elbow and forearm complex Flashcards

1
Q

origin of the lateral compartment of the muscle of the forearm
located: elbow 90 deg, FA mid prone

A

lateral supracondylar ridge

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2
Q

common extensor origin

aka “extensor epicondye”

A

lateral epicondyle

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3
Q

common elbow flexor origin

point to the rear

aka “flexor spicondyle”

large and easy to locate

A

medial epicondyle

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4
Q

Hour glass shape

Has two portion separated by the trochlear groove

medial

A

Trochlea

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5
Q

Spheroid in shape

Capitulotrochelar groove in between
- Where radial head slides during elbow flexion

A

Capitulum

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6
Q

superior to trochlea

Receives the coronoid process of the ulna

A

Coronoid fossa

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7
Q

Above the capitulum

Receives the head of the radius

A

Radial fossa

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8
Q

Trochlear ridge / longitudinal ridge

Trochlear / semilunar notch - concave

Coronoid process

Ulnar tuberosity

Radial notch

A

Ulna

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9
Q

Head

Fovea

Neck

Radial tuberosity
- Trochlear notch
- Coronoid process

A

Radius

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10
Q

articulate with convex capitulum

A

Fovea

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11
Q

joints of elbow and fa region

A

humeroulnar joint

humeroradial joint

proximal radio-ulnar joint

distal radio-ulnar joint

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12
Q

humero-ulnar jt

type of joint

deg of freedom

capsular pattern

cpp

opp

A

Type of Joint: Synovial diarthrodial hinged/ginglymus joint

Degrees of Freedom: 1

Capsular Pattern: flexion, extension

CPP: extension with supination

OPP: 70° elbow
flexion, 10° supination

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13
Q

humero-radial jt

type of joint

deg of freedom

capsular pattern

cpp

opp

A

Degrees of Freedom: 1

Type of Joint: Synovial diarthrodial hinged/ginglymus joint

Capsular Pattern: Flexion, extension, supination, pronation

CPP: Elbow flexed to 90°, forearm
supinated to 5°

OPP: Full extension and full supination

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14
Q

proximal and distal radio-ulnar jt

type of joint

deg of freedom

capsular pattern

cpp

opp

A

Type of joint: Synovial diarthrodial pivot/trochoid joint

Deg of freedom: 1

Capsular Pattern: Equal limitation of supination and pronation

CPP: 5°
supination

OPP: 35°
supination, 70° elbow flexion

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15
Q

trochlea of the humerus TO trochlear notch of the ulna

A

humeroulnar joint

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16
Q

capitulum of the humerus TO fovea of the radius

A

humeroradial joint

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17
Q

head of the radius and the annular ligament and the radial notch on the ulna

A

Proximal radio- ulnar joint

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18
Q

rounded head of the ulna and the ulnar notch on the radius

A

Distal radioulnar joint

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19
Q

ligaments

A

medial/ulnar collateral ligament

lateral/radial collateral ligament

annular

quadrate

oblique

anterior distal radioulnar ligament

posterior radioulnar ligament

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20
Q

to the medial epicondyle, - olecranon process TO the coronoid process

A

medial/ulnar collateral ligament

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21
Q

to the lateral epicondyle of the humerus TO the upper margin of the annular ligament

A

lateral/radial collateral ligament

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22
Q

attached to the anterior and posterior margins of the radial notch on the ulna TO the head of the radius

A

annular ligament

23
Q

below the radial notch of the ulna TO medial surface of the neck of the radius

A

quadrate ligament

24
Q

lateral side of the ulnar tuberosity TO just distal to the bicipital tuberosity

A

oblique ligament

25
Q

from the anterior aspect of the radioulnar joint

A

Anterior (palmar) distal radioulnar ligament

26
Q

dorsal aspect of the radioulnar joint

A

posterior (dorsal) radioulnar ligament

27
Q

roll and slide of humeroulnar and humeroradial joint during flexion

A

Roll and slide: anteriorly

28
Q

roll and slide of humeroulnar and humeroradial joint during extension

A

Roll and Slide: Posteriorly

29
Q

spin of prox and distal radioulnar joint during pronation

A

Pronation: anterior Spin

30
Q

spin of prox and distal radioulnar joint during supination

A

Supination: posterior spin

31
Q

elbow flexors

A

brachialis
biceps brachii
brachioradialis
pronator teres

32
Q

elbow extensors

A

Triceps
anconeus

33
Q

elbow pronators

A

pronator teres
pronator quadratus

34
Q

elbow supinators

A

biceps brachii
supinator

35
Q

work horse of the elbow flexors; least controversial; uninfluenced by the position of the forearm

active with or without a load; motion is rapid or slow

effective when forearm is pronated

A

Brachialis

36
Q

“supinator longus”

-pure elbow flexor when the forearm is in midposition

A

Brachioradialis

37
Q

three jointed mm (act as shoulder flexor, elbow flexor and forearm supinator)

A

Biceps Brachii

38
Q

biceps brachii is active as elbow flexor when

A

Supinated- with or without load; slow or fast

Pronated- increasing speed and increasing load (greater than 2lbs)

39
Q

biceps brachii little to no activity

A

slow flexion in forearm pronated and 2lbs or
less

40
Q

More powerful, 5x cross section and shortening range 2x than anconeus

  • medial head is next in line after the anconeus “work horse of the elbow extension”

-lateral head- next in line if moderate to high extensor demand

-long head- last to act if high extensors
demand “reserve elbow extensor”

A

Triceps

41
Q

appears to be the fourth head of the extensor mechanism

as to low level of elbow extension, usually first mm to initiate the motion (initiator of elbow extension)

A

Anconeus

42
Q

active during quick elbow supination

A

Biceps Brachii

43
Q

biceps is 4x better as supinator when

A

in 90 deg flexion

44
Q

biceps is 2x better as supinator when

A

elbow is extended

45
Q

active when elbow extended, slow and without resistance

A

Supinator

46
Q

has two heads: humeral and ulnar

-As a primary forearm pronator; strongest

-greatest activity during higher power pronation actions

A

Pronator Teres

47
Q

-pronates the forearm unaided by other mm if pronation is performed slowly without resistance and without active elbow flexion

-is the most active and consistently used pronator muscle, involved during all pronation movements, regardless of the power demands or the amount of associated elbow flexion

-stabilizer of the distal radioulnar joint

A

Pronator Quadratus

48
Q

is the angle formed between the long axis of the upper arm (humerus) and the long axis of the forearm (forearm bones, radius, and ulna) when the elbow is fully extended, and the forearm is supinated (palm facing forward).

A

Carrying angle / Cubital Angle

49
Q

normal values of carrying angle

A

Normal: 15 deg (mean values 5-19 deg)

Men: 11-14 deg

Women: 13-16 deg

50
Q

carrying angles disappears when

A

Full elbow extension with FA pronated

Full elbow flexion with FA supinated

51
Q

increased carrying angle

> 15 deg

A

Cubitus valgus

52
Q

decreased carrying angle, less than 5-15 deg

A

Cubitus varus / Gunstock deformity

53
Q

Mobile Wad of Three

A

Brachioradialis, ECRL, ECR