Upper Quarter 1 Flashcards
What is the classification of the humeroulner and humeroradial joints
Diarthrodial uniaxial hinge joint
What are the joints of the elbow and forearm?
Humeroulnar
Humeroradial
Proximal radioulnar
Distal radioulnar
What are the osseous structures of the humerus?
Supracondylar ridge Epicondyles Olecranon fossa Trochlea Trochlear groove Capitulum
What are the osseous structures of the ulna?
Olecranon process
Trochlear notch
Trochlear ridge
Coronoid process
What are the ligamentous structures of the elbow joint?
Medial (ulnar) collateral ligament
Lateral (radial) collateral ligament
What does the medial collateral ligament of the elbow do?
Resists valgus stress
What does the lateral collateral ligament of the elbow do?
Resists varus stress
What are the three prime flexors of the elbow?
Biceps Brachii
Brachialis
Brachioradialis
What are the two prime extensors of the elbow?
Triceps
Anconeus
What are the motions of the humeroradial and humeroulnar joint?
Flexion
Extension
In Sagittal plane and coronal or M/L axis
Does active or passive ROM allow for more movement?
Passive, due to the bulk of the muscle not contracting.
Which position of the hand allows for greater flexion: supination, pronation, neutral?
Supination
For elbow flexion and extension, is it concave on convex or convex on concave?
Concave on convex
How do you classify the proximal and distal radioulnar joints?
Diarthrodial uniaxial pivot joints
What are the osseous structures of the radius?
Radial head
Ulnar notch
What are the osseous structures of the ulna
Radial notch
Ulnar head
What are the ligamentous structures of the forearm?
Annular ligament
Quadrate ligament
Interosseous membrane
Oblique cord
What does the annular ligament do?
Maintains radial head in radial notch
What does the quadrate ligament do?
Maintains radial head in radial notch
Limits spin of radial head in supination/pronation
What does the interosseous membrane do?
Provides stability for the ulnar joints
Taut in pronation, loose in supination
Transmits forces from distal radius to the ulna and up the chain when compressive forces are applied
What does the oblique cord do?
Prevents separation of the radius and ulna when distractive forces are applies
What are the prime supinators of the forearm?
Biceps Brachii
Supinator
What are the prime pronators of the forearm?
Pronator teres
Pronator quadratus
What are the motions of the forearm?
Supination
Pronation
In the transverse plane and vertical axis
How is ROM of the forearm tested?
With the elbow at 90 degrees
What is the range of active flexion of the elbow
135-140
What is the range of passive flexion of the elbow?
150-160 degrees
What is the average total range of motion of the radioulnar joint?
150-180 degrees
What is the average ROM of supination?
80-90 degrees
What is the average ROM of pronation?
70-80 degrees
What limits pronation of the forearm?
Bony approximation of radius on ulna
Tension of post. Radioulnar ligament
Passive insufficiency of biceps
Quadrate ligament limits spin
What limits supination of the forearm?
Tension of ant. Radioulnar ligament
Oblique cord tension
Quadrate ligament tension
For supination and pronation, are the distal and proximal joints convex on concave or concave on convex?
Proximal- convex on concave
Distal- concave on convex
What are the joints of the wrist?
Radiocarpal joint
Midcarpal joint
What are the carpal bones?
Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate
What are the ligamentous structures of the wrist?
Medial carpal ligament
Lateral carpal ligament
Transverse carpal ligament
What is another name for medial carpal ligament?
Ulnar collateral ligament
What is another name for the lateral carpal ligament?
Radial collateral ligament
What are the pillars of the transverse carpal ligament?
Pisiform
Hook of hamate
Scaphoid tubercle
Tubercle on trapezium
What are the prime flexor a of the wrist?
Palmaris longus
Flexor carpi ulnaris
Flexor carpi radialis
What are the prime extensors of the wrist?
Extensor carpi radialis brevis
Extensor carpi radialis longus
Extensor carpi ulnaris
What are the prime radial deviators?
Extensor carpi radialis longus
Flexor carpi radialis
Abductor pollicis longus
Extensor pollicis brevis
What are the prime ulnar deviators?
Flexor carpi ulnaris
Extensor carpi ulnaris
What are the proximal components of the radiocarpal joint?
Radius
Triangular fibrocartilage complex (TFCC)
What are the distal components of the radiocarpal joint?
Scaphoid
Lunate
Triquetrum
Where are 80% of the compressive forces through the wrist?
The radius articulating with scaphoid and lunate
Where are 20% of the compressive forces in the wrist?
TFCC articulating with lunate and triquetrum
What is in the medial compartment of the midcarpal joint?
Capitate-hamate articulating with scaphoid-lunate-triquetrum
What is in the lateral compartment of the midcarpal joint?
Scaphoid articulating with trapezoid-triquetrum
What is the point of the pisiform bone?
Acts as a sesmoid bone to increase the moment arm of the flexor carpi ulnaris muscle
How would you classify the radiocarpal joint?
Biaxial compound ellipsoid joint
How do you classify the midcarpal joint?
It can’t be defined
What are the motions of the wrist?
Flexion/extension
In Sagittal plane and coronal axis
Radial/ulnar deviation
In frontal plane and A/P axis
What’s the normal ROM of the wrist?
Flexion-80-90 degrees
Extension-60-80 degrees
Ulnar deviation-30-40 degrees
Radial deviation-15-20
What are the joints of the hand?
Carpometacarpal joint 1-5 Metacarpophalangeal joint 1-5 Proximal interphalangeal joint 2-5 Distal interphalangeal joints 2-5 Interphalangeal joint 1
What are the osseous structures of the hand?
Metacarpals
Proximal phalanges
Distal phalanges
Middle phalanges
What are the prime flexors of the finger MCP and IP joints?
Flexor digitorum profundus
Flexor digitorum superficialis
Lumbricals
Flexor digiti minimi
What are the prime extensors of the finger MCP and IP joint?
Extensor digitorum
Extensor indices
Extensor digiti minimi
How do you cause the extensor digitorum to work less?
Close fingers into a fist
What are the prime abductors of the fingers?
Dorsal interossei
Abductor digiti minimi
What is the prime adductor of the fingers?
Palmar interossei
What are the prime flexors of the thumb?
Flexor pollicis longus
Flexor pollicis brevis
Opponens pollicis
What are the prime extensors of the thumb?
Extensor pollicis longus
Extensor pollicis brevis
Abductor pollicis longus
What are the prime abductors of the thumb?
Abductor pollicis brevis
Abductor pollicis longus
What is the prime adductor of the thumb?
Adductor pollicis
What are the prime oppositioners of the hand?
Opponens pollicis
Flexor pollicis brevis
Abductor pollicis brevis
Opponens digiti minimi