Exam 2 flashcards-2
(91 cards)
Elbow Joint (Articulations)
Articulations: * Trochlea of the humerus with the trochlear notch of the ulna, * Capitulum of the humerus with the head of the radius
Elbow Joint (Movements)
A very stable hinge (ginglymus) joint because of the wrench shape of the trochlear notch of the ulna fitting around the trochlea of the humerus. The joint is also strengthened by strong medial and lateral ligaments. Flexion unrestricted by bone or ligaments. It stops when the soft tissue of the forearm meets that of the arm. Extension is limited by contact of the olecranon with the floor of the olecranon fossa of the humerus.
Subluxation of the Head of the Radius (Symptoms)
Symptoms: * Very painful (pinching of the annular ligament), * Extremity is held limply at the side (forearm is flexed and pronated) or supported by the opposite hand, * Palpation reveals tenderness at radial head, * Supination of the forearm causes great pain
(Fracture of the) Radius and/or Ulna
- Fractures usually result from severe injury and direct injury usually produces transverse fractures of both bones, * Isolated fractures of either bone can occur, * Displacement of the fragment is usually considerable and will depend on the pull of the attached muscles, * If the normal anatomical relationship are not restored pronation and supination may be impaired
(Fractured) Scaphoid (Symptoms)
Symptoms: * There is some swelling and pain and many patients just think they have “sprained” their wrist, * Tenderness and swelling in the anatomical snuffbox makes one suspicious of the this type of fracture, * Initial radiography may not reveal a fracture, * Because of the poor blood supply to the bone, union of the fractured parts may take several months and can produce degenerative arthritis of the first CM joint
Pronator Teres (Origin/Insertion)
Origin: Medial Epicondyle of Humerus, Coronoid Process of Ulna, Insertion: Pronator Ridge of Radius
Pronator Teres (Actions)
Actions: * Pronation of forearm at superior radioulnar joint, * Assists in flexion at the forearm
Pronator Teres (Nerve Supply)
Nerve Supply: Median Nerve
Pronator Teres Syndrome
Compression of median nerve in the proximal forearm. The nerve is compressed between the heads of {this} muscle due to direct trauma or excessive pronation/supination (hypertrophy of the muscle).
Flexor Carpi Radialis (Origin/Insertion)
Origin: Medial Epicondyle of Humerus, Insertion: Second Metacarpal (with a small slip to the third metacarpal)
Flexor Carpi Radialis (Actions)
Actions: * Equal prime mover for flexion at the wrist joint, * Abduction of the hand
Palmaris Longus (Origin/Insertion)
Origin: Medial Epicondyle of Humerus, Insertion: Palmar Aponeurosis (fascia)
Palmaris Longus (Actions)
Actions: * Weak flexion at the wrist, * Tightens fascia of palm
Palmaris Longus (Nerve Supply)
Nerve Supply: Median Nerve
Flexor Carpi Ulnaris (Origin/Insertion)
Origin: Medial Epicondyle of Humerus, Insertion: Pisiform, Hamate, and 5th metacarpal
Flexor Carpi Ulnaris (Nerve Supply)
Nerve Supply: Ulnar Nerve
Radial Deviation
Weakness of the flexor carpi ulnaris results in an abnormal type of flexion of the hand that wrist joint known as {this} due to ulnar nerve damage.
Flexor Digitorum Superficialis (Origin/Insertion)
Origin: Medial Epicondyle of Humerus, Insertion: Middle Phalanges of Digits 2-5
Flexor Digitorum Superficialis (Actions)
Actions: * Flexes proximal interphalangeal (PIP) joints of digits 2-5, * Assist in flexion at the wrist joint
Flexor Digitorum Superficialis (Nerve Supply)
Nerve Supply: Median Nerve
Flexor Digitorum Profundus (Origin/Insertion)
Origin: Shaft of the Ulna, Insertion: Distal phalanges of Digits 2-5
Flexor Digitorum Profundus (Actions)
Actions: * Flexes distal interphalangeal (DIP) joints of digits 2-5, * Assists in flexion at the wrist joint
Flexor Digitorum Profundus (Nerve Supply)
Nerve Supply: Median and Ulnar Nerve
Flexor Pollicis Longus (Origin/Insertion)
Origin: Shaft of Radius, Insertion: Distal Phalanx of Digit 1