ELBOW Test Flashcards
(23 cards)
Humeral Ulnar Joint:
Joint Type
Saddle Joint
1. Concave in one direction, convex in the other direction
Humeral Radial Joint:
Joint Type
Ball and Socket Joint
- Capitulum is the ball
- Concave head of radius is the socket
Superior Radial Ulnar Joint:
Joint Type
Trochoid (Pivot) Joint
Inferior Radial Ulnar Joint
Joint Type
Trochoid (trochoid = pivot) Joint
- Concave, convex type configuration
Syndesmosis
between radius and ulnar with interosseus membrane
Extension –> Flexion
Humero-Radial:
concave on convex
- Same direction
- Palmar glide at the R-U joint
Extension –> Flexion
Humero-Ulnar:
Concave on Convex
- Same direction
- Palmar Glide for flexion
Arthrokinematics
Radial Ulnar Joint
1 Convex on concave
2 A spin and some glide
Fossa
- Coronoid process on ulna anterior
- Radial Fossa on ulna
- Olecronon Fossa on posterior aspect
Elbow Ligaments
1) Annular ligament:
2) Medial collateral: ulnar in anatomical position
3) Lateral collateral: a little bit anterior
4) Interosseous Ligament
5) Quadrate Ligament
6) Anterior ligament reinforce capsule
7) Oblique anterior ligament to reinforce the capsule
Medial collateral ligament:
- anterior bundle, transverse bundle, and posterior bundle
2. allows hold forces in three planes, hold elbow together
Distal radius
a. Concave
b. Sockets for scaphoid lunate
c. Triangular fibrocartilage (disc, mensicus is also refferred to)
Proximal radial ulna joint
Concave Radius on Convex Ulna
Distal Radial Ulna Joint
Concave Radius on Convex Ulna
R-U Articulations
distal
- ulnar notch of radius concave
articulates with articular disc which is triangular shaped
- ulnar head is convex
- reinforced by anterior and posterior radial ulnar ligaments and interosseous ligaments
humeroulnar joint positions
Resting position: 70 flex elbow, 10 supination
Closed packed: full elbow extend and supination
humeroradial joint positions
resting position: FULL extension, FULL supination
closed packed position: elbow flexed 90 degrees, 5 degrees of supination
proximal radialulnar joint positions
rest: 70 elbow flexion, 35 supination
closed packed: 5 degrees supination
distal radial ulnar joint
rest: 10 degrees supination
closed packed: 5 supination
capsular pattern elbow
flexion > extension
90 degrees flexion –> 10 degrees extension
forearm capsular pattern
pronation and supination equal restriction
endfeel in the elbow
extension
flexion
pronation
supination
extension: bone on bone
flexion: soft tissue
pronation: bone on bone
supination: abrupt and firm (more capsular)
what position assess endfeel
flexion/extension
pronation/supination
flexion/extension: 70 flex, 10 supinate
pronation/supination: 10 degrees supination