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PT 384 Elbow/Forearm
| Question | Answer |
|---|---|
| The elbow is what type of joint? | • Hinge |
| The proximal radio-ulnar joint is what type of joint? | • Pivot |
| What bones are involved with the elbow joint? | • Humerus • Ulna • Radius |
| What is the articulating surface of the humerus to the ulna? | • Trochlea |
| What is the articulating surface of the humerus to the radius? | • Capitulum |
| What is the articulating surface of the ulna to the humerus? | • Trochlear notch |
| What is the articulating surface of the radius to humerus? | • Radial head |
| How does the superior RU joint work? | • The head of radius pivots within the radial notch of ulna |
| How does the inferior RU joint work? | • The ulnar notch of the radius rotates around the head of the ulna |
| What type of axial joint is the elbow? | • Uniaxial hinge |
| What are the names of the joints in the elbow | • Radiohumeral joint • Ulnohumeral |
| Does the Radiohumeral joint fit well? | • No |
| Is the Radiohumeral joint stable? | • No |
| Does the ulnohumeral fit well? | • Yes |
| Is the ulnohumeral joint stable? | • Yes |
| What type of axial joint is the radio-ulnar? | • Uniaxial pivot joint |
| How many degrees of flexion and extension does the elbow have? | • 0 - 145° |
| How many degrees of supination does the forearm have? | • 90° |
| How many degrees of pronation does the forearm have? | • 80° |
| Is forearm pronation or supination the more dangerous position? Why? | • Pronation • Because the radius crosses over the ulna which can cause a bone fracture as radius presses against the ulna |
| Is the Radiohumeral joint or the ulnohumeral joint mostly likely to dislocate? | • Radiohumeral |
| How many degrees of carrying angle do men have? | • 5° |
| How many degrees of carrying angle do women have? | • 10°- 15° |
| Why do we have the carrying angle? | • Because the trochlea is lower than the capitulum, therefore the axis for flexion/extension is uneven. |
| What are the purposes of the carrying angle? | • Makes it easier to being food to the mouth. • Keeps forearm away from the body. |
| What 2 things does the medial collateral ligament do? | Maintains elbow stability on the medial side. • Keep elbow from too much valgus (hand outward) |
| What is another name for the medial collateral ligament? | • Ulnar collateral ligament |
| What is another name for the lateral collateral ligament? | • Radial collateral ligament |
| What 2 things does the radial collateral ligament do? | • Maintains lateral elbow stability • Keeps elbow from too much varus (hand inward; toward midline) |
| What is the name of the ligament the holds the radial head in the radial notch of ulna? | • Annular ligament |
| What is the membrane between the ulna and radius? | • Interosseous membrane |
| What 2 things does the interosseous membrane do? | • Keeps bones together • Provides surface area for muscle attachment |
| What does the brachialis, biceps brachii, and brachioradialis have in common? | • They all flex the elbow |
| What will a muscle most likely do if the insertion is on the radius? | • Forearm supination |
| What will be a problem if the radial nerve is damaged? | • Elbow extension |
| What muscle does a pushup strengthen most? | • Triceps: both concentrically and eccentrically |
| Origin of triceps brachii | • Long head: infraaglenoid tuberle of scapula • Lateral Head: lateral and posterior to greater tubercle of humerus • Medial head: posterior surface of humerus |
| Insertion of supinator muscle | • Anterior surface of proximal radius |
| Origin of brachialis | • Distal half of humerus, anterior surface |
| Nerve of pronator teres | • Median nerve |
| Action of biceps brachii | • Elbow flexion and forearm supination |
| Nerve of supinator | • Radial |
| Origin of pronator teres | • Medial epicondyle of humerus and coronoid process of ulna |
| Origin of supinator | • Lateral epicondyle of humerus and adjacent ulna |
| Action of triceps brachii | • Elbow extension |
| Action of brachialis | • Elbow flexion |
| Insertion of biceps brachii | • Radial tuberosity of radius |
| Nerve of brachialis | • Musculocutaneous |
| Origin of pronator quadratus | • Distal 1/4 of ulna |
| Insertion of pronator teres | • Lateral aspect of radius at its midpoint |
| Nerve of brachioradialis | • Radial |
| Action of supinator | • Forearm supination |
| Insertion of brachialis | • Styloid process of radius |
| Action of pronator teres | • Forearm pronation , assist elbow flexion |
| Nerve of biceps brachii | • Musculocutaneous |
| Origin of brachioradialis | • Lateral suprcondylar ridge of humerus |
| Nerve of triceps brachii | • Radial |
| Action of brachioradialis | • Elbow flexion |
| Insertion of pronator quadratus | • Distal 1/4 of radius |
| Origin of biceps brachii | • Long head: supraglenoid tubercle of scapula • Short head: coranoid process of scapula |
| Nerve of pronator quadratus | • Median |
| Nerve of anconeus | • Radial nerve (C7, C8) |
| Insertion of triceps | • Olecranon process of ulna |
| Insertion of brachialis | • Coronoid process and ulnar tuberosity of ulna |
| Insertion Anconeus | • Lateral & inferior to olecranon process of ulna |
| Action Pronator quadratus | • Forearm pronation |
| Action of anconeus | • Not a prime mover of joint motion, assists in elbow extension |