Week 8 Elbow joint and cubital fossa Flashcards
joint classification of elbow joint
compound synovial modified hinge joint
bone and articular surfaces of elbow joint
humeroradial (capitulum/ head of radius)
humeroulnar (trochlea/ trochlear notch of ulna)
fibrous capsule of elbow joint
encloses 包圍 the proximal radioulnar joint
synovial membrane of elbow joint
continuous below
with the synovial membrane of the proximal radioulnar joint
ligaments of elbow joint
1. medial (ulnar) collateral ligament (MCL)
- anterior band –> strongest, provides valgus and anteroposterior stability
- posterior band
- oblique (transverse) band –> from ulna to ulna
2. lateral (radial) collateral ligamentous complex
- lateral (radial) collateral ligament (LCL) –> deep fibers: lateral ulnar collateral ligament (LUCL)
- annular ligament
–> forms fibro-osseous ring that encircles the head of radius
–> flexibility to let radial head move pronation and supination
special structures of elbow joint
- olecranon bursa
- fat pads in the fossae
nerve supply of elbow joint
Hilton’s law - a nerve that supplies muscles producing movement a joint, also supply that joint
- radial nerve
- ulnar nerve
- medial nerve
- musculocutaneous nerve
blood artery of elbow joint
brachial artery (extensive anastomoses around the elbow)
–> profounda brachii
–> superior and inferior ulnar collateral
–> radial and ulnar
movements of elbow joint
flexion/ extension (135/0 degrees)
muscle groups of elbow joint
elbow flexors (brachialis, biceps brachii, brachioradialis)
elbow extensors (triceps brachii, anconeus)
joint classification of proximal (superior) radioulnar joint
synovial pivot joint
bones and articular surfaces of proximal (superior) radioulnar joint
- head of radius
- radial notch
- annular ligament
fibrous capsule of proximal (superior) radioulnar joint
encloses the elbow joint
synovial membrane of proximal (superior) radioulnar joint
continuous above
with synovial membrane of elbow joint
ligaments of proximal (superior) radioulnar joint
annular ligament
nerve supply of proximal (superior) radioulnar joint
- radial (posterior interosseous)
- median
- musculocutaneous
blood supply of proximal (superior) radioulnar joint
- profounda brachii (middle and radial collateral branches)
- radial recurrent (radial)
- interosseous recurrent (common interosseous)
movements of proximal (superior) radioulnar joint
pronation/ supination
muscles groups of proximal (superior) radioulnar joint
forearm pronators (pronatos teres, pronator quadratus)
forearm supinators (biceps brachii, supinator)
proximal and distal attachment of pronator teres
ulnar and humeral head
proximal:
ulnar head: coronoid process
humeral head: medial epicondyle of humerus
distal:
middle of convexity of lateral surface of radius
innervation of pronator teres
median nerve (C6,C7)
main action of pronator teres
pronates and flexes forarm (at elbow)
proximal and distal attachment of pronator quadratus
proximal:
distal 1/4 of anterior surface of ulna
distal:
distal 1/4 of anterior surface of radius
innervation of pronator quadratus
anterior interosseous nerve, from median nerve (C8, T1)
main action of pronator quadratus
pronates forearm; deep fibers bind radius and ulna together
proximal and distal attachment of supinator
proximal:
- lateral epicondyle of humerus
- radial collateral and annular ligaments
- spinator fossa
- crest of ulna
distal:
- lateral, posterior, and anterior surfaces of proximal third of radius
innervation of supinator
deep branch of radial nerve (C7,C8)
main action of supinator
- supinates forearm
- rotates radius to turn palm anterior or superiorly (if elbow is flexed)
boundaries of cubital fossa
superiorly, medially, laterally
superiorly: an imaginary line connecting the medial and lateral epicondyles of the humerus
medially: pronator teres
laterally: brachioradialis
roof of cubital fossa
- skin (and subcutaneous tissue)
- medial cubital vein
- bicipital aponeurosis
- antebrachial fascia
floor of cubital fossa
brachialis
supinator
contents of cubital fossa
biceps brachii tendon
-
brachial artery
(termination) and its
branches - radial and ulnar arteries (commencement) and their branches
- deep (accompanying) veins
median nerve
- radial nerve (under brachioradialis)
TAN