The Elbow

Question 1

Open/CLosed packed position of humeroulnar joint ?

Answer 1

Closed
-full extension in supination
Open
-70* flexion + 10* supination

Question 2

CLosed/open packed position of humeroradial joint ?

Answer 2

CLosed
-90* flexion with 5* supination
Open
-full extension + supination

Question 3

Closed/open packed position of proximal radioulnar joint?

Answer 3

Closed
-5* supination
Open
-35* supination with 70* flexion

Question 4

Capsular pattern of pain for elbow?

Answer 4

Flexion
Extension
Pronation + supination - full range

Question 5

Carrying angle of elbow (males vs females)

Answer 5

Males: 5-10*
Females: 10-15*

Question 6

Static bony palpation of elbow?

Answer 6

• Medial epicondyle
• Medial supracondylar line of humerus
• olecranon
• ulnar border
• lateral epicondyle
• lateral supracondylar line of humerus
• Olecranon fossa (extend slightly)
• Radial head (supination+ pronation)

Question 7

Soft tissue palpation of elbow ?

Answer 7

Medial 
-Ulnar nerve 
-Pronator teres
-flexor carpi radialis
-palmaris longus 
-flexor carpi ulnaris 
-medial collateral ligament region 
Supracondylar lymph nodes 
Posterior
-olecranon bursa 
-triceps muscle 
Lateral 
-extensor carpi radialis longus 
-extensor carpi radialis brevis 
-Lateral collateral ligament and annular ligament region
Anterior 
-cubital fossa (biceps tendon, brachial artery, median nerve)

Question 8

ROM of Elbow joint?

Answer 8

Flexion: 140-150*
Extension: 10-15*
Supination: 90*
Pronation: 90*

Question 9

HWat limits passive pronation and supination of the elbow?

Answer 9

Opposing muscles + Quadrate ligament**

Question 10

What limits elbow flexion (end feel?)

Answer 10

Soft tissue Approximation

Biceps, + muscles

Question 11

What limits elbow flexion?

Answer 11

Bony approximation of olecranon in fossa and by anterior band of MCL