further extension.
Name the main 8 structures of the elbow
coronoid process, trochlear, capitulum, lateral epicondyle, medial epicondyle, radius, ulna, humerus
What are the condyles of the elbow joint?
Trochlear (medial) and capitulum (lateral)
What are the two epicondyles of the elbow?
Lateral and medial epicondyles
Describe the function of the medial epicondyle
provides the common attachment point for the forearm flexors, it is bigger than the lateral epicondyle and is known as the funny bone
Describe the function of the lateral epicondyle
The lateral epicondyle acts as the common attachment for the forearm extensors (wrist and digit extensors)
What fossa does the elbow joint have?
2 anterior fossa - the radial and coronoid fossa
1 posterior fossa - olecranon fossa
How many bursa are there in the elbow?
3 olecranon bursa
Name the bursae of the elbow
Intratendinous olecranon bursa, subtendinous olecranon bursa and subcutaneous olecranon bursa
How does the carrying angle differ between genders?
Women have a greater carrying angle than men
How many different joints does the elbow consist of?
Three joints which all share the same articular capsule
Name the three different joints of the elbow.
Humero-ulnar joint, humero-radial joint, proximal radio-ulnar joint
Describe the humero-ulnar joint
Trochlea of humerus articulates with the trochlear notch of the ulna to facilitate flexion and extension, and this is a proper hinge joint
Describe the humero-radial joint
the capitulum (dome-shaped) of the humerus articulates with the head of the radius to assist with flexion as it allows the ulna to have a greater range of movement
Describe the proximal radio-ulnar joint
This is the joint between the radius and ulna which allows supination and pronation of the elbow
What type of joints does the elbow joint consist of?
Synovial joints
Name the chief muscles that flex the elbow?
brachialis (always active in flexion), biceps brachii (most used when already flexed 90 degrees) and brachioradialis
Name the chief muscles that extend the elbow?
triceps brachii (and anconeus)
Name the chief muscles that supinate at the elbow?
biceps brachii and supinator muscles
Name the chief muscles that pronate at the elbow?
pronator teres (at the elbow) and pronator quadratus (at the wrist)
Where do the chief elbow flexors attach to the elbow joint?
At the radius
Why is biceps brachii known as the ‘party muscle’?
Allows turning of cork screw (supination) and to drink the wine (flexion)
Name the three ligaments of the elbow
Lateral collateral, medial collateral and annular ligament
Describe the function of the medial and lateral collateral ligaments
Lateral (radial) and medial (ulnar) collateral ligaments help to support the elbow
Describe the location and function of the annular ligament
Comes around the head of the radius and holds the flat top of the radius to the ulnar bone, and therefore allows rotation of the radio over the ulnar (pronation and supination)
What’s the location and function of the interosseous membrane?
This is a fibrous membrane that separated the anterior and posterior compartments of the arm and tethers the radius and ulnar together to prevent them from moving apart. In pronation the membrane folds up to allow the rotation of the radius over the ulnar.
Where does the neurovascular supply travel through in the elbow?
Cubital fossa
Where is the ulnar nerve located?
Just beneath the medial epicondyle
What is the radial nerve important for?
Movement of the hand